MN HF4200

Exempts the annual adverse health event report mandate from expiration under the general reporting mandate sunset provisions, ensuring continued publication by the Minnesota Commissioner of Health.

Requires facilities to notify individuals under review at least three days in advance of any meeting or interview during root cause analysis of adverse health events, and mandates consideration of staffing levels and their impact on adverse events.

Prohibits facilities from discharging, disciplining, penalizing, threatening, coercing, or retaliating against patient care staff who request to decline additional patient assignments or who reasonably determine the assignment creates unnecessary danger to patient safety.

Establishes a formal process allowing patient care staff to decline additional assignments by notifying charge nurses or supervisors in writing, with supervisors required to evaluate resources and chain of command options before staff must accept assignments.

Authorizes the Commissioner of Health to enforce retaliation prohibitions by issuing compliance orders and assessing fines up to $5,000 per violation, while preserving collective bargaining rights and professional nursing obligations.