HF1913 (Legislative Session 94 (2025-2026))
Licensing requirements amended for graduates of foreign medical schools, commissioner of health authorized to remedy violations by employers of limited license holders, employers of limited license holders required to carry medical malpractice insurance, and limited license holders required to provide periodic certification to the medical board.
Related bill: SF509
AI Generated Summary
Purpose
The bill aims to strengthen health licensing rules for graduates of foreign medical schools and to improve accountability for employers and limited license holders. It authorizes the state health department to address violations by employers of limited license holders, requires malpractice insurance for these employers, and requires limited license holders to provide periodic certification to the medical board.
Main Provisions
- Licensing and foreign medical graduates: The bill relates to amending licensing requirements for graduates of foreign medical schools, with oversight by the commissioner of health.
- Remedies for enforcement: The commissioner of health (and related agencies) would have expanded remedies to enforce public health protection. The bill lists a broad set of statutes, rules, orders, stipulations, settlements, and licenses that may be enforced to preserve public health.
- Violations by employers: The bill authorizes the commissioner of health to remedy violations by employers of limited license holders (i.e., employers employing physicians practicing under a limited license).
- Malpractice insurance: Employers of limited license holders would be required to carry medical malpractice insurance.
- Periodic certification: Limited license holders would be required to provide periodic certification to the medical board, signaling ongoing credentialing and oversight.
Significant Changes to Existing Law
- Expanded enforcement reach: The bill adds or clarifies a long list of statutes and regulatory tools that may be used to enforce public health protections, potentially widening the Department’s enforcement authority beyond current provisions.
- Employer responsibility: It creates a new requirement for employers of limited license holders to maintain medical malpractice insurance.
- Ongoing credentialing: It adds a requirement for limited license holders to submit periodic certification to the medical board, increasing ongoing oversight of these licensed professionals.
- New subdivision: The bill adds a subdivision to Minnesota Statutes (147.037) to implement these changes, affecting how limited license holders are supervised and disciplined.
Implications and Context
- Patient safety: The changes aim to strengthen oversight of doctors who are practicing under limited licenses, particularly those trained outside the state.
- Compliance and costs: Employers may face new requirements (malpractice insurance and periodic certifications), which could raise compliance costs.
- Oversight structure: The changes centralize and broaden enforcement tools under health-related statutes to support public health protections.
Relevant Terms foreign medical schools, graduates, limited license holders, commissioner of health, medical board, medical malpractice insurance, periodic certification, enforcement remedies, public health, Minnesota Statutes, 144.99, 147.037, licensing requirements, employers, oversight, violations, health policy.
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| March 05, 2025 | House | Action | Introduction and first reading, referred to | Health Finance and Policy | |
| March 10, 2025 | House | Action | Author added | ||
| March 20, 2025 | House | Action | Author added | ||
| March 26, 2025 | House | Action | Author added | ||
| March 27, 2025 | House | Action | Author added | ||
| April 10, 2025 | House | Action | Authors added | ||
| April 24, 2025 | House | Action | Author added |
Citations
[
{
"analysis": {
"added": [
"Cross-references to enforcement under chapters 103I and 157 and sections 115.71 to 115.77, and various provisions of 144.x series (e.g., 144.12 subdivision 1, 144.1201–144.1204, 144.121, 144.1215, 144.1222, 144.35, 144.381–144.385, 144.411–144.417, 144.495, 144.71–144.74, 144.9501–144.9512, 144.97–144.98, 144.992) may be enforced under this section."
],
"removed": [],
"summary": "The bill amends Minn. Stat. 144.99, subdivision 1, to redefine remedies available and to expand enforcement cross-references across multiple health-related statutes and chapters.",
"modified": [
"Section broadens the set of statutes and rules that may be enforced under 144.99 to include additional health-related statutes."
]
},
"citation": "144.99 subdivision 1",
"subdivision": "subdivision 1"
},
{
"analysis": {
"added": [
"A new subdivision (1b, paragraph d) within 147.037 establishing an additional requirement or criteria related to limited license holders."
],
"removed": [],
"summary": "The bill adds subdivision 1b, paragraph d, to Minn. Stat. 147.037, relating to licensing requirements for limited license holders (e.g., graduates of foreign medical schools) and associated enforcement or certification provisions.",
"modified": [
"Potential expansion of licensing or certification requirements for limited license holders; adds specific subsection and paragraph to 147.037."
]
},
"citation": "147.037 subdivision 1b paragraph d",
"subdivision": "subdivision 1b paragraph d"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced sections 115.71 through 115.77 are cited as enforceable references under the bill; no direct amendments to these particular sections are shown.",
"modified": []
},
"citation": "115.71 to 115.77",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced portion of Minn. Stat. 144.12, subdivision 1, as part of the list of statutes that may be enforced under 144.99.",
"modified": []
},
"citation": "144.12 subdivision 1",
"subdivision": "subdivision 1"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced range for Minn. Stat. 144.1201 through 144.1204 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.1201 to 144.1204",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.121 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.121",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.1215 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.1215",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.1222 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.1222",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.35 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.35",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.381 through 144.385 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.381 to 144.385",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.411 through 144.417 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.411 to 144.417",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.495 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.495",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.71 through 144.74 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.71 to 144.74",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.9501 through 144.9512 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.9501 to 144.9512",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.97 through 144.98 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.97 to 144.98",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 144.992 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "144.992",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cited as a chapter cross-reference within enforcement provisions under 144.99.",
"modified": []
},
"citation": "103I",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cited as a chapter cross-reference within enforcement provisions under 144.99.",
"modified": []
},
"citation": "157",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 326.70 through 326.785 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "326.70 to 326.785",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 327.10 through 327.131 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "327.10 to 327.131",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cross-referenced Minn. Stat. 327.14 through 327.28 as part of enforcement references under 144.99.",
"modified": []
},
"citation": "327.14 to 327.28",
"subdivision": ""
}
]Progress through the legislative process
In Committee
Sponsors
- Rep. Lucille Rehm (DFL)
- Rep. Paul Anderson (R)
- Rep. Kaela Berg (DFL)
- Rep. Robert Bierman (DFL)
- Rep. Steve Elkins (DFL)
- Rep. Amanda Hemmingsen-Jaeger (DFL)
- Rep. Kristi Pursell (DFL)
- Rep. Liz Reyer (DFL)
- Rep. John Huot (DFL)
- Rep. Alicia Kozlowski (DFL)
- Rep. Jamie Long (DFL)
- Rep. Anquam Mahamoud (DFL)
- Rep. Danny Nadeau (R)
- Rep. Andrew Smith (DFL)
- Rep. Mike Wiener (R)
- Rep. Natalie Zeleznikar (R)
- Rep. Kristin Bahner (DFL)