1.1 A bill for an act
1.2 relating to health care; modifying provisions relating to the Department of Health,
1.3 health care, pharmacy services, background studies, Department of Human Services
1.4 program integrity, health-related licensing boards, and certain fees; providing for
1.5 rulemaking; requiring reports; making forecast adjustments; appropriating money;
1.6 amending Minnesota Statutes 2024, sections 13.46, subdivisions 2, 3; 62D.21;
1.7 62D.211; 103I.005, subdivision 17b; 103I.101, subdivisions 2, 5, 6, by adding a
1.8 subdivision; 103I.208, subdivisions 1, 1a, 2; 103I.235, subdivision 1; 103I.525,
1.9 subdivisions 2, 6, 8; 103I.531, subdivisions 2, 6, 8; 103I.535, subdivisions 2, 6,
1.10 8; 103I.541, subdivisions 2b, 2c, 4; 103I.545, subdivisions 1, 2; 103I.601,
1.11 subdivisions 2, 4; 144.0758, subdivision 3; 144.1205, subdivisions 2, 4, 8, 9, 10;
1.12 144.121, subdivisions 1a, 2, 5, by adding subdivisions; 144.1215, by adding a
1.13 subdivision; 144.122; 144.1222, subdivision 1a; 144.3831, subdivision 1; 144.55,
1.14 subdivision 1a; 144.554; 144.608, subdivision 2; 144.615, subdivision 8; 144.966,
1.15 subdivision 2; 144A.291, subdivision 2; 144A.43, by adding a subdivision;
1.16 144A.474, subdivisions 9, 11; 144A.475, subdivisions 3, 3a, 3b, 3c; 144A.71,
1.17 subdivision 2; 144A.753, subdivision 1; 144E.123, subdivision 3; 144G.20,
1.18 subdivisions 3, 13, 16, 17; 144G.30, subdivision 7; 144G.31, subdivisions 2, 4, 5,
1.19 8; 144G.45, subdivision 6; 145.8811; 148.108, subdivision 1, by adding
1.20 subdivisions; 148B.53, subdivision 3; 148E.180, subdivisions 1, 5, 7, by adding
1.21 subdivisions; 153B.85, subdivisions 1, 3; 156.015, by adding subdivisions; 157.16,
1.22 subdivisions 2, 2a, 3, 3a, by adding a subdivision; 174.30, subdivision 3; 245.095,
1.23 subdivision 5, by adding a subdivision; 245A.04, subdivision 1; 245A.05; 245A.07,
1.24 subdivision 2; 245C.13, subdivision 2; 245C.14, by adding subdivisions; 245C.15,
1.25 subdivisions 1, 4a; 254B.06, by adding a subdivision; 256.9657, subdivisions 2,
1.26 3; 256.983, subdivision 4; 256B.04, subdivision 21; 256B.0625, subdivisions 3b,
1.27 8e, 13, 13c, 30; 256B.0659, subdivision 21; 256B.0949, subdivision 2; 256B.69,
1.28 subdivision 6d; 256B.85, subdivision 12; 256L.03, subdivision 3b; 326.72,
1.29 subdivision 1; 326.75, subdivisions 3, 3a; 327.15, subdivisions 2, 3, 4, by adding
1.30 a subdivision; Laws 2024, chapter 127, article 67, section 4; proposing coding for
1.31 new law in Minnesota Statutes, chapters 144; 153; repealing Minnesota Statutes
1.32 2024, sections 103I.550; 148.108, subdivisions 2, 3, 4; 156.015, subdivision 1;
1.33 Minnesota Rules, parts 2500.1150; 2500.2030; 4695.2900; 6900.0250, subparts
1.34 1, 2; 9100.0400, subparts 1, 3; 9100.0500; 9100.0600.
1
REVISOR DTT/HL 25-0033803/03/25
State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 2435
NINETY-FOURTH SESSION
Authored by Bierman03/17/2025
The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
2.2 ARTICLE 1
2.3 DEPARTMENT OF HEALTH
2.4 Section 1. Minnesota Statutes 2024, section 62D.21, is amended to read:
2.5 62D.21 FEES.
2.6 Every health maintenance organization subject to sections 62D.01 to 62D.30 shall pay
2.7to the commissioner of health the following fees as prescribed by the commissioner of health
2.8pursuant to section 144.122 for the following:
2.9 (1) filing an application for a certificate of authority: $10,000;
2.10 (2) filing an amendment to a certificate of authority: $125;
2.11 (3) filing each annual report: $400; and
2.12 (4) other filings, as specified by rule.
2.13 (4) filing each quarterly report: $200; and
2.14 (5) filing annual plan review documents, amendments to plan documents, and quality
2.15plans: $125.
2.16 EFFECTIVE DATE.This section is effective January 1, 2026.
2.17 Sec. 2. Minnesota Statutes 2024, section 62D.211, is amended to read:
2.18 62D.211 RENEWAL FEE.
2.19 Each health maintenance organization subject to sections 62D.01 to 62D.30 shall submit
2.20to the commissioner of health each year before June 15 a certificate of authority renewal
2.21fee in the amount of $10,000 $30,000 each plus 20 88 cents per person enrolled in the health
2.22maintenance organization on December 31 of the preceding year. The commissioner may
2.23adjust the renewal fee in rule under the provisions of chapter 14.
2.24 EFFECTIVE DATE.This section is effective January 1, 2026.
2.25 Sec. 3. Minnesota Statutes 2024, section 103I.005, subdivision 17b, is amended to read:
2.26 Subd. 17b.Temporary boring."Temporary boring" means an excavation that is 15
2.27feet or more in depth, is sealed within 72 hours of the time of construction, and is drilled,
2.28cored, washed, driven, dug, jetted, or otherwise constructed to:
2Article 1 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 3.1 (1) conduct physical, chemical, or biological testing of groundwater, including
3.2groundwater quality monitoring;
3.3 (2) monitor or measure physical, chemical, radiological, or biological parameters of
3.4earth materials or earth fluids, including hydraulic conductivity, bearing capacity, or
3.5resistance;
3.6 (3) measure groundwater levels, including use of a piezometer; and or
3.7 (4) determine groundwater flow direction or velocity.
3.8 Sec. 4. Minnesota Statutes 2024, section 103I.101, subdivision 2, is amended to read:
3.9 Subd. 2.Duties.The commissioner shall:
3.10 (1) regulate the drilling, construction, modification, repair, and sealing of wells and
3.11borings;
3.12 (2) examine and license:
3.13 (i) well contractors;
3.14 (ii) persons constructing, repairing, and sealing bored geothermal heat exchangers;
3.15 (iii) persons modifying or repairing well casings above the pitless unit or adaptor, well
3.16screens, well diameters, and installing well pumps or pumping equipment;
3.17 (iv) persons constructing, repairing, and sealing dewatering wells;
3.18 (v) persons sealing wells or borings; and
3.19 (vi) persons excavating or drilling holes for the installation of elevator borings; and
3.20 (vii) persons installing, removing, or maintaining groundwater thermal exchange devices
3.21and submerged closed loop heat exchangers;
3.22 (3) examine and license environmental well contractors;
3.23 (4) license explorers engaged in exploratory boring and examine individuals who
3.24supervise or oversee exploratory boring;
3.25 (5) after consultation with the commissioner of natural resources and the Pollution
3.26Control Agency, establish standards for the design, location, construction, repair, and sealing
3.27of wells and borings within the state; and
3.28 (6) issue permits for wells, groundwater thermal devices, bored geothermal heat
3.29exchangers, installation of submerged closed loop heat exchanger systems, and elevator
3.30borings.
3Article 1 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 4.1 Sec. 5. Minnesota Statutes 2024, section 103I.101, subdivision 5, is amended to read:
4.2 Subd. 5.Commissioner to adopt rules.The commissioner shall adopt rules including:
4.3 (1) issuance of licenses for:
4.4 (i) qualified well contractors;
4.5 (ii) persons constructing, repairing, and sealing dewatering wells;
4.6 (iii) persons sealing wells or borings;
4.7 (iv) persons installing, modifying, or repairing well casings, well screens, well diameters,
4.8and well pumps or pumping equipment;
4.9 (v) persons constructing, repairing, and sealing bored geothermal heat exchangers;
4.10 (vi) persons constructing, repairing, and sealing elevator borings; and
4.11 (vii) persons constructing, repairing, and sealing environmental wells; and
4.12 (viii) persons installing, removing, or maintaining groundwater thermal exchange devices
4.13and submerged closed loop heat exchangers;
4.14 (2) establishment of conditions for examination and review of applications for license
4.15and certification;
4.16 (3) establishment of conditions for revocation and suspension of license and certification;
4.17 (4) establishment of minimum standards for design, location, construction, repair, and
4.18sealing of wells and borings to implement the purpose and intent of this chapter;
4.19 (5) establishment of a system for reporting on wells and borings drilled and sealed;
4.20 (6) establishment of standards for the construction, maintenance, sealing, and water
4.21quality monitoring of wells in areas of known or suspected contamination;
4.22 (7) establishment of wellhead protection measures for wells serving public water supplies;
4.23 (8) establishment of procedures to coordinate collection of well and boring data with
4.24other state and local governmental agencies;
4.25 (9) establishment of criteria and procedures for submission of well and boring logs,
4.26formation samples or well or boring cuttings, water samples, or other special information
4.27required for and water resource mapping; and
4.28 (10) establishment of minimum standards for design, location, construction, maintenance,
4.29repair, sealing, safety, and resource conservation related to borings, including exploratory
4.30borings as defined in section 103I.005, subdivision 9.
4Article 1 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 5.1 Sec. 6. Minnesota Statutes 2024, section 103I.101, subdivision 6, is amended to read:
5.2 Subd. 6.Fees for variances.The commissioner shall charge a nonrefundable application
5.3fee of $275 $325 to cover the administrative cost of processing a request for a variance or
5.4modification of rules adopted by the commissioner under this chapter.
5.5 Sec. 7. Minnesota Statutes 2024, section 103I.101, is amended by adding a subdivision
5.6to read:
5.7 Subd. 7.Inspection.At a minimum, the commissioner of health shall inspect at least
5.825 percent of well construction notifications each year under this section.
5.9 Sec. 8. Minnesota Statutes 2024, section 103I.208, subdivision 1, is amended to read:
5.10 Subdivision 1.Well notification fee.The well notification fee to be paid by a property
5.11owner is:
5.12 (1) for construction of a water supply well, $275 $325, which includes the state core
5.13function fee;
5.14 (2) for a well sealing, $75 $125 for each well or temporary boring, which includes the
5.15state core function fee, except that: (i) a single notification and fee of $75 $125 is required
5.16for all temporary borings on a single property and sealed within 72 hours of start of
5.17construction; and (ii) temporary borings less than 25 feet in depth are exempt from the
5.18notification and fee requirements in this chapter;
5.19 (3) for construction of a dewatering well, $275 $330, which includes the state core
5.20function fee, for each dewatering well, except a dewatering project comprising five or more
5.21dewatering wells shall be assessed a single fee of $1,375 $1,620 for the dewatering wells
5.22recorded on the notification; and
5.23 (4) for construction of an environmental well, $275 $330, which includes the state core
5.24function fee, except that a single fee of $275 is required for all environmental wells recorded
5.25on the notification that are located on a single property, and except that no fee is required
5.26for construction of a temporary boring for each environmental well, except an environmental
5.27well site project comprising five or more environmental wells shall be assessed a single fee
5.28of $1,620 for the environmental wells recorded on the notification.
5.29 Sec. 9. Minnesota Statutes 2024, section 103I.208, subdivision 1a, is amended to read:
5.30 Subd. 1a.State core function fee.The state core function fee to be collected by the
5.31state and delegated community health boards and used to support state core functions is:
5Article 1 Sec. 9.
REVISOR DTT/HL 25-0033803/03/25 6.1 (1) for a new well, $20 $40; and
6.2 (2) for a well sealing, $5 $15.
6.3 Sec. 10. Minnesota Statutes 2024, section 103I.208, subdivision 2, is amended to read:
6.4 Subd. 2.Permit fee.(a) The permit fee to be paid by a property owner is:
6.5 (1) for a water supply well that is not in use under a maintenance permit, $175 $225
6.6annually;
6.7 (2) for an environmental well that is unsealed under a maintenance permit, $175 annually
6.8except no fee is required for an environmental well owned by a federal agency, state agency,
6.9or local unit of government that is unsealed under a maintenance permit. "Local unit of
6.10government" means a statutory or home rule charter city, town, county, or soil and water
6.11conservation district, a watershed district, an organization formed for the joint exercise of
6.12powers under section 471.59, a community health board, or other special purpose district
6.13or authority with local jurisdiction in water and related land resources management;
6.14 (3) for environmental wells on an environmental well site that are unsealed under a
6.15maintenance permit,:
6.16 $175 (i) $225 annually for one to ten environmental wells per site regardless of the
6.17number of environmental wells located on site;
6.18 (ii) $325 annually for 11 to 20 environmental wells per site; and
6.19 (iii) $425 annually for 21 or more environmental wells per site;
6.20 (4) for a groundwater thermal exchange device, in addition to the notification fee for
6.21water supply wells, $275 $350 for systems using 20 gallons per minute or less and $590
6.22for systems using over 20 gallons per minute, which includes the state core function fee;
6.23 (5) for a bored geothermal heat exchanger with less than ten tons of heating/cooling
6.24capacity, $275 $350;
6.25 (6) for a bored geothermal heat exchanger with ten to 50 tons of heating/cooling capacity,
6.26$515 $590;
6.27 (7) for a bored geothermal heat exchanger with greater than 50 tons of heating/cooling
6.28capacity, $740 $815;
6.29 (8) for a dewatering well that is unsealed under a maintenance permit, $175 $330 annually
6.30for each dewatering well, except a dewatering project comprising more than five or more
6Article 1 Sec. 10.
REVISOR DTT/HL 25-0033803/03/25 7.1dewatering wells shall be issued a single permit for $875 $1,620 annually for dewatering
7.2wells recorded on the permit;
7.3 (9) for an elevator boring, $275 $325 for each boring; and
7.4 (10) for a submerged closed loop heat exchanger system, in addition to the notification
7.5fee for water supply wells, $3,250, which includes the state core function fee.
7.6 (b) For purposes of this subdivision, an environmental well site includes all of the
7.7environmental wells on a single property. A single property is considered one tax parcel or
7.8multiple contiguous parcels with the same owner.
7.9 Sec. 11. Minnesota Statutes 2024, section 103I.235, subdivision 1, is amended to read:
7.10 Subdivision 1.Disclosure of wells to buyer.(a) Before signing an agreement to sell or
7.11transfer real property, the seller must disclose in writing to the buyer information about the
7.12status and location of all known wells on the property, by delivering to the buyer either a
7.13statement by the seller that the seller does not know of any wells on the property, or a
7.14disclosure statement indicating the legal description and county, and a map drawn from
7.15available information showing the location of each well to the extent practicable. In the
7.16disclosure statement, the seller must indicate, for each well, whether the well is in use, not
7.17in use, or sealed.
7.18 (b) At the time of closing of the sale, the disclosure statement information, name and
7.19mailing address of the buyer, and the quartile, section, township, and range in which each
7.20well is located must be provided on a well disclosure certificate signed by the seller or a
7.21person authorized to act on behalf of the seller.
7.22 (c) A well disclosure certificate need not be provided if the seller does not know of any
7.23wells on the property and the deed or other instrument of conveyance contains the statement:
7.24"The Seller certifies that the Seller does not know of any wells on the described real
7.25property."
7.26 (d) If a deed is given pursuant to a contract for deed, the well disclosure certificate
7.27required by this subdivision shall be signed by the buyer or a person authorized to act on
7.28behalf of the buyer. If the buyer knows of no wells on the property, a well disclosure
7.29certificate is not required if the following statement appears on the deed followed by the
7.30signature of the grantee or, if there is more than one grantee, the signature of at least one
7.31of the grantees: "The Grantee certifies that the Grantee does not know of any wells on the
7.32described real property." The statement and signature of the grantee may be on the front or
7Article 1 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 8.1back of the deed or on an attached sheet and an acknowledgment of the statement by the
8.2grantee is not required for the deed to be recordable.
8.3 (e) This subdivision does not apply to the sale, exchange, or transfer of real property:
8.4 (1) that consists solely of a sale or transfer of severed mineral interests; or
8.5 (2) that consists of an individual condominium unit as described in chapters 515 and
8.6515B.
8.7 (f) For an area owned in common under chapter 515 or 515B the association or other
8.8responsible person must report to the commissioner by July 1, 1992, the location and status
8.9of all wells in the common area. The association or other responsible person must notify
8.10the commissioner within 30 days of any change in the reported status of wells.
8.11 (g) If the seller fails to provide a required well disclosure certificate, the buyer, or a
8.12person authorized to act on behalf of the buyer, may sign a well disclosure certificate based
8.13on the information provided on the disclosure statement required by this section or based
8.14on other available information.
8.15 (h) A county recorder or registrar of titles may not record a deed or other instrument of
8.16conveyance dated after October 31, 1990, for which a certificate of value is required under
8.17section 272.115, or any deed or other instrument of conveyance dated after October 31,
8.181990, from a governmental body exempt from the payment of state deed tax, unless the
8.19deed or other instrument of conveyance contains the statement made in accordance with
8.20paragraph (c) or (d) or is accompanied by the well disclosure certificate containing all the
8.21information required by paragraph (b) or (d). The county recorder or registrar of titles must
8.22not accept a certificate unless it contains all the required information. The county recorder
8.23or registrar of titles shall note on each deed or other instrument of conveyance accompanied
8.24by a well disclosure certificate that the well disclosure certificate was received. The notation
8.25must include the statement "No wells on property" if the disclosure certificate states there
8.26are no wells on the property. The well disclosure certificate shall not be filed or recorded
8.27in the records maintained by the county recorder or registrar of titles. After noting "No wells
8.28on property" on the deed or other instrument of conveyance, the county recorder or registrar
8.29of titles shall destroy or return to the buyer the well disclosure certificate. The county
8.30recorder or registrar of titles shall collect from the buyer or the person seeking to record a
8.31deed or other instrument of conveyance, a fee of $50 $54 for receipt of a completed well
8.32disclosure certificate. By the tenth day of each month, the county recorder or registrar of
8.33titles shall transmit the well disclosure certificates to the commissioner of health. By the
8.34tenth day after the end of each calendar quarter, the county recorder or registrar of titles
8Article 1 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 9.1shall transmit to the commissioner of health $42.50 $46.50 of the fee for each well disclosure
9.2certificate received during the quarter. The commissioner shall maintain the well disclosure
9.3certificate for at least six years. The commissioner may store the certificate as an electronic
9.4image. A copy of that image shall be as valid as the original.
9.5 (i) No new well disclosure certificate is required under this subdivision if the buyer or
9.6seller, or a person authorized to act on behalf of the buyer or seller, certifies on the deed or
9.7other instrument of conveyance that the status and number of wells on the property have
9.8not changed since the last previously filed well disclosure certificate. The following
9.9statement, if followed by the signature of the person making the statement, is sufficient to
9.10comply with the certification requirement of this paragraph: "I am familiar with the property
9.11described in this instrument and I certify that the status and number of wells on the described
9.12real property have not changed since the last previously filed well disclosure certificate."
9.13The certification and signature may be on the front or back of the deed or on an attached
9.14sheet and an acknowledgment of the statement is not required for the deed or other instrument
9.15of conveyance to be recordable.
9.16 (j) The commissioner in consultation with county recorders shall prescribe the form for
9.17a well disclosure certificate and provide well disclosure certificate forms to county recorders
9.18and registrars of titles and other interested persons.
9.19 (k) Failure to comply with a requirement of this subdivision does not impair:
9.20 (1) the validity of a deed or other instrument of conveyance as between the parties to
9.21the deed or instrument or as to any other person who otherwise would be bound by the deed
9.22or instrument; or
9.23 (2) the record, as notice, of any deed or other instrument of conveyance accepted for
9.24filing or recording contrary to the provisions of this subdivision.
9.25 Sec. 12. Minnesota Statutes 2024, section 103I.525, subdivision 2, is amended to read:
9.26 Subd. 2.Certification fee.(a) The application fee for certification as a representative
9.27of a well contractor is $75 $100. The commissioner may not act on an application until the
9.28application fee is paid.
9.29 (b) The renewal fee for certification as a representative of a well contractor is $75 $100.
9.30The commissioner may not renew a certification until the renewal fee is paid.
9.31 (c) A certified representative must file an application and a renewal application fee to
9.32renew the certification by the date stated in the certification. The renewal application must
9Article 1 Sec. 12.
REVISOR DTT/HL 25-0033803/03/25 10.1include information that the certified representative has met continuing education
10.2requirements established by the commissioner by rule.
10.3 Sec. 13. Minnesota Statutes 2024, section 103I.525, subdivision 6, is amended to read:
10.4 Subd. 6.License fee.The fee for a well contractor's license is $250 $300.
10.5 Sec. 14. Minnesota Statutes 2024, section 103I.525, subdivision 8, is amended to read:
10.6 Subd. 8.Renewal.(a) A licensee must file an application and a renewal application fee
10.7to renew the license by the date stated in the license.
10.8 (b) The renewal application fee for a well contractor's license is $250 $300.
10.9 (c) The renewal application must include information that the certified representative
10.10of the applicant has met continuing education requirements established by the commissioner
10.11by rule.
10.12 (d) At the time of the renewal, the commissioner must have on file all properly completed
10.13well and boring construction reports, well and boring sealing reports, reports of elevator
10.14borings, water sample analysis reports, well and boring permits, and well notifications for
10.15work conducted by the licensee since the last license renewal.
10.16Sec. 15. Minnesota Statutes 2024, section 103I.531, subdivision 2, is amended to read:
10.17 Subd. 2.Certification fee.(a) The application fee for certification as a representative
10.18of a limited well/boring contractor is $75 $100. The commissioner may not act on an
10.19application until the application fee is paid.
10.20 (b) The renewal fee for certification as a representative of a limited well/boring contractor
10.21is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
10.22 (c) The fee for three or more limited well/boring contractor certifications is $225 $275.
10.23 (d) A certified representative must file an application and a renewal application fee to
10.24renew the certification by the date stated in the certification. The renewal application must
10.25include information that the certified representative has met continuing education
10.26requirements established by the commissioner by rule.
10.27Sec. 16. Minnesota Statutes 2024, section 103I.531, subdivision 6, is amended to read:
10.28 Subd. 6.License fee.The fee for a limited well/boring contractor's license is $75 $100.
10.29The fee for three or more limited well/boring contractor licenses is $225 $275.
10Article 1 Sec. 16.
REVISOR DTT/HL 25-0033803/03/25 11.1 Sec. 17. Minnesota Statutes 2024, section 103I.531, subdivision 8, is amended to read:
11.2 Subd. 8.Renewal.(a) A person must file an application and a renewal application fee
11.3to renew the limited well/boring contractor's license by the date stated in the license.
11.4 (b) The renewal application fee for a limited well/boring contractor's license is $75 $100.
11.5 (c) The renewal application must include information that the certified representative
11.6of the applicant has met continuing education requirements established by the commissioner
11.7by rule.
11.8 (d) At the time of the renewal, the commissioner must have on file all properly completed
11.9well and boring construction reports, well and boring sealing reports, well and boring
11.10permits, water quality sample reports, and well notifications for work conducted by the
11.11licensee since the last license renewal.
11.12Sec. 18. Minnesota Statutes 2024, section 103I.535, subdivision 2, is amended to read:
11.13 Subd. 2.Certification fee.(a) The application fee for certification as a representative
11.14of an elevator boring contractor is $75 $100. The commissioner may not act on an application
11.15until the application fee is paid.
11.16 (b) The renewal fee for certification as a representative of an elevator boring contractor
11.17is $75 $100. The commissioner may not renew a certification until the renewal fee is paid.
11.18 (c) A certified representative must file an application and a renewal application fee to
11.19renew the certification by the date stated in the certification. The renewal application must
11.20include information that the certified representative has met continuing education
11.21requirements established by the commissioner by rule.
11.22Sec. 19. Minnesota Statutes 2024, section 103I.535, subdivision 6, is amended to read:
11.23 Subd. 6.License fee.The fee for an elevator boring contractor's license is $75 $100.
11.24Sec. 20. Minnesota Statutes 2024, section 103I.535, subdivision 8, is amended to read:
11.25 Subd. 8.Renewal.(a) A person must file an application and a renewal application fee
11.26to renew the license by the date stated in the license.
11.27 (b) The renewal application fee for an elevator boring contractor's license is $75 $100.
11.28 (c) The renewal application must include information that the certified representative
11.29of the applicant has met continuing education requirements established by the commissioner
11.30by rule.
11Article 1 Sec. 20.
REVISOR DTT/HL 25-0033803/03/25 12.1 (d) At the time of renewal, the commissioner must have on file all reports and permits
12.2for elevator boring work conducted by the licensee since the last license renewal.
12.3 Sec. 21. Minnesota Statutes 2024, section 103I.541, subdivision 2b, is amended to read:
12.4 Subd. 2b.Issuance of license.If a person employs a certified representative, submits
12.5the bond under subdivision 3, and pays the license fee of $75 $100 for an environmental
12.6well contractor license, the commissioner shall issue an environmental well contractor
12.7license to the applicant. The fee for an individual registration is $75 $100. The commissioner
12.8may not act on an application until the application fee is paid.
12.9 Sec. 22. Minnesota Statutes 2024, section 103I.541, subdivision 2c, is amended to read:
12.10 Subd. 2c.Certification fee.(a) The application fee for certification as a representative
12.11of an environmental well contractor is $75 $100. The commissioner may not act on an
12.12application until the application fee is paid.
12.13 (b) The renewal fee for certification as a representative of an environmental well
12.14contractor is $75 $100. The commissioner may not renew a certification until the renewal
12.15fee is paid.
12.16 (c) A certified representative must file an application and a renewal application fee to
12.17renew the certification by the date stated in the certification. The renewal application must
12.18include information that the certified representative has met continuing education
12.19requirements established by the commissioner by rule.
12.20Sec. 23. Minnesota Statutes 2024, section 103I.541, subdivision 4, is amended to read:
12.21 Subd. 4.License renewal.(a) A person must file an application and a renewal application
12.22fee to renew the license by the date stated in the license.
12.23 (b) The renewal application fee for an environmental well contractor's license is $75
12.24$100.
12.25 (c) The renewal application must include information that the certified representative
12.26of the applicant has met continuing education requirements established by the commissioner
12.27by rule.
12.28 (d) At the time of the renewal, the commissioner must have on file all well and boring
12.29construction reports, well and boring sealing reports, well permits, and notifications for
12.30work conducted by the licensed person since the last license renewal.
12Article 1 Sec. 23.
REVISOR DTT/HL 25-0033803/03/25 13.1 Sec. 24. Minnesota Statutes 2024, section 103I.545, subdivision 1, is amended to read:
13.2 Subdivision 1.Drilling machine.(a) A person may not use a drilling machine such as
13.3a cable tool, rotary tool, hollow rod tool, or auger for a drilling activity requiring a license
13.4under this chapter unless the drilling machine is registered with the commissioner.
13.5 (b) A person must apply for the registration on forms prescribed by the commissioner
13.6and submit a $75 $125 registration fee.
13.7 (c) A registration is valid for one year.
13.8 Sec. 25. Minnesota Statutes 2024, section 103I.545, subdivision 2, is amended to read:
13.9 Subd. 2.Hoist.(a) A person may not use a machine such as a hoist for an activity
13.10requiring a license under this chapter to repair wells or borings, seal wells or borings, or
13.11install pumps unless the machine is registered with the commissioner.
13.12 (b) A person must apply for the registration on forms prescribed by the commissioner
13.13and submit a $75 $125 registration fee.
13.14 (c) A registration is valid for one year.
13.15Sec. 26. Minnesota Statutes 2024, section 103I.601, subdivision 2, is amended to read:
13.16 Subd. 2.License required to make borings.(a) Except as provided in paragraph (d),
13.17a person must not make an exploratory boring without an explorer's license. The fee for an
13.18explorer's license is $75 $100. The explorer's license is valid until the date prescribed in the
13.19license by the commissioner.
13.20 (b) A person must file an application and renewal application fee to renew the explorer's
13.21license by the date stated in the license. The renewal application fee is $75 $100.
13.22 (c) If the licensee submits an application fee after the required renewal date, the licensee:
13.23 (1) must include a late fee of $75; and
13.24 (2) may not conduct activities authorized by an explorer's license until the renewal
13.25application, renewal application fee, late fee, and sealing reports required in subdivision 9
13.26are submitted.
13.27 (d) An explorer must designate a responsible individual to supervise and oversee the
13.28making of exploratory borings.
13Article 1 Sec. 26.
REVISOR DTT/HL 25-0033803/03/25 14.1 (1) Before an individual supervises or oversees an exploratory boring, the individual
14.2must file an application and application fee of $75 $100 to qualify as a certified responsible
14.3individual.
14.4 (2) The individual must take and pass an examination relating to construction, location,
14.5and sealing of exploratory borings. A professional engineer or geoscientist licensed under
14.6sections 326.02 to 326.15 or a professional geologist certified by the American Institute of
14.7Professional Geologists is not required to take the examination required in this subdivision,
14.8but must be certified as a responsible individual to supervise an exploratory boring.
14.9 (3) The individual must file an application and a renewal fee of $75 $100 to renew the
14.10responsible individual's certification by the date stated in the certification. If the certified
14.11responsible individual submits an application fee after the renewal date, the certified
14.12responsible individual must include a late fee of $75 and may not supervise or oversee
14.13exploratory borings until the renewal application, application fee, and late fee are submitted.
14.14Sec. 27. Minnesota Statutes 2024, section 103I.601, subdivision 4, is amended to read:
14.15 Subd. 4.Notification and map of borings.(a) By ten days before beginning exploratory
14.16boring, an explorer must submit to the commissioner of health a notification of the proposed
14.17boring map and a fee of $275 $325 for each boring constructed.
14.18 (b) By ten days before beginning exploratory boring, an explorer must submit to the
14.19commissioners of health and natural resources a county road map on a single sheet of paper
14.20that is 8-1/2 by 11 inches in size and having a scale of one-half inch equal to one mile, as
14.21prepared by the Department of Transportation, or a 7.5 minute series topographic map
14.22(1:24,000 scale), as prepared by the United States Geological Survey, showing the location
14.23of each proposed exploratory boring to the nearest estimated 40 acre parcel. Exploratory
14.24boring that is proposed on the map may not be commenced later than 180 days after
14.25submission of the map, unless a new map is submitted.
14.26Sec. 28. Minnesota Statutes 2024, section 144.0758, subdivision 3, is amended to read:
14.27 Subd. 3.Eligible grantees.(a) Organizations eligible to receive grant funding under
14.28this section are Minnesota's Tribal Nations in accordance with paragraph (b) and urban
14.29American Indian community-based organizations in accordance with paragraph (c).
14.30 (b) Minnesota's Tribal Nations may choose to receive funding under this section according
14.31to a noncompetitive funding formula specified by the commissioner.
14Article 1 Sec. 28.
REVISOR DTT/HL 25-0033803/03/25 15.1 (c) Urban American Indian community-based organizations are eligible to apply for
15.2funding under this section by submitting a proposal for consideration by the commissioner.
15.3 Sec. 29. Minnesota Statutes 2024, section 144.1205, subdivision 2, is amended to read:
15.4 Subd. 2.Initial and annual fee.(a) A licensee must pay an initial fee that is equivalent
15.5to the annual fee upon issuance of the initial license.
15.6 (b) A licensee must pay an annual fee at least 60 days before the anniversary date of the
15.7issuance of the license. The annual fee is as follows:
LICENSE FEE15.8 TYPE
15.9 $25,896
$34,50015.10Academic broad scope - type A, B, or C
15.11 $31,075
$41,40015.12Academic broad scope - type A, B, or C (4-8 locations)
15.13 $36,254
$48,30015.14Academic broad scope - type A, B, or C (9 or more locations)
15.15 $25,896
$34,50015.16Medical broad scope - type A
15.17 $31,075
$41,40015.18Medical broad scope - type A (4-8 locations)
15.19 $36,254
$48,30015.20Medical broad scope - type A (9 or more locations)
$4,784
$6,600
15.21Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
15.22medicine, eye applicators, high dose rate afterloaders, and
15.23medical therapy emerging technologies
$5,740
$7,900
15.24Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
15.25medicine, eye applicators, high dose rate afterloaders, and
15.26medical therapy emerging technologies (4-8 locations)
$6,697
$9,200
15.27Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
15.28medicine, eye applicators, high dose rate afterloaders, and
15.29medical therapy emerging technologies (9 or more locations)
15.30 $11,648
$15,50015.31Teletherapy
15.32 $11,648
$15,50015.33Gamma knife
15.34 $2,600
$3,50015.35Veterinary medicine
15.36 $2,600
$3,50015.37In vitro testing lab
15.38 $11,440
$15,30015.39Nuclear pharmacy
15.40 $13,728
$18,30015.41Nuclear pharmacy (5 or more locations)
15Article 1 Sec. 29.
REVISOR DTT/HL 25-0033803/03/25 16.1 $4,992
$6,70016.2Radiopharmaceutical distribution (10 CFR 32.72)
$11,440
$15,300
16.3Radiopharmaceutical processing and distribution (10 CFR
16.432.72)
$13,728
$18,300
16.5Radiopharmaceutical processing and distribution (10 CFR
16.632.72) (5 or more locations)
16.7 $4,992
$6,70016.8Medical sealed sources - distribution (10 CFR 32.74)
$11,440
$15,300
16.9Medical sealed sources - processing and distribution (10 CFR
16.1032.74)
$13,728
$18,300
16.11Medical sealed sources - processing and distribution (10 CFR
16.1232.74) (5 or more locations)
16.13 $4,888
$6,60016.14Well logging - sealed sources
$2,600
$3,800
16.15Measuring systems - (fixed gauge, portable gauge, gas
16.16chromatograph, other)
$3,120
$4,500
16.17Measuring systems - (fixed gauge, portable gauge, gas
16.18chromatograph, other) (4-8 locations)
$3,640
$5,200
16.19Measuring systems - (fixed gauge, portable gauge, gas
16.20chromatograph, other) (9 or more locations)
16.21 $1,976
$2,70016.22X-ray fluorescent analyzer
16.23 $25,896
$34,50016.24Manufacturing and distribution - type A broad scope
$31,075
$41,400
16.25Manufacturing and distribution - type A broad scope (4-8
16.26locations)
$36,254
$48,300
16.27Manufacturing and distribution - type A broad scope (9 or more
16.28locations)
16.29 $22,880
$30,50016.30Manufacturing and distribution - type B or C broad scope
$27,456
$36,600
16.31Manufacturing and distribution - type B or C broad scope (4-8
16.32locations)
$32,032
$42,700
16.33Manufacturing and distribution - type B or C broad scope (9
16.34or more locations)
16.35 $6,864
$9,20016.36Manufacturing and distribution - other
16.37 $8,236
$11,00016.38Manufacturing and distribution - other (4-8 locations)
16.39 $9,609
$12,80016.40Manufacturing and distribution - other (9 or more locations)
16.41 $24,232
$32,30016.42Nuclear laundry
16.43 $6,448
$8,60016.44Decontamination services
16.45 $2,600
$3,50016.46Leak test services only
16Article 1 Sec. 29.
REVISOR DTT/HL 25-0033803/03/25 17.1 $2,600
$3,50017.2Instrument calibration service only
17.3 $6,448
$8,60017.4Service, maintenance, installation, source changes, etc.
17.5 $7,800
$10,40017.6Waste disposal service, prepackaged only
17.7 $10,816
$14,40017.8Waste disposal
17.9 $2,288
$3,10017.10Distribution - general licensed devices (sealed sources)
17.11 $1,456
$2,00017.12Distribution - general licensed material (unsealed sources)
17.13 $12,792
$17,20017.14Industrial radiography - fixed or temporary location
$16,629
$22,300
17.15Industrial radiography - fixed or temporary location (5 or more
17.16locations)
17.17 $3,744
$5,00017.18Irradiators, self-shielding
17.19 $6,968
$9,30017.20Irradiators, other, less than 10,000 curies
17.21 $12,376
$16,50017.22Research and development - type A, B, or C broad scope
$14,851
$19,800
17.23Research and development - type A, B, or C broad scope (4-8
17.24locations)
$17,326
$23,100
17.25Research and development - type A, B, or C broad scope (9 or
17.26more locations)
17.27 $5,824
$7,80017.28Research and development - other
17.29 $2,600
$3,50017.30Storage - no operations
17.31 $759
$1,10017.32Source material - shielding
17.33 $4,784
$6,40017.34Special nuclear material plutonium - neutron source in device
$4,784
$6,400
17.35Pacemaker by-product and/or special nuclear material - medical
17.36(institution)
$6,864
$9,200
17.37Pacemaker by-product and/or special nuclear material -
17.38manufacturing and distribution
17.39 $4,992
$6,70017.40Accelerator-produced radioactive material
17.41 $500
$70017.42Nonprofit educational institutions
17Article 1 Sec. 29.
REVISOR DTT/HL 25-0033803/03/25 18.1 Sec. 30. Minnesota Statutes 2024, section 144.1205, subdivision 4, is amended to read:
18.2 Subd. 4.Initial and renewal application fee.A licensee must pay an initial and a
18.3renewal application fee according to this subdivision.
APPLICATION FEE18.4 TYPE
18.5 $6,808
$9,10018.6Academic broad scope - type A, B, or C
18.7 $4,508
$6,00018.8Medical broad scope - type A
$1,748
$2,350
18.9Medical - diagnostic, diagnostic and therapeutic, mobile nuclear
18.10medicine, eye applicators, high dose rate afterloaders, and
18.11medical therapy emerging technologies
18.12 $6,348
$8,45018.13Teletherapy
18.14 $6,348
$8,45018.15Gamma knife
18.16 $1,104
$1,50018.17Veterinary medicine
18.18 $1,104
$1,50018.19In vitro testing lab
18.20 $5,612
$7,50018.21Nuclear pharmacy
18.22 $2,484
$3,35018.23Radiopharmaceutical distribution (10 CFR 32.72)
$5,612
$7,500
18.24Radiopharmaceutical processing and distribution (10 CFR
18.2532.72)
18.26 $2,484
$3,35018.27Medical sealed sources - distribution (10 CFR 32.74)
$5,612
$7,500
18.28Medical sealed sources - processing and distribution (10 CFR
18.2932.74)
18.30 $1,840
$2,45018.31Well logging - sealed sources
$1,104
$1,500
18.32Measuring systems - (fixed gauge, portable gauge, gas
18.33chromatograph, other)
18.34 $671
$90018.35X-ray fluorescent analyzer
18.36 $6,854
$9,15018.37Manufacturing and distribution - type A, B, and C broad scope
18.38 $2,668
$3,55018.39Manufacturing and distribution - other
18.40 $11,592
$15,45018.41Nuclear laundry
18.42 $3,036
$4,05018.43Decontamination services
18Article 1 Sec. 30.
REVISOR DTT/HL 25-0033803/03/25 19.1 $1,104
$1,50019.2Leak test services only
19.3 $1,104
$1,50019.4Instrument calibration service only
19.5 $3,036
$4,05019.6Service, maintenance, installation, source changes, etc.
19.7 $2,576
$3,45019.8Waste disposal service, prepackaged only
19.9 $1,748
$2,35019.10Waste disposal
19.11 $1,012
$1,35019.12Distribution - general licensed devices (sealed sources)
19.13 $598
$80019.14Distribution - general licensed material (unsealed sources)
19.15 $3,036
$4,05019.16Industrial radiography - fixed or temporary location
19.17 $1,656
$2,25019.18Irradiators, self-shielding
19.19 $3,404
$4,55019.20Irradiators, other, less than 10,000 curies
19.21 $5,704
$7,60019.22Research and development - type A, B, or C broad scope
19.23 $2,760
$3,70019.24Research and development - other
19.25 $1,104
$1,50019.26Storage - no operations
19.27 $156
$25019.28Source material - shielding
19.29 $1,380
$1,85019.30Special nuclear material plutonium - neutron source in device
$1,380
$1,850
19.31Pacemaker by-product and/or special nuclear material - medical
19.32(institution)
$2,668
$3,550
19.33Pacemaker by-product and/or special nuclear material -
19.34manufacturing and distribution
19.35 $4,715
$6,30019.36Accelerator-produced radioactive material
19.37 $345
$50019.38Nonprofit educational institutions
19.39Sec. 31. Minnesota Statutes 2024, section 144.1205, subdivision 8, is amended to read:
19.40 Subd. 8.Reciprocity fee.A licensee submitting an application for reciprocal recognition
19.41of a materials license issued by another agreement state or the United States Nuclear
19.42Regulatory Commission for a period of 180 days or less during a calendar year must pay
19Article 1 Sec. 31.
REVISOR DTT/HL 25-0033803/03/25 20.1$2,400 $3,200. For a period of 181 days or more, the licensee must obtain a license under
20.2subdivision 4.
20.3 Sec. 32. Minnesota Statutes 2024, section 144.1205, subdivision 9, is amended to read:
20.4 Subd. 9.Fees for license amendments.A licensee must pay a fee of $600 $800 to
20.5amend a license as follows:
20.6 (1) to amend a license requiring review including, but not limited to, addition of isotopes,
20.7procedure changes, new authorized users, or a new radiation safety officer; or
20.8 (2) to amend a license requiring review and a site visit including, but not limited to,
20.9facility move or addition of processes.
20.10Sec. 33. Minnesota Statutes 2024, section 144.1205, subdivision 10, is amended to read:
20.11 Subd. 10.Fees for general license registrations.A person required to register generally
20.12licensed devices according to Minnesota Rules, part 4731.3215, must pay an annual
20.13registration fee of $450 $600.
20.14Sec. 34. Minnesota Statutes 2024, section 144.121, subdivision 1a, is amended to read:
20.15 Subd. 1a.Fees for ionizing radiation-producing equipment.(a) A facility with ionizing
20.16radiation-producing equipment and other sources of ionizing radiation must pay an initial
20.17or annual renewal registration fee consisting of a base facility fee of $100 $155 and an
20.18additional fee for each x-ray tube, as follows:
100
20.20 130
$medical or veterinary equipment20.19 (1)
40
20.22 60
$dental x-ray equipment20.21 (2)
100
130
$x-ray equipment not used on
20.24 humans or animals
20.23 (3)
100
130
$devices with sources of ionizing
20.26 radiation not used on humans or
20.27 animals
20.25 (4)
100
20.29 160
$security screening system20.28 (5)
1,000$radiation therapy and accelerator
20.31 x-ray equipment
20.30 (6)
300$industrial accelerator x-ray
20.33 equipment
20.32 (7)
20Article 1 Sec. 34.
REVISOR DTT/HL 25-0033803/03/25 21.1 (b) A facility with radiation therapy and accelerator equipment must pay an initial or
21.2annual registration fee of $500. A facility with an industrial accelerator must pay an initial
21.3or annual registration fee of $150.
21.4 (c) (b) Electron microscopy equipment is exempt from the registration fee requirements
21.5of this section.
21.6 (d) (c) For purposes of this section, a security screening system means ionizing
21.7radiation-producing equipment designed and used for security screening of humans who
21.8are in the custody of a correctional or detention facility, and used by the facility to image
21.9and identify contraband items concealed within or on all sides of a human body. For purposes
21.10of this section, a correctional or detention facility is a facility licensed under section 241.021
21.11and operated by a state agency or political subdivision charged with detection, enforcement,
21.12or incarceration in respect to state criminal and traffic laws. The commissioner shall adopt
21.13rules to establish requirements for the use of security screening systems. Notwithstanding
21.14section 14.125, the authority to adopt these rules does not expire.
21.15Sec. 35. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
21.16to read:
21.17 Subd. 1e.Fee for service provider of ionizing radiation-producing equipment.A
21.18service provider of ionizing radiation-producing equipment and other sources of ionizing
21.19radiation must pay an initial or annual renewal fee of $115.
21.20Sec. 36. Minnesota Statutes 2024, section 144.121, subdivision 2, is amended to read:
21.21 Subd. 2.Inspections.Periodic radiation safety inspections of the x-ray equipment and
21.22other sources of ionizing radiation shall be made by the commissioner of health. The
21.23frequency of safety inspections shall be prescribed by the commissioner on the basis of
21.24based on the frequency of radiation exposure risk to occupational and public health from
21.25use of the x-ray equipment and other source of ionizing radiation, provided that each source
21.26shall be inspected at least once every four years.
21.27Sec. 37. Minnesota Statutes 2024, section 144.121, subdivision 5, is amended to read:
21.28 Subd. 5.Examination for individual operating x-ray systems.(a) An individual in a
21.29facility with x-ray systems for use on living humans that is registered under subdivision 1
21.30may not operate, nor may the facility allow the individual to operate, x-ray systems unless
21.31the individual has passed a national or state examination.
21.32 (b) Individuals who may operate x-ray systems include:
21Article 1 Sec. 37.
REVISOR DTT/HL 25-0033803/03/25 22.1 (1) an individual who has passed the American Registry of Radiologic Technologists
22.2(ARRT) registry for radiography examination;
22.3 (2) an individual who has passed the American Chiropractic Registry of Radiologic
22.4Technologists (ACRRT) registry examination and is limited to radiography of spines and
22.5extremities;
22.6 (3) a registered limited scope x-ray operator and a registered bone densitometry equipment
22.7operator who passed the examination requirements in paragraphs (d) and (e) and practices
22.8according to subdivision 5a;
22.9 (4) an x-ray operator who has the original certificate or the original letter of passing the
22.10examination that was required before January 1, 2008, under Minnesota Statutes 2008,
22.11section 144.121, subdivision 5a, paragraph (b), clause (1);
22.12 (5) an individual who has passed the American Registry of Radiologic Technologists
22.13(ARRT) registry for radiation therapy examination according to subdivision 5e;
22.14 (6) a cardiovascular technologist according to subdivision 5c;
22.15 (7) a nuclear medicine technologist according to subdivision 5d;
22.16 (8) an individual who has passed the examination for a dental hygienist under section
22.17150A.06 and only operates dental x-ray systems;
22.18 (9) an individual who has passed the examination for a dental therapist under section
22.19150A.06 and only operates dental x-ray systems;
22.20 (10) an individual who has passed the examination for a dental assistant under section
22.21150A.06 and only operates dental x-ray systems;
22.22 (11) an individual who has passed the examination under Minnesota Rules, part
22.233100.8500, subpart 3 3100.1320, and only operates dental x-ray systems; and
22.24 (12) a qualified practitioner who is licensed by a health-related licensing board with
22.25active practice authority and is working within the practitioner's scope of practice.
22.26 (c) Except for individuals under clauses (3) and (4), an individual who is participating
22.27in a training or educational program in any of the occupations listed in paragraph (b) is
22.28exempt from the examination requirement within the scope and for the duration of the
22.29training or educational program.
22.30 (d) The Minnesota examination for limited scope x-ray operators must include:
22Article 1 Sec. 37.
REVISOR DTT/HL 25-0033803/03/25 23.1 (1) radiation protection, radiation physics and radiobiology, equipment operation and
23.2quality assurance, image acquisition and technical evaluation, and patient interactions and
23.3management; and
23.4 (2) at least one of the following regions of the human anatomy: chest, extremities, skull
23.5and sinus, spine, or podiatry. The examinations must include the anatomy of, and radiographic
23.6positions and projections for, the specific regions.
23.7 (e) The examination for bone densitometry equipment operators must include:
23.8 (1) osteoporosis, bone physiology, bone health and patient education, patient preparation,
23.9fundamental principals, biological effects of radiation, units of measurements, radiation
23.10protection in bone densitometry, fundamentals of x-ray production, quality control, measuring
23.11bone mineral testing, determining quality in bone mineral testing, file and database
23.12management; and
23.13 (2) dual x-ray absorptiometry scanning of the lumbar spine, proximal femur, and forearm.
23.14The examination must include the anatomy, scan acquisition, and scan analysis for these
23.15three procedures.
23.16 (f) A limited scope x-ray operator, and a bone densitometry equipment operator, who
23.17are required to take an examination under this subdivision must submit to the commissioner
23.18a registration application for the examination and a $25 processing fee. The processing fee
23.19shall be deposited in the state treasury and credited to the state government special revenue
23.20fund.
23.21Sec. 38. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
23.22to read:
23.23 Subd. 10.Service provider practice; service technician.(a) A service technician is a
23.24service provider who performs one or more of the following, including but not limited to:
23.25assembly, installation, calibration, equipment performance evaluation, preventive
23.26maintenance, repair, replacement, or disabling of ionizing radiation-producing equipment
23.27and other sources of ionizing radiation. A service technician may not perform an equipment
23.28performance evaluation on computed tomography, medical cone beam computed tomography,
23.29and fluoroscopy equipment.
23.30 (b) In order to provide service technician services, a service provider must register with
23.31the commissioner as a service technician, meet the applicable requirements in Minnesota
23.32Rules, chapter 4732, and pay the fee in subdivision 1e.
23Article 1 Sec. 38.
REVISOR DTT/HL 25-0033803/03/25 24.1 Sec. 39. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
24.2to read:
24.3 Subd. 11.Service provider practice; vendor.(a) A vendor is a service provider who
24.4performs one or more of the following services, including but not limited to: sales, leasing,
24.5lending, transferring, disposal, or demonstration of ionizing radiation-producing equipment
24.6and other sources of ionizing radiation.
24.7 (b) In order to provide vendor services, a service provider must register with the
24.8commissioner as a vendor, meet the applicable requirements in Minnesota Rules, chapter
24.94732, and pay the fee in subdivision 1e.
24.10Sec. 40. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
24.11to read:
24.12 Subd. 12.Service provider practice; qualified medical physicist.(a) A qualified
24.13medical physicist is a service provider who provides medical physics services and must be
24.14certified in diagnostic medical physics, diagnostic radiological physics, radiological physics,
24.15diagnostic imaging physics, or diagnostic radiology physics by the American Board of
24.16Radiology, the American Board of Medical Physics, or the Canadian College of Physicists
24.17in Medicine.
24.18 (b) In order to provide medical physics services a service provider must register with
24.19the commissioner as a qualified medical physicist, meet the applicable requirements in
24.20Minnesota Rules, chapter 4732, and pay the fee in subdivision 1e.
24.21Sec. 41. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
24.22to read:
24.23 Subd. 13.Service provider practice; qualified expert.(a) A qualified expert is a service
24.24provider who provides expert physics services, and must be certified in the appropriate
24.25fields or specialties in which physics services are provided by the American Board of Health
24.26Physics, the American Board of Medical Physics, the American Board of Radiology, the
24.27American Board of Science in Nuclear Medicine, or the Canadian College of Physicists in
24.28Medicine.
24.29 (b) In order to provide health physics services, a service provider must register with the
24.30commissioner as a qualified expert, meet the applicable requirements in Minnesota Rules,
24.31chapter 4732, and pay the fee in subdivision 1e.
24Article 1 Sec. 41.
REVISOR DTT/HL 25-0033803/03/25 25.1 Sec. 42. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
25.2to read:
25.3 Subd. 14.Service provider practice; physicist assistant.(a) A physicist assistant is a
25.4service provider who provides expert physics or medical physics services under the
25.5supervision of a qualified expert or a qualified medical physicist and must be deemed
25.6competent by a qualified expert or a qualified medical physicist in the appropriate fields or
25.7specialties in which services are provided.
25.8 (b) In order to provide health physics or medical physics services under the supervision
25.9of a qualified expert or a qualified medical physicist, a physicist assistant must register with
25.10the commissioner as a physicist assistant, meet the applicable requirements in Minnesota
25.11Rules, chapter 4732, and pay the fee under subdivision 1e.
25.12 (c) Supervision as used in this subdivision refers to either personal or general supervision
25.13of a physicist assistant by a qualified expert or a qualified medical physicist according to
25.14Minnesota Rules, chapter 4732.
25.15Sec. 43. Minnesota Statutes 2024, section 144.121, is amended by adding a subdivision
25.16to read:
25.17 Subd. 15.Service provider compliance.A service provider registered with the
25.18commissioner under Minnesota Rules, chapter 4732, must, upon renewal of registration,
25.19comply with the applicable requirements under this section and submit the fee under
25.20subdivision 1e.
25.21Sec. 44. Minnesota Statutes 2024, section 144.1215, is amended by adding a subdivision
25.22to read:
25.23 Subd. 5.Rulemaking authority.The commissioner shall adopt rules to implement this
25.24section. Notwithstanding section 14.125, the authority to adopt these rules does not expire.
25.25Sec. 45. Minnesota Statutes 2024, section 144.122, is amended to read:
25.26 144.122 LICENSE, PERMIT, AND SURVEY FEES.
25.27 (a) The state commissioner of health, by rule, may prescribe procedures and fees for
25.28filing with the commissioner as prescribed by statute and for the issuance of original and
25.29renewal permits, licenses, registrations, and certifications issued under authority of the
25.30commissioner. The expiration dates of the various licenses, permits, registrations, and
25.31certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
25Article 1 Sec. 45.
REVISOR DTT/HL 25-0033803/03/25 26.1application and examination fees and a penalty fee for renewal applications submitted after
26.2the expiration date of the previously issued permit, license, registration, and certification.
26.3The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
26.4registrations, and certifications when the application therefor is submitted during the last
26.5three months of the permit, license, registration, or certification period. Fees proposed to
26.6be prescribed in the rules shall be first approved by the Department of Management and
26.7Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
26.8in an amount so that the total fees collected by the commissioner will, where practical,
26.9approximate the cost to the commissioner in administering the program. All fees collected
26.10shall be deposited in the state treasury and credited to the state government special revenue
26.11fund unless otherwise specifically appropriated by law for specific purposes.
26.12 (b) The commissioner may charge a fee for voluntary certification of medical laboratories
26.13and environmental laboratories, and for environmental and medical laboratory services
26.14provided by the department, without complying with paragraph (a) or chapter 14. Fees
26.15charged for environment and medical laboratory services provided by the department must
26.16be approximately equal to the costs of providing the services.
26.17 (c) The commissioner may develop a schedule of fees for diagnostic evaluations
26.18conducted at clinics held by the services for children with disabilities program. All receipts
26.19generated by the program are annually appropriated to the commissioner for use in the
26.20maternal and child health program.
26.21 (d) The commissioner shall set license fees for hospitals and nursing homes that are not
26.22boarding care homes at the following levels:
$7,655 plus $16 per bed $9,52426.23The Joint Commission on Accreditation
26.24of Healthcare Organizations (JCAHO)
26.25(TJC) and American Osteopathic
26.26Association (AOA) hospitals
$5,280 $6,318 plus $250 $317 per bed26.27Non-JCAHO Non-TJC and non-AOA
26.28hospitals
$600 plus $16 per bed26.29Fees collected per hospital for the
26.30Minnesota Adverse Health Care Events
26.31Reporting
$183 plus $91 per bed until June 30, 2018.
26.33 $183 plus $100 per bed between July 1,
26.32Nursing home
26.34 2018, and June 30, 2020. $183 $238 plus
26.35 $105 $142 per bed beginning July 1, 2020.
26.36 The commissioner shall set license fees for outpatient surgical centers, boarding care
26.37homes, supervised living facilities, assisted living facilities, and assisted living facilities
26.38with dementia care at the following levels:
26Article 1 Sec. 45.
REVISOR DTT/HL 25-0033803/03/25 $3,712 $1,96627.1Outpatient surgical centers
$2,20027.2Fees collected per outpatient surgical
27.3center for the Minnesota Adverse Health
27.4Care Events Reporting
$183 $220 plus $91 $110 per bed27.5Boarding care homes
$183 $238 plus $91 $118 per bed.27.6Supervised living facilities
$3,000 plus $100 per resident.27.7Assisted living facilities with dementia
27.8care
$2,000 plus $75 per resident.27.9Assisted living facilities
27.10Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
27.11received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
27.12or later.
27.13 (e) Unless prohibited by federal law, the commissioner of health shall charge applicants
27.14the following fees to cover the cost of any initial certification surveys required to determine
27.15a provider's eligibility to participate in the Medicare or Medicaid program:
900$27.16Prospective payment surveys for hospitals
1,200$27.17Swing bed surveys for nursing homes
1,400$27.18Psychiatric hospitals
1,100$27.19Rural health facilities
500$27.20Portable x-ray providers
1,800$27.21Home health agencies
800$27.22Outpatient therapy agencies
2,100$27.23End stage renal dialysis providers
800$27.24Independent therapists
1,200$27.25Comprehensive rehabilitation outpatient facilities
1,700$27.26Hospice providers
1,800$27.27Ambulatory surgical providers
4,200$27.28Hospitals
Actual surveyor costs: average
surveyor cost x number of hours for
the survey process.
27.29Other provider categories or additional
27.30resurveys required to complete initial
27.31certification
27.32 These fees shall be submitted at the time of the application for federal certification and
27.33shall not be refunded. All fees collected after the date that the imposition of fees is not
27.34prohibited by federal law shall be deposited in the state treasury and credited to the state
27.35government special revenue fund.
27Article 1 Sec. 45.
REVISOR DTT/HL 25-0033803/03/25 28.1 (f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
28.2on assisted living facilities and assisted living facilities with dementia care under paragraph
28.3(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
28.4 (1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
28.5to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
28.6and community-based waiver services under chapter 256S and section 256B.49 comprise
28.7more than 50 percent of the facility's capacity in the calendar year prior to the year in which
28.8the renewal application is submitted; and
28.9 (2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
28.10to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
28.11and community-based waiver services under chapter 256S and section 256B.49 comprise
28.12less than 50 percent of the facility's capacity during the calendar year prior to the year in
28.13which the renewal application is submitted.
28.14The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
28.15paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
28.16method for determining capacity thresholds in this paragraph in consultation with the
28.17commissioner of human services and must coordinate the administration of this paragraph
28.18with the commissioner of human services for purposes of verification.
28.19 (g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per
28.20hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited
28.21to the state government special revenue fund and credited toward trauma hospital designations
28.22under sections 144.605 and 144.6071.
28.23Sec. 46. Minnesota Statutes 2024, section 144.122, is amended to read:
28.24 144.122 LICENSE, PERMIT, AND SURVEY FEES.
28.25 (a) The state commissioner of health, by rule, may prescribe procedures and fees for
28.26filing with the commissioner as prescribed by statute and for the issuance of original and
28.27renewal permits, licenses, registrations, and certifications issued under authority of the
28.28commissioner. The expiration dates of the various licenses, permits, registrations, and
28.29certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
28.30application and examination fees and a penalty fee for renewal applications submitted after
28.31the expiration date of the previously issued permit, license, registration, and certification.
28.32The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
28.33registrations, and certifications when the application therefor is submitted during the last
28Article 1 Sec. 46.
REVISOR DTT/HL 25-0033803/03/25 29.1three months of the permit, license, registration, or certification period. Fees proposed to
29.2be prescribed in the rules shall be first approved by the Department of Management and
29.3Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
29.4in an amount so that the total fees collected by the commissioner will, where practical,
29.5approximate the cost to the commissioner in administering the program. All fees collected
29.6shall be deposited in the state treasury and credited to the state government special revenue
29.7fund unless otherwise specifically appropriated by law for specific purposes.
29.8 (b) The commissioner may charge a fee for voluntary certification of medical laboratories
29.9and environmental laboratories, and for environmental and medical laboratory services
29.10provided by the department, without complying with paragraph (a) or chapter 14. Fees
29.11charged for environment and medical laboratory services provided by the department must
29.12be approximately equal to the costs of providing the services.
29.13 (c) The commissioner may develop a schedule of fees for diagnostic evaluations
29.14conducted at clinics held by the services for children with disabilities program. All receipts
29.15generated by the program are annually appropriated to the commissioner for use in the
29.16maternal and child health program.
29.17 (d) The commissioner shall set license fees for hospitals and nursing homes that are not
29.18boarding care homes at the following levels:
$7,655 plus $16 per bed29.19Joint Commission on Accreditation of
29.20Healthcare Organizations (JCAHO) and
29.21American Osteopathic Association (AOA)
29.22hospitals
$5,280 plus $250 per bed29.23Non-JCAHO and non-AOA hospitals
$183 plus $91 per bed until June 30, 2018.
29.25 $183 plus $100 per bed between July 1, 2018,
29.24Nursing home
29.26 and June 30, 2020. $183 plus $105 per bed
29.27 beginning July 1, 2020.
29.28 The commissioner shall set license fees for outpatient surgical centers, boarding care
29.29homes, supervised living facilities, assisted living facilities, and assisted living facilities
29.30with dementia care at the following levels:
$3,71229.31Outpatient surgical centers
$183 plus $91 per bed29.32Boarding care homes
$183 plus $91 per bed.29.33Supervised living facilities
$3,000 plus $100 $150 per resident.29.34Assisted living facilities with dementia care
$2,000 plus $75 $125 per resident.29.35Assisted living facilities
29Article 1 Sec. 46.
REVISOR DTT/HL 25-0033803/03/25 30.1Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
30.2received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
30.3or later.
30.4 (e) Unless prohibited by federal law, the commissioner of health shall charge applicants
30.5the following fees to cover the cost of any initial certification surveys required to determine
30.6a provider's eligibility to participate in the Medicare or Medicaid program:
900$30.7Prospective payment surveys for hospitals
1,200$30.8Swing bed surveys for nursing homes
1,400$30.9Psychiatric hospitals
1,100$30.10Rural health facilities
500$30.11Portable x-ray providers
1,800$30.12Home health agencies
800$30.13Outpatient therapy agencies
2,100$30.14End stage renal dialysis providers
800$30.15Independent therapists
1,200$30.16Comprehensive rehabilitation outpatient facilities
1,700$30.17Hospice providers
1,800$30.18Ambulatory surgical providers
4,200$30.19Hospitals
Actual surveyor costs: average
surveyor cost x number of hours for
the survey process.
30.20Other provider categories or additional
30.21resurveys required to complete initial
30.22certification
30.23 These fees shall be submitted at the time of the application for federal certification and
30.24shall not be refunded. All fees collected after the date that the imposition of fees is not
30.25prohibited by federal law shall be deposited in the state treasury and credited to the state
30.26government special revenue fund.
30.27 (f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
30.28on assisted living facilities and assisted living facilities with dementia care under paragraph
30.29(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:
30.30 (1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
30.31to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
30.32and community-based waiver services under chapter 256S and section 256B.49 comprise
30.33more than 50 percent of the facility's capacity in the calendar year prior to the year in which
30.34the renewal application is submitted; and
30Article 1 Sec. 46.
REVISOR DTT/HL 25-0033803/03/25 31.1 (2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
31.2to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
31.3and community-based waiver services under chapter 256S and section 256B.49 comprise
31.4less than 50 percent of the facility's capacity during the calendar year prior to the year in
31.5which the renewal application is submitted.
31.6The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
31.7paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
31.8method for determining capacity thresholds in this paragraph in consultation with the
31.9commissioner of human services and must coordinate the administration of this paragraph
31.10with the commissioner of human services for purposes of verification.
31.11 (g) The commissioner shall charge hospitals an annual licensing base fee of $1,826 per
31.12hospital, plus an additional $23 per licensed bed or bassinet fee. Revenue shall be deposited
31.13to the state government special revenue fund and credited toward trauma hospital designations
31.14under sections 144.605 and 144.6071.
31.15Sec. 47. Minnesota Statutes 2024, section 144.1222, subdivision 1a, is amended to read:
31.16 Subd. 1a.Fees.All plans and specifications for public pool and spa construction,
31.17installation, or alteration or requests for a variance that are submitted to the commissioner
31.18according to Minnesota Rules, part 4717.3975, shall be accompanied by the appropriate
31.19fees. All public pool construction plans submitted for review after January 1, 2009, must
31.20be certified by a professional engineer registered in the state of Minnesota. If the
31.21commissioner determines, upon review of the plans, that inadequate fees were paid, the
31.22necessary additional fees shall be paid before plan approval. For purposes of determining
31.23fees, a project is defined as a proposal to construct or install a public pool, spa, special
31.24purpose pool, or wading pool and all associated water treatment equipment and drains,
31.25gutters, decks, water recreation features, spray pads, and those design and safety features
31.26that are within five feet of any pool or spa. Plans submitted less than 30 days prior to
31.27construction are subject to 50 percent of the original plan review fee. The commissioner
31.28shall charge the following fees for plan review and inspection of public pools and spas and
31.29for requests for variance from the public pool and spa rules:
31.30 (1) each pool, $1,500 $1,600;
31.31 (2) each spa pool, $800 $900;
31.32 (3) each slide, $600 $650;
31Article 1 Sec. 47.
REVISOR DTT/HL 25-0033803/03/25 32.1 (4) projects valued at $250,000 or more, the greater of the sum of the fees in clauses (1),
32.2(2), and (3) or 0.5 percent of the documented estimated project cost to a maximum fee of
32.3$15,000;
32.4 (5) alterations to an existing pool without changing the size or configuration of the pool,
32.5$600 $700;
32.6 (6) removal or replacement of pool disinfection equipment only, $100 $200; and
32.7 (7) request for variance from the public pool and spa rules, $500 $550.
32.8 Sec. 48. [144.1223] REGISTERED SANITARIANS AND REGISTERED
32.9ENVIRONMENT AL HEALTH SPECIALIST APPLICATION FEES.
32.10 (a) Fees to be submitted with initial or renewal applications are as follows:
32.11 (1) initial application fee, $55;
32.12 (2) biennial renewal application fee, $55; and
32.13 (3) penalty for late submission of renewal application, $20, if not renewed by designated
32.14renewal date.
32.15 (b) Additionally, a $5 technology fee must be paid with the initial registration or
32.16registration renewal.
32.17Sec. 49. Minnesota Statutes 2024, section 144.3831, subdivision 1, is amended to read:
32.18 Subdivision 1.Fee setting.The commissioner of health may assess an annual fee of
32.19$9.72 $15.22 for every service connection to a public water supply that is owned or operated
32.20by a home rule charter city, a statutory city, a city of the first class, or a town. The
32.21commissioner of health may also assess an annual fee for every service connection served
32.22by a water user district defined in section 110A.02.
32.23Sec. 50. Minnesota Statutes 2024, section 144.55, subdivision 1a, is amended to read:
32.24 Subd. 1a.License fee.The annual license fee for outpatient surgical centers is $1,512
32.25$1,966.
32Article 1 Sec. 50.
REVISOR DTT/HL 25-0033803/03/25 33.1 Sec. 51. Minnesota Statutes 2024, section 144.554, is amended to read:
33.2 144.554 HEALTH FACILITIES CONSTRUCTION PLAN SUBMITTAL AND
33.3FEES.
33.4 For hospitals, nursing homes, assisted living facilities, boarding care homes, residential
33.5hospices, supervised living facilities, freestanding outpatient surgical centers, and end-stage
33.6renal disease facilities, the commissioner shall collect a fee for the review and approval of
33.7architectural, mechanical, and electrical plans and specifications submitted before
33.8construction begins for each project relative to construction of new buildings, additions to
33.9existing buildings, or remodeling or alterations of existing buildings. All fees collected in
33.10this section shall be deposited in the state treasury and credited to the state government
33.11special revenue fund. Fees must be paid at the time of submission of final plans for review
33.12and are not refundable. The fee is calculated as follows:
Fee33.13 Construction project total estimated cost
$30 $4533.14 $0 - $10,000
$150 $22533.15 $10,001 - $50,000
$300 $45033.16 $50,001 - $100,000
$450 $67533.17 $100,001 - $150,000
$600 $90033.18 $150,001 - $200,000
$750 $1,12533.19 $200,001 - $250,000
$900 $1,35033.20 $250,001 - $300,000
$1,050 $1,57533.21 $300,001 - $350,000
$1,200 $1,80033.22 $350,001 - $400,000
$1,350 $2,02533.23 $400,001 - $450,000
$1,500 $2,25033.24 $450,001 - $500,000
$1,650 $2,47533.25 $500,001 - $550,000
$1,800 $2,70033.26 $550,001 - $600,000
$1,950 $2,92533.27 $600,001 - $650,000
$2,100 $3,15033.28 $650,001 - $700,000
$2,250 $3,37533.29 $700,001 - $750,000
$2,400 $3,60033.30 $750,001 - $800,000
$2,550 $3,82533.31 $800,001 - $850,000
$2,700 $4,05033.32 $850,001 - $900,000
$2,850 $4,27533.33 $900,001 - $950,000
$3,000 $4,50033.34 $950,001 - $1,000,000
$3,150 $4,72533.35 $1,000,001 - $1,050,000
$3,300 $4,95033.36 $1,050,001 - $1,100,000
33Article 1 Sec. 51.
REVISOR DTT/HL 25-0033803/03/25 $3,450 $5,17534.1 $1,100,001 - $1,150,000
$3,600 $5,40034.2 $1,150,001 - $1,200,000
$3,750 $5,62534.3 $1,200,001 - $1,250,000
$3,900 $5,85034.4 $1,250,001 - $1,300,000
$4,050 $6,07534.5 $1,300,001 - $1,350,000
$4,200 $6,30034.6 $1,350,001 - $1,400,000
$4,350 $6,52534.7 $1,400,001 - $1,450,000
$4,500 $6,75034.8 $1,450,001 - $1,500,000
$4,800 $7,20034.9 $1,500,001 and over - $2,000,000
$7,65034.10 $2,000,001 - $3,000,000
$8,10034.11 $3,000,001 - $4,000,000
$8,55034.12 $4,000,001 - $7,000,000
$9,00034.13 $7,000,001 - $15,000,000
$9,45034.14 $15,000,001 - $50,000,000
$9,90034.15 $50,000,001 and over
34.16Sec. 52. Minnesota Statutes 2024, section 144.608, subdivision 2, is amended to read:
34.17 Subd. 2.Council administration.(a) The council must meet at least twice a year but
34.18may meet more frequently at the call of the chair, a majority of the council members, or the
34.19commissioner.
34.20 (b) The terms, compensation, and removal of members of the council are governed by
34.21section 15.059. The council expires June 30, 2025 2035.
34.22 (c) The council may appoint subcommittees and work groups. Subcommittees shall
34.23consist of council members. Work groups may include noncouncil members. Noncouncil
34.24members shall be compensated for work group activities under section 15.059, subdivision
34.253, but shall receive expenses only.
34.26Sec. 53. Minnesota Statutes 2024, section 144.615, subdivision 8, is amended to read:
34.27 Subd. 8.Fees.(a) The biennial license fee for a birth center is $365 $438.
34.28 (b) The temporary license fee is $365 $438.
34.29 (c) Fees shall be collected and deposited according to section 144.122.
34.30Sec. 54. Minnesota Statutes 2024, section 144.966, subdivision 2, is amended to read:
34.31 Subd. 2.Newborn Hearing Screening Advisory Committee.(a) The commissioner
34.32of health shall establish a Newborn Hearing Screening Advisory Committee to advise and
34Article 1 Sec. 54.
REVISOR DTT/HL 25-0033803/03/25 35.1assist the Department of Health; Department of Children, Youth, and Families; and the
35.2Department of Education in:
35.3 (1) developing protocols and timelines for screening, rescreening, and diagnostic
35.4audiological assessment and early medical, audiological, and educational intervention
35.5services for children who are deaf or hard-of-hearing;
35.6 (2) designing protocols for tracking children from birth through age three that may have
35.7passed newborn screening but are at risk for delayed or late onset of permanent hearing
35.8loss;
35.9 (3) designing a technical assistance program to support facilities implementing the
35.10screening program and facilities conducting rescreening and diagnostic audiological
35.11assessment;
35.12 (4) designing implementation and evaluation of a system of follow-up and tracking; and
35.13 (5) evaluating program outcomes to increase effectiveness and efficiency and ensure
35.14culturally appropriate services for children with a confirmed hearing loss and their families.
35.15 (b) The commissioner of health shall appoint at least one member from each of the
35.16following groups with no less than two of the members being deaf or hard-of-hearing:
35.17 (1) a representative from a consumer organization representing culturally deaf persons;
35.18 (2) a parent with a child with hearing loss representing a parent organization;
35.19 (3) a consumer from an organization representing oral communication options;
35.20 (4) a consumer from an organization representing cued speech communication options;
35.21 (5) an audiologist who has experience in evaluation and intervention of infants and
35.22young children;
35.23 (6) a speech-language pathologist who has experience in evaluation and intervention of
35.24infants and young children;
35.25 (7) two primary care providers who have experience in the care of infants and young
35.26children, one of which shall be a pediatrician;
35.27 (8) a representative from the early hearing detection intervention teams;
35.28 (9) a representative from the Department of Education resource center for the deaf and
35.29hard-of-hearing or the representative's designee;
35.30 (10) a representative of the Commission of the Deaf, DeafBlind and Hard of Hearing;
35Article 1 Sec. 54.
REVISOR DTT/HL 25-0033803/03/25 36.1 (11) a representative from the Department of Human Services Deaf and Hard-of-Hearing
36.2Services Division;
36.3 (12) one or more of the Part C coordinators from the Department of Education; the
36.4Department of Health; the Department of Children, Youth, and Families; or the Department
36.5of Human Services or the department's designees;
36.6 (13) the Department of Health early hearing detection and intervention coordinators;
36.7 (14) two birth hospital representatives from one rural and one urban hospital;
36.8 (15) a pediatric geneticist;
36.9 (16) an otolaryngologist;
36.10 (17) a representative from the Newborn Screening Advisory Committee under this
36.11subdivision;
36.12 (18) a representative of the Department of Education regional low-incidence facilitators;
36.13 (19) a representative from the deaf mentor program; and
36.14 (20) a representative of the Minnesota State Academy for the Deaf from the Minnesota
36.15State Academies staff.
36.16The commissioner must complete the initial appointments required under this subdivision
36.17by September 1, 2007, and the initial appointments under clauses (19) and (20) by September
36.181, 2019.
36.19 (c) The Department of Health member shall chair the first meeting of the committee. At
36.20the first meeting, the committee shall elect a chair from its membership. The committee
36.21shall meet at the call of the chair, at least four times a year. The committee shall adopt
36.22written bylaws to govern its activities. The Department of Health shall provide technical
36.23and administrative support services as required by the committee. These services shall
36.24include technical support from individuals qualified to administer infant hearing screening,
36.25rescreening, and diagnostic audiological assessments.
36.26 Members of the committee shall receive no compensation for their service, but shall be
36.27reimbursed as provided in section 15.059 for expenses incurred as a result of their duties
36.28as members of the committee.
36.29 (d) By February 15, 2015, and by February 15 of the odd-numbered years after that date,
36.30the commissioner shall report to the chairs and ranking minority members of the legislative
36.31committees with jurisdiction over health and data privacy on the activities of the committee
36.32that have occurred during the past two years.
36Article 1 Sec. 54.
REVISOR DTT/HL 25-0033803/03/25 37.1 (e) This subdivision expires June 30, 2025.
37.2 EFFECTIVE DATE.This section is effective the day following final enactment or
37.3June 30, 2025, whichever is earlier.
37.4 Sec. 55. Minnesota Statutes 2024, section 144A.43, is amended by adding a subdivision
37.5to read:
37.6 Subd. 26a.Serious injury."Serious injury" has the meaning given in section 245.91,
37.7subdivision 6.
37.8 Sec. 56. Minnesota Statutes 2024, section 144A.474, subdivision 9, is amended to read:
37.9 Subd. 9.Follow-up surveys.For providers that have Level 3 or, Level 4, or Level 5
37.10violations under subdivision 11, the department shall conduct a follow-up survey within 90
37.11calendar days of the survey. When conducting a follow-up survey, the surveyor will focus
37.12on whether the previous violations have been corrected and may also address any new
37.13violations that are observed while evaluating the corrections that have been made.
37.14Sec. 57. Minnesota Statutes 2024, section 144A.474, subdivision 11, is amended to read:
37.15 Subd. 11.Fines.(a) Fines and enforcement actions under this subdivision may be assessed
37.16based on the level and scope of the violations described in paragraph (b) and imposed
37.17immediately with no opportunity to correct the violation first as follows:
37.18 (1) Level 1, no fines or enforcement;
37.19 (2) Level 2, a fine of $500 per violation, in addition to any of the enforcement
37.20mechanisms authorized in section 144A.475 for widespread violations;
37.21 (3) Level 3, a fine of $3,000 $1,000 per incident, in addition to any of the enforcement
37.22mechanisms authorized in section 144A.475;
37.23 (4) Level 4, a fine of $5,000 $3,000 per incident, in addition to any of the enforcement
37.24mechanisms authorized in section 144A.475;
37.25 (5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism
37.26authorized in section 144A.475; and
37.27 (5) (6) for maltreatment violations for which the licensee was determined to be responsible
37.28for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000.
37.29A fine of $5,000 may be imposed if the commissioner determines the licensee is responsible
37Article 1 Sec. 57.
REVISOR DTT/HL 25-0033803/03/25 38.1for maltreatment consisting of sexual assault, death, or abuse resulting in serious injury;
38.2and.
38.3 (6) The fines in clauses (1) to (4) (5) are increased and immediate fine imposition is
38.4authorized for both surveys and investigations conducted.
38.5 When a fine is assessed against a facility for substantiated maltreatment, the commissioner
38.6shall not also impose an immediate fine under this chapter for the same circumstance.
38.7 (b) Correction orders for violations are categorized by both level and scope and fines
38.8shall be assessed as follows:
38.9 (1) level of violation:
38.10 (i) Level 1 is a violation that has no potential to cause more than a will cause only
38.11minimal impact on the client and does not affect health or safety;
38.12 (ii) Level 2 is a violation that did not harm a client's health or safety but had the potential
38.13to have harmed a client's health or safety, but was not likely to cause serious injury,
38.14impairment, or death;
38.15 (iii) Level 3 is a violation that harmed a client's health or safety, not including serious
38.16injury, impairment, or death, or a violation that has the potential to lead to serious injury,
38.17impairment, or death or a violation that had the potential to cause more than minimal harm
38.18to the client; and
38.19 (iv) Level 4 is a violation that results in serious injury, impairment, or death harmed a
38.20client's health or safety, not including serious injury or death, or a violation that was likely
38.21to lead to serious injury or death; and
38.22 (v) Level 5 is a violation that results in serious injury or death; and
38.23 (2) scope of violation:
38.24 (i) isolated, when one or a limited number of clients are affected or one or a limited
38.25number of staff are involved or the situation has occurred only occasionally;
38.26 (ii) pattern, when more than a limited number of clients are affected, more than a limited
38.27number of staff are involved, or the situation has occurred repeatedly but is not found to be
38.28pervasive; and
38.29 (iii) widespread, when problems are pervasive or represent a systemic failure that has
38.30affected or has the potential to affect a large portion or all of the clients.
38Article 1 Sec. 57.
REVISOR DTT/HL 25-0033803/03/25 39.1 (c) If the commissioner finds that the applicant or a home care provider has not corrected
39.2violations by the date specified in the correction order or conditional license resulting from
39.3a survey or complaint investigation, the commissioner shall provide a notice of
39.4noncompliance with a correction order by email to the applicant's or provider's last known
39.5email address. The noncompliance notice must list the violations not corrected.
39.6 (d) For every violation identified by the commissioner, the commissioner shall issue an
39.7immediate fine pursuant to paragraph (a), clause (6). The license holder must still correct
39.8the violation in the time specified. The issuance of an immediate fine can occur in addition
39.9to any enforcement mechanism authorized under section 144A.475. The immediate fine
39.10may be appealed as allowed under this subdivision.
39.11 (e) The license holder must pay the fines assessed on or before the payment date specified.
39.12If the license holder fails to fully comply with the order, the commissioner may issue a
39.13second fine or suspend the license until the license holder complies by paying the fine. A
39.14timely appeal shall stay payment of the fine until the commissioner issues a final order.
39.15 (f) A license holder shall promptly notify the commissioner in writing when a violation
39.16specified in the order is corrected. If upon reinspection the commissioner determines that
39.17a violation has not been corrected as indicated by the order, the commissioner may issue a
39.18second fine. The commissioner shall notify the license holder by mail to the last known
39.19address in the licensing record that a second fine has been assessed. The license holder may
39.20appeal the second fine as provided under this subdivision.
39.21 (g) A home care provider that has been assessed a fine under this subdivision has a right
39.22to a reconsideration or a hearing under this section and chapter 14.
39.23 (h) When a fine has been assessed, the license holder may not avoid payment by closing,
39.24selling, or otherwise transferring the licensed program to a third party. In such an event, the
39.25license holder shall be liable for payment of the fine.
39.26 (i) In addition to any fine imposed under this section, the commissioner may assess a
39.27penalty amount based on costs related to an investigation that results in a final order assessing
39.28a fine or other enforcement action authorized by this chapter.
39.29 (j) Fines collected under paragraph (a), clauses (1) to (4), shall be deposited in a dedicated
39.30special revenue account. On an annual basis, the balance in the special revenue account
39.31shall be appropriated to the commissioner to implement the recommendations of the advisory
39.32council established in section 144A.4799 or recommendations from the commissioner after
39.33the advisory council's review and approval.
39Article 1 Sec. 57.
REVISOR DTT/HL 25-0033803/03/25 40.1 (k) Fines collected under paragraph (a), clause (5), shall be deposited in a dedicated
40.2special revenue account and appropriated to the commissioner to provide compensation
40.3according to subdivision 14 to clients subject to maltreatment. A client may choose to receive
40.4compensation from this fund, not to exceed $5,000 for each substantiated finding of
40.5maltreatment, or take civil action. This paragraph expires July 31, 2021.
40.6 Sec. 58. Minnesota Statutes 2024, section 144A.475, subdivision 3, is amended to read:
40.7 Subd. 3.Notice.(a) Prior to any suspension, revocation, or refusal to renew a license,
40.8the home care provider shall be entitled to notice and a hearing as provided by sections
40.914.57 to 14.69. In addition to any other remedy provided by law, the commissioner may,
40.10without a prior contested case hearing, temporarily suspend a license or prohibit delivery
40.11of services by a provider for not more than 90 days, or issue a conditional license if the
40.12commissioner determines that there are level 3 4 violations that do not pose an imminent
40.13risk of harm to the health or safety of persons in the provider's care, provided:
40.14 (1) advance notice is given to the home care provider;
40.15 (2) after notice, the home care provider fails to correct the problem;
40.16 (3) the commissioner has reason to believe that other administrative remedies are not
40.17likely to be effective; and
40.18 (4) there is an opportunity for a contested case hearing within the 30 days unless there
40.19is an extension granted by an administrative law judge pursuant to subdivision 3b.
40.20 (b) If the commissioner determines there are:
40.21 (1) level 4 5 violations; or
40.22 (2) violations that pose an imminent risk of harm to the health or safety of persons in
40.23the provider's care,
40.24the commissioner may immediately temporarily suspend a license, prohibit delivery of
40.25services by a provider, or issue a conditional license without meeting the requirements of
40.26paragraph (a), clauses (1) to (4).
40.27For the purposes of this subdivision, "level 3 4" and "level 4 5" have the meanings given
40.28in section 144A.474, subdivision 11, paragraph (b).
40.29Sec. 59. Minnesota Statutes 2024, section 144A.475, subdivision 3a, is amended to read:
40.30 Subd. 3a.Hearing.Within 15 business days of receipt of the licensee's timely appeal
40.31of a sanction under this section, other than for a temporary suspension, the commissioner
40Article 1 Sec. 59.
REVISOR DTT/HL 25-0033803/03/25 41.1shall request assignment of an administrative law judge. The commissioner's request must
41.2include a proposed date, time, and place of hearing. A hearing must be conducted by an
41.3administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
41.490 calendar days of the request for assignment, unless an extension is requested by either
41.5party and granted by the administrative law judge for good cause or for purposes of discussing
41.6settlement. In no case shall one or more extensions be granted for a total of more than 90
41.7calendar days unless there is a criminal action pending against the licensee. If, while a
41.8licensee continues to operate pending an appeal of an order for revocation, suspension, or
41.9refusal to renew a license, the commissioner identifies one or more new violations of law
41.10that meet the requirements of level 3 4 or 4 5 violations as defined in section 144A.474,
41.11subdivision 11, paragraph (b), the commissioner shall act immediately to temporarily suspend
41.12the license under the provisions in subdivision 3.
41.13Sec. 60. Minnesota Statutes 2024, section 144A.475, subdivision 3b, is amended to read:
41.14 Subd. 3b. Expedited hearing.(a) Within five business days of receipt of the license
41.15holder's timely appeal of a temporary suspension or issuance of a conditional license, the
41.16commissioner shall request assignment of an administrative law judge. The request must
41.17include a proposed date, time, and place of a hearing. A hearing must be conducted by an
41.18administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
41.1930 calendar days of the request for assignment, unless an extension is requested by either
41.20party and granted by the administrative law judge for good cause. The commissioner shall
41.21issue a notice of hearing by certified mail or personal service at least ten business days
41.22before the hearing. Certified mail to the last known address is sufficient. The scope of the
41.23hearing shall be limited solely to the issue of whether the temporary suspension or issuance
41.24of a conditional license should remain in effect and whether there is sufficient evidence to
41.25conclude that the licensee's actions or failure to comply with applicable laws are level 3 4
41.26or 4 5 violations as defined in section 144A.474, subdivision 11, paragraph (b), or that there
41.27were violations that posed an imminent risk of harm to the health and safety of persons in
41.28the provider's care.
41.29 (b) The administrative law judge shall issue findings of fact, conclusions, and a
41.30recommendation within ten business days from the date of hearing. The parties shall have
41.31ten calendar days to submit exceptions to the administrative law judge's report. The record
41.32shall close at the end of the ten-day period for submission of exceptions. The commissioner's
41.33final order shall be issued within ten business days from the close of the record. When an
41.34appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed,
41.35the commissioner shall issue a final order affirming the temporary immediate suspension
41Article 1 Sec. 60.
REVISOR DTT/HL 25-0033803/03/25 42.1or conditional license within ten calendar days of the commissioner's receipt of the
42.2withdrawal or dismissal. The license holder is prohibited from operation during the temporary
42.3suspension period.
42.4 (c) When the final order under paragraph (b) affirms an immediate suspension, and a
42.5final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that
42.6sanction, the licensee is prohibited from operation pending a final commissioner's order
42.7after the contested case hearing conducted under chapter 14.
42.8 (d) A licensee whose license is temporarily suspended must comply with the requirements
42.9for notification and transfer of clients in subdivision 5. These requirements remain if an
42.10appeal is requested.
42.11Sec. 61. Minnesota Statutes 2024, section 144A.475, subdivision 3c, is amended to read:
42.12 Subd. 3c.Immediate temporary suspension.(a) In addition to any other remedies
42.13provided by law, the commissioner may, without a prior contested case hearing, immediately
42.14temporarily suspend a license or prohibit delivery of services by a provider for not more
42.15than 90 days, or issue a conditional license, if the commissioner determines that there are:
42.16 (1) level 4 5 violations; or
42.17 (2) violations that pose an imminent risk of harm to the health or safety of persons in
42.18the provider's care.
42.19 (b) For purposes of this subdivision, "level 4 5" has the meaning given in section
42.20144A.474, subdivision 11, paragraph (b).
42.21 (c) A notice stating the reasons for the immediate temporary suspension or conditional
42.22license and informing the license holder of the right to an expedited hearing under subdivision
42.233b must be delivered by personal service to the address shown on the application or the last
42.24known address of the license holder. The license holder may appeal an order immediately
42.25temporarily suspending a license or issuing a conditional license. The appeal must be made
42.26in writing by certified mail or personal service. If mailed, the appeal must be postmarked
42.27and sent to the commissioner within five calendar days after the license holder receives
42.28notice. If an appeal is made by personal service, it must be received by the commissioner
42.29within five calendar days after the license holder received the order.
42.30 (d) A license holder whose license is immediately temporarily suspended must comply
42.31with the requirements for notification and transfer of clients in subdivision 5. These
42.32requirements remain if an appeal is requested.
42Article 1 Sec. 61.
REVISOR DTT/HL 25-0033803/03/25 43.1 Sec. 62. Minnesota Statutes 2024, section 144A.71, subdivision 2, is amended to read:
43.2 Subd. 2.Application information and fee.The commissioner shall establish forms and
43.3procedures for processing each supplemental nursing services agency registration application.
43.4An application for a supplemental nursing services agency registration must include at least
43.5the following:
43.6 (1) the names and addresses of all owners and controlling persons of the supplemental
43.7nursing services agency;
43.8 (2) if the owner is a corporation, copies of its articles of incorporation and current bylaws,
43.9together with the names and addresses of its officers and directors;
43.10 (3) if the owner is a limited liability company, copies of its articles of organization and
43.11operating agreement, together with the names and addresses of its officers and directors;
43.12 (4) documentation that the supplemental nursing services agency has medical malpractice
43.13insurance to insure against the loss, damage, or expense of a claim arising out of the death
43.14or injury of any person as the result of negligence or malpractice in the provision of health
43.15care services by the supplemental nursing services agency or by any employee of the agency;
43.16 (5) documentation that the supplemental nursing services agency has an employee
43.17dishonesty bond in the amount of $10,000;
43.18 (6) documentation that the supplemental nursing services agency has insurance coverage
43.19for workers' compensation for all nurses, nursing assistants, nurse aides, and orderlies
43.20provided or procured by the agency;
43.21 (7) documentation that the supplemental nursing services agency filed with the
43.22commissioner of revenue: (i) the name and address of the bank, savings bank, or savings
43.23association in which the supplemental nursing services agency deposits all employee income
43.24tax withholdings; and (ii) the name and address of any nurse, nursing assistant, nurse aide,
43.25or orderly whose income is derived from placement by the agency, if the agency purports
43.26the income is not subject to withholding;
43.27 (8) any other relevant information that the commissioner determines is necessary to
43.28properly evaluate an application for registration;
43.29 (9) a policy and procedure that describes how the supplemental nursing services agency's
43.30records will be immediately available at all times to the commissioner and facility; and
43.31 (10) a nonrefundable registration fee of $2,035 $2,442.
43Article 1 Sec. 62.
REVISOR DTT/HL 25-0033803/03/25 44.1 If a supplemental nursing services agency fails to provide the items in this subdivision
44.2to the department, the commissioner shall immediately suspend or refuse to issue the
44.3supplemental nursing services agency registration. The supplemental nursing services agency
44.4may appeal the commissioner's findings according to section 144A.475, subdivisions 3a
44.5and 7, except that the hearing must be conducted by an administrative law judge within 60
44.6calendar days of the request for hearing assignment.
44.7 Sec. 63. Minnesota Statutes 2024, section 144A.753, subdivision 1, is amended to read:
44.8 Subdivision 1.License required; application.(a) A hospice provider may not operate
44.9in the state without a valid license issued by the commissioner.
44.10 (b) Within ten days after receiving an application for a license, the commissioner shall
44.11acknowledge receipt of the application in writing. The acknowledgment must indicate
44.12whether the application appears to be complete or whether additional information is required
44.13before the application is considered complete. Within 90 days after receiving a complete
44.14application, the commissioner shall either grant or deny the license. If an applicant is not
44.15granted or denied a license within 90 days after submitting a complete application, the
44.16license must be deemed granted. An applicant whose license has been deemed granted must
44.17provide written notice to the commissioner before providing hospice care.
44.18 (c) Each application for a hospice provider license, or for a renewal of a license, shall
44.19be accompanied by a fee as follows:
44.20 (1) for revenues no more than $25,000, $125 $150;
44.21 (2) for revenues greater than $25,000 and no more than $100,000, $312.50 $375;
44.22 (3) for revenues greater than $100,000 and no more than $250,000, $625 $750;
44.23 (4) for revenues greater than $250,000 and no more than $350,000, $937.50 $1,125;
44.24 (5) for revenues greater than $350,000 and no more than $450,000, $1,250 $1,500;
44.25 (6) for revenues greater than $450,000 and no more than $550,000, $1,562.50 $1,875;
44.26 (7) for revenues greater than $550,000 and no more than $650,000, $1,875 $2,250;
44.27 (8) for revenues greater than $650,000 and no more than $750,000, $2,187.50 $2,625;
44.28 (9) for revenues greater then $750,000 and no more than $850,000, $2,500 $3,000;
44.29 (10) for revenues greater than $850,000 and no more than $950,000, $2,812.50 $3,375;
44.30 (11) for revenues greater than $950,000 and no more than $1,100,000, $3,125 $3,750;
44Article 1 Sec. 63.
REVISOR DTT/HL 25-0033803/03/25 45.1 (12) for revenues greater than $1,100,000 and no more than $1,275,000, $3,750 $4,500;
45.2 (13) for revenues greater than $1,275,000 and no more than $1,500,000, $4,375 $5,250;
45.3and
45.4 (14) for revenues greater than $1,500,000, $5,000 $6,000.
45.5 Sec. 64. Minnesota Statutes 2024, section 144G.20, subdivision 3, is amended to read:
45.6 Subd. 3.Immediate temporary suspension.(a) In addition to any other remedies
45.7provided by law, the commissioner may, without a prior contested case hearing, immediately
45.8temporarily suspend a license or prohibit delivery of housing or services by a facility for
45.9not more than 90 calendar days or issue a conditional license, if the commissioner determines
45.10that there are:
45.11 (1) Level 4 5 violations; or
45.12 (2) violations that pose an imminent risk of harm to the health or safety of residents.
45.13 (b) For purposes of this subdivision, "Level 4 5" has the meaning given in section
45.14144G.31.
45.15 (c) A notice stating the reasons for the immediate temporary suspension or conditional
45.16license and informing the licensee of the right to an expedited hearing under subdivision
45.1717 must be delivered by personal service to the address shown on the application or the last
45.18known address of the licensee. The licensee may appeal an order immediately temporarily
45.19suspending a license or issuing a conditional license. The appeal must be made in writing
45.20by certified mail or personal service. If mailed, the appeal must be postmarked and sent to
45.21the commissioner within five calendar days after the licensee receives notice. If an appeal
45.22is made by personal service, it must be received by the commissioner within five calendar
45.23days after the licensee received the order.
45.24 (d) A licensee whose license is immediately temporarily suspended must comply with
45.25the requirements for notification and transfer of residents in subdivision 15. The requirements
45.26in subdivision 9 remain if an appeal is requested.
45.27Sec. 65. Minnesota Statutes 2024, section 144G.20, subdivision 13, is amended to read:
45.28 Subd. 13.Notice to facility.(a) Prior to any suspension, revocation, or refusal to renew
45.29a license, the facility shall be entitled to notice and a hearing as provided by sections 14.57
45.30to 14.69. The hearing must commence within 60 calendar days after the proceedings are
45.31initiated. In addition to any other remedy provided by law, the commissioner may, without
45Article 1 Sec. 65.
REVISOR DTT/HL 25-0033803/03/25 46.1a prior contested case hearing, temporarily suspend a license or prohibit delivery of services
46.2by a provider for not more than 90 calendar days, or issue a conditional license if the
46.3commissioner determines that there are Level 3 4 violations that do not pose an imminent
46.4risk of harm to the health or safety of the facility residents, provided:
46.5 (1) advance notice is given to the facility;
46.6 (2) after notice, the facility fails to correct the problem;
46.7 (3) the commissioner has reason to believe that other administrative remedies are not
46.8likely to be effective; and
46.9 (4) there is an opportunity for a contested case hearing within 30 calendar days unless
46.10there is an extension granted by an administrative law judge.
46.11 (b) If the commissioner determines there are Level 4 5 violations or violations that pose
46.12an imminent risk of harm to the health or safety of the facility residents, the commissioner
46.13may immediately temporarily suspend a license, prohibit delivery of services by a facility,
46.14or issue a conditional license without meeting the requirements of paragraph (a), clauses
46.15(1) to (4).
46.16For the purposes of this subdivision, "Level 3 4" and "Level 4 5" have the meanings given
46.17in section 144G.31.
46.18Sec. 66. Minnesota Statutes 2024, section 144G.20, subdivision 16, is amended to read:
46.19 Subd. 16.Hearing.Within 15 business days of receipt of the licensee's timely appeal
46.20of a sanction under this section, other than for a temporary suspension, the commissioner
46.21shall request assignment of an administrative law judge. The commissioner's request must
46.22include a proposed date, time, and place of hearing. A hearing must be conducted by an
46.23administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
46.2490 calendar days of the request for assignment, unless an extension is requested by either
46.25party and granted by the administrative law judge for good cause or for purposes of discussing
46.26settlement. In no case shall one or more extensions be granted for a total of more than 90
46.27calendar days unless there is a criminal action pending against the licensee. If, while a
46.28licensee continues to operate pending an appeal of an order for revocation, suspension, or
46.29refusal to renew a license, the commissioner identifies one or more new violations of law
46.30that meet the requirements of Level 3 4 or Level 4 5 violations as defined in section 144G.31,
46.31the commissioner shall act immediately to temporarily suspend the license.
46Article 1 Sec. 66.
REVISOR DTT/HL 25-0033803/03/25 47.1 Sec. 67. Minnesota Statutes 2024, section 144G.20, subdivision 17, is amended to read:
47.2 Subd. 17.Expedited hearing.(a) Within five business days of receipt of the licensee's
47.3timely appeal of a temporary suspension or issuance of a conditional license, the
47.4commissioner shall request assignment of an administrative law judge. The request must
47.5include a proposed date, time, and place of a hearing. A hearing must be conducted by an
47.6administrative law judge pursuant to Minnesota Rules, parts 1400.8505 to 1400.8612, within
47.730 calendar days of the request for assignment, unless an extension is requested by either
47.8party and granted by the administrative law judge for good cause. The commissioner shall
47.9issue a notice of hearing by certified mail or personal service at least ten business days
47.10before the hearing. Certified mail to the last known address is sufficient. The scope of the
47.11hearing shall be limited solely to the issue of whether the temporary suspension or issuance
47.12of a conditional license should remain in effect and whether there is sufficient evidence to
47.13conclude that the licensee's actions or failure to comply with applicable laws are Level 3 4
47.14or Level 4 5 violations as defined in section 144G.31, or that there were violations that
47.15posed an imminent risk of harm to the resident's health and safety.
47.16 (b) The administrative law judge shall issue findings of fact, conclusions, and a
47.17recommendation within ten business days from the date of hearing. The parties shall have
47.18ten calendar days to submit exceptions to the administrative law judge's report. The record
47.19shall close at the end of the ten-day period for submission of exceptions. The commissioner's
47.20final order shall be issued within ten business days from the close of the record. When an
47.21appeal of a temporary immediate suspension or conditional license is withdrawn or dismissed,
47.22the commissioner shall issue a final order affirming the temporary immediate suspension
47.23or conditional license within ten calendar days of the commissioner's receipt of the
47.24withdrawal or dismissal. The licensee is prohibited from operation during the temporary
47.25suspension period.
47.26 (c) When the final order under paragraph (b) affirms an immediate suspension, and a
47.27final licensing sanction is issued under subdivisions 1 and 2 and the licensee appeals that
47.28sanction, the licensee is prohibited from operation pending a final commissioner's order
47.29after the contested case hearing conducted under chapter 14.
47.30 (d) A licensee whose license is temporarily suspended must comply with the requirements
47.31for notification and transfer of residents under subdivision 15. These requirements remain
47.32if an appeal is requested.
47Article 1 Sec. 67.
REVISOR DTT/HL 25-0033803/03/25 48.1 Sec. 68. Minnesota Statutes 2024, section 144G.30, subdivision 7, is amended to read:
48.2 Subd. 7.Required follow-up surveys.For assisted living facilities that have Level 3
48.3or, Level 4, or Level 5 violations under section 144G.31, the commissioner shall conduct
48.4a follow-up survey within 90 calendar days of the survey. When conducting a follow-up
48.5survey, the surveyor shall focus on whether the previous violations have been corrected and
48.6may also address any new violations that are observed while evaluating the corrections that
48.7have been made.
48.8 Sec. 69. Minnesota Statutes 2024, section 144G.31, subdivision 2, is amended to read:
48.9 Subd. 2.Levels of violations.Correction orders for violations are categorized by level
48.10as follows:
48.11 (1) Level 1 is a violation that has no potential to cause more than a minimal impact on
48.12the resident will cause only minimal impact on the resident and does not affect health or
48.13safety;
48.14 (2) Level 2 is a violation that did not harm a resident's health or safety but had the
48.15potential to have harmed a resident's health or safety, but was not likely to cause serious
48.16injury, impairment, or death;
48.17 (3) Level 3 is a violation that harmed a resident's health or safety, not including serious
48.18injury, impairment, or death, or a violation that has the potential to lead to serious injury,
48.19impairment, or death or a violation that had the potential to cause more than minimal harm
48.20to the resident; and
48.21 (4) Level 4 is a violation that results in serious injury, impairment, or death. harmed a
48.22resident's health or safety, not including serious injury or death, or a violation that was likely
48.23to lead to serious injury or death; and
48.24 (5) Level 5 is a violation that results in serious injury or death.
48.25Sec. 70. Minnesota Statutes 2024, section 144G.31, subdivision 4, is amended to read:
48.26 Subd. 4.Fine amounts.(a) Fines and enforcement actions under this subdivision may
48.27be assessed based on the level and scope of the violations described in subdivisions 2 and
48.283 as follows and may be imposed immediately with no opportunity to correct the violation
48.29prior to imposition:
48.30 (1) Level 1, no fines or enforcement;
48Article 1 Sec. 70.
REVISOR DTT/HL 25-0033803/03/25 49.1 (2) Level 2, a fine of $500 per violation, in addition to any enforcement mechanism
49.2authorized in section 144G.20 for widespread violations;
49.3 (3) Level 3, a fine of $3,000 $1,000 per violation, in addition to any enforcement
49.4mechanism authorized in section 144G.20;
49.5 (4) Level 4, a fine of $5,000 $3,000 per violation, in addition to any enforcement
49.6mechanism authorized in section 144G.20; and
49.7 (5) Level 5, a fine of $5,000 per violation, in addition to any enforcement mechanism
49.8authorized in section 144G.20; and
49.9 (5) (6) for maltreatment violations for which the licensee was determined to be responsible
49.10for the maltreatment under section 626.557, subdivision 9c, paragraph (c), a fine of $1,000
49.11per incident. A fine of $5,000 per incident may be imposed if the commissioner determines
49.12the licensee is responsible for maltreatment consisting of sexual assault, death, or abuse
49.13resulting in serious injury.
49.14 (b) When a fine is assessed against a facility for substantiated maltreatment, the
49.15commissioner shall not also impose an immediate fine under this chapter for the same
49.16circumstance.
49.17Sec. 71. Minnesota Statutes 2024, section 144G.31, subdivision 5, is amended to read:
49.18 Subd. 5.Immediate fine; payment.(a) For every Level 3 or, Level 4, or Level 5
49.19violation, the commissioner may issue an immediate fine. The licensee must still correct
49.20the violation in the time specified. The issuance of an immediate fine may occur in addition
49.21to any enforcement mechanism authorized under section 144G.20. The immediate fine may
49.22be appealed as allowed under this chapter.
49.23 (b) The licensee must pay the fines assessed on or before the payment date specified. If
49.24the licensee fails to fully comply with the order, the commissioner may issue a second fine
49.25or suspend the license until the licensee complies by paying the fine. A timely appeal shall
49.26stay payment of the fine until the commissioner issues a final order.
49.27 (c) A licensee shall promptly notify the commissioner in writing when a violation
49.28specified in the order is corrected. If upon reinspection the commissioner determines that
49.29a violation has not been corrected as indicated by the order, the commissioner may issue
49.30an additional fine. The commissioner shall notify the licensee by mail to the last known
49.31address in the licensing record that a second fine has been assessed. The licensee may appeal
49.32the second fine as provided under this subdivision.
49Article 1 Sec. 71.
REVISOR DTT/HL 25-0033803/03/25 50.1 (d) A facility that has been assessed a fine under this section has a right to a
50.2reconsideration or hearing under this chapter and chapter 14.
50.3 Sec. 72. Minnesota Statutes 2024, section 144G.31, subdivision 8, is amended to read:
50.4 Subd. 8.Deposit of fines.Fines collected under this section shall be deposited in a
50.5dedicated special revenue account. On an annual basis, the balance in the special revenue
50.6account shall be appropriated to the commissioner for special projects to improve resident
50.7quality of care and outcomes in assisted living facilities licensed under this chapter in
50.8Minnesota as recommended by the advisory council established in section 144A.4799 or
50.9as recommended by the commissioner after the advisory council's review and approval.
50.10Sec. 73. Minnesota Statutes 2024, section 144G.45, subdivision 6, is amended to read:
50.11 Subd. 6.New construction; plans.(a) For all new licensure and construction beginning
50.12on or after August 1, 2021, the following must be provided to the commissioner:
50.13 (1) architectural and engineering plans and specifications for new construction must be
50.14prepared and signed by architects and engineers who are registered in Minnesota. Final
50.15working drawings and specifications for proposed construction must be submitted to the
50.16commissioner for review and approval;
50.17 (2) final architectural plans and specifications must include elevations and sections
50.18through the building showing types of construction, and must indicate dimensions and
50.19assignments of rooms and areas, room finishes, door types and hardware, elevations and
50.20details of nurses' work areas, utility rooms, toilet and bathing areas, and large-scale layouts
50.21of dietary and laundry areas. Plans must show the location of fixed equipment and sections
50.22and details of elevators, chutes, and other conveying systems. Fire walls and smoke partitions
50.23must be indicated. The roof plan must show all mechanical installations. The site plan must
50.24indicate the proposed and existing buildings, topography, roadways, walks and utility service
50.25lines; and
50.26 (3) final mechanical and electrical plans and specifications must address the complete
50.27layout and type of all installations, systems, and equipment to be provided. Heating plans
50.28must include heating elements, piping, thermostatic controls, pumps, tanks, heat exchangers,
50.29boilers, breeching, and accessories. Ventilation plans must include room air quantities,
50.30ducts, fire and smoke dampers, exhaust fans, humidifiers, and air handling units. Plumbing
50.31plans must include the fixtures and equipment fixture schedule; water supply and circulating
50.32piping, pumps, tanks, riser diagrams, and building drains; the size, location, and elevation
50.33of water and sewer services; and the building fire protection systems. Electrical plans must
50Article 1 Sec. 73.
REVISOR DTT/HL 25-0033803/03/25 51.1include fixtures and equipment, receptacles, switches, power outlets, circuits, power and
51.2light panels, transformers, and service feeders. Plans must show location of nurse call signals,
51.3cable lines, fire alarm stations, and fire detectors and emergency lighting.
51.4 (b) Unless construction is begun within one year after approval of the final working
51.5drawing and specifications, the drawings must be resubmitted for review and approval.
51.6 (c) The commissioner must be notified within 30 days before completion of construction
51.7so that the commissioner can make arrangements for a final inspection by the commissioner.
51.8 (d) At least one set of complete life safety plans, including changes resulting from
51.9remodeling or alterations, must be kept on file in the facility.
51.10 (e) For new construction beginning on or after July 1, 2025, the licensee must comply
51.11with section 144.554 to submit applicable construction plans and fees to the commissioner.
51.12Sec. 74. Minnesota Statutes 2024, section 145.8811, is amended to read:
51.13 145.8811 MATERNAL AND CHILD HEALTH ADVISORY TASK FORCE
51.14COMMITTEE.
51.15 Subdivision 1.Composition of task force committee.The commissioner shall establish
51.16and appoint a Maternal and Child Health Advisory Task Force Committee consisting of 15
51.17members who will provide equal representation from:
51.18 (1) professionals with expertise in maternal and child health services;
51.19 (2) representatives of community health boards as defined in section 145A.02, subdivision
51.205; and
51.21 (3) consumer representatives interested in the health of mothers and children.
51.22 No members shall be employees of the Minnesota Department of Health. Section 15.059
51.23governs the Maternal and Child Health Advisory Task Force Committee. Notwithstanding
51.24section 15.059, the Maternal and Child Health Advisory Task Force Committee does not
51.25expire.
51.26 Subd. 2.Duties.The advisory task force committee shall meet on a regular basis to
51.27perform the following duties:
51.28 (1) review and report on the health care needs of mothers and children throughout the
51.29state of Minnesota;
51Article 1 Sec. 74.
REVISOR DTT/HL 25-0033803/03/25 52.1 (2) review and report on the type, frequency, and impact of maternal and child health
52.2care services provided to mothers and children under existing maternal and child health
52.3care programs, including programs administered by the commissioner of health;
52.4 (3) establish, review, and report to the commissioner a list of program guidelines and
52.5criteria which the advisory task force committee considers essential to providing an effective
52.6maternal and child health care program to low-income populations and high-risk persons
52.7and fulfilling the purposes defined in section 145.88;
52.8 (4) make recommendations to the commissioner for the use of other federal and state
52.9funds available to meet maternal and child health needs;
52.10 (5) make recommendations to the commissioner of health on priorities for funding the
52.11following maternal and child health services:
52.12 (i) prenatal, delivery, and postpartum care;
52.13 (ii) comprehensive health care for children, especially from birth through five years of
52.14age;
52.15 (iii) adolescent health services;
52.16 (iv) family planning services;
52.17 (v) preventive dental care;
52.18 (vi) special services for chronically ill and disabled children; and
52.19 (vii) any other services that promote the health of mothers and children; and
52.20 (6) establish in consultation with the commissioner statewide outcomes that will improve
52.21the health status of mothers and children.
52.22 EFFECTIVE DATE.This section is effective July 1, 2025.
52.23Sec. 75. Minnesota Statutes 2024, section 157.16, subdivision 2, is amended to read:
52.24 Subd. 2.License renewal.Initial and renewal licenses for all food and beverage service
52.25establishments, youth camps, hotels, motels, lodging establishments, public pools, and
52.26resorts shall be issued on an annual basis. Any person who operates a place of business after
52.27the expiration date of a license or without having submitted an application and paid the fee
52.28shall be deemed to have violated the provisions of this chapter and shall be subject to
52.29enforcement action, as provided in the Health Enforcement Consolidation Act, sections
52.30144.989 to 144.993. In addition, a penalty of $60 $100 shall be added to the total of the
52.31license fee for any food and beverage service establishment operating without a license as
52Article 1 Sec. 75.
REVISOR DTT/HL 25-0033803/03/25 53.1a mobile food unit, a seasonal temporary or seasonal permanent food stand, or a special
53.2event food stand, and a penalty of $120 $200 shall be added to the total of the license fee
53.3for all restaurants, food carts, hotels, motels, lodging establishments, youth camps, public
53.4pools, and resorts operating without a license for a period of up to 30 days. A late fee of
53.5$360 $450 shall be added to the license fee for establishments operating more than 30 days
53.6without a license.
53.7 Sec. 76. Minnesota Statutes 2024, section 157.16, subdivision 2a, is amended to read:
53.8 Subd. 2a.Food manager certification.An applicant for certification or certification
53.9renewal as a food manager must submit to the commissioner a $35 $45 nonrefundable
53.10certification fee payable to the Department of Health. The commissioner shall issue a
53.11duplicate certificate to replace a lost, destroyed, or mutilated certificate if the applicant
53.12submits a completed application on a form provided by the commissioner for a duplicate
53.13certificate and pays $20 $25 to the department for the cost of duplication. In addition, a $5
53.14technology fee must be paid with the initial certification, certification renewal, or duplicate
53.15certificate application.
53.16Sec. 77. Minnesota Statutes 2024, section 157.16, subdivision 3, is amended to read:
53.17 Subd. 3.Establishment fees; definitions.(a) The following fees are required for food
53.18and beverage service establishments, youth camps, hotels, motels, lodging establishments,
53.19public pools, and resorts licensed under this chapter. Food and beverage service
53.20establishments must pay the highest applicable fee under paragraph (d), clause (1), (2), (3),
53.21or (4). The license fee for new operators previously licensed under this chapter for the same
53.22calendar year is one-half of the appropriate annual license fee, plus any penalty that may
53.23be required. The license fee for operators opening on or after October 1 is one-half of the
53.24appropriate annual license fee, plus any penalty that may be required.
53.25 (b) All food and beverage service establishments, except special event food stands, and
53.26all hotels, motels, lodging establishments, public pools, and resorts shall pay an annual base
53.27fee of $165 $300.
53.28 (c) A special event food stand shall pay a flat fee of $55 $75 annually. "Special event
53.29food stand" means a fee category where food is prepared or served in conjunction with
53.30celebrations, county fairs, or special events from a special event food stand as defined in
53.31section 157.15.
53.32 (d) In addition to the base fee in paragraph (b), each food and beverage service
53.33establishment, other than a special event food stand and a school concession stand, and each
53Article 1 Sec. 77.
REVISOR DTT/HL 25-0033803/03/25 54.1hotel, motel, lodging establishment, public pool, and resort shall pay an additional annual
54.2fee for each fee category, additional food service, or required additional inspection specified
54.3in this paragraph:
54.4 (1) Category 1 establishment, $110 $185. "Category 1 establishment" means a fee
54.5category that provides one or more of the following items or is one of the listed
54.6establishments or facilities:
54.7 (i) serves prepackaged food that is served in the package;
54.8 (ii) serves a continental breakfast such as rolls, coffee, juice, milk, and cold cereal;
54.9 (iii) serves soft drinks, coffee, or nonalcoholic beverages;
54.10 (iv) provides cleaning for eating, drinking, or cooking utensils, when the only food
54.11served is prepared off site;
54.12 (v) a food establishment where the method of food preparation meets the definition of
54.13a low-risk establishment in section 157.20; or
54.14 (vi) operates as a child care facility licensed under section 142B.05 and Minnesota Rules,
54.15chapter 9503.
54.16 (2) Category 2 establishment, $245 $430. "Category 2 establishment" means an
54.17establishment that is not a Category 1 establishment and is either:
54.18 (i) a food establishment where the method of food preparation meets the definition of a
54.19medium-risk establishment in section 157.20; or
54.20 (ii) an elementary or secondary school as defined in section 120A.05.
54.21 (3) Category 3 establishment, $385 $670. "Category 3 establishment" means an
54.22establishment that is not a Category 1 or Category 2 establishment and is either:
54.23 (i) a food establishment where the method of food preparation meets the definition of a
54.24high-risk establishment in section 157.20; or
54.25 (ii) an establishment where 500 or more meals are prepared per day and served at one
54.26or more separate locations.
54.27 (4) Other food and beverage service, including food carts, mobile food units, seasonal
54.28temporary food stands, and seasonal permanent food stands, $85 $150.
54.29 (5) Lodging per sleeping accommodation unit, $11 $15, including hotels, motels, lodging
54.30establishments, and resorts, up to a maximum of $1,100 $1,500. "Lodging per sleeping
54.31accommodation unit" means a fee category including the number of guest rooms, cottages,
54Article 1 Sec. 77.
REVISOR DTT/HL 25-0033803/03/25 55.1or other rental units of a hotel, motel, lodging establishment, or resort; or the number of
55.2beds in a dormitory.
55.3 (6) First public pool, $355 $455; each additional public pool, $200 $300. "Public pool"
55.4means a fee category that has the meaning given in section 144.1222, subdivision 4.
55.5 (7) First spa, $200 $300; each additional spa, $110 $200. "Spa pool" means a fee category
55.6that has the meaning given in Minnesota Rules, part 4717.0250, subpart 9.
55.7 (8) Private sewer or water, $60 $85. "Individual private water" means a fee category
55.8with a water supply other than a community public water supply as defined in Minnesota
55.9Rules, chapter 4720. "Individual private sewer" means a fee category with an individual
55.10sewage treatment system which uses subsurface treatment and disposal.
55.11 (9) Additional food service, $175 $250. "Additional food service" means a location at
55.12a food service establishment, other than the primary food preparation and service area, used
55.13to prepare or serve beverages or food to the public. Additional food service does not apply
55.14to school concession stands.
55.15 (10) Additional inspection fee, $250 $350. "Additional inspection fee" means a fee to
55.16conduct the second inspection each year for elementary and secondary education facility
55.17school lunch programs when required by the Richard B. Russell National School Lunch
55.18Act.
55.19 (11) HACCP verification, $175 $225. "HACCP verification" means an annual fee
55.20category for a business that performs one or more specialized process that requires an
55.21HACCP plan as required in chapter 31 and Minnesota Rules, chapter 4626.
55.22 (e) A fee for review of construction plans must accompany the initial license application
55.23for restaurants, hotels, motels, lodging establishments, resorts, seasonal food stands, and
55.24mobile food units. Plans submitted less than 30 days prior to construction are subject to 50
55.25percent of the original plan review fee. A fee for review of an HACCP plan for specialized
55.26processing must be submitted and approved prior to preparing and serving the specialized
55.27processed food for human consumption. The fees for construction plan reviews and HACCP
55.28plan reviews are as follows:
FeeType55.29Service Area
55.30 $400
$550category 1 establishment55.31Food
55.32 $450
$75055.33 category 2 establishment
55.34 $500
$80055.35 category 3 food establishment
55Article 1 Sec. 77.
REVISOR DTT/HL 25-0033803/03/25 56.1 $250
$40056.2 additional food service
56.3 $500
$60056.4 HACCP Plan Review
56.5 $250
$500food cart56.6Transient food service
56.7 $250
$50056.8 seasonal permanent food stand
56.9 $250
$50056.10 seasonal temporary food stand
56.11 $350
$70056.12 mobile food unit
56.13 $375
$450less than 25 rooms56.14Lodging
56.15 $400
$50056.16 25 to less than 100 rooms
56.17 $500
$60056.18 100 rooms or more
56.19 $350
$40056.20 less than five cabins
56.21 $400
$45056.22 five to less than ten cabins
56.23 $450
$50056.24 ten cabins or more
56.25 (f) When existing food and beverage service establishments, hotels, motels, lodging
56.26establishments, resorts, seasonal food stands, and mobile food units are extensively
56.27remodeled, a fee must be submitted with the remodeling plans. The fee for this construction
56.28plan review is as follows:
FeeType56.29Service Area
56.30 $300
$450category 1 establishment56.31Food
56.32 $350
$50056.33 category 2 establishment
56.34 $400
$55056.35 category 3 establishment
56.36 $250
$40056.37 additional food service
56.38 $250
$400food cart56.39Transient food service
56.40 $250
$40056.41 seasonal permanent food stand
56.42 $250
$40056.43 seasonal temporary food stand
56Article 1 Sec. 77.
REVISOR DTT/HL 25-0033803/03/25 57.1 $250
$40057.2 mobile food unit
57.3 $250
$300less than 25 rooms57.4Lodging
57.5 $300
$35057.6 25 to less than 100 rooms
57.7 $450
$50057.8 100 rooms or more
57.9 $250
$30057.10 less than five cabins
57.11 $350
$40057.12 five to less than ten cabins
57.13 $400
$45057.14 ten cabins or more
57.15 (g) Special event food stands are not required to submit construction or remodeling plans
57.16for review.
57.17 (h) Youth camps shall pay an annual single fee for food and lodging as follows:
57.18 (1) camps with up to 99 campers, $325 $375;
57.19 (2) camps with 100 to 199 campers, $550 $600; and
57.20 (3) camps with 200 or more campers, $750 $800.
57.21 (i) A youth camp which pays fees under paragraph (d) is not required to pay fees under
57.22paragraph (h).
57.23Sec. 78. Minnesota Statutes 2024, section 157.16, subdivision 3a, is amended to read:
57.24 Subd. 3a.Statewide hospitality fee.Every person, firm, or corporation that operates a
57.25licensed boarding establishment, food and beverage service establishment, seasonal temporary
57.26or permanent food stand, special event food stand, mobile food unit, food cart, resort, hotel,
57.27motel, or lodging establishment in Minnesota must submit to the commissioner a $40 $50
57.28annual statewide hospitality fee for each licensed activity. The fee for establishments licensed
57.29by either the Department of Health is required or a local government shall be paid at the
57.30same time the licensure fee is due. For establishments licensed by local governments, the
57.31fee is due to be paid to the Department of Health by the local government by July 1 of each
57.32year.
57Article 1 Sec. 78.
REVISOR DTT/HL 25-0033803/03/25 58.1 Sec. 79. Minnesota Statutes 2024, section 157.16, is amended by adding a subdivision to
58.2read:
58.3 Subd. 3b.Technology fee.Every food and beverage service establishment, youth camp,
58.4hotel, motel, lodging establishment, public pool, and resort licensed under this chapter must
58.5pay a $5 technology fee for each licensed activity for the initial license and with each
58.6renewal.
58.7 Sec. 80. Minnesota Statutes 2024, section 326.72, subdivision 1, is amended to read:
58.8 Subdivision 1.When license required.A person within the state intending to directly
58.9perform or cause to be performed through subcontracting or similar delegation any
58.10asbestos-related work either for financial gain or with respect to the person's own property
58.11shall first apply for and obtain a license from the commissioner. The license shall be in
58.12writing, be dated when issued, contain an expiration date, be signed by the commissioner,
58.13and give the name and address of the person to whom it is issued.
58.14 The domiciled owner of a single family residence is not required to hold a license or
58.15pay a project permit fee to conduct asbestos-related work in the domiciled residence.
58.16 Any person performing any asbestos-related work within the state must be licensed by
58.17the commissioner, whether directly performing asbestos work or causing it to be performed
58.18through subcontracting or similar delegation. A domiciled owner of a single-family residence
58.19is not required to hold a license or pay a project permit fee to conduct asbestos-related work
58.20in the domiciled residence.
58.21Sec. 81. Minnesota Statutes 2024, section 326.75, subdivision 3, is amended to read:
58.22 Subd. 3.Permit fee.Five calendar days before beginning asbestos-related work, a person
58.23shall pay a project permit fee to the commissioner equal to two three percent of the total
58.24costs of the asbestos-related work. For asbestos-related work performed in single or
58.25multifamily residences, of greater than ten but less than 260 linear feet of asbestos-containing
58.26material on pipes, or greater than six but less than 160 square feet of asbestos-containing
58.27material on other facility components, a person shall pay a project permit fee of $35 to the
58.28commissioner.
58.29Sec. 82. Minnesota Statutes 2024, section 326.75, subdivision 3a, is amended to read:
58.30 Subd. 3a.Asbestos-related training course permit fee.The commissioner shall establish
58.31by rule a permit fee to be paid by A training course provider shall pay the commissioner a
58Article 1 Sec. 82.
REVISOR DTT/HL 25-0033803/03/25 59.1fee of $500 on application for a training course permit or and $250 for the renewal of a
59.2permit of each asbestos-related training course required for certification or registration.
59.3 Sec. 83. Minnesota Statutes 2024, section 327.15, subdivision 2, is amended to read:
59.4 Subd. 2.License renewal.Initial and renewal licenses for all manufactured home parks
59.5and recreational camping areas shall be issued annually and shall have an expiration date
59.6included on the license. Any person who operates a manufactured home park or recreational
59.7camping area after the expiration date of a license or without having submitted an application
59.8and paid the fee shall be deemed to have violated the provisions of this chapter and shall
59.9be subject to enforcement action, as provided in the Health Enforcement Consolidation Act,
59.10sections 144.989 to 144.993. In addition, a penalty of $120 $200 shall be added to the total
59.11of the license fee for any manufactured home park or recreational camping area operating
59.12without a license for a period of up to 30 days. A late fee of $360 $450 shall be added to
59.13the license fee for any manufactured home park or recreational camping area operating
59.14more than 30 days without a license.
59.15Sec. 84. Minnesota Statutes 2024, section 327.15, subdivision 3, is amended to read:
59.16 Subd. 3.Fees, manufactured home parks and recreational camping areas.(a) The
59.17following fees are required for manufactured home parks and recreational camping areas
59.18licensed under this chapter. Fees collected under this section shall be deposited in the state
59.19government special revenue fund. Recreational camping areas and manufactured home
59.20parks shall pay the highest applicable base fee under paragraph (b). The license fee for new
59.21operators of a manufactured home park or recreational camping area previously licensed
59.22under this chapter for the same calendar year is one-half of the appropriate annual license
59.23fee, plus any penalty that may be required. The license fee for operators opening on or after
59.24October 1 is one-half of the appropriate annual license fee, plus any penalty that may be
59.25required.
59.26 (b) All manufactured home parks and recreational camping areas shall pay the following
59.27annual base fee:
59.28 (1) a manufactured home park, $165 $280; and
59.29 (2) a recreational camping area with:
59.30 (i) 24 or less sites, $55 $100;
59.31 (ii) 25 to 99 sites, $230 $410; and
59.32 (iii) 100 or more sites, $330 $610.
59Article 1 Sec. 84.
REVISOR DTT/HL 25-0033803/03/25 60.1In addition to the base fee, manufactured home parks and recreational camping areas shall
60.2pay $5 $8 for each licensed site. This paragraph does not apply to special event recreational
60.3camping areas. Operators of a manufactured home park or a recreational camping area also
60.4licensed under section 157.16 for the same location shall pay only one base fee, whichever
60.5is the highest of the base fees found in this section or section 157.16.
60.6 (c) In addition to the fee in paragraph (b), each manufactured home park or recreational
60.7camping area shall pay an additional annual fee for each fee category specified in this
60.8paragraph:
60.9 (1) Manufactured home parks and recreational camping areas with public swimming
60.10pools and spas shall pay the appropriate fees specified in section 157.16.
60.11 (2) Individual private sewer or water, $60 $85. "Individual private water" means a fee
60.12category with a water supply other than a community public water supply as defined in
60.13Minnesota Rules, chapter 4720. "Individual private sewer" means a fee category with a
60.14subsurface sewage treatment system which uses subsurface treatment and disposal.
60.15 (d) The following fees must accompany a plan review application for initial construction
60.16of a manufactured home park or recreational camping area:
60.17 (1) for initial construction of less than 25 sites, $375 $400;
60.18 (2) for initial construction of 25 to 99 sites, $400 $425; and
60.19 (3) for initial construction of 100 or more sites, $500 $525.
60.20 (e) The following fees must accompany a plan review application when an existing
60.21manufactured home park or recreational camping area is expanded:
60.22 (1) for expansion of less than 25 sites, $250 $300;
60.23 (2) for expansion of 25 to 99 sites, $300 $350; and
60.24 (3) for expansion of 100 or more sites, $450 $500.
60.25Sec. 85. Minnesota Statutes 2024, section 327.15, subdivision 4, is amended to read:
60.26 Subd. 4.Fees, special event recreational camping areas.(a) The following fees are
60.27required for special event recreational camping areas licensed under this chapter.
60.28 (b) All special event recreational camping areas shall pay an annual fee of $150 $250
60.29plus $1 $4 for each licensed site.
60.30 (c) A special event recreational camping area shall pay a late fee of $360 $450 for failing
60.31to obtain a license prior to operating.
60Article 1 Sec. 85.
REVISOR DTT/HL 25-0033803/03/25 61.1 (d) The following fees must accompany a plan review application for initial construction
61.2of a special event recreational camping area:
61.3 (1) for initial construction of less than 25 special event recreational camping sites, $375
61.4$475;
61.5 (2) for initial construction of 25 to 99 sites, $400 $500; and
61.6 (3) for initial construction of 100 or more sites, $500 $600.
61.7 (e) The following fees must accompany a plan review application for expansion of a
61.8special event recreational camping area:
61.9 (1) for expansion of less than 25 sites, $250 $300;
61.10 (2) for expansion of 25 to 99 sites, $300 $350; and
61.11 (3) for expansion of 100 or more sites, $450 $500.
61.12Sec. 86. Minnesota Statutes 2024, section 327.15, is amended by adding a subdivision to
61.13read:
61.14 Subd. 5.Technology fee.All manufactured home parks, recreational camping areas,
61.15and special event camping areas must pay a $5 technology fee at initial licensing and upon
61.16each renewal.
61.17Sec. 87. RULEMAKING.
61.18 The Department of Health must adopt rules using the expedited process under Minnesota
61.19Statutes, section 14.389, to amend certain parts in Minnesota Rules, chapter 4695, to conform
61.20with the changes made in this act.
61.21Sec. 88. REPEALER.
61.22 (a) Minnesota Statutes 2024, section 103I.550, is repealed.
61.23 (b) Minnesota Rules, part 4695.2900, is repealed.
61.24 ARTICLE 2
61.25 HEALTH CARE
61.26Section 1. Minnesota Statutes 2024, section 174.30, subdivision 3, is amended to read:
61.27 Subd. 3.Other standards; wheelchair securement; protected transport.(a) A special
61.28transportation service that transports individuals occupying wheelchairs is subject to the
61Article 2 Section 1.
REVISOR DTT/HL 25-0033803/03/25 62.1provisions of sections 299A.11 to 299A.17 concerning wheelchair securement devices. The
62.2commissioners of transportation and public safety shall cooperate in the enforcement of
62.3this section and sections 299A.11 to 299A.17 so that a single inspection is sufficient to
62.4ascertain compliance with sections 299A.11 to 299A.17 and with the standards adopted
62.5under this section. Representatives of the Department of Transportation may inspect
62.6wheelchair securement devices in vehicles operated by special transportation service
62.7providers to determine compliance with sections 299A.11 to 299A.17 and to issue certificates
62.8under section 299A.14, subdivision 4.
62.9 (b) In place of a certificate issued under section 299A.14, the commissioner may issue
62.10a decal under subdivision 4 for a vehicle equipped with a wheelchair securement device if
62.11the device complies with sections 299A.11 to 299A.17 and the decal displays the information
62.12in section 299A.14, subdivision 4.
62.13 (c) For vehicles designated as protected transport under section 256B.0625, subdivision
62.1417, paragraph (l) (n), the commissioner of transportation, during the commissioner's
62.15inspection, shall check to ensure the safety provisions contained in that paragraph are in
62.16working order.
62.17Sec. 2. Minnesota Statutes 2024, section 256.9657, subdivision 2, is amended to read:
62.18 Subd. 2.Hospital surcharge.(a) Effective October 1, 1992 July 1, 2025, each Minnesota
62.19hospital except facilities of the federal Indian Health Service and regional treatment centers
62.20shall pay to the medical assistance account a surcharge equal to 1.4 1.72 percent of net
62.21patient revenues excluding net Medicare revenues reported by that provider to the health
62.22care cost information system according to the schedule in subdivision 4.
62.23 (b) Effective July 1, 1994, the surcharge under paragraph (a) is increased to 1.56 percent.
62.24 (c) (b) Notwithstanding the Medicare cost finding and allowable cost principles, the
62.25hospital surcharge is not an allowable cost for purposes of rate setting under sections
62.26256.9685 to 256.9695.
62.27Sec. 3. Minnesota Statutes 2024, section 256.9657, subdivision 3, is amended to read:
62.28 Subd. 3.Surcharge on HMOs and community integrated service networks.(a)
62.29Effective October 1, 1992 July 1, 2025, each health maintenance organization with a
62.30certificate of authority issued by the commissioner of health under chapter 62D and each
62.31community integrated service network licensed by the commissioner under chapter 62N
62.32shall pay to the commissioner of human services a surcharge equal to six-tenths of one 1.25
62Article 2 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 63.1percent of the total premium revenues of the health maintenance organization or community
63.2integrated service network as reported to the commissioner of health according to the
63.3schedule in subdivision 4.
63.4 (b) For purposes of this subdivision, total premium revenue means:
63.5 (1) premium revenue recognized on a prepaid basis from individuals and groups for
63.6provision of a specified range of health services over a defined period of time which is
63.7normally one month, excluding premiums paid to a health maintenance organization or
63.8community integrated service network from the Federal Employees Health Benefit Program;
63.9 (2) premiums from Medicare wraparound subscribers for health benefits which
63.10supplement Medicare coverage;
63.11 (3) Medicare revenue, as a result of an arrangement between a health maintenance
63.12organization or a community integrated service network and the Centers for Medicare and
63.13Medicaid Services of the federal Department of Health and Human Services, for services
63.14to a Medicare beneficiary, excluding Medicare revenue that states are prohibited from taxing
63.15under sections 1854, 1860D-12, and 1876 of title XVIII of the federal Social Security Act,
63.16codified as United States Code, title 42, sections 1395mm, 1395w-112, and 1395w-24,
63.17respectively, as they may be amended from time to time; and
63.18 (4) medical assistance revenue, as a result of an arrangement between a health
63.19maintenance organization or community integrated service network and a Medicaid state
63.20agency, for services to a medical assistance beneficiary.
63.21 (c) If advance payments are made under paragraph (b), clause (1) or (2) to the health
63.22maintenance organization or community integrated service network for more than one
63.23reporting period, the portion of the payment that has not yet been earned must be treated as
63.24a liability.
63.25 (c) (d) When a health maintenance organization or community integrated service network
63.26merges or consolidates with or is acquired by another health maintenance organization or
63.27community integrated service network, the surviving corporation or the new corporation
63.28shall be responsible for the annual surcharge originally imposed on each of the entities or
63.29corporations subject to the merger, consolidation, or acquisition, regardless of whether one
63.30of the entities or corporations does not retain a certificate of authority under chapter 62D
63.31or a license under chapter 62N.
63.32 (d) (e) Effective June 15 of each year, the surviving corporation's or the new corporation's
63.33surcharge shall be based on the revenues earned in the previous calendar year by all of the
63Article 2 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 64.1entities or corporations subject to the merger, consolidation, or acquisition regardless of
64.2whether one of the entities or corporations does not retain a certificate of authority under
64.3chapter 62D or a license under chapter 62N until the total premium revenues of the surviving
64.4corporation include the total premium revenues of all the merged entities as reported to the
64.5commissioner of health.
64.6 (e) (f) When a health maintenance organization or community integrated service network,
64.7which is subject to liability for the surcharge under this chapter, transfers, assigns, sells,
64.8leases, or disposes of all or substantially all of its property or assets, liability for the surcharge
64.9imposed by this chapter is imposed on the transferee, assignee, or buyer of the health
64.10maintenance organization or community integrated service network.
64.11 (f) (g) In the event a health maintenance organization or community integrated service
64.12network converts its licensure to a different type of entity subject to liability for the surcharge
64.13under this chapter, but survives in the same or substantially similar form, the surviving
64.14entity remains liable for the surcharge regardless of whether one of the entities or corporations
64.15does not retain a certificate of authority under chapter 62D or a license under chapter 62N.
64.16 (g) (h) The surcharge assessed to a health maintenance organization or community
64.17integrated service network ends when the entity ceases providing services for premiums
64.18and the cessation is not connected with a merger, consolidation, acquisition, or conversion.
64.19Sec. 4. Minnesota Statutes 2024, section 256B.0625, subdivision 3b, is amended to read:
64.20 Subd. 3b.Telehealth services.(a) Medical assistance covers medically necessary services
64.21and consultations delivered by a health care provider through telehealth in the same manner
64.22as if the service or consultation was delivered through in-person contact. Services or
64.23consultations delivered through telehealth shall be paid at the full allowable rate.
64.24 (b) The commissioner may establish criteria that a health care provider must attest to in
64.25order to demonstrate the safety or efficacy of delivering a particular service through
64.26telehealth. The attestation may include that the health care provider:
64.27 (1) has identified the categories or types of services the health care provider will provide
64.28through telehealth;
64.29 (2) has written policies and procedures specific to services delivered through telehealth
64.30that are regularly reviewed and updated;
64.31 (3) has policies and procedures that adequately address patient safety before, during,
64.32and after the service is delivered through telehealth;
64Article 2 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 65.1 (4) has established protocols addressing how and when to discontinue telehealth services;
65.2and
65.3 (5) has an established quality assurance process related to delivering services through
65.4telehealth.
65.5 (c) As a condition of payment, a licensed health care provider must document each
65.6occurrence of a health service delivered through telehealth to a medical assistance enrollee.
65.7Health care service records for services delivered through telehealth must meet the
65.8requirements set forth in Minnesota Rules, part 9505.2175, subparts 1 and 2, and must
65.9document:
65.10 (1) the type of service delivered through telehealth;
65.11 (2) the time the service began and the time the service ended, including an a.m. and p.m.
65.12designation;
65.13 (3) the health care provider's basis for determining that telehealth is an appropriate and
65.14effective means for delivering the service to the enrollee;
65.15 (4) the mode of transmission used to deliver the service through telehealth and records
65.16evidencing that a particular mode of transmission was utilized;
65.17 (5) the location of the originating site and the distant site;
65.18 (6) if the claim for payment is based on a physician's consultation with another physician
65.19through telehealth, the written opinion from the consulting physician providing the telehealth
65.20consultation; and
65.21 (7) compliance with the criteria attested to by the health care provider in accordance
65.22with paragraph (b).
65.23 (d) Telehealth visits provided through audio and visual communication or accessible
65.24video-based platforms may be used to satisfy the face-to-face requirement for reimbursement
65.25under the payment methods that apply to a federally qualified health center, rural health
65.26clinic, Indian health service, 638 tribal clinic, and certified community behavioral health
65.27clinic, if the service would have otherwise qualified for payment if performed in person.
65.28 (e) For purposes of this subdivision, unless otherwise covered under this chapter:
65.29 (1) "telehealth" means the delivery of health care services or consultations using real-time
65.30two-way interactive audio and visual communication or accessible telehealth video-based
65.31platforms to provide or support health care delivery and facilitate the assessment, diagnosis,
65.32consultation, treatment, education, and care management of a patient's health care. Telehealth
65Article 2 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 66.1includes: the application of secure video conferencing consisting of a real-time, full-motion
66.2synchronized video; store-and-forward technology; and synchronous interactions, between
66.3a patient located at an originating site and a health care provider located at a distant site.
66.4Telehealth does not include communication between health care providers, or between a
66.5health care provider and a patient that consists solely of an audio-only communication,
66.6email, or facsimile transmission or as specified by law, except that between July 1, 2025,
66.7and July 1, 2028, telehealth includes communication between a health care provider and a
66.8patient that solely consists of audio-only communication;
66.9 (2) "health care provider" means a health care provider as defined under section 62A.673;
66.10a community paramedic as defined under section 144E.001, subdivision 5f; a community
66.11health worker who meets the criteria under subdivision 49, paragraph (a); a mental health
66.12certified peer specialist under section 245I.04, subdivision 10; a mental health certified
66.13family peer specialist under section 245I.04, subdivision 12; a mental health rehabilitation
66.14worker under section 245I.04, subdivision 14; a mental health behavioral aide under section
66.15245I.04, subdivision 16; a treatment coordinator under section 245G.11, subdivision 7; an
66.16alcohol and drug counselor under section 245G.11, subdivision 5; or a recovery peer under
66.17section 245G.11, subdivision 8; and
66.18 (3) "originating site," "distant site," and "store-and-forward technology" have the
66.19meanings given in section 62A.673, subdivision 2.
66.20 EFFECTIVE DATE.This section is effective July 1, 2025.
66.21Sec. 5. Minnesota Statutes 2024, section 256B.0625, subdivision 8e, is amended to read:
66.22 Subd. 8e.Chiropractic services.Payment for chiropractic services is limited to
66.23individuals under the age of 21. Coverage for individuals under the age of 21 is limited to
66.24one annual evaluation and 24 visits per year unless prior authorization of a greater number
66.25of visits is obtained.
66.26 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
66.27whichever is later. The commissioner shall notify the revisor of statutes when federal
66.28approval is obtained.
66.29Sec. 6. Minnesota Statutes 2024, section 256B.0625, subdivision 13, is amended to read:
66.30 Subd. 13.Drugs.(a) Medical assistance covers drugs, except for fertility drugs when
66.31specifically used to enhance fertility, if prescribed by a licensed practitioner and dispensed
66.32by a licensed pharmacist, by a physician enrolled in the medical assistance program as a
66Article 2 Sec. 6.
REVISOR DTT/HL 25-0033803/03/25 67.1dispensing physician, or by a physician, a physician assistant, or an advanced practice
67.2registered nurse employed by or under contract with a community health board as defined
67.3in section 145A.02, subdivision 5, for the purposes of communicable disease control.
67.4 (b) The dispensed quantity of a prescription drug must not exceed a 34-day supply unless
67.5authorized by the commissioner or as provided in paragraph (h) or the drug appears on the
67.690-day supply list published by the commissioner. The 90-day supply list shall be published
67.7by the commissioner on the department's website. The commissioner may add to, delete
67.8from, and otherwise modify the 90-day supply list after providing public notice and the
67.9opportunity for a 15-day public comment period. The 90-day supply list may include
67.10cost-effective generic drugs and shall not include controlled substances.
67.11 (c) For the purpose of this subdivision and subdivision 13d, an "active pharmaceutical
67.12ingredient" is defined as a substance that is represented for use in a drug and when used in
67.13the manufacturing, processing, or packaging of a drug becomes an active ingredient of the
67.14drug product. An "excipient" is defined as an inert substance used as a diluent or vehicle
67.15for a drug. The commissioner shall establish a list of active pharmaceutical ingredients and
67.16excipients which are included in the medical assistance formulary. Medical assistance covers
67.17selected active pharmaceutical ingredients and excipients used in compounded prescriptions
67.18when the compounded combination is specifically approved by the commissioner or when
67.19a commercially available product:
67.20 (1) is not a therapeutic option for the patient;
67.21 (2) does not exist in the same combination of active ingredients in the same strengths
67.22as the compounded prescription; and
67.23 (3) cannot be used in place of the active pharmaceutical ingredient in the compounded
67.24prescription.
67.25 (d) Medical assistance covers the following over-the-counter drugs as mandated by
67.26United States Code, title 42, section 1396r-8, when prescribed by a licensed practitioner or
67.27by a licensed pharmacist who meets standards established by the commissioner, in
67.28consultation with the board of pharmacy: antacids, acetaminophen, family planning products,
67.29aspirin, insulin, products for the treatment of lice, vitamins for adults with documented
67.30vitamin deficiencies, vitamins for children under the age of seven and pregnant or nursing
67.31women, and any other over-the-counter drug identified by the commissioner, in consultation
67.32with the Formulary Committee, as necessary, appropriate, and cost-effective for the treatment
67.33of certain specified chronic diseases, conditions, or disorders, and this determination shall
67.34not be subject to the requirements of chapter 14. A pharmacist may prescribe over-the-counter
67Article 2 Sec. 6.
REVISOR DTT/HL 25-0033803/03/25 68.1medications as provided under this paragraph for purposes of receiving reimbursement
68.2under Medicaid. When prescribing over-the-counter drugs under this paragraph, licensed
68.3pharmacists must consult with the recipient to determine necessity, provide drug counseling,
68.4review drug therapy for potential adverse interactions, and make referrals as needed to other
68.5health care professionals.
68.6 (e) Effective January 1, 2006, medical assistance shall not cover drugs that are coverable
68.7under Medicare Part D as defined in the Medicare Prescription Drug, Improvement, and
68.8Modernization Act of 2003, Public Law 108-173, section 1860D-2(e), for individuals eligible
68.9for drug coverage as defined in the Medicare Prescription Drug, Improvement, and
68.10Modernization Act of 2003, Public Law 108-173, section 1860D-1(a)(3)(A). For these
68.11individuals, medical assistance may cover drugs from the drug classes listed in United States
68.12Code, title 42, section 1396r-8(d)(2), subject to this subdivision and subdivisions 13a to
68.1313g, except that drugs listed in United States Code, title 42, section 1396r-8(d)(2)(E), shall
68.14not be covered.
68.15 (f) Medical assistance covers drugs acquired through the federal 340B Drug Pricing
68.16Program and dispensed by 340B covered entities and ambulatory pharmacies under common
68.17ownership of the 340B covered entity. Medical assistance does not cover drugs acquired
68.18through the federal 340B Drug Pricing Program and dispensed by 340B contract pharmacies.
68.19 (g) Notwithstanding paragraph (a), medical assistance covers self-administered hormonal
68.20contraceptives prescribed and dispensed by a licensed pharmacist in accordance with section
68.21151.37, subdivision 14; nicotine replacement medications prescribed and dispensed by a
68.22licensed pharmacist in accordance with section 151.37, subdivision 15; and opiate antagonists
68.23used for the treatment of an acute opiate overdose prescribed and dispensed by a licensed
68.24pharmacist in accordance with section 151.37, subdivision 16.
68.25 (h) Medical assistance coverage for a prescription contraceptive must provide a 12-month
68.26supply for any prescription contraceptive if a 12-month supply is prescribed by the
68.27prescribing health care provider. The prescribing health care provider must determine the
68.28appropriate duration for which to prescribe the prescription contraceptives, up to 12 months.
68.29For purposes of this paragraph, "prescription contraceptive" means any drug or device that
68.30requires a prescription and is approved by the Food and Drug Administration to prevent
68.31pregnancy. Prescription contraceptive does not include an emergency contraceptive drug
68.32approved to prevent pregnancy when administered after sexual contact. For purposes of this
68.33paragraph, "health plan" has the meaning provided in section 62Q.01, subdivision 3.
68Article 2 Sec. 6.
REVISOR DTT/HL 25-0033803/03/25 69.1 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
69.2whichever is later. The commissioner shall notify the revisor of statutes when federal
69.3approval is obtained.
69.4 Sec. 7. Minnesota Statutes 2024, section 256B.0625, subdivision 30, is amended to read:
69.5 Subd. 30.Other clinic services.(a) Medical assistance covers rural health clinic services,
69.6federally qualified health center services, nonprofit community health clinic services, and
69.7public health clinic services. Rural health clinic services and federally qualified health center
69.8services mean services defined in United States Code, title 42, section 1396d(a)(2)(B) and
69.9(C). Payment for rural health clinic and federally qualified health center services shall be
69.10made according to applicable federal law and regulation.
69.11 (b) A federally qualified health center (FQHC) that is beginning initial operation shall
69.12submit an estimate of budgeted costs and visits for the initial reporting period in the form
69.13and detail required by the commissioner. An FQHC that is already in operation shall submit
69.14an initial report using actual costs and visits for the initial reporting period. Within 90 days
69.15of the end of its reporting period, an FQHC shall submit, in the form and detail required by
69.16the commissioner, a report of its operations, including allowable costs actually incurred for
69.17the period and the actual number of visits for services furnished during the period, and other
69.18information required by the commissioner. FQHCs that file Medicare cost reports shall
69.19provide the commissioner with a copy of the most recent Medicare cost report filed with
69.20the Medicare program intermediary for the reporting year which support the costs claimed
69.21on their cost report to the state.
69.22 (c) In order to continue cost-based payment under the medical assistance program
69.23according to paragraphs (a) and (b), an FQHC or rural health clinic must apply for designation
69.24as an essential community provider within six months of final adoption of rules by the
69.25Department of Health according to section 62Q.19, subdivision 7. For those FQHCs and
69.26rural health clinics that have applied for essential community provider status within the
69.27six-month time prescribed, medical assistance payments will continue to be made according
69.28to paragraphs (a) and (b) for the first three years after application. For FQHCs and rural
69.29health clinics that either do not apply within the time specified above or who have had
69.30essential community provider status for three years, medical assistance payments for health
69.31services provided by these entities shall be according to the same rates and conditions
69.32applicable to the same service provided by health care providers that are not FQHCs or rural
69.33health clinics.
69Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 70.1 (d) Effective July 1, 1999, the provisions of paragraph (c) requiring an FQHC or a rural
70.2health clinic to make application for an essential community provider designation in order
70.3to have cost-based payments made according to paragraphs (a) and (b) no longer apply.
70.4 (e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall
70.5be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.
70.6 (f) Effective January 1, 2001, through December 31, 2020, each FQHC and rural health
70.7clinic may elect to be paid either under the prospective payment system established in United
70.8States Code, title 42, section 1396a(aa), or under an alternative payment methodology
70.9consistent with the requirements of United States Code, title 42, section 1396a(aa), and
70.10approved by the Centers for Medicare and Medicaid Services. The alternative payment
70.11methodology shall be 100 percent of cost as determined according to Medicare cost
70.12principles.
70.13 (g) Effective for services provided on or after January 1, 2021, all claims for payment
70.14of clinic services provided by FQHCs and rural health clinics shall be paid by the
70.15commissioner, according to an annual election by the FQHC or rural health clinic, under
70.16the current prospective payment system described in paragraph (f) or the alternative payment
70.17methodology described in paragraph (l), or, upon federal approval, for FQHCs that are also
70.18urban Indian organizations under Title V of the federal Indian Health Improvement Act, as
70.19provided under paragraph (k).
70.20 (h) For purposes of this section, "nonprofit community clinic" is a clinic that:
70.21 (1) has nonprofit status as specified in chapter 317A;
70.22 (2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);
70.23 (3) is established to provide health services to low-income population groups, uninsured,
70.24high-risk and special needs populations, underserved and other special needs populations;
70.25 (4) employs professional staff at least one-half of which are familiar with the cultural
70.26background of their clients;
70.27 (5) charges for services on a sliding fee scale designed to provide assistance to
70.28low-income clients based on current poverty income guidelines and family size; and
70.29 (6) does not restrict access or services because of a client's financial limitations or public
70.30assistance status and provides no-cost care as needed.
70.31 (i) Effective for services provided on or after January 1, 2015, all claims for payment
70.32of clinic services provided by FQHCs and rural health clinics shall be paid by the
70Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 71.1commissioner. the commissioner shall determine the most feasible method for paying claims
71.2from the following options:
71.3 (1) FQHCs and rural health clinics submit claims directly to the commissioner for
71.4payment, and the commissioner provides claims information for recipients enrolled in a
71.5managed care or county-based purchasing plan to the plan, on a regular basis; or
71.6 (2) FQHCs and rural health clinics submit claims for recipients enrolled in a managed
71.7care or county-based purchasing plan to the plan, and those claims are submitted by the
71.8plan to the commissioner for payment to the clinic.
71.9 (j) For clinic services provided prior to January 1, 2015, the commissioner shall calculate
71.10and pay monthly the proposed managed care supplemental payments to clinics, and clinics
71.11shall conduct a timely review of the payment calculation data in order to finalize all
71.12supplemental payments in accordance with federal law. Any issues arising from a clinic's
71.13review must be reported to the commissioner by January 1, 2017. Upon final agreement
71.14between the commissioner and a clinic on issues identified under this subdivision, and in
71.15accordance with United States Code, title 42, section 1396a(bb), no supplemental payments
71.16for managed care plan or county-based purchasing plan claims for services provided prior
71.17to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics are
71.18unable to resolve issues under this subdivision, the parties shall submit the dispute to the
71.19arbitration process under section 14.57.
71.20 (k) The commissioner shall establish an encounter payment rate that is equivalent to the
71.21all inclusive rate (AIR) payment established by the Indian Health Service and published in
71.22the Federal Register. The encounter rate must be updated annually and must reflect the
71.23changes in the AIR established by the Indian Health Service each calendar year. FQHCs
71.24that are also urban Indian organizations under Title V of the federal Indian Health
71.25Improvement Act may elect to be paid: (1) at the encounter rate established under this
71.26paragraph; (2) under the alternative payment methodology described in paragraph (l); or
71.27(3) under the federally required prospective payment system described in paragraph (f).
71.28FQHCs that elect to be paid at the encounter rate established under this paragraph must
71.29continue to meet all state and federal requirements related to FQHCs and urban Indian
71.30organizations, and must maintain their statuses as FQHCs and urban Indian organizations.
71.31 (l) All claims for payment of clinic services provided by FQHCs and rural health clinics,
71.32that have elected to be paid under this paragraph, shall be paid by the commissioner according
71.33to the following requirements:
71Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 72.1 (1) the commissioner shall establish a single medical and single dental organization
72.2encounter rate for each FQHC and rural health clinic when applicable;
72.3 (2) each FQHC and rural health clinic is eligible for same day reimbursement of one
72.4medical and one dental organization encounter rate if eligible medical and dental visits are
72.5provided on the same day;
72.6 (3) the commissioner shall reimburse FQHCs and rural health clinics, in accordance
72.7with current applicable Medicare cost principles, their allowable costs, including direct
72.8patient care costs and patient-related support services. Nonallowable costs include, but are
72.9not limited to:
72.10 (i) general social services and administrative costs;
72.11 (ii) retail pharmacy;
72.12 (iii) patient incentives, food, housing assistance, and utility assistance;
72.13 (iv) external lab and x-ray;
72.14 (v) navigation services;
72.15 (vi) health care taxes;
72.16 (vii) advertising, public relations, and marketing;
72.17 (viii) office entertainment costs, food, alcohol, and gifts;
72.18 (ix) contributions and donations;
72.19 (x) bad debts or losses on awards or contracts;
72.20 (xi) fines, penalties, damages, or other settlements;
72.21 (xii) fundraising, investment management, and associated administrative costs;
72.22 (xiii) research and associated administrative costs;
72.23 (xiv) nonpaid workers;
72.24 (xv) lobbying;
72.25 (xvi) scholarships and student aid; and
72.26 (xvii) nonmedical assistance covered services;
72.27 (4) the commissioner shall review the list of nonallowable costs in the years between
72.28the rebasing process established in clause (5), in consultation with the Minnesota Association
72Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 73.1of Community Health Centers, FQHCs, and rural health clinics. The commissioner shall
73.2publish the list and any updates in the Minnesota health care programs provider manual;
73.3 (5) the initial applicable base year organization encounter rates for FQHCs and rural
73.4health clinics shall be computed for services delivered on or after January 1, 2021, and:
73.5 (i) must be determined using each FQHC's and rural health clinic's Medicare cost reports
73.6from 2017 and 2018;
73.7 (ii) must be according to current applicable Medicare cost principles as applicable to
73.8FQHCs and rural health clinics without the application of productivity screens and upper
73.9payment limits or the Medicare prospective payment system FQHC aggregate mean upper
73.10payment limit;
73.11 (iii) must be subsequently rebased every two years thereafter using the Medicare cost
73.12reports that are three and four years prior to the rebasing year. Years in which organizational
73.13cost or claims volume is reduced or altered due to a pandemic, disease, or other public health
73.14emergency shall not be used as part of a base year when the base year includes more than
73.15one year. The commissioner may use the Medicare cost reports of a year unaffected by a
73.16pandemic, disease, or other public health emergency, or previous two consecutive years,
73.17inflated to the base year as established under item (iv);
73.18 (iv) must be inflated to the base year using the inflation factor described in clause (6);
73.19and
73.20 (v) the commissioner must provide for a 60-day appeals process under section 14.57;
73.21 (6) the commissioner shall annually inflate the applicable organization encounter rates
73.22for FQHCs and rural health clinics from the base year payment rate to the effective date by
73.23using the CMS FQHC Market Basket inflator established under United States Code, title
73.2442, section 1395m(o), less productivity;
73.25 (7) FQHCs and rural health clinics that have elected the alternative payment methodology
73.26under this paragraph shall submit all necessary documentation required by the commissioner
73.27to compute the rebased organization encounter rates no later than six months following the
73.28date the applicable Medicare cost reports are due to the Centers for Medicare and Medicaid
73.29Services;
73.30 (8) the commissioner shall reimburse FQHCs and rural health clinics an additional
73.31amount relative to their medical and dental organization encounter rates that is attributable
73.32to the tax required to be paid according to section 295.52, if applicable;
73Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 74.1 (9) FQHCs and rural health clinics may submit change of scope requests to the
74.2commissioner if the change of scope would result in an increase or decrease of 2.5 percent
74.3or higher in the medical or dental organization encounter rate currently received by the
74.4FQHC or rural health clinic;
74.5 (10) for FQHCs and rural health clinics seeking a change in scope with the commissioner
74.6under clause (9) that requires the approval of the scope change by the federal Health
74.7Resources Services Administration:
74.8 (i) FQHCs and rural health clinics shall submit the change of scope request, including
74.9the start date of services, to the commissioner within seven business days of submission of
74.10the scope change to the federal Health Resources Services Administration;
74.11 (ii) the commissioner shall establish the effective date of the payment change as the
74.12federal Health Resources Services Administration date of approval of the FQHC's or rural
74.13health clinic's scope change request, or the effective start date of services, whichever is
74.14later; and
74.15 (iii) within 45 days of one year after the effective date established in item (ii), the
74.16commissioner shall conduct a retroactive review to determine if the actual costs established
74.17under clause (3) or encounters result in an increase or decrease of 2.5 percent or higher in
74.18the medical or dental organization encounter rate, and if this is the case, the commissioner
74.19shall revise the rate accordingly and shall adjust payments retrospectively to the effective
74.20date established in item (ii);
74.21 (11) for change of scope requests that do not require federal Health Resources Services
74.22Administration approval, the FQHC and rural health clinic shall submit the request to the
74.23commissioner before implementing the change, and the effective date of the change is the
74.24date the commissioner received the FQHC's or rural health clinic's request, or the effective
74.25start date of the service, whichever is later. The commissioner shall provide a response to
74.26the FQHC's or rural health clinic's request within 45 days of submission and provide a final
74.27approval within 120 days of submission. This timeline may be waived at the mutual
74.28agreement of the commissioner and the FQHC or rural health clinic if more information is
74.29needed to evaluate the request;
74.30 (12) the commissioner, when establishing organization encounter rates for new FQHCs
74.31and rural health clinics, shall consider the patient caseload of existing FQHCs and rural
74.32health clinics in a 60-mile radius for organizations established outside of the seven-county
74.33metropolitan area, and in a 30-mile radius for organizations in the seven-county metropolitan
74Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 75.1area. If this information is not available, the commissioner may use Medicare cost reports
75.2or audited financial statements to establish base rates;
75.3 (13) the commissioner, when establishing organization encounter rates under this section
75.4for FQHCs and rural health clinics resulting from a merger of existing clinics or the
75.5acquisition of an existing clinic by another existing clinic, must use the combined costs and
75.6caseloads from the clinics participating in the merger or acquisition to set the encounter rate
75.7for the new clinic organization resulting from the merger or acquisition. The scope of services
75.8for the newly formed clinic must be inclusive of the scope of services of the clinics
75.9participating in the merger or acquisition;
75.10 (13) (14) the commissioner shall establish a quality measures workgroup that includes
75.11representatives from the Minnesota Association of Community Health Centers, FQHCs,
75.12and rural health clinics, to evaluate clinical and nonclinical measures; and
75.13 (14) (15) the commissioner shall not disallow or reduce costs that are related to an
75.14FQHC's or rural health clinic's participation in health care educational programs to the extent
75.15that the costs are not accounted for in the alternative payment methodology encounter rate
75.16established in this paragraph.
75.17 (m) Effective July 1, 2023, an enrolled Indian health service facility or a Tribal health
75.18center operating under a 638 contract or compact may elect to also enroll as a Tribal FQHC.
75.19Requirements that otherwise apply to an FQHC covered in this subdivision do not apply to
75.20a Tribal FQHC enrolled under this paragraph, except that any requirements necessary to
75.21comply with federal regulations do apply to a Tribal FQHC. The commissioner shall establish
75.22an alternative payment method for a Tribal FQHC enrolled under this paragraph that uses
75.23the same method and rates applicable to a Tribal facility or health center that does not enroll
75.24as a Tribal FQHC.
75.25 (n) FQHC reimbursement for mental health targeted case management services is limited
75.26to:
75.27 (1) only those services described under subdivision 20 and provided in accordance with
75.28contracts executed with counties authorized to subcontract for mental health targeted case
75.29management services; and
75.30 (2) an FQHC's actual incurred costs as separately reported on the cost report submitted
75.31to the Centers for Medicare and Medicaid Services and further identified in reports submitted
75.32to the commissioner.
75Article 2 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 76.1 (o) Counties contracting with FQHCs for mental health targeted case management remain
76.2responsible for the nonfederal share of the cost of the provided mental health targeted case
76.3management services. The commissioner must bill each county for the nonfederal share of
76.4the mental health targeted case management costs as reported by the FQHC.
76.5 EFFECTIVE DATE.This section is effective the day following final enactment.
76.6 Sec. 8. Minnesota Statutes 2024, section 256L.03, subdivision 3b, is amended to read:
76.7 Subd. 3b.Chiropractic services.MinnesotaCare covers the following chiropractic
76.8services for individuals under the age of 21: medically necessary exams, manual manipulation
76.9of the spine, and x-rays.
76.10 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
76.11whichever is later. The commissioner shall notify the revisor of statutes when federal
76.12approval is obtained.
76.13 ARTICLE 3
76.14 PHARMACY
76.15Section 1. Minnesota Statutes 2024, section 256B.0625, subdivision 13c, is amended to
76.16read:
76.17 Subd. 13c.Formulary Committee.(a) The commissioner, after receiving
76.18recommendations from professional medical associations and professional pharmacy
76.19associations, and consumer groups shall designate a Formulary Committee to carry out
76.20duties as described in subdivisions 13 to 13g. The Formulary Committee shall be comprised
76.21of at least five licensed physicians actively engaged in the practice of medicine in Minnesota,
76.22one of whom is an actively practicing psychiatrist, one of whom specializes in the diagnosis
76.23and treatment of rare diseases, one of whom specializes in pediatrics, and one of whom
76.24actively treats persons with disabilities; at least three licensed pharmacists actively engaged
76.25in the practice of pharmacy in Minnesota, one of whom practices outside the metropolitan
76.26counties listed in section 473.121, subdivision 4, one of whom practices in the metropolitan
76.27counties listed in section 473.121, subdivision 4, and one of whom is a practicing hospital
76.28pharmacist; at least two consumer representatives, all of whom must have a personal or
76.29professional connection to medical assistance; and one representative designated by the
76.30Minnesota Rare Disease Advisory Council established under section 256.4835; the remainder
76.31to be made up of health care professionals who are licensed in their field and have recognized
76.32knowledge in the clinically appropriate prescribing, dispensing, and monitoring of covered
76.33outpatient drugs. Members of the Formulary Committee shall not be employed by the
76Article 3 Section 1.
REVISOR DTT/HL 25-0033803/03/25 77.1Department of Human Services or have a personal interest in a pharmaceutical company,
77.2pharmacy benefits manager, health plan company, or their affiliate organizations, but the
77.3committee shall be staffed by an employee of the department who shall serve as an ex
77.4officio, nonvoting member of the committee. For the purposes of this subdivision, "personal
77.5interest" means that a person owns at least five percent of the voting interest or equity
77.6interest in the entity, the equity interest owned by a person represents at least five percent
77.7of that person's net worth, or more than five percent of a person's gross income for the
77.8preceding year was derived from the entity. A committee member must notify the committee
77.9of any potential conflict of interest and recuse themselves from any communications,
77.10discussion, or vote on any matter where a conflict of interest exists. A conflict of interest
77.11alone, without a personal interest, does not preclude an applicant from serving as a member
77.12of the Formulary Committee. Members may be removed from the committee for cause after
77.13a recommendation for removal by a majority of the committee membership. For the purposes
77.14of this subdivision, "cause" does not include offering a differing or dissenting clinical opinion
77.15on a drug or drug class. The department's medical director shall also serve as an ex officio,
77.16nonvoting member for the committee. Committee members shall serve three-year terms
77.17and may be reappointed twice by the commissioner. The committee members shall vote on
77.18a chair and vice chair from among their membership. The chair shall preside over all
77.19committee meetings, and the vice chair shall preside over the meetings if the chair is not
77.20present. The Formulary Committee shall meet at least three times per year. The commissioner
77.21may require more frequent Formulary Committee meetings as needed. An honorarium of
77.22$100 per meeting and reimbursement for mileage shall be paid to each committee member
77.23in attendance. The Formulary Committee expires June 30, 2027. The Formulary Committee
77.24is subject to the Open Meeting Law under chapter 13D. For purposes of establishing a
77.25quorum to transact business, vacant committee member positions do not count in the
77.26calculation as long as at least 60 percent of the committee member positions are filled.
77.27 (b) Notwithstanding section 15.059, the Formulary Committee does not expire.
77.28 EFFECTIVE DATE.This section is effective the day following final enactment.
77.29Sec. 2. Minnesota Statutes 2024, section 256B.69, subdivision 6d, is amended to read:
77.30 Subd. 6d.Prescription drugs.The commissioner may must exclude or modify coverage
77.31for outpatient prescription drugs from the prepaid managed care contracts entered into under
77.32this section. The commissioner may include, exclude, or modify coverage for prescription
77.33drugs, other than those dispensed from outpatient pharmacies, from the prepaid managed
77.34care contracts under this section in order to increase savings to the state by collecting
77Article 3 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 78.1additional prescription drug rebates. The contracts must maintain incentives for the managed
78.2care plan to manage drug costs and utilization and may require that the managed care plans
78.3maintain an open drug formulary. In order to manage drug costs and utilization, the contracts
78.4may authorize the managed care plans to use preferred drug lists and prior authorization.
78.5This subdivision is contingent on federal approval of the managed care contract changes
78.6and the collection of additional prescription drug rebates.
78.7 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
78.8whichever is later. The commissioner shall notify the revisor of statutes when federal
78.9approval is obtained.
78.10 ARTICLE 4
78.11 BACKGROUND STUDIES
78.12Section 1. Minnesota Statutes 2024, section 245C.13, subdivision 2, is amended to read:
78.13 Subd. 2.Activities pending completion of background study.The subject of a
78.14background study may not perform any activity requiring a background study under
78.15paragraph (c) until the commissioner has issued one of the notices under paragraph (a).
78.16 (a) Notices from the commissioner required prior to activity under paragraph (c) include:
78.17 (1) a notice of the study results under section 245C.17 stating that:
78.18 (i) the individual is not disqualified; or
78.19 (ii) more time is needed to complete the study but the individual is not required to be
78.20removed from direct contact or access to people receiving services prior to completion of
78.21the study as provided under section 245C.17, subdivision 1, paragraph (b) or (c). The notice
78.22that more time is needed to complete the study must also indicate whether the individual is
78.23required to be under continuous direct supervision prior to completion of the background
78.24study. When more time is necessary to complete a background study of an individual
78.25affiliated with a Title IV-E eligible children's residential facility or foster residence setting,
78.26the individual may not work in the facility or setting regardless of whether or not the
78.27individual is supervised;
78.28 (2) a notice that a disqualification has been set aside under section 245C.23; or
78.29 (3) a notice that a variance has been granted related to the individual under section
78.30245C.30.
78.31 (b) For a background study affiliated with a licensed child care center or certified
78.32license-exempt child care center, the notice sent under paragraph (a), clause (1), item (ii),
78Article 4 Section 1.
REVISOR DTT/HL 25-0033803/03/25 79.1must not be issued until the commissioner receives a qualifying result for the individual for
79.2the fingerprint-based national criminal history record check or the fingerprint-based criminal
79.3history information from the Bureau of Criminal Apprehension. The notice must require
79.4the individual to be under continuous direct supervision prior to completion of the remainder
79.5of the background study except as permitted in subdivision 3.
79.6 (c) Activities prohibited prior to receipt of notice under paragraph (a) include:
79.7 (1) being issued a license;
79.8 (2) living in the household where the licensed program will be provided;
79.9 (3) providing direct contact services to persons served by a program unless the subject
79.10is under continuous direct supervision;
79.11 (4) having access to persons receiving services if the background study was completed
79.12under section 144.057, subdivision 1, or 245C.03, subdivision 1, paragraph (a), clause (2),
79.13(5), or (6), unless the subject is under continuous direct supervision;
79.14 (5) for licensed child care centers and certified license-exempt child care centers,
79.15providing direct contact services to persons served by the program;
79.16 (6) for children's residential facilities or foster residence settings, working in the facility
79.17or setting; or
79.18 (7) for background studies affiliated with a personal care provider organization, except
79.19as provided in section 245C.03, subdivision 3b, before a personal care assistant provides
79.20services, the personal care assistance provider agency must initiate a background study of
79.21the personal care assistant under this chapter and the personal care assistance provider
79.22agency must have received a notice from the commissioner that the personal care assistant
79.23is:
79.24 (i) not disqualified under section 245C.14; or
79.25 (ii) disqualified, but the personal care assistant has received a set aside of the
79.26disqualification under section 245C.22.; or
79.27 (8) for background studies affiliated with an early intensive developmental and behavioral
79.28intervention provider, before an individual provides services, the early intensive
79.29developmental and behavioral intervention provider must initiate a background study for
79.30the individual under this chapter and the early intensive developmental and behavioral
79.31intervention provider must have received a notice from the commissioner that the individual
79.32is:
79Article 4 Section 1.
REVISOR DTT/HL 25-0033803/03/25 80.1 (i) not disqualified under section 245C.14; or
80.2 (ii) disqualified, but the individual has received a set aside of the disqualification under
80.3section 245C.22.
80.4 EFFECTIVE DATE.This section is effective January 15, 2026.
80.5 Sec. 2. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to
80.6read:
80.7 Subd. 4c.Two-year disqualification.An individual is disqualified under section
80.8245C.14, subdivision 6, if less than two years has passed since a determination that the
80.9individual violated section 142A.12, 245.095, or 256B.064.
80.10 EFFECTIVE DATE.This section is effective July 1, 2025.
80.11Sec. 3. Minnesota Statutes 2024, section 245C.14, is amended by adding a subdivision to
80.12read:
80.13 Subd. 6.Disqualification from owning, operating, or billing.The commissioner shall
80.14disqualify an individual who is the subject of a background study from any position involving
80.15ownership, management, or control of a program or billing activities if a background study
80.16completed under this chapter shows a violation of section 142A.12, 245.095, or 256B.064.
80.17 EFFECTIVE DATE.This section is effective July 1, 2025.
80.18Sec. 4. Minnesota Statutes 2024, section 245C.15, subdivision 1, is amended to read:
80.19 Subdivision 1.Permanent disqualification.(a) An individual is disqualified under
80.20section 245C.14 if: (1) regardless of how much time has passed since the discharge of the
80.21sentence imposed, if any, for the offense; and (2) unless otherwise specified, regardless of
80.22the level of the offense, the individual has committed any of the following offenses: sections
80.23243.166 (violation of predatory offender registration law); 609.185 (murder in the first
80.24degree); 609.19 (murder in the second degree); 609.195 (murder in the third degree); 609.20
80.25(manslaughter in the first degree); 609.205 (manslaughter in the second degree); a felony
80.26offense under 609.221 or 609.222 (assault in the first or second degree); a felony offense
80.27under sections 609.2242 and 609.2243 (domestic assault), spousal abuse, child abuse or
80.28neglect, or a crime against children; 609.2247 (domestic assault by strangulation); 609.228
80.29(great bodily harm caused by distribution of drugs); 609.245 (aggravated robbery); 609.247,
80.30subdivision 2 or 3 (carjacking in the first or second degree); 609.25 (kidnapping); 609.2661
80.31(murder of an unborn child in the first degree); 609.2662 (murder of an unborn child in the
80Article 4 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 81.1second degree); 609.2663 (murder of an unborn child in the third degree); 609.322
81.2(solicitation, inducement, and promotion of prostitution); 609.324, subdivision 1 (other
81.3prohibited acts); 609.342 (criminal sexual conduct in the first degree); 609.343 (criminal
81.4sexual conduct in the second degree); 609.344 (criminal sexual conduct in the third degree);
81.5609.345 (criminal sexual conduct in the fourth degree); 609.3451 (criminal sexual conduct
81.6in the fifth degree); 609.3453 (criminal sexual predatory conduct); 609.3458 (sexual
81.7extortion); 609.352 (solicitation of children to engage in sexual conduct); 609.365 (incest);
81.8a felony offense under 609.377 (malicious punishment of a child); 609.3775 (child torture);
81.9a felony offense under 609.378 (neglect or endangerment of a child); 609.561 (arson in the
81.10first degree); 609.66, subdivision 1e (drive-by shooting); 609.749, subdivision 3, 4, or 5
81.11(felony-level harassment or stalking); 609.855, subdivision 5 (shooting at or in a public
81.12transit vehicle or facility); 617.23, subdivision 2, clause (1), or subdivision 3, clause (1)
81.13(indecent exposure involving a minor); 617.246 (use of minors in sexual performance
81.14prohibited); 617.247 (possession of pictorial representations of minors); or, for a child care
81.15background study subject, conviction of a crime that would make the individual ineligible
81.16for employment under United States Code, title 42, section 9858f, except for a felony drug
81.17conviction, regardless of whether a period of disqualification under subdivisions 2 to 4,
81.18would apply if the individual were not a child care background study subject.
81.19 (b) An individual's aiding and abetting, attempt, or conspiracy to commit any of the
81.20offenses listed in paragraph (a), as each of these offenses is defined in Minnesota Statutes,
81.21permanently disqualifies the individual under section 245C.14.
81.22 (c) An individual's offense in any other state or country, where the elements of the offense
81.23are substantially similar to any of the offenses listed in paragraph (a), permanently disqualifies
81.24the individual under section 245C.14.
81.25 (d) When a disqualification is based on a judicial determination other than a conviction,
81.26the disqualification period begins from the date of the court order. When a disqualification
81.27is based on an admission, the disqualification period begins from the date of an admission
81.28in court. When a disqualification is based on an Alford Plea, the disqualification period
81.29begins from the date the Alford Plea is entered in court. When a disqualification is based
81.30on a preponderance of evidence of a disqualifying act, the disqualification date begins from
81.31the date of the dismissal, the date of discharge of the sentence imposed for a conviction for
81.32a disqualifying crime of similar elements, or the date of the incident, whichever occurs last.
81.33 (e) If the individual studied commits one of the offenses listed in paragraph (a) that is
81.34specified as a felony-level only offense, but the sentence or level of offense is a gross
81.35misdemeanor or misdemeanor, the individual is disqualified, but the disqualification
81Article 4 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 82.1look-back period for the offense is the period applicable to gross misdemeanor or
82.2misdemeanor offenses.
82.3 (f) A child care background study subject shall be disqualified if the individual is
82.4registered, or required to be registered, on a state sex offender registry or repository or the
82.5National Sex Offender Registry.
82.6 EFFECTIVE DATE.This section is effective July 1, 2025.
82.7 Sec. 5. Minnesota Statutes 2024, section 245C.15, subdivision 4a, is amended to read:
82.8 Subd. 4a.Licensed family foster setting disqualifications.(a) Notwithstanding
82.9subdivisions 1 to 4, for a background study affiliated with a licensed family foster setting,
82.10regardless of how much time has passed, an individual is disqualified under section 245C.14
82.11if the individual committed an act that resulted in a felony-level conviction for sections:
82.12609.185 (murder in the first degree); 609.19 (murder in the second degree); 609.195 (murder
82.13in the third degree); 609.20 (manslaughter in the first degree); 609.205 (manslaughter in
82.14the second degree); 609.2112 (criminal vehicular homicide); 609.221 (assault in the first
82.15degree); 609.223, subdivision 2 (assault in the third degree, past pattern of child abuse);
82.16609.223, subdivision 3 (assault in the third degree, victim under four); a felony offense
82.17under sections 609.2242 and 609.2243 (domestic assault, spousal abuse, child abuse or
82.18neglect, or a crime against children); 609.2247 (domestic assault by strangulation); 609.2325
82.19(criminal abuse of a vulnerable adult resulting in the death of a vulnerable adult); 609.245
82.20(aggravated robbery); 609.247, subdivision 2 or 3 (carjacking in the first or second degree);
82.21609.25 (kidnapping); 609.255 (false imprisonment); 609.2661 (murder of an unborn child
82.22in the first degree); 609.2662 (murder of an unborn child in the second degree); 609.2663
82.23(murder of an unborn child in the third degree); 609.2664 (manslaughter of an unborn child
82.24in the first degree); 609.2665 (manslaughter of an unborn child in the second degree);
82.25609.267 (assault of an unborn child in the first degree); 609.2671 (assault of an unborn child
82.26in the second degree); 609.268 (injury or death of an unborn child in the commission of a
82.27crime); 609.322, subdivision 1 (solicitation, inducement, and promotion of prostitution; sex
82.28trafficking in the first degree); 609.324, subdivision 1 (other prohibited acts; engaging in,
82.29hiring, or agreeing to hire minor to engage in prostitution); 609.342 (criminal sexual conduct
82.30in the first degree); 609.343 (criminal sexual conduct in the second degree); 609.344 (criminal
82.31sexual conduct in the third degree); 609.345 (criminal sexual conduct in the fourth degree);
82.32609.3451 (criminal sexual conduct in the fifth degree); 609.3453 (criminal sexual predatory
82.33conduct); 609.3458 (sexual extortion); 609.352 (solicitation of children to engage in sexual
82.34conduct); 609.377 (malicious punishment of a child); 609.3775 (child torture); 609.378
82Article 4 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 83.1(neglect or endangerment of a child); 609.561 (arson in the first degree); 609.582, subdivision
83.21 (burglary in the first degree); 609.746 (interference with privacy); 617.23 (indecent
83.3exposure); 617.246 (use of minors in sexual performance prohibited); or 617.247 (possession
83.4of pictorial representations of minors).
83.5 (b) Notwithstanding subdivisions 1 to 4, for the purposes of a background study affiliated
83.6with a licensed family foster setting, an individual is disqualified under section 245C.14,
83.7regardless of how much time has passed, if the individual:
83.8 (1) committed an action under paragraph (e) that resulted in death or involved sexual
83.9abuse, as defined in section 260E.03, subdivision 20;
83.10 (2) committed an act that resulted in a gross misdemeanor-level conviction for section
83.11609.3451 (criminal sexual conduct in the fifth degree);
83.12 (3) committed an act against or involving a minor that resulted in a felony-level conviction
83.13for: section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the
83.14third degree); 609.2231 (assault in the fourth degree); or 609.224 (assault in the fifth degree);
83.15or
83.16 (4) committed an act that resulted in a misdemeanor or gross misdemeanor-level
83.17conviction for section 617.293 (dissemination and display of harmful materials to minors).
83.18 (c) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
83.19family foster setting, an individual is disqualified under section 245C.14 if fewer than 20
83.20years have passed since the termination of the individual's parental rights under section
83.21260C.301, subdivision 1, paragraph (b), or if the individual consented to a termination of
83.22parental rights under section 260C.301, subdivision 1, paragraph (a), to settle a petition to
83.23involuntarily terminate parental rights. An individual is disqualified under section 245C.14
83.24if fewer than 20 years have passed since the termination of the individual's parental rights
83.25in any other state or country, where the conditions for the individual's termination of parental
83.26rights are substantially similar to the conditions in section 260C.301, subdivision 1, paragraph
83.27(b).
83.28 (d) Notwithstanding subdivisions 1 to 4, for a background study affiliated with a licensed
83.29family foster setting, an individual is disqualified under section 245C.14 if fewer than five
83.30years have passed since a felony-level violation for sections: 152.021 (controlled substance
83.31crime in the first degree); 152.022 (controlled substance crime in the second degree); 152.023
83.32(controlled substance crime in the third degree); 152.024 (controlled substance crime in the
83.33fourth degree); 152.025 (controlled substance crime in the fifth degree); 152.0261 (importing
83.34controlled substances across state borders); 152.0262, subdivision 1, paragraph (b)
83Article 4 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 84.1(possession of substance with intent to manufacture methamphetamine); 152.027, subdivision
84.26, paragraph (c) (sale or possession of synthetic cannabinoids); 152.096 (conspiracies
84.3prohibited); 152.097 (simulated controlled substances); 152.136 (anhydrous ammonia;
84.4prohibited conduct; criminal penalties; civil liabilities); 152.137 (methamphetamine-related
84.5crimes involving children or vulnerable adults); 169A.24 (felony first-degree driving while
84.6impaired); 243.166 (violation of predatory offender registration requirements); 609.2113
84.7(criminal vehicular operation; bodily harm); 609.2114 (criminal vehicular operation; unborn
84.8child); 609.228 (great bodily harm caused by distribution of drugs); 609.2325 (criminal
84.9abuse of a vulnerable adult not resulting in the death of a vulnerable adult); 609.233 (criminal
84.10neglect); 609.235 (use of drugs to injure or facilitate a crime); 609.24 (simple robbery);
84.11609.247, subdivision 4 (carjacking in the third degree); 609.322, subdivision 1a (solicitation,
84.12inducement, and promotion of prostitution; sex trafficking in the second degree); 609.498,
84.13subdivision 1 (tampering with a witness in the first degree); 609.498, subdivision 1b
84.14(aggravated first-degree witness tampering); 609.562 (arson in the second degree); 609.563
84.15(arson in the third degree); 609.582, subdivision 2 (burglary in the second degree); 609.66
84.16(felony dangerous weapons); 609.687 (adulteration); 609.713 (terroristic threats); 609.749,
84.17subdivision 3, 4, or 5 (felony-level harassment or stalking); 609.855, subdivision 5 (shooting
84.18at or in a public transit vehicle or facility); or 624.713 (certain people not to possess firearms).
84.19 (e) Notwithstanding subdivisions 1 to 4, except as provided in paragraph (a), for a
84.20background study affiliated with a licensed family child foster care license, an individual
84.21is disqualified under section 245C.14 if fewer than five years have passed since:
84.22 (1) a felony-level violation for an act not against or involving a minor that constitutes:
84.23section 609.222 (assault in the second degree); 609.223, subdivision 1 (assault in the third
84.24degree); 609.2231 (assault in the fourth degree); or 609.224, subdivision 4 (assault in the
84.25fifth degree);
84.26 (2) a violation of an order for protection under section 518B.01, subdivision 14;
84.27 (3) a determination or disposition of the individual's failure to make required reports
84.28under section 260E.06 or 626.557, subdivision 3, for incidents in which the final disposition
84.29under chapter 260E or section 626.557 was substantiated maltreatment and the maltreatment
84.30was recurring or serious;
84.31 (4) a determination or disposition of the individual's substantiated serious or recurring
84.32maltreatment of a minor under chapter 260E, a vulnerable adult under section 626.557, or
84.33serious or recurring maltreatment in any other state, the elements of which are substantially
84Article 4 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 85.1similar to the elements of maltreatment under chapter 260E or section 626.557 and meet
85.2the definition of serious maltreatment or recurring maltreatment;
85.3 (5) a gross misdemeanor-level violation for sections: 609.224, subdivision 2 (assault in
85.4the fifth degree); 609.2242 and 609.2243 (domestic assault); 609.233 (criminal neglect);
85.5609.377 (malicious punishment of a child); 609.378 (neglect or endangerment of a child);
85.6609.746 (interference with privacy); 609.749 (stalking); or 617.23 (indecent exposure); or
85.7 (6) committing an act against or involving a minor that resulted in a misdemeanor-level
85.8violation of section 609.224, subdivision 1 (assault in the fifth degree).
85.9 (f) For purposes of this subdivision, the disqualification begins from:
85.10 (1) the date of the alleged violation, if the individual was not convicted;
85.11 (2) the date of conviction, if the individual was convicted of the violation but not
85.12committed to the custody of the commissioner of corrections; or
85.13 (3) the date of release from prison, if the individual was convicted of the violation and
85.14committed to the custody of the commissioner of corrections.
85.15Notwithstanding clause (3), if the individual is subsequently reincarcerated for a violation
85.16of the individual's supervised release, the disqualification begins from the date of release
85.17from the subsequent incarceration.
85.18 (g) An individual's aiding and abetting, attempt, or conspiracy to commit any of the
85.19offenses listed in paragraphs (a) and (b), as each of these offenses is defined in Minnesota
85.20Statutes, permanently disqualifies the individual under section 245C.14. An individual is
85.21disqualified under section 245C.14 if fewer than five years have passed since the individual's
85.22aiding and abetting, attempt, or conspiracy to commit any of the offenses listed in paragraphs
85.23(d) and (e).
85.24 (h) An individual's offense in any other state or country, where the elements of the
85.25offense are substantially similar to any of the offenses listed in paragraphs (a) and (b),
85.26permanently disqualifies the individual under section 245C.14. An individual is disqualified
85.27under section 245C.14 if fewer than five years have passed since an offense in any other
85.28state or country, the elements of which are substantially similar to the elements of any
85.29offense listed in paragraphs (d) and (e).
85.30 EFFECTIVE DATE.This section is effective July 1, 2025.
85Article 4 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 86.1 ARTICLE 5
86.2 DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY
86.3 Section 1. Minnesota Statutes 2024, section 13.46, subdivision 2, is amended to read:
86.4 Subd. 2.General.(a) Data on individuals collected, maintained, used, or disseminated
86.5by the welfare system are private data on individuals, and shall not be disclosed except:
86.6 (1) according to section 13.05;
86.7 (2) according to court order;
86.8 (3) according to a statute specifically authorizing access to the private data;
86.9 (4) to an agent of the welfare system and an or investigator acting on behalf of a county,
86.10the state, or the federal government, including a law enforcement person or attorney in the
86.11investigation or prosecution of a criminal, civil, or administrative proceeding relating to the
86.12administration of a program;
86.13 (5) to personnel of the welfare system who require the data to verify an individual's
86.14identity; determine eligibility, amount of assistance, and the need to provide services to an
86.15individual or family across programs; coordinate services for an individual or family;
86.16evaluate the effectiveness of programs; assess parental contribution amounts; and investigate
86.17suspected fraud;
86.18 (6) to administer federal funds or programs;
86.19 (7) between personnel of the welfare system working in the same program;
86.20 (8) to the Department of Revenue to administer and evaluate tax refund or tax credit
86.21programs and to identify individuals who may benefit from these programs, and prepare
86.22the databases for reports required under section 270C.13 and Laws 2008, chapter 366, article
86.2317, section 6. The following information may be disclosed under this paragraph: an
86.24individual's and their dependent's names, dates of birth, Social Security or individual taxpayer
86.25identification numbers, income, addresses, and other data as required, upon request by the
86.26Department of Revenue. Disclosures by the commissioner of revenue to the commissioner
86.27of human services for the purposes described in this clause are governed by section 270B.14,
86.28subdivision 1. Tax refund or tax credit programs include, but are not limited to, the dependent
86.29care credit under section 290.067, the Minnesota working family credit under section
86.30290.0671, the property tax refund under section 290A.04, and the Minnesota education
86.31credit under section 290.0674;
86Article 5 Section 1.
REVISOR DTT/HL 25-0033803/03/25 87.1 (9) between the Department of Human Services; the Department of Employment and
87.2Economic Development; the Department of Children, Youth, and Families; Direct Care and
87.3Treatment; and, when applicable, the Department of Education, for the following purposes:
87.4 (i) to monitor the eligibility of the data subject for unemployment benefits, for any
87.5employment or training program administered, supervised, or certified by that agency;
87.6 (ii) to administer any rehabilitation program or child care assistance program, whether
87.7alone or in conjunction with the welfare system;
87.8 (iii) to monitor and evaluate the Minnesota family investment program or the child care
87.9assistance program by exchanging data on recipients and former recipients of Supplemental
87.10Nutrition Assistance Program (SNAP) benefits, cash assistance under chapter 142F, 256D,
87.11256J, or 256K, child care assistance under chapter 142E, medical programs under chapter
87.12256B or 256L; and
87.13 (iv) to analyze public assistance employment services and program utilization, cost,
87.14effectiveness, and outcomes as implemented under the authority established in Title II,
87.15Sections 201-204 of the Ticket to Work and Work Incentives Improvement Act of 1999.
87.16Health records governed by sections 144.291 to 144.298 and "protected health information"
87.17as defined in Code of Federal Regulations, title 45, section 160.103, and governed by Code
87.18of Federal Regulations, title 45, parts 160-164, including health care claims utilization
87.19information, must not be exchanged under this clause;
87.20 (10) to appropriate parties in connection with an emergency if knowledge of the
87.21information is necessary to protect the health or safety of the individual or other individuals
87.22or persons;
87.23 (11) data maintained by residential programs as defined in section 245A.02 may be
87.24disclosed to the protection and advocacy system established in this state according to Part
87.25C of Public Law 98-527 to protect the legal and human rights of persons with developmental
87.26disabilities or other related conditions who live in residential facilities for these persons if
87.27the protection and advocacy system receives a complaint by or on behalf of that person and
87.28the person does not have a legal guardian or the state or a designee of the state is the legal
87.29guardian of the person;
87.30 (12) to the county medical examiner or the county coroner for identifying or locating
87.31relatives or friends of a deceased person;
87Article 5 Section 1.
REVISOR DTT/HL 25-0033803/03/25 88.1 (13) data on a child support obligor who makes payments to the public agency may be
88.2disclosed to the Minnesota Office of Higher Education to the extent necessary to determine
88.3eligibility under section 136A.121, subdivision 2, clause (5);
88.4 (14) participant Social Security or individual taxpayer identification numbers and names
88.5collected by the telephone assistance program may be disclosed to the Department of
88.6Revenue to conduct an electronic data match with the property tax refund database to
88.7determine eligibility under section 237.70, subdivision 4a;
88.8 (15) the current address of a Minnesota family investment program participant may be
88.9disclosed to law enforcement officers who provide the name of the participant and notify
88.10the agency that:
88.11 (i) the participant:
88.12 (A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after
88.13conviction, for a crime or attempt to commit a crime that is a felony under the laws of the
88.14jurisdiction from which the individual is fleeing; or
88.15 (B) is violating a condition of probation or parole imposed under state or federal law;
88.16 (ii) the location or apprehension of the felon is within the law enforcement officer's
88.17official duties; and
88.18 (iii) the request is made in writing and in the proper exercise of those duties;
88.19 (16) the current address of a recipient of general assistance may be disclosed to probation
88.20officers and corrections agents who are supervising the recipient and to law enforcement
88.21officers who are investigating the recipient in connection with a felony level offense;
88.22 (17) information obtained from a SNAP applicant or recipient households may be
88.23disclosed to local, state, or federal law enforcement officials, upon their written request, for
88.24the purpose of investigating an alleged violation of the Food and Nutrition Act, according
88.25to Code of Federal Regulations, title 7, section 272.1(c);
88.26 (18) the address, Social Security or individual taxpayer identification number, and, if
88.27available, photograph of any member of a household receiving SNAP benefits shall be made
88.28available, on request, to a local, state, or federal law enforcement officer if the officer
88.29furnishes the agency with the name of the member and notifies the agency that:
88.30 (i) the member:
88.31 (A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a
88.32crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;
88Article 5 Section 1.
REVISOR DTT/HL 25-0033803/03/25 89.1 (B) is violating a condition of probation or parole imposed under state or federal law;
89.2or
89.3 (C) has information that is necessary for the officer to conduct an official duty related
89.4to conduct described in subitem (A) or (B);
89.5 (ii) locating or apprehending the member is within the officer's official duties; and
89.6 (iii) the request is made in writing and in the proper exercise of the officer's official duty;
89.7 (19) the current address of a recipient of Minnesota family investment program, general
89.8assistance, or SNAP benefits may be disclosed to law enforcement officers who, in writing,
89.9provide the name of the recipient and notify the agency that the recipient is a person required
89.10to register under section 243.166, but is not residing at the address at which the recipient is
89.11registered under section 243.166;
89.12 (20) certain information regarding child support obligors who are in arrears may be
89.13made public according to section 518A.74;
89.14 (21) data on child support payments made by a child support obligor and data on the
89.15distribution of those payments excluding identifying information on obligees may be
89.16disclosed to all obligees to whom the obligor owes support, and data on the enforcement
89.17actions undertaken by the public authority, the status of those actions, and data on the income
89.18of the obligor or obligee may be disclosed to the other party;
89.19 (22) data in the work reporting system may be disclosed under section 142A.29,
89.20subdivision 7;
89.21 (23) to the Department of Education for the purpose of matching Department of Education
89.22student data with public assistance data to determine students eligible for free and
89.23reduced-price meals, meal supplements, and free milk according to United States Code,
89.24title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and state
89.25funds that are distributed based on income of the student's family; and to verify receipt of
89.26energy assistance for the telephone assistance plan;
89.27 (24) the current address and telephone number of program recipients and emergency
89.28contacts may be released to the commissioner of health or a community health board as
89.29defined in section 145A.02, subdivision 5, when the commissioner or community health
89.30board has reason to believe that a program recipient is a disease case, carrier, suspect case,
89.31or at risk of illness, and the data are necessary to locate the person;
89.32 (25) to other state agencies, statewide systems, and political subdivisions of this state,
89.33including the attorney general, and agencies of other states, interstate information networks,
89Article 5 Section 1.
REVISOR DTT/HL 25-0033803/03/25 90.1federal agencies, and other entities as required by federal regulation or law for the
90.2administration of the child support enforcement program;
90.3 (26) to personnel of public assistance programs as defined in section 518A.81, for access
90.4to the child support system database for the purpose of administration, including monitoring
90.5and evaluation of those public assistance programs;
90.6 (27) to monitor and evaluate the Minnesota family investment program by exchanging
90.7data between the Departments of Human Services; Children, Youth, and Families; and
90.8Education, on recipients and former recipients of SNAP benefits, cash assistance under
90.9chapter 142F, 256D, 256J, or 256K, child care assistance under chapter 142E, medical
90.10programs under chapter 256B or 256L, or a medical program formerly codified under chapter
90.11256D;
90.12 (28) to evaluate child support program performance and to identify and prevent fraud
90.13in the child support program by exchanging data between the Department of Human Services;
90.14Department of Children, Youth, and Families; Department of Revenue under section 270B.14,
90.15subdivision 1, paragraphs (a) and (b), without regard to the limitation of use in paragraph
90.16(c); Department of Health; Department of Employment and Economic Development; and
90.17other state agencies as is reasonably necessary to perform these functions;
90.18 (29) counties and the Department of Children, Youth, and Families operating child care
90.19assistance programs under chapter 142E may disseminate data on program participants,
90.20applicants, and providers to the commissioner of education;
90.21 (30) child support data on the child, the parents, and relatives of the child may be
90.22disclosed to agencies administering programs under titles IV-B and IV-E of the Social
90.23Security Act, as authorized by federal law;
90.24 (31) to a health care provider governed by sections 144.291 to 144.298, to the extent
90.25necessary to coordinate services;
90.26 (32) to the chief administrative officer of a school to coordinate services for a student
90.27and family; data that may be disclosed under this clause are limited to name, date of birth,
90.28gender, and address;
90.29 (33) to county correctional agencies to the extent necessary to coordinate services and
90.30diversion programs; data that may be disclosed under this clause are limited to name, client
90.31demographics, program, case status, and county worker information; or
90.32 (34) between the Department of Human Services and the Metropolitan Council for the
90.33following purposes:
90Article 5 Section 1.
REVISOR DTT/HL 25-0033803/03/25 91.1 (i) to coordinate special transportation service provided under section 473.386 with
91.2services for people with disabilities and elderly individuals funded by or through the
91.3Department of Human Services; and
91.4 (ii) to provide for reimbursement of special transportation service provided under section
91.5473.386.
91.6The data that may be shared under this clause are limited to the individual's first, last, and
91.7middle names; date of birth; residential address; and program eligibility status with expiration
91.8date for the purposes of informing the other party of program eligibility.
91.9 (b) Information on persons who have been treated for substance use disorder may only
91.10be disclosed according to the requirements of Code of Federal Regulations, title 42, sections
91.112.1 to 2.67.
91.12 (c) Data provided to law enforcement agencies under paragraph (a), clause (15), (16),
91.13(17), or (18), or paragraph (b), are investigative data and are confidential or protected
91.14nonpublic while the investigation is active. The data are private after the investigation
91.15becomes inactive under section 13.82, subdivision 7, clause (a) or (b).
91.16 (d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but are
91.17not subject to the access provisions of subdivision 10, paragraph (b).
91.18 For the purposes of this subdivision, a request will be deemed to be made in writing if
91.19made through a computer interface system.
91.20Sec. 2. Minnesota Statutes 2024, section 13.46, subdivision 3, is amended to read:
91.21 Subd. 3.Investigative data.(a) Data on persons, including data on vendors of services,
91.22licensees, and applicants that is collected, maintained, used, or disseminated by the welfare
91.23system in an investigation, authorized by statute, and relating to the enforcement of rules
91.24or law are confidential data on individuals pursuant to section 13.02, subdivision 3, or
91.25protected nonpublic data not on individuals pursuant to section 13.02, subdivision 13, and
91.26shall not be disclosed except:
91.27 (1) pursuant to section 13.05;
91.28 (2) pursuant to statute or valid court order;
91.29 (3) to a party named in a civil or criminal proceeding, administrative or judicial, for
91.30preparation of defense;
91.31 (4) to an agent of the welfare system or an investigator acting on behalf of a county,
91.32state, or federal government, including a law enforcement officer or attorney in the
91Article 5 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 92.1investigation or prosecution of a criminal, civil, or administrative proceeding, unless the
92.2commissioner of human services or commissioner of children, youth, and families determines
92.3that disclosure may compromise a Department of Human Services or Department of Children,
92.4Youth, and Families ongoing investigation; or
92.5 (5) to provide notices required or permitted by statute.
92.6 The data referred to in this subdivision shall be classified as public data upon submission
92.7to an administrative law judge or court in an administrative or judicial proceeding. Inactive
92.8welfare investigative data shall be treated as provided in section 13.39, subdivision 3.
92.9 (b) Notwithstanding any other provision in law, the commissioner of human services
92.10shall provide all active and inactive investigative data, including the name of the reporter
92.11of alleged maltreatment under section 626.557 or chapter 260E, to the ombudsman for
92.12mental health and developmental disabilities upon the request of the ombudsman.
92.13 (c) Notwithstanding paragraph (a) and section 13.39, the existence of an investigation
92.14by the commissioner of human services of possible overpayments of public funds to a service
92.15provider or recipient or the reduction or withholding of payments may be disclosed if the
92.16commissioner determines that it will not compromise the investigation.
92.17 EFFECTIVE DATE.This section is effective July 1, 2025.
92.18Sec. 3. Minnesota Statutes 2024, section 245.095, subdivision 5, is amended to read:
92.19 Subd. 5.Withholding of payments.(a) Except as otherwise provided by state or federal
92.20law, the commissioner may withhold payments to a provider, vendor, individual, associated
92.21individual, or associated entity in any program administered by the commissioner if the
92.22commissioner determines:
92.23 (1) there is a credible allegation of fraud for which an investigation is pending for a
92.24program administered by a Minnesota state or federal agency.;
92.25 (2) the individual, the entity, or an associated individual or entity was convicted of a
92.26crime charged in state or federal court with an offense that involves fraud or theft against
92.27a program administered by the commissioner or another Minnesota state or federal agency.
92.28For purposes of this subdivision, "convicted" means a judgment of conviction has been
92.29entered by a federal, state, or local court, regardless of whether an appeal from the judgment
92.30is pending, and includes a stay of adjudication, a court-ordered diversion program, or a plea
92.31of guilty or nolo contendere;
92Article 5 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 93.1 (3) the provider is operating after a Minnesota state or federal agency orders the
93.2suspension, revocation, or decertification of the provider's license;
93.3 (4) the provider, vendor, associated individual, or associated entity, including those
93.4receiving funds under any contract or registered program, has a background study
93.5disqualification under chapter 245C that has not been set aside and for which no variance
93.6has been issued, except for a disqualification under sections 245C.14, subdivision 5, and
93.7245C.15, subdivision 4c; or
93.8 (5) by a preponderance of the evidence that the provider, vendor, individual, associated
93.9individual, or associated entity intentionally provided materially false information when
93.10billing the commissioner.
93.11 (b) For purposes of this subdivision, "credible allegation of fraud" means an allegation
93.12that has been verified by the commissioner from any source, including but not limited to:
93.13 (1) fraud hotline complaints;
93.14 (2) claims data mining;
93.15 (3) patterns identified through provider audits, civil false claims cases, and law
93.16enforcement investigations; and
93.17 (4) court filings and other legal documents, including but not limited to police reports,
93.18complaints, indictments, informations, affidavits, declarations, and search warrants.
93.19 (c) The commissioner must send notice of the withholding of payments within five days
93.20of taking such action. The notice must:
93.21 (1) state that payments are being withheld according to this subdivision;
93.22 (2) set forth the general allegations related to the withholding action, except the notice
93.23need not disclose specific information concerning an ongoing investigation;
93.24 (3) state that the withholding is for a temporary period and cite the circumstances under
93.25which the withholding will be terminated; and
93.26 (4) inform the provider, vendor, individual, associated individual, or associated entity
93.27of the right to submit written evidence to contest the withholding action for consideration
93.28by the commissioner.
93.29 (d) If the commissioner withholds payments under this subdivision, the provider, vendor,
93.30individual, associated individual, or associated entity has a right to request administrative
93.31reconsideration. A request for administrative reconsideration must be made in writing, state
93.32with specificity the reasons the payment withholding decision is in error, and include
93Article 5 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 94.1documents to support the request. Within 60 days from receipt of the request, the
94.2commissioner shall judiciously review allegations, facts, evidence available to the
94.3commissioner, and information submitted by the provider, vendor, individual, associated
94.4individual, or associated entity to determine whether the payment withholding should remain
94.5in place.
94.6 (e) The commissioner shall stop withholding payments if the commissioner determines
94.7there is insufficient evidence of fraud by the provider, vendor, individual, associated
94.8individual, or associated entity or when legal proceedings relating to the alleged fraud are
94.9completed, unless the commissioner has sent notice under subdivision 3 to the provider,
94.10vendor, individual, associated individual, or associated entity.
94.11 (f) The withholding of payments is a temporary action and is not subject to appeal under
94.12section 256.045 or chapter 14.
94.13 EFFECTIVE DATE.This section is effective July 1, 2025.
94.14Sec. 4. Minnesota Statutes 2024, section 245.095, is amended by adding a subdivision to
94.15read:
94.16 Subd. 6.Data practices.The commissioner may exchange information, including claims
94.17data, with state or federal agencies, professional boards, departments, or programs for the
94.18purpose of investigating or prosecuting a criminal, civil, or administrative proceeding related
94.19to suspected fraud or exclusion from any program administered by a state or federal agency.
94.20Sec. 5. Minnesota Statutes 2024, section 245A.04, subdivision 1, is amended to read:
94.21 Subdivision 1.Application for licensure.(a) An individual, organization, or government
94.22entity that is subject to licensure under section 245A.03 must apply for a license. The
94.23application must be made on the forms and in the manner prescribed by the commissioner.
94.24The commissioner shall provide the applicant with instruction in completing the application
94.25and provide information about the rules and requirements of other state agencies that affect
94.26the applicant. An applicant seeking licensure in Minnesota with headquarters outside of
94.27Minnesota must have a program office located within 30 miles of the Minnesota border.
94.28An applicant who intends to buy or otherwise acquire a program or services licensed under
94.29this chapter that is owned by another license holder must apply for a license under this
94.30chapter and comply with the application procedures in this section and section 245A.043.
94.31 The commissioner shall act on the application within 90 working days after a complete
94.32application and any required reports have been received from other state agencies or
94Article 5 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 95.1departments, counties, municipalities, or other political subdivisions. The commissioner
95.2shall not consider an application to be complete until the commissioner receives all of the
95.3required information. If the applicant or a controlling individual is the subject of a pending
95.4administrative, civil, or criminal investigation, the application is not complete until the
95.5investigation has closed or the related legal proceedings are complete.
95.6 When the commissioner receives an application for initial licensure that is incomplete
95.7because the applicant failed to submit required documents or that is substantially deficient
95.8because the documents submitted do not meet licensing requirements, the commissioner
95.9shall provide the applicant written notice that the application is incomplete or substantially
95.10deficient. In the written notice to the applicant the commissioner shall identify documents
95.11that are missing or deficient and give the applicant 45 days to resubmit a second application
95.12that is substantially complete. An applicant's failure to submit a substantially complete
95.13application after receiving notice from the commissioner is a basis for license denial under
95.14section 245A.043.
95.15 (b) An application for licensure must identify all controlling individuals as defined in
95.16section 245A.02, subdivision 5a, and must designate one individual to be the authorized
95.17agent. The application must be signed by the authorized agent and must include the authorized
95.18agent's first, middle, and last name; mailing address; and email address. By submitting an
95.19application for licensure, the authorized agent consents to electronic communication with
95.20the commissioner throughout the application process. The authorized agent must be
95.21authorized to accept service on behalf of all of the controlling individuals. A government
95.22entity that holds multiple licenses under this chapter may designate one authorized agent
95.23for all licenses issued under this chapter or may designate a different authorized agent for
95.24each license. Service on the authorized agent is service on all of the controlling individuals.
95.25It is not a defense to any action arising under this chapter that service was not made on each
95.26controlling individual. The designation of a controlling individual as the authorized agent
95.27under this paragraph does not affect the legal responsibility of any other controlling individual
95.28under this chapter.
95.29 (c) An applicant or license holder must have a policy that prohibits license holders,
95.30employees, subcontractors, and volunteers, when directly responsible for persons served
95.31by the program, from abusing prescription medication or being in any manner under the
95.32influence of a chemical that impairs the individual's ability to provide services or care. The
95.33license holder must train employees, subcontractors, and volunteers about the program's
95.34drug and alcohol policy.
95Article 5 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 96.1 (d) An applicant and license holder must have a program grievance procedure that permits
96.2persons served by the program and their authorized representatives to bring a grievance to
96.3the highest level of authority in the program.
96.4 (e) The commissioner may limit communication during the application process to the
96.5authorized agent or the controlling individuals identified on the license application and for
96.6whom a background study was initiated under chapter 245C. Upon implementation of the
96.7provider licensing and reporting hub, applicants and license holders must use the hub in the
96.8manner prescribed by the commissioner. The commissioner may require the applicant,
96.9except for child foster care, to demonstrate competence in the applicable licensing
96.10requirements by successfully completing a written examination. The commissioner may
96.11develop a prescribed written examination format.
96.12 (f) When an applicant is an individual, the applicant must provide:
96.13 (1) the applicant's taxpayer identification numbers including the Social Security number
96.14or Minnesota tax identification number, and federal employer identification number if the
96.15applicant has employees;
96.16 (2) at the request of the commissioner, a copy of the most recent filing with the secretary
96.17of state that includes the complete business name, if any;
96.18 (3) if doing business under a different name, the doing business as (DBA) name, as
96.19registered with the secretary of state;
96.20 (4) if applicable, the applicant's National Provider Identifier (NPI) number and Unique
96.21Minnesota Provider Identifier (UMPI) number; and
96.22 (5) at the request of the commissioner, the notarized signature of the applicant or
96.23authorized agent.
96.24 (g) When an applicant is an organization, the applicant must provide:
96.25 (1) the applicant's taxpayer identification numbers including the Minnesota tax
96.26identification number and federal employer identification number;
96.27 (2) at the request of the commissioner, a copy of the most recent filing with the secretary
96.28of state that includes the complete business name, and if doing business under a different
96.29name, the doing business as (DBA) name, as registered with the secretary of state;
96.30 (3) the first, middle, and last name, and address for all individuals who will be controlling
96.31individuals, including all officers, owners, and managerial officials as defined in section
96Article 5 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 97.1245A.02, subdivision 5a, and the date that the background study was initiated by the applicant
97.2for each controlling individual;
97.3 (4) if applicable, the applicant's NPI number and UMPI number;
97.4 (5) the documents that created the organization and that determine the organization's
97.5internal governance and the relations among the persons that own the organization, have
97.6an interest in the organization, or are members of the organization, in each case as provided
97.7or authorized by the organization's governing statute, which may include a partnership
97.8agreement, bylaws, articles of organization, organizational chart, and operating agreement,
97.9or comparable documents as provided in the organization's governing statute; and
97.10 (6) the notarized signature of the applicant or authorized agent.
97.11 (h) When the applicant is a government entity, the applicant must provide:
97.12 (1) the name of the government agency, political subdivision, or other unit of government
97.13seeking the license and the name of the program or services that will be licensed;
97.14 (2) the applicant's taxpayer identification numbers including the Minnesota tax
97.15identification number and federal employer identification number;
97.16 (3) a letter signed by the manager, administrator, or other executive of the government
97.17entity authorizing the submission of the license application; and
97.18 (4) if applicable, the applicant's NPI number and UMPI number.
97.19 (i) At the time of application for licensure or renewal of a license under this chapter, the
97.20applicant or license holder must acknowledge on the form provided by the commissioner
97.21if the applicant or license holder elects to receive any public funding reimbursement from
97.22the commissioner for services provided under the license that:
97.23 (1) the applicant's or license holder's compliance with the provider enrollment agreement
97.24or registration requirements for receipt of public funding may be monitored by the
97.25commissioner as part of a licensing investigation or licensing inspection; and
97.26 (2) noncompliance with the provider enrollment agreement or registration requirements
97.27for receipt of public funding that is identified through a licensing investigation or licensing
97.28inspection, or noncompliance with a licensing requirement that is a basis of enrollment for
97.29reimbursement for a service, may result in:
97.30 (i) a correction order or a conditional license under section 245A.06, or sanctions under
97.31section 245A.07;
97Article 5 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 98.1 (ii) nonpayment of claims submitted by the license holder for public program
98.2reimbursement;
98.3 (iii) recovery of payments made for the service;
98.4 (iv) disenrollment in the public payment program; or
98.5 (v) other administrative, civil, or criminal penalties as provided by law.
98.6 Sec. 6. Minnesota Statutes 2024, section 245A.05, is amended to read:
98.7 245A.05 DENIAL OF APPLICATION.
98.8 (a) The commissioner may deny a license if an applicant or controlling individual:
98.9 (1) fails to submit a substantially complete application after receiving notice from the
98.10commissioner under section 245A.04, subdivision 1;
98.11 (2) fails to comply with applicable laws or rules;
98.12 (3) knowingly withholds relevant information from or gives false or misleading
98.13information to the commissioner in connection with an application for a license or during
98.14an investigation;
98.15 (4) has a disqualification that has not been set aside under section 245C.22 and no
98.16variance has been granted;
98.17 (5) has an individual living in the household who received a background study under
98.18section 245C.03, subdivision 1, paragraph (a), clause (2), who has a disqualification that
98.19has not been set aside under section 245C.22, and no variance has been granted;
98.20 (6) is associated with an individual who received a background study under section
98.21245C.03, subdivision 1, paragraph (a), clause (6), who may have unsupervised access to
98.22children or vulnerable adults, and who has a disqualification that has not been set aside
98.23under section 245C.22, and no variance has been granted;
98.24 (7) fails to comply with section 245A.04, subdivision 1, paragraph (f) or (g);
98.25 (8) fails to demonstrate competent knowledge as required by section 245A.04, subdivision
98.266;
98.27 (9) has a history of noncompliance as a license holder or controlling individual with
98.28applicable laws or rules, including but not limited to this chapter and chapters 142E and
98.29245C; or
98.30 (10) is prohibited from holding a license according to section 245.095.; or
98Article 5 Sec. 6.
REVISOR DTT/HL 25-0033803/03/25 99.1 (11) is the subject of a pending administrative, civil, or criminal investigation.
99.2 (b) An applicant whose application has been denied by the commissioner must be given
99.3notice of the denial, which must state the reasons for the denial in plain language. Notice
99.4must be given by certified mail, by personal service, or through the provider licensing and
99.5reporting hub. The notice must state the reasons the application was denied and must inform
99.6the applicant of the right to a contested case hearing under chapter 14 and Minnesota Rules,
99.7parts 1400.8505 to 1400.8612. The applicant may appeal the denial by notifying the
99.8commissioner in writing by certified mail, by personal service, or through the provider
99.9licensing and reporting hub. If mailed, the appeal must be postmarked and sent to the
99.10commissioner within 20 calendar days after the applicant received the notice of denial. If
99.11an appeal request is made by personal service, it must be received by the commissioner
99.12within 20 calendar days after the applicant received the notice of denial. If the order is issued
99.13through the provider hub, the appeal must be received by the commissioner within 20
99.14calendar days from the date the commissioner issued the order through the hub. Section
99.15245A.08 applies to hearings held to appeal the commissioner's denial of an application.
99.16Sec. 7. Minnesota Statutes 2024, section 245A.07, subdivision 2, is amended to read:
99.17 Subd. 2.Temporary immediate suspension.(a) The commissioner shall act immediately
99.18to temporarily suspend a license issued under this chapter if:
99.19 (1) the license holder's or controlling individual's actions or failure to comply with
99.20applicable law or rule, or the actions of other individuals or conditions in the program, pose
99.21an imminent risk of harm to the health, safety, or rights of persons served by the program;
99.22 (2) while the program continues to operate pending an appeal of an order of revocation,
99.23the commissioner identifies one or more subsequent violations of law or rule which may
99.24adversely affect the health or safety of persons served by the program; or
99.25 (3) the license holder or controlling individual is criminally charged in state or federal
99.26court with an offense that involves fraud or theft against a program administered by the
99.27commissioner a state or federal agency.
99.28 (b) No state funds shall be made available or be expended by any agency or department
99.29of state, county, or municipal government for use by a license holder regulated under this
99.30chapter while a license issued under this chapter is under immediate suspension. A notice
99.31stating the reasons for the immediate suspension and informing the license holder of the
99.32right to an expedited hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to
99.331400.8612, must be delivered by personal service to the address shown on the application
99Article 5 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 100.1or the last known address of the license holder. The license holder may appeal an order
100.2immediately suspending a license. The appeal of an order immediately suspending a license
100.3must be made in writing by certified mail, personal service, or other means expressly set
100.4forth in the commissioner's order. If mailed, the appeal must be postmarked and sent to the
100.5commissioner within five calendar days after the license holder receives notice that the
100.6license has been immediately suspended. If a request is made by personal service, it must
100.7be received by the commissioner within five calendar days after the license holder received
100.8the order. A license holder and any controlling individual shall discontinue operation of the
100.9program upon receipt of the commissioner's order to immediately suspend the license.
100.10 (c) The commissioner may act immediately to temporarily suspend a license issued
100.11under this chapter if the license holder or controlling individual is the subject of a pending
100.12administrative, civil, or criminal investigation or subject to an administrative or civil action
100.13related to fraud against a program administered by a state or federal agency.
100.14Sec. 8. Minnesota Statutes 2024, section 254B.06, is amended by adding a subdivision to
100.15read:
100.16 Subd. 5.Prohibition of duplicative claim submission.(a) For time-based claims,
100.17submissions must follow the guidelines in the Centers for Medicare and Medicaid Services'
100.18Healthcare Common Procedure Coding System and the American Medical Association's
100.19Current Procedural Terminology to determine the appropriate units of time to report.
100.20 (b) More than half the duration of a time-based code must be spent performing the service
100.21to be eligible under this section. Any provision of service during the remaining balance of
100.22the unit of time is not eligible for any other claims submission and would be considered a
100.23duplicative claim submission.
100.24 (c) A provider may only round up to the next whole number of service units on a
100.25submitted claim when more than one and one-half times the defined value of the code has
100.26occurred and no additional time increment code exists.
100.27 EFFECTIVE DATE.This section is effective July 1, 2025.
100.28Sec. 9. Minnesota Statutes 2024, section 256.983, subdivision 4, is amended to read:
100.29 Subd. 4.Funding.(a) County and Tribal agency reimbursement shall be made through
100.30the settlement provisions applicable to the Supplemental Nutrition Assistance Program
100.31(SNAP), MFIP, child care assistance programs, the medical assistance program, and other
100.32federal and state-funded programs.
100Article 5 Sec. 9.
REVISOR DTT/HL 25-0033803/03/25 101.1 (b) The commissioners will maintain program compliance if for any three consecutive
101.2month period quarter, a county or Tribal agency fails to comply with fraud prevention
101.3investigation program guidelines, or fails to meet the cost-effectiveness standards developed
101.4by the commissioners. This result is contingent on the commissioners providing written
101.5notice, including an offer of technical assistance, within 30 days of the end of the third or
101.6subsequent month quarter of noncompliance. The county or Tribal agency shall be required
101.7to submit a corrective action plan to the commissioners within 30 days of receipt of a notice
101.8of noncompliance. Failure to submit a corrective action plan or, continued deviation from
101.9standards of more than ten percent after submission of a corrective action plan, will result
101.10in denial of funding for each subsequent month, or billing the county or Tribal agency for
101.11fraud prevention investigation (FPI) service provided by the commissioners, or reallocation
101.12of program grant funds, or investigative resources, or both, to other counties or Tribal
101.13agencies. The denial of funding shall apply to the general settlement received by the county
101.14or Tribal agency on a quarterly basis and shall not reduce the grant amount applicable to
101.15the FPI project.
101.16 EFFECTIVE DATE.This section is effective July 1, 2025.
101.17Sec. 10. Minnesota Statutes 2024, section 256B.04, subdivision 21, is amended to read:
101.18 Subd. 21.Provider enrollment.(a) The commissioner shall enroll providers and conduct
101.19screening activities as required by Code of Federal Regulations, title 42, section 455, subpart
101.20E. A provider must enroll each provider-controlled location where direct services are
101.21provided. The commissioner may deny a provider's incomplete application if a provider
101.22fails to respond to the commissioner's request for additional information within 60 days of
101.23the request. The commissioner must conduct a background study under chapter 245C,
101.24including a review of databases in section 245C.08, subdivision 1, paragraph (a), clauses
101.25(1) to (5), for a provider described in this paragraph. The background study requirement
101.26may be satisfied if the commissioner conducted a fingerprint-based background study on
101.27the provider that includes a review of databases in section 245C.08, subdivision 1, paragraph
101.28(a), clauses (1) to (5).
101.29 (b) The commissioner shall revalidate each:
101.30 (1) each provider under this subdivision at least once every five years; and
101.31 (2) each personal care assistance agency under this subdivision once every three years.;
101.32and
101Article 5 Sec. 10.
REVISOR DTT/HL 25-0033803/03/25 102.1 (3) at the commissioner's discretion, any other Medicaid-only provider type the
102.2commissioner deems "high risk" under this subdivision.
102.3 (c) The commissioner shall conduct revalidation as follows:
102.4 (1) provide 30-day notice of the revalidation due date including instructions for
102.5revalidation and a list of materials the provider must submit;
102.6 (2) if a provider fails to submit all required materials by the due date, notify the provider
102.7of the deficiency within 30 days after the due date and allow the provider an additional 30
102.8days from the notification date to comply; and
102.9 (3) if a provider fails to remedy a deficiency within the 30-day time period, give 60-day
102.10notice of termination and immediately suspend the provider's ability to bill. The provider
102.11does not have the right to appeal suspension of ability to bill.
102.12 (d) If a provider fails to comply with any individual provider requirement or condition
102.13of participation, the commissioner may suspend the provider's ability to bill until the provider
102.14comes into compliance. The commissioner's decision to suspend the provider is not subject
102.15to an administrative appeal.
102.16 (e) Correspondence and notifications, including notifications of termination and other
102.17actions, may be delivered electronically to a provider's MN-ITS mailbox. This paragraph
102.18does not apply to correspondences and notifications related to background studies.
102.19 (f) If the commissioner or the Centers for Medicare and Medicaid Services determines
102.20that a provider is designated "high-risk," the commissioner may withhold payment from
102.21providers within that category upon initial enrollment for a 90-day period. The withholding
102.22for each provider must begin on the date of the first submission of a claim.
102.23 (g) An enrolled provider that is also licensed by the commissioner under chapter 245A,
102.24is licensed as a home care provider by the Department of Health under chapter 144A, or is
102.25licensed as an assisted living facility under chapter 144G and has a home and
102.26community-based services designation on the home care license under section 144A.484,
102.27must designate an individual as the entity's compliance officer. The compliance officer
102.28must:
102.29 (1) develop policies and procedures to assure adherence to medical assistance laws and
102.30regulations and to prevent inappropriate claims submissions;
102.31 (2) train the employees of the provider entity, and any agents or subcontractors of the
102.32provider entity including billers, on the policies and procedures under clause (1);
102Article 5 Sec. 10.
REVISOR DTT/HL 25-0033803/03/25 103.1 (3) respond to allegations of improper conduct related to the provision or billing of
103.2medical assistance services, and implement action to remediate any resulting problems;
103.3 (4) use evaluation techniques to monitor compliance with medical assistance laws and
103.4regulations;
103.5 (5) promptly report to the commissioner any identified violations of medical assistance
103.6laws or regulations; and
103.7 (6) within 60 days of discovery by the provider of a medical assistance reimbursement
103.8overpayment, report the overpayment to the commissioner and make arrangements with
103.9the commissioner for the commissioner's recovery of the overpayment.
103.10The commissioner may require, as a condition of enrollment in medical assistance, that a
103.11provider within a particular industry sector or category establish a compliance program that
103.12contains the core elements established by the Centers for Medicare and Medicaid Services.
103.13 (h) The commissioner may revoke the enrollment of an ordering or rendering provider
103.14for a period of not more than one year, if the provider fails to maintain and, upon request
103.15from the commissioner, provide access to documentation relating to written orders or requests
103.16for payment for durable medical equipment, certifications for home health services, or
103.17referrals for other items or services written or ordered by such provider, when the
103.18commissioner has identified a pattern of a lack of documentation. A pattern means a failure
103.19to maintain documentation or provide access to documentation on more than one occasion.
103.20Nothing in this paragraph limits the authority of the commissioner to sanction a provider
103.21under the provisions of section 256B.064.
103.22 (i) The commissioner shall terminate or deny the enrollment of any individual or entity
103.23if the individual or entity has been terminated from participation in Medicare or under the
103.24Medicaid program or Children's Health Insurance Program of any other state. The
103.25commissioner may exempt a rehabilitation agency from termination or denial that would
103.26otherwise be required under this paragraph, if the agency:
103.27 (1) is unable to retain Medicare certification and enrollment solely due to a lack of billing
103.28to the Medicare program;
103.29 (2) meets all other applicable Medicare certification requirements based on an on-site
103.30review completed by the commissioner of health; and
103.31 (3) serves primarily a pediatric population.
103.32 (j) As a condition of enrollment in medical assistance, the commissioner shall require
103.33that a provider designated "moderate" or "high-risk" by the Centers for Medicare and
103Article 5 Sec. 10.
REVISOR DTT/HL 25-0033803/03/25 104.1Medicaid Services or the commissioner permit the Centers for Medicare and Medicaid
104.2Services, its agents, or its designated contractors and the state agency, its agents, or its
104.3designated contractors to conduct unannounced on-site inspections of any provider location.
104.4The commissioner shall publish in the Minnesota Health Care Program Provider Manual a
104.5list of provider types designated "limited," "moderate," or "high-risk," based on the criteria
104.6and standards used to designate Medicare providers in Code of Federal Regulations, title
104.742, section 424.518. The list and criteria are not subject to the requirements of chapter 14.
104.8The commissioner's designations are not subject to administrative appeal.
104.9 (k) As a condition of enrollment in medical assistance, the commissioner shall require
104.10that a high-risk provider, or a person with a direct or indirect ownership interest in the
104.11provider of five percent or higher, consent to criminal background checks, including
104.12fingerprinting, when required to do so under state law or by a determination by the
104.13commissioner or the Centers for Medicare and Medicaid Services that a provider is designated
104.14high-risk for fraud, waste, or abuse.
104.15 (l)(1) Upon initial enrollment, reenrollment, and notification of revalidation, all durable
104.16medical equipment, prosthetics, orthotics, and supplies (DMEPOS) medical suppliers
104.17meeting the durable medical equipment provider and supplier definition in clause (3),
104.18operating in Minnesota and receiving Medicaid funds must purchase a surety bond that is
104.19annually renewed and designates the Minnesota Department of Human Services as the
104.20obligee, and must be submitted in a form approved by the commissioner. For purposes of
104.21this clause, the following medical suppliers are not required to obtain a surety bond: a
104.22federally qualified health center, a home health agency, the Indian Health Service, a
104.23pharmacy, and a rural health clinic.
104.24 (2) At the time of initial enrollment or reenrollment, durable medical equipment providers
104.25and suppliers defined in clause (3) must purchase a surety bond of $50,000. If a revalidating
104.26provider's Medicaid revenue in the previous calendar year is up to and including $300,000,
104.27the provider agency must purchase a surety bond of $50,000. If a revalidating provider's
104.28Medicaid revenue in the previous calendar year is over $300,000, the provider agency must
104.29purchase a surety bond of $100,000. The surety bond must allow for recovery of costs and
104.30fees in pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions
104.31from a surety bond must occur within six years from the date the debt is affirmed by a final
104.32agency decision. An agency decision is final when the right to appeal the debt has been
104.33exhausted or the time to appeal has expired under section 256B.064.
104.34 (3) "Durable medical equipment provider or supplier" means a medical supplier that can
104.35purchase medical equipment or supplies for sale or rental to the general public and is able
104Article 5 Sec. 10.
REVISOR DTT/HL 25-0033803/03/25 105.1to perform or arrange for necessary repairs to and maintenance of equipment offered for
105.2sale or rental.
105.3 (m) The Department of Human Services may require a provider to purchase a surety
105.4bond as a condition of initial enrollment, reenrollment, reinstatement, or continued enrollment
105.5if: (1) the provider fails to demonstrate financial viability, (2) the department determines
105.6there is significant evidence of or potential for fraud and abuse by the provider, or (3) the
105.7provider or category of providers is designated high-risk pursuant to paragraph (f) and as
105.8per Code of Federal Regulations, title 42, section 455.450. The surety bond must be in an
105.9amount of $100,000 or ten percent of the provider's payments from Medicaid during the
105.10immediately preceding 12 months, whichever is greater. The surety bond must name the
105.11Department of Human Services as an obligee and must allow for recovery of costs and fees
105.12in pursuing a claim on the bond. This paragraph does not apply if the provider currently
105.13maintains a surety bond under the requirements in section 256B.0659 or 256B.85.
105.14 EFFECTIVE DATE.This section is effective July 1, 2025.
105.15Sec. 11. Minnesota Statutes 2024, section 256B.0659, subdivision 21, is amended to read:
105.16 Subd. 21.Requirements for provider enrollment of personal care assistance provider
105.17agencies.(a) All personal care assistance provider agencies must provide, at the time of
105.18enrollment, reenrollment, and revalidation as a personal care assistance provider agency in
105.19a format determined by the commissioner, information and documentation that includes,
105.20but is not limited to, the following:
105.21 (1) the personal care assistance provider agency's current contact information including
105.22address, telephone number, and email address;
105.23 (2) proof of surety bond coverage for each business location providing services. Upon
105.24new enrollment, or if the provider's Medicaid revenue in the previous calendar year is up
105.25to and including $300,000, the provider agency must purchase a surety bond of $50,000. If
105.26the Medicaid revenue in the previous year is over $300,000, the provider agency must
105.27purchase a surety bond of $100,000. The surety bond must be in a form approved by the
105.28commissioner, must be renewed annually, and must allow for recovery of costs and fees in
105.29pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a
105.30surety bond must occur within six years from the date the debt is affirmed by a final agency
105.31decision. An agency decision is final when the right to appeal the debt has been exhausted
105.32or the time to appeal has expired under section 256B.064;
105Article 5 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 106.1 (3) proof of fidelity bond coverage in the amount of $20,000 for each business location
106.2providing service;
106.3 (4) proof of workers' compensation insurance coverage identifying the business location
106.4where personal care assistance services are provided;
106.5 (5) proof of liability insurance coverage identifying the business location where personal
106.6care assistance services are provided and naming the department as a certificate holder;
106.7 (6) a copy of the personal care assistance provider agency's written policies and
106.8procedures including: hiring of employees; training requirements; service delivery; and
106.9employee and consumer safety including process for notification and resolution of consumer
106.10grievances, identification and prevention of communicable diseases, and employee
106.11misconduct;
106.12 (7) copies of all other forms the personal care assistance provider agency uses in the
106.13course of daily business including, but not limited to:
106.14 (i) a copy of the personal care assistance provider agency's time sheet if the time sheet
106.15varies from the standard time sheet for personal care assistance services approved by the
106.16commissioner, and a letter requesting approval of the personal care assistance provider
106.17agency's nonstandard time sheet;
106.18 (ii) the personal care assistance provider agency's template for the personal care assistance
106.19care plan; and
106.20 (iii) the personal care assistance provider agency's template for the written agreement
106.21in subdivision 20 for recipients using the personal care assistance choice option, if applicable;
106.22 (8) a list of all training and classes that the personal care assistance provider agency
106.23requires of its staff providing personal care assistance services;
106.24 (9) documentation that the personal care assistance provider agency and staff have
106.25successfully completed all the training required by this section, including the requirements
106.26under subdivision 11, paragraph (d), if enhanced personal care assistance services are
106.27provided and submitted for an enhanced rate under subdivision 17a;
106.28 (10) documentation of the agency's marketing practices;
106.29 (11) disclosure of ownership, leasing, or management of all residential properties that
106.30is used or could be used for providing home care services;
106.31 (12) documentation that the agency will use the following percentages of revenue
106.32generated from the medical assistance rate paid for personal care assistance services for
106Article 5 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 107.1employee personal care assistant wages and benefits: 72.5 percent of revenue in the personal
107.2care assistance choice option and 72.5 percent of revenue from other personal care assistance
107.3providers. The revenue generated by the qualified professional and the reasonable costs
107.4associated with the qualified professional shall not be used in making this calculation; and
107.5 (13) effective May 15, 2010, documentation that the agency does not burden recipients'
107.6free exercise of their right to choose service providers by requiring personal care assistants
107.7to sign an agreement not to work with any particular personal care assistance recipient or
107.8for another personal care assistance provider agency after leaving the agency and that the
107.9agency is not taking action on any such agreements or requirements regardless of the date
107.10signed.
107.11 (b) Personal care assistance provider agencies shall provide the information specified
107.12in paragraph (a) to the commissioner at the time the personal care assistance provider agency
107.13enrolls as a vendor or upon request from the commissioner. The commissioner shall collect
107.14the information specified in paragraph (a) from all personal care assistance providers
107.15beginning July 1, 2009.
107.16 (c) All personal care assistance provider agencies shall require all employees in
107.17management and supervisory positions and owners of the agency who are active in the
107.18day-to-day management and operations of the agency to complete mandatory training as
107.19determined by the commissioner before submitting an application for enrollment of the
107.20agency as a provider. All personal care assistance provider agencies shall also require
107.21qualified professionals to complete the training required by subdivision 13 before submitting
107.22an application for enrollment of the agency as a provider. Employees in management and
107.23supervisory positions and owners who are active in the day-to-day operations of an agency
107.24who have completed the required training as an employee with a personal care assistance
107.25provider agency do not need to repeat the required training if they are hired by another
107.26agency, if they have completed the training within the past three years. By September 1,
107.272010, the required training must be available with meaningful access according to title VI
107.28of the Civil Rights Act and federal regulations adopted under that law or any guidance from
107.29the United States Health and Human Services Department. The required training must be
107.30available online or by electronic remote connection. The required training must provide for
107.31competency testing. Personal care assistance provider agency billing staff shall complete
107.32training about personal care assistance program financial management. This training is
107.33effective July 1, 2009. Any personal care assistance provider agency enrolled before that
107.34date shall, if it has not already, complete the provider training within 18 months of July 1,
107.352009. Any new owners or employees in management and supervisory positions involved
107Article 5 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 108.1in the day-to-day operations are required to complete mandatory training as a requisite of
108.2working for the agency. Personal care assistance provider agencies certified for participation
108.3in Medicare as home health agencies are exempt from the training required in this
108.4subdivision. When available, Medicare-certified home health agency owners, supervisors,
108.5or managers must successfully complete the competency test.
108.6 (d) All surety bonds, fidelity bonds, workers' compensation insurance, and liability
108.7insurance required by this subdivision must be maintained continuously. After initial
108.8enrollment, a provider must submit proof of bonds and required coverages at any time at
108.9the request of the commissioner. Services provided while there are lapses in coverage are
108.10not eligible for payment. Lapses in coverage may result in sanctions, including termination.
108.11The commissioner shall send instructions and a due date to submit the requested information
108.12to the personal care assistance provider agency.
108.13 EFFECTIVE DATE.This section is effective July 1, 2025.
108.14Sec. 12. Minnesota Statutes 2024, section 256B.0949, subdivision 2, is amended to read:
108.15 Subd. 2.Definitions.(a) The terms used in this section have the meanings given in this
108.16subdivision.
108.17 (b) "Advanced certification" means a person who has completed advanced certification
108.18in an approved modality under subdivision 13, paragraph (b).
108.19 (c) "Agency" means the legal entity that is enrolled with Minnesota health care programs
108.20as a medical assistance provider according to Minnesota Rules, part 9505.0195, to provide
108.21EIDBI services and that has the legal responsibility to ensure that its employees or contractors
108.22carry out the responsibilities defined in this section. Agency includes a licensed individual
108.23professional who practices independently and acts as an agency.
108.24 (d) "Autism spectrum disorder or a related condition" or "ASD or a related condition"
108.25means either autism spectrum disorder (ASD) as defined in the current version of the
108.26Diagnostic and Statistical Manual of Mental Disorders (DSM) or a condition that is found
108.27to be closely related to ASD, as identified under the current version of the DSM, and meets
108.28all of the following criteria:
108.29 (1) is severe and chronic;
108.30 (2) results in impairment of adaptive behavior and function similar to that of a person
108.31with ASD;
108.32 (3) requires treatment or services similar to those required for a person with ASD; and
108Article 5 Sec. 12.
REVISOR DTT/HL 25-0033803/03/25 109.1 (4) results in substantial functional limitations in three core developmental deficits of
109.2ASD: social or interpersonal interaction; functional communication, including nonverbal
109.3or social communication; and restrictive or repetitive behaviors or hyperreactivity or
109.4hyporeactivity to sensory input; and may include deficits or a high level of support in one
109.5or more of the following domains:
109.6 (i) behavioral challenges and self-regulation;
109.7 (ii) cognition;
109.8 (iii) learning and play;
109.9 (iv) self-care; or
109.10 (v) safety.
109.11 (e) "Person" means a person under 21 years of age.
109.12 (f) "Clinical supervision" means the overall responsibility for the control and direction
109.13of EIDBI service delivery, including individual treatment planning, staff supervision,
109.14individual treatment plan progress monitoring, and treatment review for each person. Clinical
109.15supervision is provided by a qualified supervising professional (QSP) who takes full
109.16professional responsibility for the service provided by each supervisee.
109.17 (g) "Commissioner" means the commissioner of human services, unless otherwise
109.18specified.
109.19 (h) "Comprehensive multidisciplinary evaluation" or "CMDE" means a comprehensive
109.20evaluation of a person to determine medical necessity for EIDBI services based on the
109.21requirements in subdivision 5.
109.22 (i) "Department" means the Department of Human Services, unless otherwise specified.
109.23 (j) "Early intensive developmental and behavioral intervention benefit" or "EIDBI
109.24benefit" means a variety of individualized, intensive treatment modalities approved and
109.25published by the commissioner that are based in behavioral and developmental science
109.26consistent with best practices on effectiveness.
109.27 (k) "Employee" means any person who is employed by an agency, including temporary
109.28and part-time employees, and who performs work for at least 80 hours in a year for that
109.29agency in Minnesota. Employee does not include an independent contractor.
109.30 (k) (l) "Generalizable goals" means results or gains that are observed during a variety
109.31of activities over time with different people, such as providers, family members, other adults,
109Article 5 Sec. 12.
REVISOR DTT/HL 25-0033803/03/25 110.1and people, and in different environments including, but not limited to, clinics, homes,
110.2schools, and the community.
110.3 (l) (m) "Incident" means when any of the following occur:
110.4 (1) an illness, accident, or injury that requires first aid treatment;
110.5 (2) a bump or blow to the head; or
110.6 (3) an unusual or unexpected event that jeopardizes the safety of a person or staff,
110.7including a person leaving the agency unattended.
110.8 (m) (n) "Individual treatment plan" or "ITP" means the person-centered, individualized
110.9written plan of care that integrates and coordinates person and family information from the
110.10CMDE for a person who meets medical necessity for the EIDBI benefit. An individual
110.11treatment plan must meet the standards in subdivision 6.
110.12 (n) (o) "Legal representative" means the parent of a child who is under 18 years of age,
110.13a court-appointed guardian, or other representative with legal authority to make decisions
110.14about service for a person. For the purpose of this subdivision, "other representative with
110.15legal authority to make decisions" includes a health care agent or an attorney-in-fact
110.16authorized through a health care directive or power of attorney.
110.17 (o) (p) "Mental health professional" means a staff person who is qualified according to
110.18section 245I.04, subdivision 2.
110.19 (p) (q) "Person-centered" means a service that both responds to the identified needs,
110.20interests, values, preferences, and desired outcomes of the person or the person's legal
110.21representative and respects the person's history, dignity, and cultural background and allows
110.22inclusion and participation in the person's community.
110.23 (q) (r) "Qualified EIDBI provider" means a person who is a QSP or a level I, level II,
110.24or level III treatment provider.
110.25 EFFECTIVE DATE.This section is effective the day following final enactment.
110.26Sec. 13. Minnesota Statutes 2024, section 256B.85, subdivision 12, is amended to read:
110.27 Subd. 12.Requirements for enrollment of CFSS agency-providers.(a) All CFSS
110.28agency-providers must provide, at the time of enrollment, reenrollment, and revalidation
110.29as a CFSS agency-provider in a format determined by the commissioner, information and
110.30documentation that includes but is not limited to the following:
110Article 5 Sec. 13.
REVISOR DTT/HL 25-0033803/03/25 111.1 (1) the CFSS agency-provider's current contact information including address, telephone
111.2number, and email address;
111.3 (2) proof of surety bond coverage. Upon new enrollment, or if the agency-provider's
111.4Medicaid revenue in the previous calendar year is less than or equal to $300,000, the
111.5agency-provider must purchase a surety bond of $50,000. If the agency-provider's Medicaid
111.6revenue in the previous calendar year is greater than $300,000, the agency-provider must
111.7purchase a surety bond of $100,000. The surety bond must be in a form approved by the
111.8commissioner, must be renewed annually, and must allow for recovery of costs and fees in
111.9pursuing a claim on the bond. Any action to obtain monetary recovery or sanctions from a
111.10surety bond must occur within six years from the date the debt is affirmed by a final agency
111.11decision. An agency decision is final when the right to appeal the debt has been exhausted
111.12or the time to appeal has expired under section 256B.064;
111.13 (3) proof of fidelity bond coverage in the amount of $20,000 per provider location;
111.14 (4) proof of workers' compensation insurance coverage;
111.15 (5) proof of liability insurance;
111.16 (6) a copy of the CFSS agency-provider's organizational chart identifying the names
111.17and roles of all owners, managing employees, staff, board of directors, and additional
111.18documentation reporting any affiliations of the directors and owners to other service
111.19providers;
111.20 (7) proof that the CFSS agency-provider has written policies and procedures including:
111.21hiring of employees; training requirements; service delivery; and employee and consumer
111.22safety, including the process for notification and resolution of participant grievances, incident
111.23response, identification and prevention of communicable diseases, and employee misconduct;
111.24 (8) proof that the CFSS agency-provider has all of the following forms and documents:
111.25 (i) a copy of the CFSS agency-provider's time sheet; and
111.26 (ii) a copy of the participant's individual CFSS service delivery plan;
111.27 (9) a list of all training and classes that the CFSS agency-provider requires of its staff
111.28providing CFSS services;
111.29 (10) documentation that the CFSS agency-provider and staff have successfully completed
111.30all the training required by this section;
111.31 (11) documentation of the agency-provider's marketing practices;
111Article 5 Sec. 13.
REVISOR DTT/HL 25-0033803/03/25 112.1 (12) disclosure of ownership, leasing, or management of all residential properties that
112.2are used or could be used for providing home care services;
112.3 (13) documentation that the agency-provider will use at least the following percentages
112.4of revenue generated from the medical assistance rate paid for CFSS services for CFSS
112.5support worker wages and benefits: 72.5 percent of revenue from CFSS providers, except
112.6100 percent of the revenue generated by a medical assistance rate increase due to a collective
112.7bargaining agreement under section 179A.54 must be used for support worker wages and
112.8benefits. The revenue generated by the worker training and development services and the
112.9reasonable costs associated with the worker training and development services shall not be
112.10used in making this calculation; and
112.11 (14) documentation that the agency-provider does not burden participants' free exercise
112.12of their right to choose service providers by requiring CFSS support workers to sign an
112.13agreement not to work with any particular CFSS participant or for another CFSS
112.14agency-provider after leaving the agency and that the agency is not taking action on any
112.15such agreements or requirements regardless of the date signed.
112.16 (b) CFSS agency-providers shall provide to the commissioner the information specified
112.17in paragraph (a).
112.18 (c) All CFSS agency-providers shall require all employees in management and
112.19supervisory positions and owners of the agency who are active in the day-to-day management
112.20and operations of the agency to complete mandatory training as determined by the
112.21commissioner. Employees in management and supervisory positions and owners who are
112.22active in the day-to-day operations of an agency who have completed the required training
112.23as an employee with a CFSS agency-provider do not need to repeat the required training if
112.24they are hired by another agency and they have completed the training within the past three
112.25years. CFSS agency-provider billing staff shall complete training about CFSS program
112.26financial management. Any new owners or employees in management and supervisory
112.27positions involved in the day-to-day operations are required to complete mandatory training
112.28as a requisite of working for the agency.
112.29 (d) Agency-providers shall submit all required documentation in this section within 30
112.30days of notification from the commissioner. If an agency-provider fails to submit all the
112.31required documentation, the commissioner may take action under subdivision 23a.
112.32 EFFECTIVE DATE.This section is effective July 1, 2025.
112Article 5 Sec. 13.
REVISOR DTT/HL 25-0033803/03/25 113.1 ARTICLE 6
113.2 HEALTH-RELATED LICENSING BOARDS
113.3Section 1. Minnesota Statutes 2024, section 144A.291, subdivision 2, is amended to read:
113.4 Subd. 2.Amounts.(a) Fees may not exceed the following amounts but may be adjusted
113.5lower by board direction and are for the exclusive use of the board as required to sustain
113.6board operations. The maximum amounts of fees are:
113.7 (1) application for licensure, $200 $300;
113.8 (2) for a prospective applicant for a review of education and experience advisory to the
113.9license application, $100, to be applied to the fee for application for licensure if the latter
113.10is submitted within one year of the request for review of education and experience;
113.11 (3) state examination, $125 $200;
113.12 (4) initial license, $250 if issued between July 1 and December 31, $100 if issued between
113.13January 1 and June 30 $300;
113.14 (5) acting permit, $400;
113.15 (6) renewal license, $250;
113.16 (7) duplicate license, $50;
113.17 (8) reinstatement fee, $250;
113.18 (9) health services executive initial license, $250 $300;
113.19 (10) health services executive renewal license, $250 $300;
113.20 (11) reciprocity verification fee, $50;
113.21 (12) second shared assignment, $250;
113.22 (13) continuing education fees:
113.23 (i) greater than six hours, $50; and
113.24 (ii) seven hours or more, $75;
113.25 (14) education review, $100;
113.26 (15) fee to a sponsor for review of individual continuing education seminars, institutes,
113.27workshops, or home study courses:
113.28 (i) for less than seven clock hours, $30; and
113.29 (ii) for seven or more clock hours, $50;
113Article 6 Section 1.
REVISOR DTT/HL 25-0033803/03/25 114.1 (16) fee to a licensee for review of continuing education seminars, institutes, workshops,
114.2or home study courses not previously approved for a sponsor and submitted with an
114.3application for license renewal:
114.4 (i) for less than seven clock hours total, $30; and
114.5 (ii) for seven or more clock hours total, $50;
114.6 (17) late renewal fee, $75;
114.7 (18) fee to a licensee for verification of licensure status and examination scores, $30;
114.8 (19) registration as a registered continuing education sponsor, $1,000;
114.9 (20) mail labels, $75; and
114.10 (21) annual assisted living program education provider fee, $2,500.
114.11 (b) The revenue generated from the fees must be deposited in an account in the state
114.12government special revenue fund.
114.13 EFFECTIVE DATE.This section is effective July 1, 2025.
114.14Sec. 2. Minnesota Statutes 2024, section 144E.123, subdivision 3, is amended to read:
114.15 Subd. 3.Review.(a) Prehospital care data may be reviewed by the director or its
114.16designees. The data shall be classified as private data on individuals under chapter 13, the
114.17Minnesota Government Data Practices Act.
114.18 (b) The director may share incident-level location data with the Washington/Baltimore
114.19High Intensity Drug Trafficking Area's Overdose Detection Mapping Application Program
114.20(ODMAP) if the ODMAP has the ability to:
114.21 (1) allow secure access to the ODMAP system by authorized users to report information
114.22about an overdose incident;
114.23 (2) allow secure access to the ODMAP system by authorized users to view, in near
114.24real-time, certain information about the overdose incidents reported;
114.25 (3) produce a map in near real-time of the approximate locations of confirmed or
114.26suspected overdose incidents reports; and
114.27 (4) enable access to overdose incident information that assists in state and local decisions
114.28regarding the allocation of public health, public safety, and educational resources for the
114.29purposes of monitoring and reporting data related to suspected overdoses.
114.30 EFFECTIVE DATE.This section is effective the day following final enactment.
114Article 6 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 115.1Sec. 3. Minnesota Statutes 2024, section 148.108, subdivision 1, is amended to read:
115.2 Subdivision 1.Fees.In addition to the fees established in Minnesota Rules, chapter
115.32500, The board is authorized to charge the fees in this section.
115.4 EFFECTIVE DATE.This section is effective July 1, 2025.
115.5Sec. 4. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
115.6read:
115.7 Subd. 5.Chiropractic license fees.Fees for chiropractic licensure must not exceed the
115.8following amounts but may be adjusted lower by board action:
115.9 (1) initial application for licensure fee, $600;
115.10 (2) annual renewal of an active license fee, $400;
115.11 (3) annual renewal of an inactive license fee, 75 percent of the current active license
115.12renewal fee under clause (2);
115.13 (4) late renewal penalty fee, $150 per month late; and
115.14 (5) application for reinstatement of a voluntarily retired or inactive license fee, $100.
115.15 EFFECTIVE DATE.This section is effective July 1, 2025.
115.16Sec. 5. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
115.17read:
115.18 Subd. 6.Acupuncture registration fees.Fees for acupuncture registration must not
115.19exceed the following amounts but may be adjusted lower by board action:
115.20 (1) initial application acupuncture registration fee, $400;
115.21 (2) annual renewal of active acupuncture registration fee, $200;
115.22 (3) annual renewal of inactive acupuncture registration fee, 75 percent of the current
115.23active acupuncture registration renewal fee under clause (2); and
115.24 (4) reinstatement of nonrenewed acupuncture registration fee, $400.
115.25 EFFECTIVE DATE.This section is effective July 1, 2025.
115Article 6 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 116.1Sec. 6. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
116.2read:
116.3 Subd. 7.Independent examiner registration fees.Fees for independent examiner
116.4registration must not exceed the following amounts but may be adjusted lower by board
116.5action:
116.6 (1) initial application independent examiner registration fee, $400;
116.7 (2) annual renewal of independent examiner registration fee, $200; and
116.8 (3) reinstatement of nonrenewed independent examiner registration fee, $400.
116.9 EFFECTIVE DATE.This section is effective July 1, 2025.
116.10Sec. 7. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
116.11read:
116.12 Subd. 8.Animal chiropractic registration fees.Fees for animal chiropractic registration
116.13must not exceed the following amounts but may be adjusted lower by board action:
116.14 (1) initial application animal chiropractic registration fee, $400;
116.15 (2) annual renewal of active animal chiropractic registration fee, $200;
116.16 (3) annual renewal of inactive animal chiropractic registration fee, 75 percent of the
116.17current active animal chiropractic renewal fee under clause (2); and
116.18 (4) reinstatement of nonrenewed animal chiropractic registration fee, $400.
116.19 EFFECTIVE DATE.This section is effective July 1, 2025.
116.20Sec. 8. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
116.21read:
116.22 Subd. 9.Graduate preceptorship registration fee.The application fee for graduate
116.23preceptorship registration is an amount not to exceed $500, but may be adjusted lower by
116.24board action.
116.25 EFFECTIVE DATE.This section is effective July 1, 2025.
116Article 6 Sec. 8.
REVISOR DTT/HL 25-0033803/03/25 117.1Sec. 9. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision to
117.2read:
117.3 Subd. 10.Professional firm registration fees.In addition to fees authorized under
117.4chapter 319B, the late renewal penalty fee for professional firm registration is $5 per month
117.5late.
117.6 EFFECTIVE DATE.This section is effective July 1, 2025.
117.7Sec. 10. Minnesota Statutes 2024, section 148.108, is amended by adding a subdivision
117.8to read:
117.9 Subd. 11.Miscellaneous fees.Fees under this subdivision must not exceed the following
117.10amounts but may be adjusted lower by board action:
117.11 (1) annual continuing education sponsorship fee, $1,000;
117.12 (2) individual continuing education seminar sponsorship fee, $400;
117.13 (3) mailing list request fee, $500;
117.14 (4) license verification fee, $50;
117.15 (5) duplicate certificate fee, $50; and
117.16 (6) document copies fee, $0.25 per side of document page.
117.17 EFFECTIVE DATE.This section is effective July 1, 2025.
117.18Sec. 11. Minnesota Statutes 2024, section 148B.53, subdivision 3, is amended to read:
117.19 Subd. 3.Fee Fees.Nonrefundable fees are as follows:
117.20 (1) initial license application fee for licensed professional counseling (LPC) - $150;
117.21 (2) initial license fee for LPC - $250;
117.22 (3) annual active license renewal fee for LPC - $250 or equivalent;
117.23 (4) annual inactive license renewal fee for LPC - $125;
117.24 (5) initial license application fee for licensed professional clinical counseling (LPCC) -
117.25$150;
117.26 (6) initial license fee for LPCC - $250;
117.27 (7) annual active license renewal fee for LPCC - $250 or equivalent;
117.28 (8) annual inactive license renewal fee for LPCC - $125;
117Article 6 Sec. 11.
REVISOR DTT/HL 25-0033803/03/25 118.1 (9) license renewal late fee - $100 per month or portion thereof;
118.2 (10) copy of board order or stipulation - $10;
118.3 (11) certificate of good standing or license verification - $25;
118.4 (12) duplicate certificate fee - $25;
118.5 (13) professional firm renewal fee - $25;
118.6 (14) sponsor application for approval of a continuing education course - $60;
118.7 (15) initial registration fee - $50;
118.8 (16) annual registration renewal fee - $25;
118.9 (17) approved supervisor application processing fee - $30; and
118.10 (18) temporary license for members of the military - $250; and
118.11 (19) interstate compact privilege to practice fee - not to exceed $100.
118.12 EFFECTIVE DATE.This section is effective the day following final enactment.
118.13Sec. 12. Minnesota Statutes 2024, section 148E.180, subdivision 1, is amended to read:
118.14 Subdivision 1.Application fees.(a) Nonrefundable application fees for licensure may
118.15not exceed the following amounts but may be adjusted lower by board action:
118.16 (1) for a licensed social worker, $75;
118.17 (2) for a licensed graduate social worker, $75;
118.18 (3) for a licensed independent social worker, $75;
118.19 (4) for a licensed independent clinical social worker, $75;
118.20 (5) for a temporary license, $50; and
118.21 (6) for a license by endorsement, $115; and
118.22 (7) for a compact multistate license, $75.
118.23 (b) The fee for criminal background checks is the fee charged by the Bureau of Criminal
118.24Apprehension. The criminal background check fee must be included with the application
118.25fee as required according to section 148E.055.
118.26 EFFECTIVE DATE.This section is effective the day following final enactment.
118Article 6 Sec. 12.
REVISOR DTT/HL 25-0033803/03/25 119.1Sec. 13. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision
119.2to read:
119.3 Subd. 2a.Compact multistate license fees.Nonrefundable compact multistate license
119.4fees must not exceed the following amounts but may be adjusted lower by board action:
119.5 (1) for a licensed social worker, $115;
119.6 (2) for a licensed graduate social worker, $210;
119.7 (3) for a licensed independent social worker, $305; and
119.8 (4) for a licensed independent clinical social worker, $335.
119.9 EFFECTIVE DATE.This section is effective the day following final enactment.
119.10Sec. 14. Minnesota Statutes 2024, section 148E.180, is amended by adding a subdivision
119.11to read:
119.12 Subd. 3a.Compact multistate renewal fees.Nonrefundable renewal fees for compact
119.13multistate licensure must not exceed the following amounts but may be adjusted lower by
119.14board action:
119.15 (1) for a licensed social worker, $115;
119.16 (2) for a licensed graduate social worker, $210;
119.17 (3) for a licensed independent social worker, $305; and
119.18 (4) for a licensed independent clinical social worker, $335.
119.19 EFFECTIVE DATE.This section is effective the day following final enactment.
119.20Sec. 15. Minnesota Statutes 2024, section 148E.180, subdivision 5, is amended to read:
119.21 Subd. 5.Late fees.Late fees are the following nonrefundable amounts:
119.22 (1) renewal late fee, one-fourth of the applicable renewal fee specified in subdivision
119.23subdivisions 3 and 3a;
119.24 (2) supervision plan late fee, $40; and
119.25 (3) license late fee, $100 plus the prorated share of the applicable license fee fees specified
119.26in subdivision subdivisions 2 and 2a for the number of months during which the individual
119.27practiced social work without a license.
119.28 EFFECTIVE DATE.This section is effective the day following final enactment.
119Article 6 Sec. 15.
REVISOR DTT/HL 25-0033803/03/25 120.1Sec. 16. Minnesota Statutes 2024, section 148E.180, subdivision 7, is amended to read:
120.2 Subd. 7.Reactivation fees.Reactivation fees are the following nonrefundable amounts:
120.3 (1) reactivation from a temporary leave or emeritus status, the prorated share of the
120.4renewal fee specified in subdivision 3; and
120.5 (2) reactivation of an expired license, 1-1/2 times the applicable renewal fees specified
120.6in subdivision subdivisions 3 and 3a.
120.7 EFFECTIVE DATE.This section is effective the day following final enactment.
120.8Sec. 17. [153.30] FEES.
120.9 Subdivision 1.Nonrefundable fees.The fees in this section are nonrefundable.
120.10 Subd. 2.Fee amounts.The amount of fees must be set by the board so that the total
120.11fees collected by the board equals as closely as possible the anticipated expenditures during
120.12the fiscal biennium, as provided in section 16A.1285. Fees must not exceed the following
120.13amounts but may be adjusted lower by board action:
120.14 (1) application for licensure fee, $1,000;
120.15 (2) renewal licensure fee, $1,000;
120.16 (3) late renewal fee, $250;
120.17 (4) temporary permit fee, $250;
120.18 (5) duplicate license fee or duplicate renewal certificate fee, $25;
120.19 (6) reinstatement fee, $1,250;
120.20 (7) examination administration fee for persons who have not applied for a license or
120.21permit, $50;
120.22 (8) verification of licensure fee, $50;
120.23 (9) label fee, $50;
120.24 (10) list of licensees fee, $50; and
120.25 (11) copies fee, $0.50 per page.
120.26 Subd. 3.Current fee information.Information about fees in effect at any time must
120.27be available from the board office.
120.28 Subd. 4.Deposit of fees.The license fees collected under this section must be deposited
120.29in the state government special revenue fund.
120Article 6 Sec. 17.
REVISOR DTT/HL 25-0033803/03/25 121.1 EFFECTIVE DATE.This section is effective the day following final enactment.
121.2Sec. 18. Minnesota Statutes 2024, section 153B.85, subdivision 1, is amended to read:
121.3 Subdivision 1.Fees.(a) The application fee for initial licensure shall not exceed $600.
121.4 (b) The biennial renewal fee for a license to practice as an orthotist, prosthetist, prosthetist
121.5orthotist, or pedorthist shall not exceed $600.
121.6 (c) The biennial renewal fee for a license to practice as an assistant or a fitter shall not
121.7exceed $300.
121.8 (d) The fee for license restoration shall not exceed $600.
121.9 (e) The fee for license verification shall not exceed $30 $50.
121.10 (f) The fee to obtain a list of licensees shall not exceed $25 $50.
121.11 EFFECTIVE DATE.This section is effective the day following final enactment.
121.12Sec. 19. Minnesota Statutes 2024, section 153B.85, subdivision 3, is amended to read:
121.13 Subd. 3.Late fee.The fee for late license renewal is the license renewal fee in effect at
121.14the time of renewal plus $100 $250.
121.15 EFFECTIVE DATE.This section is effective the day following final enactment.
121.16Sec. 20. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
121.17to read:
121.18 Subd. 1a.Nonrefundable fees.All fees are nonrefundable.
121.19 EFFECTIVE DATE.This section is effective July 1, 2025.
121.20Sec. 21. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
121.21to read:
121.22 Subd. 3.Fee amounts.Fees must not exceed the following amounts but may be adjusted
121.23lower by board action:
121.24 (1) initial application fee, $75;
121.25 (2) state examination fee, $75;
121.26 (3) duplicate license fee, $25;
121.27 (4) continuing education sponsor application fee, $75;
121Article 6 Sec. 21.
REVISOR DTT/HL 25-0033803/03/25 122.1 (5) mailing list fee, $250;
122.2 (6) initial veterinary license fee, $300;
122.3 (7) initial veterinary technician fee, $100;
122.4 (8) active veterinary renewal fee, $300;
122.5 (9) active veterinary technician renewal fee, $100;
122.6 (10) inactive veterinary renewal fee, $150;
122.7 (11) inactive veterinary technician renewal fee, $50;
122.8 (12) institutional license fee, $300;
122.9 (13) active late veterinary renewal fee, $150;
122.10 (14) active late veterinary technician renewal fee, $50;
122.11 (15) inactive late veterinary renewal fee, $100;
122.12 (16) inactive late veterinary technician renewal fee, $25; and
122.13 (17) institutional late renewal fee, $150.
122.14 EFFECTIVE DATE.This section is effective July 1, 2025.
122.15Sec. 22. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
122.16to read:
122.17 Subd. 4.License verification.The board may charge a fee not to exceed $25 per license
122.18verification to a licensee for verification of licensure status provided to other veterinary
122.19licensing boards.
122.20 EFFECTIVE DATE.This section is effective July 1, 2025.
122.21Sec. 23. Minnesota Statutes 2024, section 156.015, is amended by adding a subdivision
122.22to read:
122.23 Subd. 5.Deposit of fees.The license fees collected under this section must be deposited
122.24in the state government special revenue fund.
122.25Sec. 24. Laws 2024, chapter 127, article 67, section 4, is amended to read:
122.26Sec. 4. BOARD OF PHARMACY
122Article 6 Sec. 24.
REVISOR DTT/HL 25-0033803/03/25 123.1 Appropriations by Fund
-0-1,500,000123.2General
27,000-0-
123.3State Government
123.4Special Revenue
123.5(a) Legal Costs. $1,500,000 in fiscal year
123.62024 is from the general fund for legal costs.
123.7This is a onetime appropriation and is
123.8available until June 30, 2027.
123.9(b) Base Level Adjustment. The state
123.10government special revenue fund base is
123.11increased by $27,000 in fiscal year 2026 and
123.12increased by $27,000 in fiscal year 2027.
123.13 EFFECTIVE DATE.This section is effective June 30, 2025.
123.14Sec. 25. RULEMAKING.
123.15 The Board of Chiropractic Examiners must adopt rules using the expedited process under
123.16Minnesota Statutes, section 14.389, that amend Minnesota Rules, chapter 2500, to conform
123.17with the changes made in this act.
123.18 EFFECTIVE DATE.This section is effective July 1, 2025.
123.19Sec. 26. REPEALER.
123.20 (a) Minnesota Statutes 2024, sections 148.108, subdivisions 2, 3, and 4; and 156.015,
123.21subdivision 1, are repealed.
123.22 (b) Minnesota Rules, parts 2500.1150; 2500.2030; 9100.0400, subparts 1 and 3;
123.239100.0500; and 9100.0600, are repealed.
123.24 (c) Minnesota Rules, part 6900.0250, subparts 1 and 2, are repealed.
123.25 EFFECTIVE DATE.Paragraphs (a) and (b) are effective July 1, 2025. Paragraph (c)
123.26is effective the day following final enactment.
123.27 ARTICLE 7
123.28 FORECAST ADJUSTMENTS
123.29Section 1. DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT.
123.30 The dollar amounts shown in the columns marked "Appropriations" are added to or, if
123.31shown in parentheses, are subtracted from the appropriations in Laws 2023, chapter 70,
123Article 7 Section 1.
REVISOR DTT/HL 25-0033803/03/25 124.1article 20, from the general fund, or any other fund named, to the commissioner of human
124.2services for the purposes specified in this article, to be available for the fiscal year indicated
124.3for each purpose. The figure "2025" used in this article means that the appropriations listed
124.4are available for the fiscal year ending June 30, 2025.
124.5 APPROPRIATIONS
124.6 Available for the Year
124.7 Ending June 30
124.8 2025
124.9Sec. 2. COMMISSIONER OF HUMAN
124.10SERVICES
(224,693,000)$124.11Subdivision 1.Total Appropriation
124.12 Appropriations by Fund
124.13 2025
(202,264,000)124.14General
(17,144,000)124.15Health Care Access
(5,285,000)124.16Federal TANF
124.17Subd. 2.Forecasted Programs
124.18(a) Minnesota Family
124.19Investment Program
124.20(MFIP)/Diversionary Work
124.21Program (DWP)
124.22 Appropriations by Fund
124.23 2025
(5,238,000)124.24General
(5,285,000)124.25Federal TANF
(57,918,000)124.26(b) MFIP Child Care Assistance
1,932,000124.27(c) General Assistance
3,278,000124.28(d) Minnesota Supplemental Aid
9,569,000124.29(e) Housing Support
(9,006,000)124.30(f) Northstar Care for Children
(16,701,000)124.31(g) MinnesotaCare
124.32This appropriation is from the health care
124.33access fund.
124.34(h) Medical Assistance
124Article 7 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 125.1 Appropriations by Fund
125.2 2025
(155,544,000)125.3General
(443,000)125.4Health Care Access
10,633,000125.5(i) Behavioral Health Fund
125.6Sec. 3. EFFECTIVE DATE.
125.7 Sections 1 and 2 are effective the day following final enactment.
125.8 ARTICLE 8
125.9 DEPARTMENT OF HEALTH APPROPRIATIONS
125.10Section 1. HEALTH APPROPRIATIONS.
125.11 The sums shown in the columns marked "Appropriations" are appropriated to the
125.12commissioner of health for the purposes specified in this article. The appropriations are
125.13from the general fund, or another named fund, and are available for the fiscal years indicated
125.14for each purpose. The figures "2026" and "2027" used in this article mean that the
125.15appropriations listed under them are available for the fiscal year ending June 30, 2026, or
125.16June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is fiscal
125.17year 2027. "The biennium" is fiscal years 2026 and 2027.
125.18 APPROPRIATIONS
125.19 Available for the Year
125.20 Ending June 30
2027125.21 2026
433,094,000$435,545,000$125.22Sec. 2. TOTAL APPROPRIATION
125.23 Appropriations by Fund
2027125.24 2026
269,015,000270,286,000125.25General
98,547,00098,781,000
125.26State Government
125.27Special Revenue
53,819,00054,765,000125.28Health Care Access
11,713,00011,713,000125.29Federal TANF
125.30The amounts that may be spent for each
125.31purpose are specified in this article.
125Article 8 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 126.1Sec. 3. HEALTH IMPROVEMENT
288,655,000$291,524,000$126.2Subdivision 1.Total Appropriation
126.3 Appropriations by Fund
213,865,000215,788,000126.4General
9,258,0009,258,000
126.5State Government
126.6Special Revenue
53,819,00054,765,000126.7Health Care Access
11,713,00011,713,000126.8Federal TANF
126.9Subd. 2.Substance Use Treatment, Recovery,
126.10and Prevention Grants
126.11$3,000,000 in fiscal year 2026 and $3,000,000
126.12in fiscal year 2027 are for the purposes of
126.13Minnesota Statutes, section 342.72.
126.14Subd. 3.Local and Tribal Public Health
126.15Cannabis Grants
126.16$8,850,000 in fiscal year 2026 and $8,850,000
126.17in fiscal year 2027 are for administration and
126.18grants under Minnesota Statutes, section
126.19144.197, subdivision 4. Of the amount
126.20appropriated, $1,094,000 each year is for
126.21administration and $7,756,000 each year is
126.22for grants.
126.23Sec. 4. HEALTH PROTECTION
123,047,000$123,656,000$126.24Subdivision 1.Total Appropriation
126.25 Appropriations by Fund
33,758,00034,133,000126.26General
89,289,00089,523,000
126.27State Government
126.28Special Revenue
126.29Subd. 2.Asbestos Abatement
126.30$176,000 in fiscal year 2026 and $176,000 in
126.31fiscal year 2027 are from the state government
126.32special revenue fund for asbestos abatement
126.33under Minnesota Statutes, section 326.75.
126Article 8 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 127.1Subd. 3.Food, Pools, and Lodging Services
127.2$5,483,000 in fiscal year 2026 and $5,483,000
127.3in fiscal year 2027 are from the state
127.4government special revenue fund for
127.5supporting food, pools, and lodging services
127.6program activities under Minnesota Statutes,
127.7chapters 144, 157, and 327, including
127.8inspection, plan review, credentialing,
127.9licensing, and rulemaking and delegated
127.10support activities.
127.11Subd. 4.Public Water Supply
127.12$7,827,000 in fiscal year 2026 and $7,827,000
127.13in fiscal year 2027 are from the state
127.14government special revenue fund for operating
127.15the drinking water protection program,
127.16including implementing the Safe Drinking
127.17Water Act and for providing services to
127.18regulated parties, partners, and the public
127.19under Minnesota Statutes, sections 144.381
127.20to 144.383.
127.21Subd. 5.Radioactive Materials
127.22$200,000 in fiscal year 2026 and $200,000 in
127.23fiscal year 2027 are from the state government
127.24special revenue fund for supporting radioactive
127.25materials program activities, including licensee
127.26inspections, responding to radiological
127.27incidents, and state agreement responsibilities
127.28under Minnesota Statutes, section 144.1205.
127.29Subd. 6.Ionizing Radiation
127.30$993,000 in fiscal year 2026 and $828,000 in
127.31fiscal year 2027 are from the state government
127.32special revenue fund for supporting new
127.33regulatory activities for x-ray service
127.34providers, ongoing inspections of licensed
127Article 8 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 128.1facilities, and data analysis for program
128.2planning and implementation under Minnesota
128.3Statutes, section 144.121.
128.4Subd. 7.Infectious Disease Prevention, Early
128.5Detection, and Outbreak Response
128.6$1,300,000 in fiscal year 2026 and $1,300,000
128.7in fiscal year 2027 are for infectious disease
128.8prevention, early detection, and outbreak
128.9response activities under Minnesota Statutes,
128.10section 144.05, subdivision 1.
128.11Subd. 8.Licensing and Certification
128.12$1,707,000 in fiscal year 2026 and $1,707,000
128.13in fiscal year 2027 are from the state
128.14government special revenue fund for
128.15administering licensing and certification fees
128.16under Minnesota Statutes, chapter 144A, and
128.17Minnesota Statutes, sections 144.122, 144.55,
128.18and 144.615.
128.19Subd. 9.Assisted Living Licensure
128.20$1,555,000 in fiscal year 2026 and $1,555,000
128.21in fiscal year 2027 are from the state
128.22government special revenue fund for
128.23administering assisted living licensure under
128.24Minnesota Statutes, chapter 144G.
128.25Subd. 10.Engineering Plan Reviews
128.26$224,000 in fiscal year 2026 and $224,000 in
128.27fiscal year 2027 are from the state government
128.28special revenue fund for conducting
128.29engineering plan reviews under Minnesota
128.30Statutes, section 144.554.
128Article 8 Sec. 4.
REVISOR DTT/HL 25-0033803/03/25 129.1Subd. 11.Base Level Adjustments
129.2The state government special revenue fund
129.3base is $89,610,000 in fiscal year 2028 and
129.4$89,610,000 in fiscal year 2029.
21,392,000$20,365,000$129.5Sec. 5. HEALTH OPERATIONS
129.6Sec. 6. TRANSFERS; ADMINISTRATION.
129.7 Positions, salary money, and nonsalary administrative money may be transferred within
129.8the Department of Health as the commissioner deems necessary with the advance approval
129.9of the commissioner of management and budget. The commissioner shall report to the chairs
129.10and ranking minority members of the legislative committees with jurisdiction over health
129.11finance quarterly about transfers made under this section.
129.12Sec. 7. INDIRECT COSTS NOT TO FUND PROGRAMS.
129.13 The commissioner of health shall not use indirect cost allocations to pay for the
129.14operational costs of any program for which the commissioner is responsible.
129.15Sec. 8. EXPIRATION OF UNCODIFIED LANGUAGE.
129.16 All uncodified language contained in this article expires on June 30, 2027, unless a
129.17different expiration date is explicit or an appropriation is made available after June 30, 2027.
129.18 ARTICLE 9
129.19 DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS
129.20Section 1. HUMAN SERVICES APPROPRIATIONS.
129.21 The sums shown in the columns marked "Appropriations" are appropriated to the
129.22commissioner of human services for the purposes specified in this article. The appropriations
129.23are from the general fund, or another named fund, and are available for the fiscal years
129.24indicated for each purpose. The figures "2026" and "2027" used in this article mean that
129.25the appropriations listed under them are available for the fiscal year ending June 30, 2026,
129.26or June 30, 2027, respectively. "The first year" is fiscal year 2026. "The second year" is
129.27fiscal year 2027. "The biennium" is fiscal years 2026 and 2027.
129.28 APPROPRIATIONS
129.29 Available for the Year
129Article 9 Section 1.
REVISOR DTT/HL 25-0033803/03/25 130.1 Ending June 30
2027130.2 2026
5,934,084,000$5,592,495,000$130.3Sec. 2. TOTAL APPROPRIATION
130.4Subdivision 1.Appropriations by Fund
130.5 Appropriations by Fund
2027130.6 2026
4,843,930,0004,417,305,000130.7General
3,978,0003,978,000
130.8State Government
130.9Special Revenue
1,085,483,0001,170,519,000130.10Health Care Access
163,000163,000130.11Lottery Prize
530,000530,000
130.12Family and Medical
130.13Benefit Insurance
130.14The amounts that may be spent for each
130.15purpose are specified in this article.
130.16Subd. 2.Paid Leave
130.17$530,000 each year is from the family and
130.18medical benefit insurance account. This
130.19amount is for the purposes of Minnesota
130.20Statutes, chapter 268B.
130.21Subd. 3.Information Technology Appropriations
130.22(a) IT appropriations generally. This
130.23appropriation includes money for information
130.24technology projects, services, and support.
130.25Notwithstanding Minnesota Statutes, section
130.2616E.0466, funding for information technology
130.27project costs must be incorporated into the
130.28service-level agreement and paid to Minnesota
130.29IT Services by the Department of Human
130.30Services under the rates and mechanism
130.31specified in that agreement.
130.32(b) Receipts for systems project.
130.33Appropriations and federal receipts for
130.34information technology systems projects for
130Article 9 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 131.1MAXIS, PRISM, MMIS, ISDS, METS, and
131.2SSIS must be deposited in the state systems
131.3account authorized in Minnesota Statutes,
131.4section 256.014. Money appropriated for
131.5information technology projects approved by
131.6the commissioner of Minnesota IT Services
131.7funded by the legislature and approved by the
131.8commissioner of management and budget may
131.9be transferred from one project to another and
131.10from development to operations as the
131.11commissioner of human services deems
131.12necessary. Any unexpended balance in the
131.13appropriation for these projects does not
131.14cancel and is available for ongoing
131.15development and operations.
131.16Sec. 3. CENTRAL OFFICE; OPERATIONS
186,544,000$180,979,000$131.17Subdivision 1.Total Appropriation
131.18 Appropriations by Fund
153,436,000149,398,000131.19General
133,000133,000
131.20State Government
131.21Special Revenue
32,445,00030,918,000131.22Health Care Access
530,000530,000
131.23Family and Medical
131.24Benefits Insurance
131.25Subd. 2.Administrative Recovery; Set-Aside
131.26The commissioner may invoice local entities
131.27through the SWIFT accounting system as an
131.28alternative means to recover the actual cost of
131.29administering the following provisions:
131.30(1) the statewide data management system
131.31authorized in Minnesota Statutes, section
131.32125A.744, subdivision 3;
131.33(2) repayment of the special revenue
131.34maximization account as provided under
131Article 9 Sec. 3.
REVISOR DTT/HL 25-0033803/03/25 132.1Minnesota Statutes, section 245.495,
132.2paragraph (b);
132.3(3) repayment of the special revenue
132.4maximization account as provided under
132.5Minnesota Statutes, section 256B.0625,
132.6subdivision 20, paragraph (k);
132.7(4) targeted case management under
132.8Minnesota Statutes, section 256B.0924,
132.9subdivision 6, paragraph (g);
132.10(5) residential services for children with severe
132.11emotional disturbance under Minnesota
132.12Statutes, section 256B.0945, subdivision 4,
132.13paragraph (d); and
132.14(6) repayment of the special revenue
132.15maximization account as provided under
132.16Minnesota Statutes, section 256F.10,
132.17subdivision 6, paragraph (b).
132.18Subd. 3.Base Level Adjustment
132.19The general fund base for the appropriations
132.20in this section is $153,043,000 in fiscal year
132.212028 and $154,147,000 in fiscal year 2029.
69,348,000$76,557,000$132.22Sec. 4. CENTRAL OFFICE; HEALTH CARE
132.23 Appropriations by Fund
41,180,00048,389,000132.24General
28,168,00028,168,000132.25Health Care Access
22,159,000$22,187,000$
132.26Sec. 5. CENTRAL OFFICE; BEHAVIORAL
132.27HEALTH
132.28 Appropriations by Fund
21,996,00022,024,000132.29General
163,000163,000132.30Lottery Prize
6,421,000$6,932,000$
132.31Sec. 6. CENTRAL OFFICE; HOMELESSNESS,
132.32HOUSING, AND SUPPORT SERVICES
132.33Sec. 7. CENTRAL OFFICE; OFFICE OF
132.34INSPECTOR GENERAL
132Article 9 Sec. 7.
REVISOR DTT/HL 25-0033803/03/25 32,415,000$31,936,000$133.1Subdivision 1.Total Appropriation
133.2 Appropriations by Fund
27,629,00027,150,000133.3General
941,000941,000133.4Health Care Access
3,845,0003,845,000
133.5State Government
133.6Special Revenue
133.7Fund
133.8Subd. 2.Base Level Adjustment
133.9The general fund base for appropriations in
133.10this section is $27,685,000 in fiscal year 2028
133.11and $27,631,000 in fiscal year 2029.
84,802,000$82,545,000$
133.12Sec. 8. FORECASTED PROGRAMS;
133.13GENERAL ASSISTANCE
133.14Money to counties shall be allocated by the
133.15commissioner using the allocation method
133.16under Minnesota Statutes, section 256D.06.
69,089,000$67,113,000$
133.17Sec. 9. FORECASTED PROGRAMS;
133.18MINNESOTA SUPPLEMENTAL
133.19ASSISTANCE
277,747,000$267,065,000$
133.20Sec. 10. FORECASTED PROGRAMS;
133.21HOUSING SUPPORT
130,969,000$79,312,000$
133.22Sec. 11. FORECASTED PROGRAMS;
133.23MINNESOTACARE
133.24This appropriation is from the health care
133.25access fund.
4,890,717,000$4,613,487,000$
133.26Sec. 12. FORECASTED PROGRAMS;
133.27MEDICAL ASSISTANCE
133.28 Appropriations by Fund
4,001,222,0003,585,772,000133.29General
889,495,0001,027,715,000133.30Health Care Access
133.31The health care access fund base for
133.32appropriations in this section is $889,495,000
133.33in fiscal year 2028 and $889,495,000 in fiscal
133.34year 2029.
56,101,000$55,610,000$
133.35Sec. 13. FORECASTED PROGRAMS;
133.36ALTERNATIVE CARE
133Article 9 Sec. 13.
REVISOR DTT/HL 25-0033803/03/25 100,000$100,000$134.1Sec. 14. REFUGEE SERVICES GRANTS
8,176,000$8,176,000$
134.2Sec. 15. GRANT PROGRAMS; HEALTH
134.3CARE GRANTS
134.4 Appropriations by Fund
4,711,0004,711,000134.5General
3,465,0003,465,000134.6Health Care Access
2,655,000$2,655,000$
134.7Sec. 16. GRANT PROGRAMS; AGING AND
134.8ADULT SERVICES GRANTS
92,911,000$87,911,000$
134.9Sec. 17. GRANT PROGRAMS; HOUSING
134.10GRANTS
635,000$635,000$
134.11Sec. 18. GRANT PROGRAMS; ADULT
134.12MENTAL HEALTH GRANTS
277,000$277,000$
134.13Sec. 19. GRANT PROGRAMS; CHILD
134.14MENTAL HEALTH GRANTS
-0-$6,000,000$
134.15Sec. 20. GRANT PROGRAMS; DISABILITIES
134.16GRANTS
134.17$6,000,000 in fiscal year 2026 is for grants to
134.18community-based HIV/AIDS supportive
134.19services providers as defined in Minnesota
134.20Statutes, section 256.01, subdivision 19, and
134.21for payment of allowed health care costs as
134.22defined in Minnesota Statutes, section
134.23256.9365. This is a onetime appropriation and
134.24is available until June 30, 2027.
3,018,000$3,018,000$
134.25Sec. 21. GRANT PROGRAMS; FRAUD
134.26PREVENTION GRANTS
134.27Sec. 22. TRANSFERS.
134.28 Subdivision 1.Grants.The commissioner of human services, with the approval of the
134.29commissioner of management and budget, may transfer unencumbered appropriation balances
134.30for the biennium ending June 30, 2025, within fiscal years among general assistance, medical
134.31assistance, MinnesotaCare, the Minnesota supplemental aid program, the housing support
134.32program, and the entitlement portion of the behavioral health fund between fiscal years of
134.33the biennium. The commissioner shall report to the chairs and ranking minority members
134.34of the legislative committees with jurisdiction over health and human services quarterly
134.35about transfers made under this subdivision.
134Article 9 Sec. 22.
REVISOR DTT/HL 25-0033803/03/25 135.1 Subd. 2.Administration.Positions, salary money, and nonsalary administrative money
135.2may be transferred within the Department of Human Services as the commissioners deem
135.3necessary, with the advance approval of the commissioner of management and budget. The
135.4commissioners shall report to the chairs and ranking minority members of the legislative
135.5committees with jurisdiction over health and human services finance quarterly about transfers
135.6made under this section.
135.7 Subd. 3.Children, youth, and families.Administrative money may be transferred
135.8between the Department of Human Services and Department of Children, Youth, and
135.9Families as the commissioners deem necessary, with the advance approval of the
135.10commissioner of management and budget. The commissioners shall report to the chairs and
135.11ranking minority members of the legislative committees with jurisdiction over children and
135.12families quarterly about transfers made under this section.
135.13 ARTICLE 10
135.14 OTHER AGENCY APPROPRIATIONS
135.15Section 1. OTHER AGENCY APPROPRIATIONS.
135.16 The sums shown in the columns marked "Appropriations" are appropriated to the agencies
135.17and for the purposes specified in this article. The appropriations are from the general fund,
135.18or another named fund, and are available for the fiscal years indicated for each purpose.
135.19The figures "2026" and "2027" used in this article mean that the appropriations listed under
135.20them are available for the fiscal year ending June 30, 2026, or June 30, 2027, respectively.
135.21"The first year" is fiscal year 2026. "The second year" is fiscal year 2027. "The biennium"
135.22is fiscal years 2026 and 2027.
135.23 APPROPRIATIONS
135.24 Available for the Year
135.25 Ending June 30
2027135.26 2026
135.27Sec. 2. HEALTH-RELATED BOARDS
34,262,000$34,372,000$135.28Subdivision 1.Total Appropriation
135.29 Appropriations by Fund
2027135.30 2026
135Article 10 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 468,000468,000136.1General
33,794,00033,904,000
136.2State Government
136.3Special Revenue
136.4This appropriation is from the state
136.5government special revenue fund unless
136.6specified otherwise. The amounts that may be
136.7spent for each purpose are specified in the
136.8following subdivisions.
1,289,0001,289,000
136.9Subd. 2.Board of Behavioral Health and
136.10Therapy
890,000890,000136.11Subd. 3.Board of Chiropractic Examiners
4,310,0004,308,000136.12Subd. 4.Board of Dentistry
136.13(a) Administrative services unit; operating
136.14costs. Of this appropriation, $1,936,000 in
136.15fiscal year 2026 and $1,936,000 in fiscal year
136.162027 are for operating costs of the
136.17administrative services unit. The
136.18administrative services unit may receive and
136.19expend reimbursements for services it
136.20performs for other agencies.
136.21(b) Administrative services unit; volunteer
136.22health care provider program. Of this
136.23appropriation, $150,000 in fiscal year 2026
136.24and $150,000 in fiscal year 2027 are to pay
136.25for medical professional liability coverage
136.26required under Minnesota Statutes, section
136.27214.40.
136.28(c) Administrative services unit; retirement
136.29costs. Of this appropriation, $237,000 in fiscal
136.30year 2026 and $237,000 in fiscal year 2027
136.31are for the administrative services unit to pay
136.32for the retirement costs of health-related board
136.33employees. This funding may be transferred
136.34to the health board incurring retirement costs.
136.35Any board that has an unexpended balance for
136Article 10 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 137.1an amount transferred under this paragraph
137.2shall transfer the unexpended amount to the
137.3administrative services unit. If the amount
137.4appropriated in the first year of the biennium
137.5is not sufficient, the amount from the second
137.6year of the biennium is available.
137.7(d) Administrative services unit; contested
137.8cases and other legal proceedings. Of this
137.9appropriation, $200,000 in fiscal year 2026
137.10and $200,000 in fiscal year 2027 are for costs
137.11of contested case hearings and other
137.12unanticipated costs of legal proceedings
137.13involving health-related boards under this
137.14section. Upon certification by a health-related
137.15board to the administrative services unit that
137.16unanticipated costs for legal proceedings will
137.17be incurred and that available appropriations
137.18are insufficient to pay for the unanticipated
137.19costs for that board, the administrative services
137.20unit is authorized to transfer money from this
137.21appropriation to the board for payment of costs
137.22for contested case hearings and other
137.23unanticipated costs of legal proceedings with
137.24the approval of the commissioner of
137.25management and budget. The commissioner
137.26of management and budget must require any
137.27board that has an unexpended balance or an
137.28amount transferred under this paragraph to
137.29transfer the unexpended amount to the
137.30administrative services unit to be deposited in
137.31the state government special revenue fund.
277,000277,000
137.32Subd. 5.Board of Dietetics and Nutrition
137.33Practice
736,000736,000
137.34Subd. 6.Board of Executives for Long-term
137.35Services and Supports
457,000457,000137.36Subd. 7.Board of Marriage and Family Therapy
137Article 10 Sec. 2.
REVISOR DTT/HL 25-0033803/03/25 6,067,0006,113,000138.1Subd. 8.Board of Medical Practice
6,275,0006,275,000138.2Subd. 9.Board of Nursing
560,000560,000
138.3Subd. 10.Board of Occupational Therapy
138.4Practice
280,000280,000138.5Subd. 11.Board of Optometry
6,748,0006,748,000138.6Subd. 12.Board of Pharmacy
138.7 Appropriations by Fund
468,000468,000138.8General
6,280,0006,280,000
138.9State Government
138.10Special Revenue
789,000789,000138.11Subd. 13.Board of Physical Therapy
257,000257,000138.12Subd. 14.Board of Podiatric Medicine
2,781,0002,781,000138.13Subd. 15.Board of Psychology
2,002,0002,068,000138.14Subd. 16.Board of Social Work
544,000544,000138.15Subd. 17.Board of Veterinary Medicine
5,448,000$7,013,000$
138.16Sec. 3. OFFICE OF EMERGENCY MEDICAL
138.17SERVICES
70,000$15,070,000$138.18Sec. 4. BOARD OF DIRECTORS OF MNSURE
337,000$332,000$
138.19Sec. 5. RARE DISEASE ADVISORY
138.20COUNCIL
138Article 10 Sec. 5.
REVISOR DTT/HL 25-0033803/03/25 Page.Ln 2.2DEPARTMENT OF HEALTH...............................................................ARTICLE 1
Page.Ln 61.24HEALTH CARE.....................................................................................ARTICLE 2
Page.Ln 76.13PHARMACY..........................................................................................ARTICLE 3
Page.Ln 78.10BACKGROUND STUDIES...................................................................ARTICLE 4
Page.Ln 86.1DEPARTMENT OF HUMAN SERVICES PROGRAM INTEGRITY..ARTICLE 5
Page.Ln 113.1HEALTH-RELATED LICENSING BOARDS......................................ARTICLE 6
Page.Ln 123.27FORECAST ADJUSTMENTS..............................................................ARTICLE 7
Page.Ln 125.8DEPARTMENT OF HEALTH APPROPRIATIONS.............................ARTICLE 8
Page.Ln 129.18DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS..........ARTICLE 9
Page.Ln 135.13OTHER AGENCY APPROPRIATIONS...............................................ARTICLE 10
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APPENDIX
Article locations for 25-00338 103I.550 LIMITED PUMP, PITLESS, OR DUG WELL/DRIVE POINT CONTRACTOR.
Subdivision 1.Limited pump or pitless license or certification.A person with a limited
well/boring contractor's license or certification to install well pumps and pumping equipment; or
a person with a limited well/boring contractor's license or certification to install, repair, and modify
pitless units and pitless adapters, well casings above the pitless unit or pitless adapter, and well
screens and well diameters, will be issued a combined license or certification to: (1) install well
pumps and pumping equipment; and (2) install, repair, and modify pitless units and pitless adapters,
well casings above the pitless unit or pitless adapter, well screens, and well diameters.
Subd. 2.Limited dug well/drive point license or certification.A person with a limited
well/boring contractor's license or certification to construct, repair, and seal drive point wells and
dug wells will be issued a well contractor's license or certification.
148.108 FEES.
Subd. 2.Annual renewal of inactive acupuncture registration.The annual renewal of an
inactive acupuncture registration fee is $25.
Subd. 3.Acupuncture reinstatement.The acupuncture reinstatement fee is $50.
Subd. 4.Animal chiropractic.(a) Animal chiropractic registration fee is $125.
(b) Animal chiropractic registration renewal fee is $75.
(c) Animal chiropractic inactive renewal fee is $25.
156.015 FEES.
Subdivision 1.Verification of licensure.The board may charge a fee of $25 per license
verification to a licensee for verification of licensure status provided to other veterinary licensing
boards.
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Repealed Minnesota Statutes: 25-00338 2500.1150FEES.
The fees charged by the board are fixed at the following rates:
A.peer review fee to be paid by a requesting doctor or by a requesting insurance
company, $100;
B.licensing examination regrade fee, $30;
C.copy of a board order or stipulation fee, $10 each;
D.certificate of good standing or licensure verification to other states, $10 each;
E.duplicate of the original license or of an annual renewal, $10;
F.miscellaneous copying fee, 25 cents per page;
G.independent medical examination registration fee, $150;
H.independent examination annual renewal fee, $100;
I.incorporation renewal late charge, $5 per month;
J.computer lists, $100; and
K.computer printed labels, $150.
2500.2030ANNUAL RENEWAL OF INACTIVE LICENSE.
The annual renewal fee for an inactive license is 75 percent of the current fee imposed
by the board for license renewal.
4695.2900APPLICATION FEES.
Fees to be submitted with initial or renewal applications shall be as follows:
A.Initial application fee, $45 plus examination fees.
B.Biennial renewal application fee, $45.
C.Penalty for late submission of renewal application, $10, if not renewed by
designated renewal date.
6900.0250FEES.
Subpart 1.Amounts.The amount of fees may be set by the board with the approval
of the Department of Management and Budget up to the limits provided in this subpart
depending upon the total amount required to sustain board operations under Minnesota
Statutes, section 16A.1285, subdivision 2. Information about fees in effect at any time is
available from the board office. The maximum amount of fees are:
A.application for licensure, $600;
B.renewal license, $600;
C.late renewal fee, $100;
D.temporary permit, $250;
E.duplicate license or duplicate renewal certificate, $10;
F.reinstatement, $650;
G.exam administration to persons who have not applied for a license or permit,
$50;
H.fee for verification of licensure, $30; and
I.miscellaneous fee:
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APPENDIX
Repealed Minnesota Rules: 25-00338 (1)labels, $25;
(2)list of licensees, $25; and
(3)copies, 25 cents per page.
Subp. 2.Requirements.Fees must be paid in United States money and are not
refundable.
9100.0400APPLICATION AND EXAMINATION FEES FOR LICENSURE TO
PRACTICE VETERINARY MEDICINE.
Subpart 1.Application fee.
A.A person applying for a license to practice veterinary medicine in Minnesota
or applying for a permit to take the national veterinary medical examination must pay a $50
nonrefundable application fee to the board. Persons submitting concurrent applications for
licensure and a national examination permit shall pay only one application fee.
B.The application fee received supports only the application with which the fee
was submitted. A person who applies more than once must submit the full application fee
with each subsequent application.
Subp. 3.Examination fees.
A.All applicants for veterinary licensure in Minnesota must successfully pass the
Minnesota Veterinary Jurisprudence Examination. The fee for this examination is $50,
payable to the board.
B.An applicant participating in the national veterinary licensing examination
must complete a separate application for the national examination and submit the application
to the board for approval. Payment for the national examination must be made by the
applicant to the national board examination committee after the application for examination
has been approved by the board.
9100.0500INITIAL AND RENEWAL FEE.
Subpart 1.Required for licensure.Each person now licensed to practice veterinary
medicine in this state, or who becomes licensed by the Board of Veterinary Medicine to
engage in the practice, shall pay an initial fee or a biennial license renewal fee if the person
wishes to practice veterinary medicine in the coming two-year period or remain licensed as
a veterinarian. A licensure period begins on March 1 and expires the last day of February
two years later. A licensee with an even-numbered license shall renew by March 1 of
even-numbered years and a licensee with an odd-numbered license shall renew by March
1 of odd-numbered years. For 1996 license renewals, licensees with an even-numbered
license shall renew for two years. Licensees with an odd-numbered license shall renew for
one year and commence renewal for a two-year period in 1997.
Subp. 2.Amount.The initial licensure fee and the biennial renewal fee is $200 and
must be paid to the executive director of the board on or before March 1 of the first year of
the biennial license period. By January 1 of the first year for which the biennial renewal fee
is due, the board shall issue a renewal application to each current licensee to the last address
maintained in the board file. Failure to receive this notice does not relieve the licensee of
the obligation to pay renewal fees so that they are received by the board on or before the
renewal date of March 1.
Initial licenses issued after the start of the licensure renewal period are valid only until
the end of the period.
Subp. 3.Date due.A licensee must apply for a renewal license on or before March
1 of the first year of the biennial license renewal period. A renewal license is valid from
March 1 through the last day of February of the last year of the two-year license renewal
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APPENDIX
Repealed Minnesota Rules: 25-00338 period. An application postmarked no later than the last day of February must be considered
to have been received on March 1.
Subp. 4.Late renewal penalty.An applicant for renewal must pay a late renewal
penalty of $100 in addition to the renewal fee if the application for renewal is received after
March 1 of the licensure renewal period. A renewed license issued after March 1 of the
licensure renewal period is valid only to the end of the period regardless of when the renewal
fee is received.
Subp. 4a.Reinstatement fee.An applicant for license renewal whose license has
previously been suspended by official board action for nonrenewal must pay a reinstatement
fee of $50 in addition to the $200 renewal fee and the $100 late renewal penalty.
Subp. 5.Penalty for failure to pay.Within 30 days after the renewal date, a licensee
who has not renewed the license must be notified by letter sent to the last known address
of the licensee in the file of the board that the renewal is overdue and that failure to pay the
current fee and current late fee within 60 days after the renewal date will result in suspension
of the license. A second notice must be sent by registered or certified mail at least seven
days before a board meeting occurring 60 days or more after the renewal date to each licensee
who has not paid the renewal fee and late fee.
Subp. 6.Suspension.The board, by means of a roll call vote, shall suspend the license
of a licensee whose license renewal is at least 60 days overdue and to whom notification
has been sent as provided in subpart 5. Failure of a licensee to receive notification is not
grounds for later challenge by the licensee of the suspension. The former licensee must be
notified by registered or certified letter within seven days of the board action. The suspended
status placed on a license may be removed only on payment of renewal fees and late penalty
fees for each licensure period or part of a period that the license was not renewed. A licensee
who fails to renew a license for five years or more must meet the criteria of Minnesota
Statutes, section 156.071, for relicensure.
Subp. 7.Inactive license.A person holding a current unrestricted license to practice
veterinary medicine in Minnesota may, at the time of the person's next biennial license
renewal date, renew the license as an inactive license at one-half the renewal fee of an
unrestricted license. The license may be continued in an inactive status by renewal on a
biennial basis at one-half the regular license fee.
A.A person holding an inactive license is not permitted to practice veterinary
medicine in Minnesota and remains under the disciplinary authority of the board.
B.A person may convert a current inactive license to an unrestricted license upon
application to and approval by the board. The application must include:
(1)documentation of licensure in good standing and of having met continuing
education requirements of current state of practice, or documentation of having met
Minnesota continuing education requirements retroactive to the date of licensure inactivation;
(2)certification by the applicant that the applicant is not currently under
disciplinary orders or investigation for acts that could result in disciplinary action in any
other jurisdiction; and
(3)payment of a fee equal to the full difference between an inactive and
unrestricted license if converting during the first year of the biennial license cycle or payment
of a fee equal to one-half the difference between an inactive and an unrestricted license if
converting during the second year of the license cycle.
C.Deadline for renewal of an inactive license is March 1 of the first year of the
biennial license renewal period. A late renewal penalty of one-half the inactive renewal fee
must be paid if renewal is received after March 1.
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APPENDIX
Repealed Minnesota Rules: 25-00338 9100.0600MISCELLANEOUS FEES.
Subpart 1.Temporary license fee.A person meeting the requirements for issuance
of a temporary permit to practice veterinary medicine under Minnesota Statutes, section
156.072, subdivision 5, pending examination, who desires a temporary permit shall pay a
fee of $50 to the board.
Subp. 2.Duplicate license.A person requesting issuance of a duplicate or replacement
license shall pay a fee of $10 to the board.
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APPENDIX
Repealed Minnesota Rules: 25-00338