1.1.................... moves to amend H.F. No. 812, the second engrossment, as follows:
1.2Page 1, after line 5, insert:

1.3    "Section 1. [145.25] PROVISION OF SCIENCE-BASED HEALTH CARE.
1.4    Subdivision 1. Definitions. (a) For the purposes of this section, the terms in this
1.5subdivision have the meanings given.
1.6(b) "Appropriate for the patient" means care consistent with applicable health and
1.7professional standards, the patient's clinical and other circumstances, and the patient's
1.8reasonably known wishes and beliefs.
1.9(c) "Evidence-based" means the conscientious, explicit, and judicious use of current best
1.10evidence in making decisions about the care of an individual patient, integrating individual
1.11clinical expertise with the best available external, clinically relevant evidence from systematic
1.12research.
1.13(d) "Medically accurate" means information that is:
1.14(1) verified or supported by the weight of peer-reviewed medical research conducted in
1.15compliance with accepted scientific methods;
1.16(2) recognized as medically sound and objective by:
1.17(i) leading health care organizations with relevant expertise, such as the American
1.18Medical Association, the American Congress of Obstetricians and Gynecologists, the
1.19American Public Health Association, the American Psychological Association, the American
1.20Academy of Pediatrics, the American College of Physicians, and the American Academy
1.21of Family Physicians;
1.22(ii) federal agencies such as the Centers for Disease Control and Prevention, the Food
1.23and Drug Administration, the National Cancer Institute, and the National Institutes of Health;
1.24or
2.1(iii) leading national or international scientific advisory groups such as the Health and
2.2Medicine Division and the Advisory Committee on Immunization Practices; or
2.3(3) recommended by or affirmed in the health care practice guidelines of a nationally
2.4recognized health care accreditation organization.
2.5    Subd. 2. Right to provide science-based health care. (a) Notwithstanding any law to
2.6the contrary, no licensed or registered health care provider, or person operating under the
2.7authority of the provider, shall be required by state or local law, rule, or ordinance to provide
2.8a patient with:
2.9(1) information that is not medically accurate and appropriate for the patient, in the
2.10health care provider's reasonable professional judgment; or
2.11(2) a health care service in a manner that is not evidence-based and appropriate for the
2.12patient, in the health care provider's reasonable professional judgment.
2.13(b) Notwithstanding any law to the contrary, no state or local law, rule, or ordinance
2.14shall prohibit a licensed or registered health care provider, or person operating under the
2.15authority of the provider, from providing a patient with:
2.16(1) information that is medically accurate and appropriate for the patient in the health
2.17care provider's reasonable professional judgment; or
2.18(2) a health care service in a manner that is evidence-based and appropriate for the patient
2.19in the health care provider's reasonable professional judgment.
2.20    Subd. 3. Documentation. A health care provider who determines that a state or local
2.21law, rule, or ordinance violates subdivision 2 and determines that following the law, rule,
2.22or ordinance is not appropriate for the patient must:
2.23(1) document this determination in writing, including the medical basis for the
2.24determination; and
2.25(2) include the documentation in clause (1) in the patient's health record and retain the
2.26documentation in compliance with existing health records retention requirements.
2.27    Subd. 4. Existing standard of care. Nothing in this section shall be construed to alter
2.28a health care provider's existing professional standards of care or interfere with the duty of
2.29a health care provider in meeting the applicable standard of care for that provider.
2.30EFFECTIVE DATE.This section is effective July 1, 2017."
3.1Page 4, after line 4, insert:

3.2    "Sec. 4. REPEALER.
3.3Minnesota Statutes 2016, sections 145.4241; 145.4242; 145.4243; 145.4244; 145.4245;
3.4145.4246; 145.4247; 145.4248; and 145.4249, are repealed effective July 1, 2017."
3.5Renumber the sections in sequence and correct the internal references
3.6Amend the title accordingly