1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to health-related occupations; modifying licensing for practice of |
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3 | 3 | | 1.3 acupuncture and herbal medicine; amending Minnesota Statutes 2024, sections |
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4 | 4 | | 1.4 147B.01, subdivisions 3, 4, 9, 14, by adding a subdivision; 147B.03, subdivisions |
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5 | 5 | | 1.5 2, 3; 147B.05, subdivision 1; 147B.06, subdivisions 1, 4, 5; repealing Minnesota |
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6 | 6 | | 1.6 Statutes 2024, section 147B.01, subdivision 18. |
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7 | 7 | | 1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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8 | 8 | | 1.8 Section 1. Minnesota Statutes 2024, section 147B.01, is amended by adding a subdivision |
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9 | 9 | | 1.9to read: |
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10 | 10 | | 1.10 Subd. 2a.Acupuncture."Acupuncture" means a unique treatment technique that uses |
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11 | 11 | | 1.11modern and traditional medical methods of diagnosis and treatment. It includes the insertion |
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12 | 12 | | 1.12of filiform or acupuncture needles through the skin and may include the use of other |
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13 | 13 | | 1.13biophysical methods of acupuncture point stimulation, including the use of heat, massage, |
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14 | 14 | | 1.14or manual therapy techniques or electrical stimulation. Acupuncture includes but is not |
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15 | 15 | | 1.15limited to therapies termed "dry needling," "trigger point therapy," "intramuscular therapy," |
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16 | 16 | | 1.16"auricular detox treatment," and similar terms referring to the insertion of needles past the |
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17 | 17 | | 1.17skin for pain management, disease or symptom modification, or other related treatments. |
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18 | 18 | | 1.18 Sec. 2. Minnesota Statutes 2024, section 147B.01, subdivision 3, is amended to read: |
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19 | 19 | | 1.19 Subd. 3.Acupuncture and herbal medicine practice."Acupuncture and herbal medicine |
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20 | 20 | | 1.20practice" means a comprehensive system of primary health care using Oriental medical |
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21 | 21 | | 1.21theory and its unique methods of diagnosis and treatment. Its treatment techniques include |
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22 | 22 | | 1.22the insertion of acupuncture needles through the skin and the use of other biophysical |
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23 | 23 | | 1.23methods of acupuncture point stimulation, including the use of heat, Oriental massage |
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24 | 24 | | 1Sec. 2. |
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25 | 25 | | REVISOR AGW/LJ 25-0320602/11/25 |
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26 | 26 | | State of Minnesota |
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27 | 27 | | This Document can be made available |
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28 | 28 | | in alternative formats upon request |
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29 | 29 | | HOUSE OF REPRESENTATIVES |
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30 | 30 | | H. F. No. 1270 |
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31 | 31 | | NINETY-FOURTH SESSION |
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32 | 32 | | Authored by Gillman and Huot02/20/2025 |
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33 | 33 | | The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1techniques, electrical stimulation, herbal supplemental therapies, dietary guidelines, breathing |
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34 | 34 | | 2.2techniques, and exercise based on Oriental medical principles that uses traditional and |
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35 | 35 | | 2.3modern diagnosis, methodology, and treatment techniques based on acupuncture and herbal |
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36 | 36 | | 2.4medicine theory, principles, and methods. Treatment techniques include but are not limited |
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37 | 37 | | 2.5to acupuncture, cupping, dermal friction, therapeutic massage, herbal therapies, dietary |
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38 | 38 | | 2.6guidelines, mind-body exercises, and other appropriate techniques. |
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39 | 39 | | 2.7 Sec. 3. Minnesota Statutes 2024, section 147B.01, subdivision 4, is amended to read: |
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40 | 40 | | 2.8 Subd. 4.Acupuncture needle."Acupuncture needle" means a needle designed |
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41 | 41 | | 2.9exclusively for acupuncture the purposes of insertion past the skin to alleviate pain, provide |
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42 | 42 | | 2.10symptom relief, or modulate disease processes. It has a solid core, with a tapered point, and |
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43 | 43 | | 2.11is 0.12 mm to 0.45 mm in thickness. It is constructed of stainless steel, gold, silver, or other |
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44 | 44 | | 2.12board-approved materials as long as the materials can be sterilized according to |
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45 | 45 | | 2.13recommendations of the National Centers for Disease Control and Prevention. |
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46 | 46 | | 2.14 Sec. 4. Minnesota Statutes 2024, section 147B.01, subdivision 9, is amended to read: |
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47 | 47 | | 2.15 Subd. 9.Breathing techniques."Breathing techniques" means Oriental breathing |
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48 | 48 | | 2.16exercises taught to a patient as part of a treatment plan. |
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49 | 49 | | 2.17 Sec. 5. Minnesota Statutes 2024, section 147B.01, subdivision 14, is amended to read: |
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50 | 50 | | 2.18 Subd. 14.Herbal therapies or herbal medicine."Herbal therapies" are or "herbal |
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51 | 51 | | 2.19medicine" means the use of herbs and patent herbal remedies as supplements as part of the |
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52 | 52 | | 2.20treatment plan of the patient. |
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53 | 53 | | 2.21 Sec. 6. Minnesota Statutes 2024, section 147B.03, subdivision 2, is amended to read: |
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54 | 54 | | 2.22 Subd. 2.Board approval.The board shall approve a continuing education program if |
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55 | 55 | | 2.23the program meets the following requirements: |
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56 | 56 | | 2.24 (1) it directly relates to the practice of acupuncture; |
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57 | 57 | | 2.25 (2) each member of the faculty shows expertise in the subject matter by holding a degree |
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58 | 58 | | 2.26or certificate from an educational institution, has verifiable experience in traditional Oriental |
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59 | 59 | | 2.27acupuncture and herbal medicine, or has special training in the subject area; |
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60 | 60 | | 2.28 (3) the program lasts at least one contact hour; |
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61 | 61 | | 2.29 (4) there are specific written objectives describing the goals of the program for the |
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62 | 62 | | 2.30participants; and |
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63 | 63 | | 2Sec. 6. |
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64 | 64 | | REVISOR AGW/LJ 25-0320602/11/25 3.1 (5) the program sponsor maintains attendance records for four years. |
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65 | 65 | | 3.2 Sec. 7. Minnesota Statutes 2024, section 147B.03, subdivision 3, is amended to read: |
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66 | 66 | | 3.3 Subd. 3.Continuing education topics.(a) Continuing education program topics may |
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67 | 67 | | 3.4include, but are not limited to, Oriental medical acupuncture and herbal medicine theory |
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68 | 68 | | 3.5and techniques including Oriental massage; Oriental nutrition; Oriental herbology and diet |
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69 | 69 | | 3.6therapy; Oriental exercise; western sciences such as anatomy, physiology, biochemistry, |
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70 | 70 | | 3.7microbiology, psychology, nutrition, and history of medicine; and medical terminology or |
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71 | 71 | | 3.8coding. |
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72 | 72 | | 3.9 (b) Practice management courses are excluded under this section. |
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73 | 73 | | 3.10 Sec. 8. Minnesota Statutes 2024, section 147B.05, subdivision 1, is amended to read: |
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74 | 74 | | 3.11 Subdivision 1.Creation.The advisory council to the Board of Medical Practice for |
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75 | 75 | | 3.12acupuncture consists of seven members appointed by the board to three-year terms. Four |
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76 | 76 | | 3.13members must be licensed acupuncture practitioners licensed in Minnesota, one member |
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77 | 77 | | 3.14must be a licensed physician or osteopathic physician who also practices acupuncture, one |
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78 | 78 | | 3.15member must be a licensed chiropractor who is NCCAOM certified, and one member must |
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79 | 79 | | 3.16be a member of the public who has received acupuncture treatment as a primary therapy |
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80 | 80 | | 3.17from a NCCAOM certified acupuncturist. |
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81 | 81 | | 3.18 Sec. 9. Minnesota Statutes 2024, section 147B.06, subdivision 1, is amended to read: |
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82 | 82 | | 3.19 Subdivision 1.Practice standards.(a) Before treatment of a patient, an acupuncture |
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83 | 83 | | 3.20practitioner shall ask whether the patient has been examined by a licensed physician or other |
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84 | 84 | | 3.21professional, as defined by section 145.61, subdivision 2, with regard to the patient's illness |
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85 | 85 | | 3.22or injury, and shall review the diagnosis as reported. |
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86 | 86 | | 3.23 (b) The practitioner shall obtain informed consent from the patient, after advising the |
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87 | 87 | | 3.24patient of the following information which must be supplied to the patient in writing before |
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88 | 88 | | 3.25or at the time of the initial visit: |
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89 | 89 | | 3.26 (1) the practitioner's qualifications including: |
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90 | 90 | | 3.27 (i) education; |
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91 | 91 | | 3.28 (ii) license information; and |
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92 | 92 | | 3.29 (iii) outline of the scope of practice of acupuncturists in Minnesota; and |
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93 | 93 | | 3.30 (2) side effects which may include the following: |
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94 | 94 | | 3Sec. 9. |
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95 | 95 | | REVISOR AGW/LJ 25-0320602/11/25 4.1 (i) some pain in the treatment area; |
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96 | 96 | | 4.2 (ii) minor bruising; |
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97 | 97 | | 4.3 (iii) infection; |
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98 | 98 | | 4.4 (iv) needle sickness; or |
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99 | 99 | | 4.5 (v) broken needles. |
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100 | 100 | | 4.6 (c) The practitioner shall obtain acknowledgment by the patient in writing that the patient |
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101 | 101 | | 4.7has been advised to consult with the patient's primary care physician about the acupuncture |
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102 | 102 | | 4.8treatment if the patient circumstances warrant or the patient chooses to do so. |
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103 | 103 | | 4.9 (d) (c) The practitioner shall inquire whether the patient has a pacemaker or bleeding |
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104 | 104 | | 4.10disorder. |
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105 | 105 | | 4.11 Sec. 10. Minnesota Statutes 2024, section 147B.06, subdivision 4, is amended to read: |
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106 | 106 | | 4.12 Subd. 4.Scope of practice.The scope of practice of acupuncture and herbal medicine |
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107 | 107 | | 4.13includes, but is not limited to, the following: |
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108 | 108 | | 4.14 (1) using Oriental medical theory to assess and diagnose a patient evaluation, |
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109 | 109 | | 4.15management, and treatment services using methods and techniques described in section |
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110 | 110 | | 4.16147B.01, subdivisions 2a, 3, and 14; |
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111 | 111 | | 4.17 (2) using Oriental medical theory to develop a plan to treat a patient. The treatment |
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112 | 112 | | 4.18techniques that may be chosen include: diagnostic examination, testing, and procedures |
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113 | 113 | | 4.19including physical examination, basic diagnostic imaging, and basic laboratory or other |
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114 | 114 | | 4.20diagnostic tests for the purposes of guiding treatment within the scope of practice of |
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115 | 115 | | 4.21acupuncture, herbal medicine, and herbal therapies, as described in section 147B.01, |
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116 | 116 | | 4.22subdivisions 2a, 3, and 14. When results fall outside of the education, training, and expertise |
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117 | 117 | | 4.23of the licensed acupuncturists, or suggest serious or emergent conditions, the acupuncturist |
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118 | 118 | | 4.24must facilitate referrals to other appropriate health care providers; |
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119 | 119 | | 4.25 (i) insertion of sterile acupuncture needles through the skin; |
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120 | 120 | | 4.26 (ii) acupuncture stimulation including, but not limited to, electrical stimulation or the |
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121 | 121 | | 4.27application of heat; |
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122 | 122 | | 4.28 (iii) cupping; |
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123 | 123 | | 4.29 (iv) dermal friction; |
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124 | 124 | | 4.30 (v) acupressure; |
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125 | 125 | | 4Sec. 10. |
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126 | 126 | | REVISOR AGW/LJ 25-0320602/11/25 5.1 (vi) herbal therapies; |
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127 | 127 | | 5.2 (vii) dietary counseling based on traditional Chinese medical principles; |
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128 | 128 | | 5.3 (viii) breathing techniques; |
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129 | 129 | | 5.4 (ix) exercise according to Oriental medical principles; or |
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130 | 130 | | 5.5 (x) Oriental massage. |
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131 | 131 | | 5.6 (3) services included in the practice of acupuncture and herbal medicine, as defined in |
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132 | 132 | | 5.7section 147B.01, subdivision 3; |
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133 | 133 | | 5.8 (4) stimulation of acupuncture points, areas of the body, or substances in the body using |
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134 | 134 | | 5.9acupuncture needles, heat, cold, color, light, infrared and ultraviolet, low-level or cold lasers, |
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135 | 135 | | 5.10sound, vibration, pressure, magnetism, electricity, electromagnetic energy, bleeding, suction, |
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136 | 136 | | 5.11or other devices or means; |
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137 | 137 | | 5.12 (5) use of physical medicine modalities, procedures, and devices such as cupping, dermal |
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138 | 138 | | 5.13friction, acupressure, and massage, as described in section 147B.01, subdivisions 2a, 3, and |
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139 | 139 | | 5.1414; |
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140 | 140 | | 5.15 (6) use of therapeutic exercises, breathing techniques, meditation, and biofeedback |
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141 | 141 | | 5.16devices and other devices that utilize heat, cold, color, light, infrared and ultraviolet, low-level |
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142 | 142 | | 5.17or cold lasers, sound, vibration, pressure, magnetism, electricity, and electromagnetic energy |
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143 | 143 | | 5.18for therapeutic purposes; |
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144 | 144 | | 5.19 (7) dietary counseling using methods and techniques of acupuncture and herbal medicine; |
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145 | 145 | | 5.20and |
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146 | 146 | | 5.21 (8) counseling and education regarding physical, emotional, and spiritual balance in |
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147 | 147 | | 5.22lifestyle using methods and techniques described in section 147B.01, subdivision 3. |
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148 | 148 | | 5.23 Sec. 11. Minnesota Statutes 2024, section 147B.06, subdivision 5, is amended to read: |
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149 | 149 | | 5.24 Subd. 5.Patient records.An acupuncturist shall maintain a patient record for each |
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150 | 150 | | 5.25patient treated, including: |
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151 | 151 | | 5.26 (1) a copy of the informed consent; |
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152 | 152 | | 5.27 (2) evidence of a patient interview concerning the patient's medical history and current |
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153 | 153 | | 5.28physical condition; |
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154 | 154 | | 5.29 (3) evidence of a traditional acupuncture examination and diagnosis; |
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155 | 155 | | 5.30 (4) record of the treatment including points treated; and |
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156 | 156 | | 5Sec. 11. |
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157 | 157 | | REVISOR AGW/LJ 25-0320602/11/25 6.1 (5) evidence of evaluation and instructions given to the patient. |
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158 | 158 | | 6.2 Sec. 12. REPEALER. |
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159 | 159 | | 6.3 Minnesota Statutes 2024, section 147B.01, subdivision 18, is repealed. |
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160 | 160 | | 6Sec. 12. |
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161 | 161 | | REVISOR AGW/LJ 25-0320602/11/25 147B.01 DEFINITIONS. |
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162 | 162 | | Subd. 18.Oriental medicine."Oriental medicine" means a system of healing arts that perceives |
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163 | 163 | | the circulation and balance of energy in the body as being fundamental to the well-being of the |
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164 | 164 | | individual. It implements the theory through specialized methods of analyzing the energy status of |
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165 | 165 | | the body and treating the body with acupuncture and other related modalities for the purpose of |
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166 | 166 | | strengthening the body, improving energy balance, maintaining or restoring health, improving |
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167 | 167 | | physiological function, and reducing pain. |
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168 | 168 | | 1R |
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169 | 169 | | APPENDIX |
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170 | 170 | | Repealed Minnesota Statutes: 25-03206 |
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