1.1.................... moves to amend H.F. No. 1760 as follows:
1.2Page 1, after line 10 insert:

1.3    "Section 1. Minnesota Statutes 2008, section 13.386, subdivision 3, is amended to read:
1.4    Subd. 3. Collection, storage, use, and dissemination of genetic information. (a)
1.5Unless otherwise expressly provided by law, genetic information about an individual:
1.6    (1) may be collected by a government entity, as defined in section 13.02, subdivision
1.77a, or any other person only with the written informed consent of the individual;
1.8    (2) may be used only for purposes to which the individual has given written
1.9informed consent;
1.10    (3) may be stored only for a period of time to which the individual has given written
1.11informed consent; and
1.12    (4) may be disseminated only:
1.13    (i) with the individual's written informed consent; or
1.14    (ii) if necessary in order to accomplish purposes described by clause (2). A consent
1.15to disseminate genetic information under item (i) must be signed and dated. Unless
1.16otherwise provided by law, such a consent is valid for one year or for a lesser period
1.17specified in the consent.
1.18    (b) Notwithstanding paragraph (a), the Department of Health's collection, storage,
1.19use, and dissemination of genetic information and blood specimens for testing infants for
1.20heritable and congenital disorders are governed by sections 144.125 to 144.128.
1.21EFFECTIVE DATE.This section is effective the day following final enactment.

1.22    Sec. 2. Minnesota Statutes 2008, section 43A.318, subdivision 2, is amended to read:
1.23    Subd. 2. Program creation; general provisions. (a) The commissioner may
1.24administer a program to make long-term care coverage available to eligible persons. The
1.25commissioner may determine the program's funding arrangements, request bids from
1.26qualified vendors, and negotiate and enter into contracts with qualified vendors. Contracts
2.1are not subject to the requirements of section 16C.16 or 16C.19. Contracts must be for a
2.2uniform term of at least one year, but may be made automatically renewable from term
2.3to term in the absence of notice of termination by either party. The program may not be
2.4self-insured until the commissioner has completed an actuarial study of the program and
2.5reported the results of the study to the legislature and self-insurance has been specifically
2.6authorized by law.
2.7    (b) The program may provide coverage for home, community, and institutional
2.8long-term care and any other benefits as determined by the commissioner. Coverage is
2.9optional. The enrolled eligible person must pay the full cost of the coverage.
2.10    (c) The commissioner shall promote activities that attempt to raise awareness of
2.11the need for long-term care insurance among residents of the state and encourage the
2.12increased prevalence of long-term care coverage. These activities must include the sharing
2.13of knowledge gained in the development of the program.
2.14    (d) The commissioner may employ and contract with persons and other entities to
2.15perform the duties under this section and may determine their duties and compensation
2.16consistent with this chapter.
2.17    (e) The benefits provided under this section are not terms and conditions of
2.18employment as defined under section 179A.03, subdivision 19, and are not subject to
2.19collective bargaining.
2.20    (f) The commissioner shall establish underwriting criteria for entry of all eligible
2.21persons into the program. Eligible persons who would be immediately eligible for benefits
2.22may not enroll.
2.23    (g) Eligible persons who meet underwriting criteria may enroll in the program upon
2.24hiring and at other times established by the commissioner.
2.25    (h) An eligible person enrolled in the program may continue to participate in the
2.26program even if an event, such as termination of employment, changes the person's
2.27employment status.
2.28    (i) Participating public employee pension plans and public employers may provide
2.29automatic pension or payroll deduction for payment of long-term care insurance premiums
2.30to qualified vendors contracted with under this section.
2.31    (j) The premium charged to program enrollees must include an administrative fee to
2.32cover all program expenses incurred in addition to the cost of coverage. All fees collected
2.33are appropriated to the commissioner for the purpose of administrating the program.
2.34    (k) Public employees of local units of government including but not limited to
2.35townships, municipalities, cities, and counties may buy into the long-term care insurance
2.36under this section.

3.1    Sec. 3. Minnesota Statutes 2008, section 62Q.525, subdivision 2, is amended to read:
3.2    Subd. 2. Definitions. (a) For purposes of this section, the terms defined in this
3.3subdivision have the meanings given them.
3.4(b) "Medical literature" means articles from major peer reviewed medical journals
3.5that have recognized the drug or combination of drugs' safety and effectiveness for
3.6treatment of the indication for which it has been prescribed. Each article shall meet the
3.7uniform requirements for manuscripts submitted to biomedical journals established by
3.8the International Committee of Medical Journal Editors or be published in a journal
3.9specified by the United States Secretary of Health and Human Services pursuant to United
3.10States Code, title 42, section 1395x, paragraph (t), clause (2), item (B), as amended, as
3.11acceptable peer review medical literature. Each article must use generally acceptable
3.12scientific standards and must not use case reports to satisfy this criterion.
3.13(c) "Off-label use of drugs" means when drugs are prescribed for treatments other
3.14than those stated in the labeling approved by the federal Food and Drug Administration.
3.15(d) "Standard reference compendia" means any one of the following:
3.16(1) the United States Pharmacopeia Drug Information; or
3.17(2) (1) the American Hospital Formulary Service Drug Information.;
3.18(2) the National Comprehensive Cancer Network's Drugs and Biologics
3.20(3) Thomson Micromedex's DrugDex;
3.21(4) Elsevier Gold Standard's Clinical Pharmacology; or
3.22(5) other authoritative compendia as identified from time to time by the United
3.23States Department of Health and Human Services.

3.24    Sec. 4. Minnesota Statutes 2008, section 62Q.525, subdivision 3, is amended to read:
3.25    Subd. 3. Required coverage. (a) Every type of coverage included in subdivision 1
3.26that provides coverage for drugs may not exclude coverage of a drug for the treatment of
3.27cancer on the ground that the drug has not been approved by the federal Food and Drug
3.28Administration for the treatment of cancer if the drug is recognized for treatment of cancer
3.29in one of the standard reference compendia adopted by the health plan on an annual basis
3.30or in one article in the medical literature, as defined in subdivision 2.
3.31(b) Coverage of a drug required by this subdivision includes coverage of medically
3.32necessary services directly related to and required for appropriate administration of the
3.34(c) Coverage required by this subdivision does not include coverage of a drug not
3.35listed on the formulary of the coverage included in subdivision 1.
4.1(d) Coverage of a drug required under this subdivision must not be subject to any
4.2co-payment, coinsurance, deductible, or other enrollee cost-sharing greater than the
4.3coverage included in subdivision 1 applies to other drugs.
4.4(e) The commissioner of commerce or health, as appropriate, may direct a person
4.5that issues coverage included in subdivision 1 to make payments required by this section.

4.6    Sec. 5. Minnesota Statutes 2008, section 144.125, subdivision 3, is amended to read:
4.7    Subd. 3. Objection of parents to test Information provided to parents. Persons
4.8with a duty to perform testing under subdivision 1 shall advise parents of infants (1) that
4.9the blood or tissue samples used to perform testing thereunder as well as the results of
4.10such testing may be retained by the Department of Health, (2) the benefit of retaining the
4.11blood or tissue sample, and (3) that the following options are available to them with
4.12respect to the testing: (i) to decline to have the tests, or (ii) to elect to have the tests but to
4.13require that all blood samples and records of test results be destroyed within 24 months
4.14of the testing. If the parents of an infant object in writing to testing for heritable and
4.15congenital disorders or elect to require that blood samples and test results be destroyed,
4.16the objection or election shall be recorded on a form that is signed by a parent or legal
4.17guardian and made part of the infant's medical record. A written objection exempts an
4.18infant from the requirements of this section and section 144.128. (a) Prior to collecting a
4.19sample, persons with a duty to perform testing under subdivision 1 must provide parents
4.20or legal guardians of infants with a document that provides the following information:
4.21    (1) the blood sample will be used to test for heritable and congenital disorders, the
4.22blood sample will be retained by the Department of Health for a period of two years, and
4.23that blood sample may be used for newborn screening program operations;
4.24    (2) the data that will be collected as a result of the testing;
4.25    (3) the alternatives available to the parents or legal guardians in paragraph (c) and
4.26that a form to exercise the alternatives is available to the parent or legal guardian from the
4.27person with a duty to perform testing under subdivision 1;
4.28    (4) the benefits of testing and the consequences of a decision to permit or refuse
4.29to supply a sample;
4.30    (5) the benefits of retaining the blood sample and the consequences of a decision
4.31to destroy the blood sample or to permit or decline to have the blood sample used for
4.32newborn screening program operations;
4.33    (6) the ways in which the samples and data collected will be stored and used at the
4.34Department of Health and elsewhere; and
5.1    (7) the Department of Health's Web site address where the forms in paragraph (c)
5.2may be obtained.
5.3    This document satisfies the requirements of section 13.04, subdivision 2.
5.4    (b) The person with a duty to perform testing must record that parents or legal
5.5guardians of infants have received the information provided under this subdivision and
5.6have had an opportunity to ask questions.
5.7    (c) The parent or legal guardian of an infant otherwise subject to testing under this
5.8section may object to any of the following:
5.9    (1) the testing itself;
5.10    (2) the storage of the infant's blood samples;
5.11    (3) the storage of the infant's test results for a period longer than 24 months; and
5.12    (4) the use of the infant's blood samples and test results for newborn screening
5.13program operations.
5.14    If a parent or legal guardian elects to object to one or more of the alternatives in this
5.15paragraph, the election shall be recorded on a form that is signed by the parent or legal
5.16guardian. The signed form shall be made part of the infant's medical record and shall be
5.17provided to the Department of Health. The signature of the parent or legal guardian is
5.18sufficient and no witness to the signature, photo identification, or notarization shall be
5.19required. When a parent or legal guardian elects an alternative under this subdivision,
5.20the Department of Health must follow the election and section 144.128, to the extent that
5.21section 144.128 pertains to the elected alternative. If the parent or legal guardian objects
5.22to the testing itself, section 144.128 does not apply.
5.23EFFECTIVE DATE.This section is effective the day following final enactment.

5.24    Sec. 6. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
5.25to read:
5.26    Subd. 4. Storage and use of samples for newborn screening program operations.
5.27    (a) The department may store and use the newborn screening program blood samples for
5.28up to 24 months for newborn screening program operations and may store samples for an
5.29additional month to carry out the destruction of samples required under subdivision 7.
5.30    (b) Notwithstanding paragraph (a), the department may use and store the newborn
5.31screening samples for individual health-related studies or any other purpose with a written
5.32informed consent of the parent or legal guardian.
5.33EFFECTIVE DATE.This section is effective the day following final enactment.

6.1    Sec. 7. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
6.2to read:
6.3    Subd. 5. Newborn screening program operations. "Newborn screening program
6.4operations" means actions, testing, and procedures directly related to the improvement,
6.5implementation, and development of the newborn screening program, such as the testing
6.6of the samples, confirmatory testing, laboratory quality control, calibration of equipment,
6.7evaluating and improving the accuracy of newborn screening tests, implementation and
6.8validation of equipment and technology, and studies or research related to the development
6.9of new newborn screening tests.
6.10EFFECTIVE DATE.This section is effective the day following final enactment.

6.11    Sec. 8. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
6.12to read:
6.13    Subd. 6. Development of new screening tests. When samples are used for
6.14program operations to develop new newborn screening tests, the department must remove
6.15information that directly links infants to samples, but may use serial numbers that would
6.16allow a relinkage in case a serious issue is discovered that needs to be communicated to
6.17the parent or guardian of an infant. Such a relinkage may only be done after consultation
6.18with an ethics committee or an institutional review board.
6.19EFFECTIVE DATE.This section is effective the day following final enactment.

6.20    Sec. 9. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
6.21to read:
6.22    Subd. 7. Destruction of samples within 25 months. (a) Unless a parent or legal
6.23guardian has given written informed consent, the department must destroy all newborn
6.24screening blood samples within 25 months of the month of birth.
6.25    (b) The department must implement this subdivision by July 1, 2010.
6.26EFFECTIVE DATE.This section is effective the day following final enactment.

6.27    Sec. 10. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
6.28to read:
6.29    Subd. 8. Records retention requirements. The department shall retain test results
6.30in compliance with section 138.17.
6.31EFFECTIVE DATE.This section is effective the day following final enactment.

7.1    Sec. 11. Minnesota Statutes 2008, section 144.125, is amended by adding a subdivision
7.2to read:
7.3    Subd. 9. Destruction of existing samples. Unless a parent or legal guardian has
7.4given written informed consent, the department must destroy all newborn screening blood
7.5samples retained by the department as of June 1, 2009, within 25 months of that date.
7.6EFFECTIVE DATE.This section is effective the day following final enactment.

7.7    Sec. 12. Minnesota Statutes 2008, section 144.7065, subdivision 8, is amended to read:
7.8    Subd. 8. Root cause analysis; corrective action plan. Following the occurrence of
7.9an adverse health care event, the facility must conduct a root cause analysis of the event.
7.10 In conducting the root cause analysis, if evidence determines staffing is a factor, then the
7.11facility will review the impact of staffing levels on the event. Following the analysis, the
7.12facility must: (1) implement a corrective action plan to implement the findings of the
7.13analysis or (2) report to the commissioner any reasons for not taking corrective action. If
7.14the root cause analysis and the implementation of a corrective action plan are complete at
7.15the time an event must be reported, the findings of the analysis and the corrective action
7.16plan must be included in the report of the event. The findings of the root cause analysis
7.17and a copy of the corrective action plan must otherwise be filed with the commissioner
7.18within 60 days of the event.

7.19    Sec. 13. Minnesota Statutes 2008, section 144.7065, subdivision 10, is amended to
7.21    Subd. 10. Relation to other law; data classification. (a) Adverse health events
7.22described in subdivisions 2 to 6 do not constitute "maltreatment," "neglect," or "a physical
7.23injury that is not reasonably explained" under section 626.556 or 626.557 and are excluded
7.24from the reporting requirements of sections 626.556 and 626.557, provided the facility
7.25makes a determination within 24 hours of the discovery of the event that this section is
7.26applicable and the facility files the reports required under this section in a timely fashion.
7.27(b) A facility that has determined that an event described in subdivisions 2 to 6
7.28has occurred must inform persons who are mandated reporters under section 626.556,
7.29subdivision 3
, or 626.5572, subdivision 16, of that determination. A mandated reporter
7.30otherwise required to report under section 626.556, subdivision 3, or 626.557, subdivision
, paragraph (e), is relieved of the duty to report an event that the facility determines under
7.32paragraph (a) to be reportable under subdivisions 2 to 6.
7.33(c) The protections and immunities applicable to voluntary reports under sections
7.34626.556 and 626.557 are not affected by this section.
8.1(d) Notwithstanding section 626.556, 626.557, or any other provision of Minnesota
8.2statute or rule to the contrary, neither a lead agency under section 626.556, subdivision 3c,
8.3or 626.5572, subdivision 13, the commissioner of health, nor the director of the Office of
8.4Health Facility Complaints is required to conduct an investigation of or obtain or create
8.5investigative data or reports regarding an event described in subdivisions 2 to 6. If the
8.6facility satisfies the requirements described in paragraph (a), the review or investigation
8.7shall be conducted and data or reports shall be obtained or created only under sections
8.8144.706 to 144.7069, except as permitted or required under sections 144.50 to 144.564,
8.9or as necessary to carry out the state's certification responsibility under the provisions of
8.10sections 1864 and 1867 of the Social Security Act. If a licensed health care provider
8.11reports an event to the facility required to be reported under subdivisions 2 to 6, in a
8.12timely manner, the provider's licensing board is not required to conduct an investigation of
8.13or obtain or create investigative data or reports regarding the individual reporting of the
8.14events described in subdivisions 2 to 6.
8.15(e) Data contained in the following records are nonpublic and, to the extent they
8.16contain data on individuals, confidential data on individuals, as defined in section 13.02:
8.17(1) reports provided to the commissioner under sections 147.155, 147A.155,
8.18148.267 , 151.301, and 153.255;
8.19(2) event reports, findings of root cause analyses, and corrective action plans filed by
8.20a facility under this section; and
8.21(3) records created or obtained by the commissioner in reviewing or investigating
8.22the reports, findings, and plans described in clause (2).
8.23For purposes of the nonpublic data classification contained in this paragraph, the
8.24reporting facility shall be deemed the subject of the data.

8.25    Sec. 14. Minnesota Statutes 2008, section 145.56, subdivision 1, is amended to read:
8.26    Subdivision 1. Suicide prevention plan. The commissioner of health shall refine,
8.27coordinate, and implement the state's suicide prevention plan using an evidence-based,
8.28public health approach for a life-span plan focused on awareness and prevention, in
8.29collaboration with the commissioner of human services; the commissioner of public
8.30safety; the commissioner of education; the chancellor of Minnesota State Colleges and
8.31Universities; the president of the University of Minnesota; and appropriate agencies,
8.32organizations, and institutions in the community.

8.33    Sec. 15. Minnesota Statutes 2008, section 145.56, subdivision 2, is amended to read:
8.34    Subd. 2. Community-based programs. To the extent funds are appropriated for the
8.35purposes of this subdivision, the commissioner shall establish a grant program to fund:
9.1(1) community-based programs to provide education, outreach, and advocacy
9.2services to populations who may be at risk for suicide;
9.3(2) community-based programs that educate community helpers and gatekeepers,
9.4such as family members, spiritual leaders, coaches, and business owners, employers, and
9.5coworkers on how to prevent suicide by encouraging help-seeking behaviors;
9.6(3) community-based programs that educate populations at risk for suicide and
9.7community helpers and gatekeepers that must include information on the symptoms
9.8of depression and other psychiatric illnesses, the warning signs of suicide, skills for
9.9preventing suicides, and making or seeking effective referrals to intervention and
9.10community resources; and
9.11(4) community-based programs to provide evidence-based suicide prevention and
9.12intervention education to school staff, parents, and students in grades kindergarten through
9.1312, and for students attending Minnesota colleges and universities.

9.14    Sec. 16. Minnesota Statutes 2008, section 145.712, subdivision 2, is amended to read:
9.15    Subd. 2. Prescription expiration date. A prescription written by an optometrist or
9.16physician must expire two years one year after it is written, unless a different expiration
9.17date is warranted by the patient's ocular health. If the prescription is valid for less than
9.18two years one year, the optometrist or physician must note the medical reason for the
9.19prescription's expiration date in the patient's record and must orally explain to the patient
9.20at the time of the eye examination the reason for the prescription's expiration date.

9.21    Sec. 17. Minnesota Statutes 2008, section 148.995, subdivision 2, is amended to read:
9.22    Subd. 2. Certified doula. "Certified doula" means an individual who has received
9.23a certification to perform doula services from the International Childbirth Education
9.24Association, the Doulas of North America (DONA), the Association of Labor Assistants
9.25and Childbirth Educators (ALACE), Birthworks, Childbirth and Postpartum Professional
9.26Association (CAPPA), or Childbirth International, or International Center for Traditional

9.28    Sec. 18. Minnesota Statutes 2008, section 148.995, subdivision 4, is amended to read:
9.29    Subd. 4. Doula services. "Doula services" means continuous emotional and
9.30physical support during pregnancy, labor, birth, and postpartum throughout labor and
9.31birth, and intermittently during the prenatal and postpartum periods.

9.32    Sec. 19. Minnesota Statutes 2008, section 182.6551, is amended to read:
10.1    Sections 182.6551 to 182.6553 182.6554 may be cited as the "Safe Patient Handling

10.3    Sec. 20. Minnesota Statutes 2008, section 182.6552, is amended by adding a
10.4subdivision to read:
10.5    Subd. 5. Clinical settings that move patients. "Clinical settings that move
10.6patients" means physician, dental, and other outpatient care facilities, except for outpatient
10.7surgical settings, where service requires movement of patients from point to point as part
10.8of the scope of service.

10.10    Subdivision 1. Safe patient handling plan required. (a) By July 1, 2010, every
10.11clinical setting that moves patients in the state shall develop a written safe patient handling
10.12plan to achieve by January 1, 2012, the goal of ensuring the safe handling of patients by
10.13minimizing manual lifting of patients by direct patient care workers and by utilizing
10.14safe patient handling equipment.
10.15    (b) The plan shall address:
10.16    (1) assessment of risks with regard to patient handling that considers the patient
10.17population and environment of care;
10.18    (2) the acquisition of an adequate supply of appropriate safe patient handling
10.20    (3) initial and ongoing training of direct patient care workers on the use of this
10.22    (4) procedures to ensure that physical plant modifications and major construction
10.23projects are consistent with plan goals; and
10.24    (5) periodic evaluations of the safe patient handling plan. A health care organization
10.25with more than one covered clinical setting that moves patients may establish a plan at
10.26each clinical setting or establish one plan to serve this function for all the clinical settings.
10.27    Subd. 2. Facilities with existing programs. A clinical setting that moves patients
10.28that has already adopted a safe patient handling plan that satisfies the requirements of
10.29subdivision 1, or a clinical setting that moves patients that is covered by a safe patient
10.30handling plan that is covered under and consistent with section 182.6553, is considered
10.31to be in compliance with the requirements of this section.
10.32    Subd. 3. Training materials. The commissioner shall make training materials on
10.33implementation of this section available at no cost to all clinical settings that move patients
10.34as part of the training and education duties of the commissioner under section 182.673.
11.1    Subd. 4. Enforcement. This section shall be enforced by the commissioner under
11.2section 182.661. A violation of this section is subject to the penalties provided under
11.3section 182.666.

11.4    Sec. 22. Minnesota Statutes 2008, section 252.27, subdivision 1a, is amended to read:
11.5    Subd. 1a. Definitions. A "related condition" is a condition (1) that is found to be
11.6closely related to developmental disability, including, but not limited to, cerebral palsy,
11.7epilepsy, autism, fetal alcohol spectrum disorder, and (2) Prader-Willi syndrome, and that
11.8meets all of the following criteria:
11.9(1) (i) is severe and chronic;
11.10(2) (ii) results in impairment of general intellectual functioning or adaptive behavior
11.11similar to that of persons with developmental disabilities;
11.12(3) (iii) requires treatment or services similar to those required for persons with
11.13developmental disabilities;
11.14(4) (iv) is manifested before the person reaches 22 years of age;
11.15(5) (v) is likely to continue indefinitely;
11.16(6) (vi) results in substantial functional limitations in three or more of the following
11.17areas of major life activity: (i) (A) self-care, (ii) (B) understanding and use of language,
11.18(iii) (C) learning, (iv) (D) mobility, (v) (E) self-direction, (vi) (F) capacity for independent
11.19living; and
11.20(7) (vii) is not attributable to mental illness as defined in section 245.462, subdivision
, or an emotional disturbance as defined in section 245.4871, subdivision 15.
11.22For purposes of clause (7) item (vii), notwithstanding section 245.462, subdivision 20,
11.23or 245.4871, subdivision 15, "mental illness" does not include autism or other pervasive
11.24developmental disorders. "
11.25Page 2, after line 14, insert:

11.26    "Sec. 3. Minnesota Statutes 2008, section 253B.095, subdivision 1, is amended to read:
11.27    Subdivision 1. Court release. (a) After the hearing and before a commitment order
11.28has been issued, the court may release a proposed patient to the custody of an individual or
11.29agency upon conditions that guarantee the care and treatment of the patient.
11.30(b) A person against whom a criminal proceeding is pending may not be released.
11.31(c) A continuance for dismissal, with or without findings, may be granted for up to
11.3290 days.
11.33(d) When the court stays an order for commitment for more than 14 days beyond the
11.34date of the initially scheduled hearing, the court shall issue an order that must include:
11.35(1) a written plan for services to which the proposed patient has agreed;
12.1(2) a finding that the proposed treatment is available and accessible to the patient
12.2and that public or private financial resources are available to pay for the proposed
12.3treatment; and
12.4(3) conditions the patient must meet to avoid revocation of the stayed commitment
12.5order and imposition of the commitment order; and
12.6(4) a condition that the patient is prohibited from giving consent to participate in a
12.7psychiatric clinical drug trial while the court order is in effect.
12.8(e) If a stay of commitment is continued as provided in subdivision 3, the court may
12.9allow the patient to give consent to participate in a specific psychiatric clinical drug trial if
12.10the treating psychiatrist submits an affidavit that the patient may benefit from participating
12.11in the trial because treatment options offered have been ineffective. The treating
12.12psychiatrist must not be the psychiatrist conducting the psychiatric clinical drug trial.
12.13(e) (f) A person receiving treatment under this section has all rights under this
12.15Page 18, after line 18, insert:

12.16    "Sec. 19. Minnesota Statutes 2008, section 403.03, is amended to read:
12.17403.03 911 SERVICES TO BE PROVIDED.
12.18Services available through a 911 system shall must include police, firefighting,
12.19and emergency medical and ambulance services. Other emergency and civil defense
12.20services may be incorporated into the 911 system at the discretion of the public agency
12.21operating the public safety answering point. The 911 system may include a referral to
12.22mental health crisis teams, where available."
12.23Page 21, after line 8, insert:

12.25    By January 15, 2010, the Department of Health shall report and make
12.26recommendations to the legislature on its current efforts for ensuring and enhancing how
12.27parents or legal guardians of newborns are fully informed about the newborn screening
12.28program and of their rights and options regarding: (1) testing; (2) storage; (3) public
12.29health practices, studies, and research; (4) the ability to opt out of the collection of data
12.30and specimens related to the testing; and (5) the ability to seek private testing.
12.31EFFECTIVE DATE.This section is effective the day following final enactment.

12.34(a) The commissioner of health shall consult with representatives from the
12.35Minnesota Nurses Association and the Minnesota Hospital Association and other
13.1shareholders to further define staffing levels for purposes of Minnesota Statutes, section
13.2144.7065, subdivision 8, and to develop questions related to staffing for inclusion in the
13.3root cause analysis tool required under that subdivision.
13.4(b) The Minnesota Nurses Association and the Minnesota Hospital Association shall
13.5develop a memorandum of understanding that outlines ways to include representatives
13.6from the Minnesota Nurses Association on Minnesota Hospital Association work groups
13.7and committees dealing with adverse health care events and corrective action plans under
13.8Minnesota Statutes, section 144.7065."
13.9Renumber the sections in sequence and correct the internal references
13.10Amend the title accordingly