This bill proposes multiple changes to Minnesota's health statutes, specifically focusing on regulations for nursing homes, assisted living facilities, home care services, and hospice care. Key provisions include:

1. Electronic Monitoring in Long-Term Care Facilities

   • Strengthens consent requirements for electronic monitoring in resident rooms.
     
   • Ensures that residents or their legal representatives must provide informed, documented consent.
     
   • Provides opportunities to withdraw consent at any time.

2. Protection Against Retaliation in Nursing Homes and Assisted Living Facilities

   • Expands protections for residents to prevent retaliation, such as transfer, discrimination, or restriction of access to visitors.
     
   • Allows residents or their legal representatives to take legal action against facilities for retaliatory actions.

3. Home Care and Assisted Living Program Advisory Council

   • Expands the membership and duties of the advisory council overseeing these services.
     
   • Recommends ways to improve training, compliance, and care standards.

4. Modifications to the Hospice Bill of Rights

   • Adds provisions ensuring hospice patients receive timely and adequate pain management.
     
   • Grants the right to revoke hospice care at any time without forfeiting access to treatment for unrelated conditions.

5. Prohibition of Mandatory Arbitration in Assisted Living Contracts

   • Prohibits assisted living facilities from requiring residents to sign binding arbitration agreements as a condition of admission or continued care.

6. Medication Management Requirements

   • Requires medication management decisions to be overseen by a registered nurse or qualified staff under a registered nurse's delegation.
     
   • Establishes a medication management plan to ensure proper oversight and reassessment of medications.

7. Restrictions on Health Care Agents' Authority Over Visitation

   • Prevents health care agents from unreasonably restricting a resident's ability to communicate and interact with others unless a significant harm risk exists.

8. Increased Fines and Enforcement for Violations

   • Adjusts fine amounts for violations based on severity and scope.
     
   • Directs funds from fines toward projects aimed at improving resident care and quality outcomes.

Overall, this bill seeks to strengthen resident rights, enhance regulatory oversight, prevent unjust practices in long-term care, and ensure higher-quality care for vulnerable individuals in nursing homes, assisted living, and hospice settings.