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SELECTED MINNESOTA STATUTES

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144A.43 DEFINITIONS.
Subdivision 1.Applicability. The definitions in this section apply to sections 144.699, subdivision 2, and 144A.43 to 144A.482.
Subd. 1a.Agent. "Agent" means the person upon whom all notices and orders shall be served and who is authorized to accept service of notices and orders on behalf of the home care provider.
Subd. 1b.Applicant. "Applicant" means an individual, organization, association, corporation, unit of government, or other entity that applies for a temporary license, license, or renewal of the applicant's home care provider license under section 144A.472.
Subd. 1c.Client. "Client" means a person to whom home care services are provided.
Subd. 1d.Client record. "Client record" means all records that document information about the home care services provided to the client by the home care provider.
Subd. 1e.Client representative. "Client representative" means a person who, because of the client's needs, makes decisions about the client's care on behalf of the client. A client representative may be a guardian, health care agent, family member, or other agent of the client. Nothing in this section expands or diminishes the rights of persons to act on behalf of clients under other law.
Subd. 2.Commissioner. "Commissioner" means the commissioner of health.
Subd. 2a.Controlled substance. "Controlled substance" has the meaning given in section 152.01, subdivision 4.
Subd. 2b.Department. "Department" means the Minnesota Department of Health.
Subd. 2c.Dietary supplement. "Dietary supplement" means a product taken by mouth that contains a dietary ingredient intended to supplement the diet. Dietary ingredients may include vitamins, minerals, herbs or other botanicals, amino acids, and substances such as enzymes, organ tissue, glandulars, or metabolites.
Subd. 2d.Dietitian. "Dietitian" is a person licensed under sections 148.621 to 148.633.
Subd. 2e.Dietetics or nutrition practice. "Dietetics or nutrition practice" is performed by a licensed dietitian or licensed nutritionist and includes the activities of assessment, setting priorities and objectives, providing nutrition counseling, developing and implementing nutrition care services, and evaluating and maintaining appropriate standards of quality of nutrition care under sections 148.621 to 148.633.
Subd. 3.Home care service. "Home care service" means any of the following services delivered in the home of a person whose illness, disability, or physical condition creates a need for the service:
(1) assistive tasks provided by unlicensed personnel;
(2) services provided by a registered nurse or licensed practical nurse, physical therapist, respiratory therapist, occupational therapist, speech-language pathologist, dietitian or nutritionist, or social worker;
(3) medication and treatment management services; or
(4) the provision of durable medical equipment services when provided with any of the home care services listed in clauses (1) to (3).
Subd. 3a.Hands-on assistance. "Hands-on assistance" means physical help by another person without which the client is not able to perform the activity.
Subd. 3b.Home. "Home" means the client's temporary or permanent place of residence.
Subd. 4.Home care provider. "Home care provider" means an individual, organization, association, corporation, unit of government, or other entity that is regularly engaged in the delivery of at least one home care service, directly in a client's home for a fee and who has a valid current temporary license or license issued under sections 144A.43 to 144A.482.
Subd. 5. [Repealed by amendment, 2013 c 108 art 11 s 7]
Subd. 6.License. "License" means a basic or comprehensive home care license issued by the commissioner to a home care provider.
Subd. 7.Licensed health professional. "Licensed health professional" means a person, other than a registered nurse or licensed practical nurse, who provides home care services within the scope of practice of the person's health occupation license, registration, or certification as regulated and who is licensed by the appropriate Minnesota state board or agency.
Subd. 8.Licensee. "Licensee" means a home care provider that is licensed under this chapter.
Subd. 9.Managerial official. "Managerial official" means an administrator, director, officer, trustee, or employee of a home care provider, however designated, who has the authority to establish or control business policy.
Subd. 10.Medication. "Medication" means a prescription or over-the-counter drug. For purposes of this chapter only, medication includes dietary supplements.
Subd. 11.Medication administration. "Medication administration" means performing a set of tasks to ensure a client takes medications, and includes the following:
(1) checking the client's medication record;
(2) preparing the medication as necessary;
(3) administering the medication to the client;
(4) documenting the administration or reason for not administering the medication; and
(5) reporting to a nurse any concerns about the medication, the client, or the client's refusal to take the medication.
Subd. 12.Medication management. "Medication management" means the provision of any of the following medication-related services to a client:
(1) performing medication setup;
(2) administering medication;
(3) storing and securing medications;
(4) documenting medication activities;
(5) verifying and monitoring effectiveness of systems to ensure safe handling and administration;
(6) coordinating refills;
(7) handling and implementing changes to prescriptions;
(8) communicating with the pharmacy about the client's medications; and
(9) coordinating and communicating with the prescriber.
Subd. 13.Medication setup. "Medication setup" means arranging medications by a nurse, pharmacy, or authorized prescriber for later administration by the client or by comprehensive home care staff.
Subd. 14.Nurse. "Nurse" means a person who is licensed under sections 148.171 to 148.285.
Subd. 15.Occupational therapist. "Occupational therapist" means a person who is licensed under sections 148.6401 to 148.6450.
Subd. 16.Over-the-counter drug. "Over-the-counter drug" means a drug that is not required by federal law to bear the symbol "Rx only."
Subd. 17.Owner. "Owner" means a proprietor, a general partner, a limited partner who has five percent or more equity interest in a limited partnership, a person who owns or controls voting stock in a corporation in an amount equal to or greater than five percent of the shares issued and outstanding, or a corporation that owns equity interest in a licensee or applicant for a license.
Subd. 18.Pharmacist. "Pharmacist" has the meaning given in section 151.01, subdivision 3.
Subd. 19.Physical therapist. "Physical therapist" means a person who is licensed under sections 148.65 to 148.78.
Subd. 20.Physician. "Physician" means a person who is licensed under chapter 147.
Subd. 21.Prescriber. "Prescriber" means a person who is authorized by sections 148.235; 151.01, subdivision 23; and 151.37 to prescribe prescription drugs.
Subd. 22.Prescription. "Prescription" has the meaning given in section 151.01, subdivision 16a.
Subd. 23.Regularly scheduled. "Regularly scheduled" means ordered or planned to be completed at predetermined times or according to a predetermined routine.
Subd. 24.Reminder. "Reminder" means providing a verbal or visual reminder to a client.
Subd. 25.Respiratory therapist. "Respiratory therapist" means a person who is licensed under chapter 147C.
Subd. 26.Revenues. "Revenues" means all money received by a licensee derived from the provision of home care services, including fees for services and appropriations of public money for home care services.
Subd. 27.Service plan. "Service plan" means the written plan between the client or client's representative and the temporary licensee or licensee about the services that will be provided to the client.
Subd. 28.Social worker. "Social worker" means a person who is licensed under chapter 148D or 148E.
Subd. 29.Speech-language pathologist. "Speech-language pathologist" has the meaning given in section 148.512.
Subd. 30.Standby assistance. "Standby assistance" means the presence of another person within arm's reach to minimize the risk of injury while performing daily activities through physical intervention or cuing.
Subd. 31.Substantial compliance. "Substantial compliance" means complying with the requirements in this chapter sufficiently to prevent unacceptable health or safety risks to the home care client.
Subd. 32.Survey. "Survey" means an inspection of a licensee or applicant for licensure for compliance with this chapter.
Subd. 33.Surveyor. "Surveyor" means a staff person of the department authorized to conduct surveys of home care providers and applicants.
Subd. 34.Temporary license. "Temporary license" means the initial basic or comprehensive home care license the department issues after approval of a complete written application and before the department completes the temporary license survey and determines that the temporary licensee is in substantial compliance.
Subd. 35.Treatment or therapy. "Treatment" or "therapy" means the provision of care, other than medications, ordered or prescribed by a licensed health professional provided to a client to cure, rehabilitate, or ease symptoms.
Subd. 36.Unit of government. "Unit of government" means every city, county, town, school district, other political subdivisions of the state, or agency of the state or federal government, which includes any instrumentality of a unit of government.
Subd. 37.Unlicensed personnel. "Unlicensed personnel" are individuals not otherwise licensed or certified by a governmental health board or agency who provide home care services in the client's home.
Subd. 38.Verbal. "Verbal" means oral and not in writing.

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144A.45 REGULATION OF HOME CARE SERVICES.
§ Subdivision 1.Regulations.  The commissioner shall regulate home care providers pursuant to sections144A.43 to 144A.482. The regulations shall include the following:

(1) provisions to assure, to the extent possible, the health, safety, well-being, and appropriate treatment of persons who receive home care services while respecting a client's autonomy and choice;

(3) standards of training of home care provider personnel;
 

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147.081 PRACTICING WITHOUT LICENSE; PENALTY.
§Subdivision 1.Unlawful practice of medicine. It is unlawful for any person to practice medicine as defined in subdivision 3 in this state unless:
(1) the person holds a valid license issued according to this chapter; or
(2) the person is registered to provide interstate telemedicine services according to section 147.032.
Subd. 2.Penalty. Any person violating the provisions of subdivision 1 is guilty of a gross misdemeanor.
Subd. 3.Practice of medicine defined. For purposes of this chapter, a person not exempted under section 147.09 is "practicing medicine" or engaged in the "practice of medicine" if the person does any of the following:
(1) advertises, holds out to the public, or represents in any manner that the person is authorized to practice medicine in this state;
(2) offers or undertakes to prescribe, give, or administer any drug or medicine for the use of another;
(3) offers or undertakes to prevent or to diagnose, correct, or treat in any manner or by any means, methods, devices, or instrumentalities, any disease, illness, pain, wound, fracture, infirmity, deformity or defect of any person;
147.09 EXEMPTIONS.
Section 147.081 does not apply to, control, prevent or restrict the practice, service, or activities of:
(6) A person employed in a scientific, sanitary, or teaching capacity by ... other bona fide educational institution, a nonprofit organization, which has tax-exempt status in accordance with the Internal Revenue Code, section 501(c)(3), and is organized and operated primarily for the purpose of conducting scientific research directed towards discovering the causes of and cures for human diseases, or the state Department of Health, whose duties are entirely of a research, public health, or educational character, while engaged in such duties; provided that if the research includes the study of humans, such research shall be conducted under the supervision of one or more physicians licensed under this chapter.

148.01 CHIROPRACTIC.
Subdivision 1.Definitions. For the purposes of sections 148.01 to 148.10:
(1) "chiropractic" means the health care discipline that recognizes the innate recuperative power of the body to heal itself without the use of drugs or surgery by identifying and caring for vertebral subluxations and other abnormal articulations by emphasizing the relationship between structure and function as coordinated by the nervous system and how that relationship affects the preservation and restoration of health;
(2) "chiropractic services" means the evaluation and facilitation of structural, biomechanical, and neurological function and integrity through the use of adjustment, manipulation, mobilization, or other procedures accomplished by manual or mechanical forces applied to bones or joints and their related soft tissues for correction of vertebral subluxation, other abnormal articulations, neurological disturbances, structural alterations, or biomechanical alterations, and includes, but is not limited to, manual therapy and mechanical therapy as defined in section 146.23;
(3) "abnormal articulation" means the condition of opposing bony joint surfaces and their related soft tissues that do not function normally, including subluxation, fixation, adhesion, degeneration, deformity, dislocation, or other pathology that results in pain or disturbances within the nervous system, results in postural alteration, inhibits motion, allows excessive motion, alters direction of motion, or results in loss of axial loading efficiency, or a combination of these;
(4) "diagnosis" means the physical, clinical, and laboratory examination of the patient, and the use of diagnostic services for diagnostic purposes within the scope of the practice of chiropractic described in sections 148.01 to 148.10;
(5) "diagnostic services" means clinical, physical, laboratory, and other diagnostic measures, including diagnostic imaging that may be necessary to determine the presence or absence of a condition, deficiency, deformity, abnormality, or disease as a basis for evaluation of a health concern, diagnosis, differential diagnosis, treatment, further examination, or referral;
(6) "therapeutic services" means rehabilitative therapy as defined in Minnesota Rules, part 2500.0100, subpart 11, and all of the therapeutic, rehabilitative, and preventive sciences and procedures for which the licensee was subject to examination under section 148.06. When provided, therapeutic services must be performed within a practice where the primary focus is the provision of chiropractic services, to prepare the patient for chiropractic services, or to complement the provision of chiropractic services. The administration of therapeutic services is the responsibility of the treating chiropractor and must be rendered under the direct supervision of qualified staff;

Subd. 4.Practice of chiropractic. An individual licensed to practice under section 148.06 is authorized to perform chiropractic services, acupuncture, and therapeutic services, and to provide diagnosis and to render opinions pertaining to those services for the purpose of determining a course of action in the best interests of the patient, such as a treatment plan, appropriate referral, or both.

148.08 RULES.
Subd. 2.How regulated. Chiropractors shall be subject to the same rules and regulations, both municipal and state, that govern other licensed doctors or physicians in the control of contagious and infectious diseases, and shall be entitled to sign health and death records, and to all rights and privileges of other doctors or physicians in all matters pertaining to the public health, except prescribing internal drugs or the practice of medicine, physical therapy, surgery and obstetrics.