S.F. No. 4309 Summary

• License holders must place infants under one year on their backs for sleep unless a physician directs otherwise on a commissioner-developed form, with exceptions if the infant independently rolls over at six months or older or parent confirms regular rolling at home.

• Infants must sleep in cribs directly on firm mattresses with fitted sheets and no items except pacifiers; pacifiers must be attachment-free and meet federal safety standards.

• Infants' sleepwear must not contain weighted materials, hoods, or bibs; helmets may be used with signed documentation from a physician, nurse, therapist, or occupational therapist.

• Swaddling is prohibited for infants who have begun rolling over independently but permitted for younger infants only with written parental consent on a commissioner-developed form created in partnership with the Minnesota Sudden Infant Death Center.

• License holders must annually check all cribs against the U.S. Consumer Product Safety Commission website for unsafe models, maintain written documentation of the review, and perform monthly safety inspections of mesh or fabric-sided play yards with specific checks for structural integrity and manufacturer standards.

• Both sections become effective September 30, 2020.