1.1 A bill for an act 1.2 relating to occupational licensing; clarifying that the practice of chiropractic 1.3 includes providing telemedicine services; clarifying that the state Board of 1.4 Chiropractic Examiners has the authority to discipline a chiropractor who is not 1.5 following an executive order; reorganizing animal chiropractic sections; amending 1.6 Minnesota Statutes 2024, sections 148.01, subdivisions 1, 4; 148.04; 148.07, 1.7 subdivision 2; 148.08, subdivision 3; 148.10, subdivisions 1, 2; 148.103, subdivision 1.8 2; 148.105, subdivision 1; 156.12, subdivision 2; 319B.02, subdivision 19; 1.9 proposing coding for new law in Minnesota Statutes, chapter 148; repealing 1.10 Minnesota Statutes 2024, sections 148.01, subdivisions 1a, 1b, 1c, 1d; 148.032; 1.11 148.033; 148.035. 1.12BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.13 Section 1. Minnesota Statutes 2024, section 148.01, subdivision 1, is amended to read: 1.14 Subdivision 1.Definitions.For the purposes of sections 148.01 to 148.10 148.109: 1.15 (1) "chiropractic" means the health care discipline that recognizes the innate recuperative 1.16power of the body to heal itself without the use of drugs or surgery by identifying and caring 1.17for vertebral subluxations and other abnormal articulations by emphasizing the relationship 1.18between structure and function as coordinated by the nervous system and how that 1.19relationship affects the preservation and restoration of health; 1.20 (2) "chiropractic services" means the evaluation and facilitation of structural, 1.21biomechanical, and neurological function and integrity through the use of adjustment, 1.22manipulation, mobilization, or other procedures accomplished by manual or mechanical 1.23forces applied to bones or joints and their related soft tissues for correction of vertebral 1.24subluxation, other abnormal articulations, neurological disturbances, structural alterations, 1.25or biomechanical alterations, and includes, but is not limited to, manual therapy and 1.26mechanical therapy as defined in section 146.23; 1Section 1. REVISOR AGW/CH 25-0281002/12/25 State of Minnesota This Document can be made available in alternative formats upon request HOUSE OF REPRESENTATIVES H. F. No. 2292 NINETY-FOURTH SESSION Authored by Franson03/13/2025 The bill was read for the first time and referred to the Committee on State Government Finance and Policy 2.1 (3) "abnormal articulation" means the condition of opposing bony joint surfaces and 2.2their related soft tissues that do not function normally, including subluxation, fixation, 2.3adhesion, degeneration, deformity, dislocation, or other pathology that results in pain or 2.4disturbances within the nervous system, results in postural alteration, inhibits motion, allows 2.5excessive motion, alters direction of motion, or results in loss of axial loading efficiency, 2.6or a combination of these; 2.7 (4) "diagnosis" means the physical, clinical, and laboratory examination of the patient, 2.8and the use of diagnostic services for diagnostic purposes within the scope of the practice 2.9of chiropractic described in sections 148.01 to 148.10 148.109; 2.10 (5) "diagnostic services" means clinical, physical, laboratory, and other diagnostic 2.11measures, including diagnostic imaging that may be necessary to determine the presence 2.12or absence of a condition, deficiency, deformity, abnormality, or disease as a basis for 2.13evaluation of a health concern, diagnosis, differential diagnosis, treatment, further 2.14examination, or referral; 2.15 (6) "therapeutic services" means rehabilitative therapy as defined in Minnesota Rules, 2.16part 2500.0100, subpart 11, and all of the therapeutic, rehabilitative, and preventive sciences 2.17and procedures for which the licensee was subject to examination under section 148.06. 2.18When provided, therapeutic services must be performed within a practice where the primary 2.19focus is the provision of chiropractic services, to prepare the patient for chiropractic services, 2.20or to complement the provision of chiropractic services. The administration of therapeutic 2.21services is the responsibility of the treating chiropractor and must be rendered under the 2.22direct supervision of qualified staff; 2.23 (7) "acupuncture" means a modality of treating abnormal physical conditions by 2.24stimulating various points of the body or interruption of the cutaneous integrity by needle 2.25insertion to secure a reflex relief of the symptoms by nerve stimulation as utilized as an 2.26adjunct to chiropractic adjustment. Acupuncture may not be used as an independent therapy 2.27or separately from chiropractic services. Acupuncture is permitted under section 148.01 2.28only after registration with the board which requires completion of a board-approved course 2.29of study and successful completion of a board-approved national examination on acupuncture. 2.30Renewal of registration shall require completion of board-approved continuing education 2.31requirements in acupuncture. The restrictions of section 147B.02, subdivision 2, apply to 2.32individuals registered to perform acupuncture under this section; and 2.33 (8) "animal chiropractic diagnosis and treatment" or "animal chiropractic" means 2.34treatment that includes identifying and resolving vertebral subluxation complexes, spinal 2Section 1. REVISOR AGW/CH 25-0281002/12/25 3.1manipulation, and manipulation of the extremity articulations of nonhuman vertebrates. 3.2Animal chiropractic diagnosis and treatment does not include: 3.3 (i) performing surgery; 3.4 (ii) dispensing or administering of medications; or 3.5 (iii) performing traditional veterinary care and diagnosis. 3.6 EFFECTIVE DATE.This section is effective the day following final enactment. 3.7 Sec. 2. Minnesota Statutes 2024, section 148.01, subdivision 4, is amended to read: 3.8 Subd. 4.Practice of chiropractic.An individual licensed to practice under section 3.9148.06 is authorized to perform chiropractic services, acupuncture, and therapeutic services, 3.10and to provide diagnosis and to render opinions pertaining to those services for the purpose 3.11of determining a course of action in the best interests of the patient, such as a treatment 3.12plan, appropriate referral, or both. When appropriate, a service may be delivered via 3.13telemedicine as defined in section 62A.673. 3.14 EFFECTIVE DATE.This section is effective the day following final enactment. 3.15 Sec. 3. Minnesota Statutes 2024, section 148.04, is amended to read: 3.16 148.04 PROCEDURE. 3.17 The officers of the Board of Chiropractic Examiners shall have power to administer 3.18oaths, summon witnesses, and take testimony as to matters pertaining to its duties. It shall 3.19adopt a minimum of educational requirements not inconsistent with the provisions of sections 3.20148.01 to 148.10 148.109, which shall be without prejudice, partiality, or discrimination as 3.21to the different schools or colleges of chiropractic. The board shall meet at such times as 3.22the majority of the board may deem proper. A majority of the board shall constitute a quorum 3.23for the transaction of business. The secretary shall keep a record of its proceedings. This 3.24report shall be prima facie evidence of all matters therein recorded. 3.25 Sec. 4. Minnesota Statutes 2024, section 148.07, subdivision 2, is amended to read: 3.26 Subd. 2.Expenses.The expenses of administering sections 148.01 to 148.105 148.109 3.27shall be paid from the appropriation made to the state Board of Chiropractic Examiners. 3.28Expenditures and revenues must be managed in accordance with the statewide accounting 3.29principles and requirements of the commissioner of management and budget. 3Sec. 4. REVISOR AGW/CH 25-0281002/12/25 4.1 Sec. 5. Minnesota Statutes 2024, section 148.08, subdivision 3, is amended to read: 4.2 Subd. 3.Rules.The Board of Chiropractic Examiners shall promulgate rules necessary 4.3to administer sections 148.01 to 148.105 148.109 to protect the health, safety, and welfare 4.4of the public, including rules governing the practice of chiropractic and defining any terms, 4.5whether or not used in sections 148.01 to 148.105 148.109, if the definitions are not 4.6inconsistent with the provisions of sections 148.01 to 148.105 148.109. The board shall 4.7consult with the state Board of Veterinary Medicine before adopting rules on animal 4.8chiropractic. 4.9 Sec. 6. Minnesota Statutes 2024, section 148.10, subdivision 1, is amended to read: 4.10 Subdivision 1.Grounds.(a) The state Board of Chiropractic Examiners may refuse to 4.11grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice 4.12chiropractic, or may cause the name of a person licensed to be removed from the records 4.13in the office of the court administrator of the district court for: 4.14 (1) advertising that is false or misleading; that violates a rule of the board; or that claims 4.15the cure of any condition or disease; 4.16 (2) the employment of fraud or deception in applying for a license or in passing the 4.17examination provided for in section 148.06 or conduct which subverts or attempts to subvert 4.18the licensing examination process; 4.19 (3) the practice of chiropractic under a false or assumed name or the impersonation of 4.20another practitioner of like or different name; 4.21 (4) the conviction of a crime involving moral turpitude; 4.22 (5) the conviction, during the previous five years, of a felony reasonably related to the 4.23practice of chiropractic; 4.24 (6) habitual intemperance in the use of alcohol or drugs; 4.25 (7) practicing under a license which has not been renewed; 4.26 (8) advanced physical or mental disability; 4.27 (9) the revocation or suspension of a license to practice chiropractic; or other disciplinary 4.28action against the licensee; or the denial of an application for a license by the proper licensing 4.29authority of another state, territory or country; or failure to report to the board that charges 4.30regarding the person's license have been brought in another state or jurisdiction; 4Sec. 6. REVISOR AGW/CH 25-0281002/12/25 5.1 (10) the violation of, or failure to comply with, the provisions of sections 148.01 to 5.2148.105 148.109, the rules of the state Board of Chiropractic Examiners, or a lawful order 5.3of the board; 5.4 (11) unprofessional conduct; 5.5 (12) being unable to practice chiropractic with reasonable skill and safety to patients by 5.6reason of illness, professional incompetence, senility, drunkenness, use of drugs, narcotics, 5.7chemicals or any other type of material, or as a result of any mental or physical condition, 5.8including deterioration through the aging process or loss of motor skills. If the board has 5.9probable cause to believe that a person comes within this clause, it shall direct the person 5.10to submit to a mental or physical examination. For the purpose of this clause, every person 5.11licensed under this chapter shall be deemed to have given consent to submit to a mental or 5.12physical examination when directed in writing by the board and further to have waived all 5.13objections to the admissibility of the examining physicians' testimony or examination reports 5.14on the ground that the same constitute a privileged communication. Failure of a person to 5.15submit to such examination when directed shall constitute an admission of the allegations, 5.16unless the failure was due to circumstances beyond the person's control, in which case a 5.17default and final order may be entered without the taking of testimony or presentation of 5.18evidence. A person affected under this clause shall at reasonable intervals be afforded an 5.19opportunity to demonstrate that the person can resume the competent practice of chiropractic 5.20with reasonable skill and safety to patients. 5.21 In addition to ordering a physical or mental examination, the board may, notwithstanding 5.22section 13.384, 144.651, or any other law limiting access to health data, obtain health data 5.23and health records relating to a licensee or applicant without the licensee's or applicant's 5.24consent if the board has probable cause to believe that a doctor of chiropractic comes under 5.25this clause. The health data may be requested from a provider, as defined in section 144.291, 5.26subdivision 2, paragraph (i), an insurance company, or a government agency, including the 5.27Department of Human Services. A provider, insurance company, or government agency 5.28shall comply with any written request of the board under this subdivision and is not liable 5.29in any action for damages for releasing the data requested by the board if the data are released 5.30pursuant to a written request under this subdivision, unless the information is false and the 5.31provider or entity giving the information knew, or had reason to believe, the information 5.32was false. Information obtained under this subdivision is classified as private under sections 5.3313.01 to 13.87. 5.34 In any proceeding under this clause, neither the record of proceedings nor the orders 5.35entered by the board shall be used against a person in any other proceeding; 5Sec. 6. REVISOR AGW/CH 25-0281002/12/25 6.1 (13) aiding or abetting an unlicensed person in the practice of chiropractic, except that 6.2it is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate 6.3functions to a qualified person who may or may not be required to obtain a license or 6.4registration to provide health services if that person is practicing within the scope of the 6.5license or registration or delegated authority; 6.6 (14) improper management of health records, including failure to maintain adequate 6.7health records as described in clause (18), to comply with a patient's request made under 6.8sections 144.291 to 144.298 or to furnish a health record or report required by law; 6.9 (15) failure to make reports required by section 148.102, subdivisions 2 and 5, or to 6.10cooperate with an investigation of the board as required by section 148.104, or the submission 6.11of a knowingly false report against another doctor of chiropractic under section 148.10, 6.12subdivision 3; 6.13 (16) splitting fees, or promising to pay a portion of a fee or a commission, or accepting 6.14a rebate; 6.15 (17) revealing a privileged communication from or relating to a patient, except when 6.16otherwise required or permitted by law; 6.17 (18) failing to keep written chiropractic records justifying the course of treatment of the 6.18patient, including, but not limited to, patient histories, examination results, test results, and 6.19x-rays. Unless otherwise required by law, written records need not be retained for more 6.20than seven years and x-rays need not be retained for more than four years; 6.21 (19) exercising influence on the patient or client in such a manner as to exploit the patient 6.22or client for financial gain of the licensee or of a third party which shall include, but not be 6.23limited to, the promotion or sale of services, goods, or appliances; 6.24 (20) gross or repeated malpractice or the failure to practice chiropractic at a level of 6.25care, skill, and treatment which is recognized by a reasonably prudent chiropractor as being 6.26acceptable under similar conditions and circumstances; or 6.27 (21) delegating professional responsibilities to a person when the licensee delegating 6.28such responsibilities knows or has reason to know that the person is not qualified by training, 6.29experience, or licensure to perform them. 6.30 (b) For the purposes of paragraph (a), clause (2), conduct that subverts or attempts to 6.31subvert the licensing examination process includes, but is not limited to: (1) conduct that 6.32violates the security of the examination materials, such as removing examination materials 6.33from the examination room or having unauthorized possession of any portion of a future, 6Sec. 6. REVISOR AGW/CH 25-0281002/12/25 7.1current, or previously administered licensing examination; (2) conduct that violates the 7.2standard of test administration, such as communicating with another examinee during 7.3administration of the examination, copying another examinee's answers, permitting another 7.4examinee to copy one's answers, or possessing unauthorized materials; or (3) impersonating 7.5an examinee or permitting an impersonator to take the examination on one's own behalf. 7.6 (c) For the purposes of paragraph (a), clauses (4) and (5), conviction as used in these 7.7subdivisions includes a conviction of an offense that if committed in this state would be 7.8deemed a felony without regard to its designation elsewhere, or a criminal proceeding where 7.9a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld 7.10or not entered. 7.11 (d) For the purposes of paragraph (a), clauses (4), (5), and (6), a copy of the judgment 7.12or proceeding under seal of the administrator of the court or of the administrative agency 7.13which entered the same shall be admissible into evidence without further authentication 7.14and shall constitute prima facie evidence of its contents. 7.15 (e) For the purposes of paragraph (a), clause (11), unprofessional conduct means any 7.16unethical, deceptive or deleterious conduct or practice harmful to the public, any departure 7.17from or the failure to conform to the minimal standards of acceptable chiropractic practice, 7.18or a willful or careless disregard for the health, welfare or safety of patients, in any of which 7.19cases proof of actual injury need not be established. Unprofessional conduct shall include, 7.20but not be limited to, the following acts of a chiropractor: 7.21 (1) gross ignorance of, or incompetence in, the practice of chiropractic; 7.22 (2) engaging in conduct with a patient that is sexual or may reasonably be interpreted 7.23by the patient as sexual, or in any verbal behavior that is seductive or sexually demeaning 7.24to a patient; 7.25 (3) performing unnecessary services; 7.26 (4) charging a patient an unconscionable fee or charging for services not rendered; 7.27 (5) directly or indirectly engaging in threatening, dishonest, or misleading fee collection 7.28techniques; 7.29 (6) perpetrating fraud upon patients, third-party payors, or others, relating to the practice 7.30of chiropractic, including violations of the Medicare or Medicaid laws or state medical 7.31assistance laws; 7.32 (7) advertising that the licensee will accept for services rendered assigned payments 7.33from any third-party payer as payment in full, if the effect is to give the impression of 7Sec. 6. REVISOR AGW/CH 25-0281002/12/25 8.1eliminating the need of payment by the patient of any required deductible or co-payment 8.2applicable in the patient's health benefit plan. As used in this clause, "advertise" means 8.3solicitation by the licensee by means of handbills, posters, circulars, motion pictures, radio, 8.4newspapers, television, or in any other manner. In addition to the board's power to punish 8.5for violations of this clause, violation of this clause is also a misdemeanor; 8.6 (8) accepting for services rendered assigned payments from any third-party payer as 8.7payment in full, if the effect is to eliminate the need of payment by the patient of any required 8.8deductible or co-payment applicable in the patient's health benefit plan, except as hereinafter 8.9provided; 8.10 (9) violating orders and rules adopted by the governor under the authority of section 8.1112.21, subdivision 3, clause (1), when approved by the Executive Council and filed in the 8.12Office of the Secretary of State during a national emergency, peacetime emergency, or 8.13energy supply emergency; and 8.14 (9) (10) any other act that the board by rule may define. 8.15 EFFECTIVE DATE.This section is effective the day following final enactment. 8.16 Sec. 7. Minnesota Statutes 2024, section 148.10, subdivision 2, is amended to read: 8.17 Subd. 2.Issuance following refusal, revocation or cancellation.The State Board of 8.18Chiropractic Examiners may, at any time within two years of the refusal or revocation or 8.19cancellation of a license under this section, by a majority vote, issue a new license or grant 8.20a license to the person affected, restoring to, or conferring upon the person, all the rights 8.21and privileges of, and pertaining to, the practice of chiropractic, as defined and regulated 8.22by sections 148.01 to 148.10 148.109. Any person to whom such have been restored shall 8.23pay a fee set by the board upon issuance of a new license. 8.24 Sec. 8. Minnesota Statutes 2024, section 148.103, subdivision 2, is amended to read: 8.25 Subd. 2.Investigation.Members of the board and persons employed by the board or 8.26engaged in the investigation or prosecution of violations and in the preparation and 8.27management of charges of violations of sections 148.01 to 148.105 148.109 on behalf of 8.28the board are immune from civil liability and criminal prosecution for any actions, 8.29transactions, or publications in the execution of, or relating to, their duties under sections 8.30148.01 to 148.105 148.109. 8Sec. 8. REVISOR AGW/CH 25-0281002/12/25 9.1 Sec. 9. Minnesota Statutes 2024, section 148.105, subdivision 1, is amended to read: 9.2 Subdivision 1.Generally.Any person who practices, or attempts to practice, chiropractic 9.3or who uses any of the terms or letters "Doctors of Chiropractic," "Chiropractor," "DC," or 9.4any other title or letters under any circumstances as to lead the public to believe that the 9.5person who so uses the terms is engaged in the practice of chiropractic, without having 9.6complied with the provisions of sections 148.01 to 148.104 148.109, is guilty of a gross 9.7misdemeanor; and, upon conviction, fined not less than $1,000 nor more than $10,000 or 9.8be imprisoned in the county jail for not less than 30 days nor more than six months or 9.9punished by both fine and imprisonment, in the discretion of the court. It is the duty of the 9.10county attorney of the county in which the person practices to prosecute. Nothing in sections 9.11148.01 to 148.105 148.109 shall be considered as interfering with any person: 9.12 (1) licensed by a health-related licensing board, as defined in section 214.01, subdivision 9.132, including psychological practitioners with respect to the use of hypnosis; 9.14 (2) registered or licensed by the commissioner of health under section 214.13; or 9.15 (3) engaged in other methods of healing regulated by law in the state of Minnesota; 9.16provided that the person confines activities within the scope of the license or other regulation 9.17and does not practice or attempt to practice chiropractic. 9.18 Sec. 10. [148.109] ANIMAL CHIROPRACTIC PRACTICE. 9.19 Subdivision 1.Registration.(a) A chiropractor licensed under section 148.06 may 9.20engage in the practice of animal chiropractic diagnosis and treatment if registered by the 9.21Board of Chiropractic Examiners in accordance with this section. 9.22 (b) An applicant for initial registration to practice animal chiropractic diagnosis and 9.23treatment must submit to the board: 9.24 (1) a completed application on a form provided by the board; 9.25 (2) an active chiropractic license; 9.26 (3) proof, as required by the board, that the applicant has successfully completed 9.27education and training in the field of animal chiropractic from an American Veterinary 9.28Chiropractic Association, International Veterinary Chiropractic Association, or a higher 9.29institution-approved course consisting of no less than 210 hours in the subjects described 9.30in subdivision 3; 9.31 (4) any applicable fee as specified in section 148.108; and 9Sec. 10. REVISOR AGW/CH 25-0281002/12/25 10.1 (5) any additional information requested by the board. 10.2 Subd. 2.Education and training requirements.The education and training criteria for 10.3registration in animal chiropractic are as follows: 10.4 (1) anatomy; 10.5 (2) anatomy laboratory; 10.6 (3) biomechanics and gait; 10.7 (4) chiropractic educational basics; 10.8 (5) animal chiropractic diversified adjusting technique, including: 10.9 (i) lecture cervical; 10.10 (ii) laboratory cervical; 10.11 (iii) thoracic; 10.12 (iv) lumbosacral; 10.13 (v) pelvic; and 10.14 (vi) extremity; 10.15 (6) case management and case studies; 10.16 (7) chiropractic philosophy; 10.17 (8) ethics and legalities; 10.18 (9) neurology, neuroanatomy, and neurological conditions; 10.19 (10) pathology; 10.20 (11) radiology; 10.21 (12) research in current chiropractic and veterinary topics; 10.22 (13) rehabilitation, current topics, evaluation, and assessment; 10.23 (14) normal foot anatomy and normal foot care; 10.24 (15) saddle fit and evaluation, lecture, and laboratory; 10.25 (16) veterinary educational basics; 10.26 (17) vertebral subluxation complex; and 10.27 (18) zoonotic diseases. 10Sec. 10. REVISOR AGW/CH 25-0281002/12/25 11.1 Subd. 3.Registration renewal.To be eligible for registration renewal, an applicant 11.2must submit to the board: 11.3 (1) a completed renewal application on a form provided by the board; 11.4 (2) an active chiropractic license issued by the board; 11.5 (3) verification of the completion of the continuing education requirements described 11.6in subdivision 4; and 11.7 (4) any applicable fees as specified in section 148.108. 11.8 Subd. 4.Animal chiropractic continuing education.Any chiropractor engaged in the 11.9practice of animal chiropractic diagnosis and treatment applying for renewal of a registration 11.10under subdivision 3 must have completed a minimum of six hours annually of continuing 11.11education in animal chiropractic diagnosis and treatment, in addition to the required 20 11.12hours annually of continuing education in human chiropractic required under section 148.031. 11.13The continuing education course attended for purposes of complying with this section must 11.14be approved by the board prior to attendance by the chiropractor. 11.15 Subd. 5.Protected title.Notwithstanding the limitations established in section 156.12, 11.16subdivision 4, a doctor of chiropractic properly registered to provide chiropractic care to 11.17animals in accordance with this section and rules of the board may use the title "animal 11.18chiropractor." 11.19 Subd. 6.Practice requirements.(a) A licensed chiropractor may engage in the practice 11.20of animal chiropractic if the chiropractor is registered to practice animal chiropractic by the 11.21board under this section and if the animal has been referred to the chiropractor by a 11.22veterinarian. 11.23 (b) A licensed chiropractor registered to practice animal chiropractic must: 11.24 (1) maintain complete and accurate records and patient files in the chiropractor's office 11.25for a minimum of three years; and 11.26 (2) make treatment notes and records available to the patient's owner upon request and 11.27communicate any findings and treatment plan with the referring veterinarian if requested 11.28by the patient's owner. 11.29 (b) A licensed chiropractor who provides animal chiropractic diagnosis and treatment 11.30in the same facility where human patients are also treated must: 11.31 (1) maintain a separate noncarpeted room for the purpose of adjusting animals; 11.32 (2) maintain separate tables and equipment for human and non-human patients; and 11Sec. 10. REVISOR AGW/CH 25-0281002/12/25 12.1 (3) post a conspicuous sign in the reception area of the facility informing customers that 12.2nonhuman patients are treated on the premises. 12.3 EFFECTIVE DATE.This section is effective the day following final enactment. 12.4 Sec. 11. Minnesota Statutes 2024, section 156.12, subdivision 2, is amended to read: 12.5 Subd. 2.Authorized activities.No provision of this chapter shall be construed to prohibit: 12.6 (a) a person from rendering necessary gratuitous assistance in the treatment of any animal 12.7when the assistance does not amount to prescribing, testing for, or diagnosing, operating, 12.8or vaccinating and when the attendance of a licensed veterinarian cannot be procured; 12.9 (b) a person who is a regular student in an accredited or approved college of veterinary 12.10medicine from performing duties or actions assigned by instructors or preceptors or working 12.11under the direct supervision of a licensed veterinarian; 12.12 (c) a veterinarian regularly licensed in another jurisdiction from consulting with a licensed 12.13veterinarian in this state; 12.14 (d) the owner of an animal and the owner's regular employee from caring for and 12.15administering to the animal belonging to the owner, except where the ownership of the 12.16animal was transferred for purposes of circumventing this chapter; 12.17 (e) veterinarians who are in compliance with section 156.0721 and who are employed 12.18by the University of Minnesota from performing their duties with the College of Veterinary 12.19Medicine, Veterinary Diagnostic Laboratory, Agricultural Experiment Station, Agricultural 12.20Extension Service, Medical School, School of Public Health, School of Nursing, or other 12.21unit within the university; or a person from lecturing or giving instructions or demonstrations 12.22at the university or in connection with a continuing education course or seminar to 12.23veterinarians; 12.24 (f) any person from selling or applying any pesticide, insecticide or herbicide; 12.25 (g) any person from engaging in bona fide scientific research or investigations which 12.26reasonably requires experimentation involving animals; 12.27 (h) any employee of a licensed veterinarian from performing duties other than diagnosis, 12.28prescription or surgical correction under the direction and supervision of the veterinarian, 12.29who shall be responsible for the performance of the employee; 12.30 (i) a graduate of a foreign college of veterinary medicine from working under the direct 12.31personal instruction, control, or supervision of a veterinarian faculty member of the College 12Sec. 11. REVISOR AGW/CH 25-0281002/12/25 13.1of Veterinary Medicine, University of Minnesota in order to complete the requirements 13.2necessary to obtain an ECFVG or PAVE certificate; 13.3 (j) a licensed chiropractor registered under section 148.01, subdivision 1a, 148.109 from 13.4practicing animal chiropractic; or 13.5 (k) a person certified by the director of the Office of Emergency Medical Services under 13.6chapter 144E from providing emergency medical care to a police dog wounded in the line 13.7of duty. 13.8 Sec. 12. Minnesota Statutes 2024, section 319B.02, subdivision 19, is amended to read: 13.9 Subd. 19.Professional services."Professional services" means services of the type 13.10required or permitted to be furnished by a professional under a license, registration, or 13.11certificate issued by the state of Minnesota to practice medicine and surgery under sections 13.12147.01 to 147.22, as a physician assistant pursuant to sections 147A.01 to 147A.27, 13.13chiropractic under sections 148.01 to 148.105 148.109, registered nursing under sections 13.14148.171 to 148.285, optometry under sections 148.52 to 148.62, psychology under sections 13.15148.88 to 148.98, social work under chapter 148E, marriage and family therapy under 13.16sections 148B.29 to 148B.39, professional counseling under sections 148B.50 to 148B.593, 13.17dentistry and dental hygiene under sections 150A.01 to 150A.12, pharmacy under sections 13.18151.01 to 151.40, podiatric medicine under sections 153.01 to 153.25, veterinary medicine 13.19under sections 156.001 to 156.14, architecture, engineering, surveying, landscape architecture, 13.20geoscience, and certified interior design under sections 326.02 to 326.15, accountancy under 13.21chapter 326A, or law under sections 481.01 to 481.17, or under a license or certificate issued 13.22by another state under similar laws. Professional services includes services of the type 13.23required to be furnished by a professional pursuant to a license or other authority to practice 13.24law under the laws of a foreign nation. 13.25Sec. 13. REPEALER. 13.26 Minnesota Statutes 2024, sections 148.01, subdivisions 1a, 1b, 1c, and 1d; 148.032; 13.27148.033; and 148.035, are repealed. 13.28 EFFECTIVE DATE.This section is effective the day following final enactment. 13Sec. 13. REVISOR AGW/CH 25-0281002/12/25 148.01 CHIROPRACTIC. Subd. 1a.Animal chiropractic practice.A licensed chiropractor may engage in the practice of animal chiropractic diagnosis and treatment if registered to do so by the board, and if the animal has been referred to the chiropractor by a veterinarian. Subd. 1b.Scope of practice; animal chiropractic.Criteria for registration to engage in the practice of animal chiropractic diagnosis and treatment must be set by the board, and must include, but are not limited to: active chiropractic license; education and training in the field of animal chiropractic from an American Veterinary Chiropractic Association, International Veterinary Chiropractic Association, or higher institution-approved course consisting of no less than 210 hours, meeting continuing education requirements; and other conditions and rules set by the board. The board shall consult with the State Board of Veterinary Medicine in preparing proposed rules on animal chiropractic. Subd. 1c.Titles.Notwithstanding the limitations established in section 156.12, subdivision 4, a doctor of chiropractic properly registered to provide chiropractic care to animals in accordance with this chapter and rules of the board may use the title "animal chiropractor." Subd. 1d.Provisional interim status.Upon approval by the board, a licensed chiropractor who has already taken and passed the education and training requirement set forth in subdivision 1b may engage in the practice of animal chiropractic during the time that the rules are being promulgated by the board. Enforcement actions may not be taken against persons who have completed the approved program of study by the American Veterinary Chiropractic Association or the International Veterinary Chiropractic Association until the rules have been adopted by the board. 148.032 REGISTRATION IN ANIMAL CHIROPRACTIC DIAGNOSIS AND TREATMENT. (a) The following educational criteria must be applied to any licensed chiropractor who requests registration in animal chiropractic diagnosis and treatment. The criteria must include education and training in the following subjects: (1) anatomy; (2) anatomy laboratory; (3) biomechanics and gait; (4) chiropractic educational basics; (5) animal chiropractic diversified adjusting technique, including: (i) lecture cervical; (ii) thoracic; (iii) lumbosacral; (iv) pelvic; and (v) extremity; (6) animal chiropractic diversified adjusting technique, including: (i) laboratory cervical; (ii) thoracic; (iii) lumbosacral; (iv) pelvic; and (v) extremity; (7) case management and case studies; (8) chiropractic philosophy; (9) ethics and legalities; (10) neurology, neuroanatomy, and neurological conditions; (11) pathology; 1R APPENDIX Repealed Minnesota Statutes: 25-02810 (12) radiology; (13) research in current chiropractic and veterinary topics; (14) rehabilitation, current topics, evaluation, and assessment; (15) normal foot anatomy and normal foot care; (16) saddle fit and evaluation, lecture, and laboratory; (17) veterinary educational basics; (18) vertebral subluxation complex; and (19) zoonotic diseases. (b) A licensed chiropractor requesting registration in animal chiropractic diagnosis and treatment must have completed and passed a course of study from an American Veterinary Chiropractic Association, International Veterinary Chiropractic Association, or higher institution-approved program, consisting of no less than 210 hours of education and training as set forth in paragraph (a). (c) A licensed chiropractor engaged in the practice of animal chiropractic diagnosis and treatment must maintain complete and accurate records and patient files in the chiropractor's office for at least three years. (d) A licensed chiropractor engaged in the practice of animal chiropractic diagnosis and treatment must make treatment notes and records available to the patient's owner upon request and must communicate their findings and treatment plan with the referring veterinarian if requested by the patient's owner. (e) A licensed chiropractor who treats both animal and human patients in the same facility must post a conspicuous sign in the reception area of that facility informing customers that nonhuman patients are treated on the premises. 148.033 ANIMAL CHIROPRACTIC CONTINUING EDUCATION HOURS. Any chiropractor engaged in the practice of animal chiropractic diagnosis and treatment applying for renewal of a registration related to animal chiropractic diagnosis and treatment must have completed a minimum of six hours annually of continuing education in animal chiropractic diagnosis and treatment, in addition to the required 20 hours annually of continuing education in human chiropractic under this chapter. The continuing education course attended for purposes of complying with this section must be approved by the board prior to attendance by the chiropractor. 148.035 SEPARATE TREATMENT ROOM REQUIRED. A licensed chiropractor who provides animal chiropractic treatment in the same facility where human patients are treated shall maintain a separate noncarpeted room for the purpose of adjusting animals. The table and equipment used for animals shall not be used for human patients. 2R APPENDIX Repealed Minnesota Statutes: 25-02810