Subdivision 1. Purpose. The commissioner of health may conduct maternal death studies to assist the planning, implementation, and evaluation of medical, health, and welfare service systems and to reduce the numbers of preventable maternal deaths in Minnesota.
Subd. 2. Access to data. (a) The commissioner of health has access to medical data as defined in section 13.384, subdivision 1, paragraph (b), medical examiner data as defined in section 13.83, subdivision 1, and health records created, maintained, or stored by providers as defined in section 144.291, subdivision 2, paragraph (c), without the consent of the subject of the data, and without the consent of the parent, spouse, other guardian, or legal representative of the subject of the data, when the subject of the data is a woman who died during a pregnancy or within 12 months of a fetal death, a live birth, or other termination of a pregnancy.
The commissioner has access only to medical data and health records related to deaths that occur on or after July 1, 2000, including the names of the providers, clinics, or other health services such as family home visiting programs; the women, infants, and children (WIC) program; prescription monitoring programs; and behavioral health services, where care was received before, during, or related to the pregnancy or death. The commissioner has access to records maintained by a medical examiner, a coroner, or hospitals or to hospital discharge data, for the purpose of providing the name and location of any pre-pregnancy, prenatal, or other care received by the subject of the data up to one year after the end of the pregnancy.
(b) The provider or responsible authority that creates, maintains, or stores the data shall furnish the data upon the request of the commissioner. The provider or responsible authority may charge a fee for providing the data, not to exceed the actual cost of retrieving and duplicating the data.
(c) The commissioner shall make a good faith reasonable effort to notify the parent, spouse, other guardian, or legal representative of the subject of the data before collecting data on the subject. For purposes of this paragraph, "reasonable effort" means one notice is sent by certified mail to the last known address of the parent, spouse, guardian, or legal representative informing the recipient of the data collection and offering a public health nurse support visit if desired.
(d) The commissioner does not have access to coroner or medical examiner data that are part of an active investigation as described in section 13.83.
(e) The commissioner may request and receive from a coroner or medical examiner the name of the health care provider that provided prenatal, postpartum, or other health services to the subject of the data.
(f) The commissioner may access Department of Human Services data to identify sources of care and services to assist with the evaluation of welfare systems, including housing, to reduce preventable maternal deaths.
(g) The commissioner may request and receive law enforcement reports or incident reports related to the subject of the data.
Subd. 3. Management of records. After the commissioner has collected all data about a subject of a maternal death study needed to perform the study, the data from source records obtained under subdivision 2, other than data identifying the subject, must be transferred to separate records to be maintained by the commissioner. Notwithstanding section 138.17, after the data have been transferred, all source records obtained under subdivision 2 possessed by the commissioner must be destroyed.
Subd. 4. Classification of data. (a) Data provided to the commissioner from source records under subdivision 2, including identifying information on individual providers, data subjects, or their children, and data derived by the commissioner under subdivision 3 for the purpose of carrying out maternal death studies, are classified as confidential data on individuals or confidential data on decedents, as defined in sections 13.02, subdivision 3, and 13.10, subdivision 1, paragraph (a).
(b) Information classified under paragraph (a) shall not be subject to discovery or introduction into evidence in any administrative, civil, or criminal proceeding. Such information otherwise available from an original source shall not be immune from discovery or barred from introduction into evidence merely because it was utilized by the commissioner in carrying out maternal death studies.
(c) Summary data on maternal death studies created by the commissioner, which does not identify individual data subjects or individual providers, shall be public in accordance with section 13.05, subdivision 7.
(d) Data provided by the commissioner of human services to the commissioner of health under this section retain the same classification the data held when retained by the commissioner of human services, as required under section 13.03, subdivision 4, paragraph (c).
Subd. 5. Maternal Mortality Review Committee. (a) The commissioner of health shall convene a Maternal Mortality Review Committee to conduct maternal death study reviews, make recommendations, and publicly share summary information. The commissioner shall appoint members to the review committee, and membership may include but is not limited to medical examiners or coroners, representatives of health care institutions that provide care to pregnant women, obstetric and midwifery practitioners, Medicaid representatives, representatives of state agencies, individuals from communities with disparate rates of maternal mortality, and other subject matter experts as appropriate. Committee membership shall not exceed 25 members. The review committee shall review data from source records obtained under subdivision 2, other than data identifying the subject or the provider.
(b) A person attending a Maternal Mortality Review Committee meeting shall not disclose what transpired at the meeting, except as necessary to carry out the purposes of the review committee. The proceedings and records of the review committee are protected nonpublic data as defined in section 13.02, subdivision 13. Discovery and introduction into evidence in legal proceedings of case review committee proceedings and records, and testimony in legal proceedings by review committee members and persons presenting information to the review committee, shall occur in compliance with the requirements in section 256.01, subdivision 12, paragraph (e).
2001 c 211 s 3; 2007 c 147 art 10 s 15; 2020 c 83 art 2 s 4; 1Sp2021 c 7 art 3 s 37-39
Structure Minnesota Statutes
Chapter 145 — Public Health Provisions
Section 145.075 — Injunctive Relief Brought By Commissioner.
Section 145.131 — Findings And Purpose.
Section 145.135 — Uniform Determination Of Death Act.
Section 145.161 — Dissection; When Permitted.
Section 145.1621 — Disposition Of Aborted Or Miscarried Fetuses.
Section 145.1622 — Policy For Notification Of Disposition Options.
Section 145.267 — Fetal Alcohol Spectrum Disorders Prevention Grants.
Section 145.30 — Superintendent Of Hospitals To Transfer Records.
Section 145.31 — Copies To Be Used As Evidence.
Section 145.32 — Old Records May Be Destroyed.
Section 145.33 — Construction.
Section 145.36 — Exposing Person With Contagious Disease.
Section 145.365 — Trafficking In Skunks.
Section 145.37 — Manufacture Of Certain Products Which May Be Injurious.
Section 145.41 — Blood Donations, Age Of Donor.
Section 145.411 — Regulation Of Abortions; Definitions.
Section 145.412 — Criminal Acts.
Section 145.413 — Recording And Reporting Health Data.
Section 145.4131 — Recording And Reporting Abortion Data.
Section 145.4132 — Recording And Reporting Abortion Complication Data.
Section 145.4133 — Reporting Out-of-state Abortions.
Section 145.4134 — Commissioner's Public Report.
Section 145.4135 — Enforcement; Penalties.
Section 145.4136 — Severability.
Section 145.414 — Abortion Not Mandatory.
Section 145.415 — Live Fetus After Abortion, Treatment.
Section 145.416 — Licensing And Regulation Of Facilities.
Section 145.42 — Abortions; Nonliability For Refusal To Perform.
Section 145.421 — Human Conceptus, Living; Definitions.
Section 145.422 — Experimentation, Research Or Sale.
Section 145.423 — Abortion; Live Births.
Section 145.4235 — Positive Abortion Alternatives.
Section 145.424 — Prohibition Of Tort Actions.
Section 145.4241 — Definitions.
Section 145.4242 — Informed Consent.
Section 145.4243 — Printed Information.
Section 145.4244 — Internet Website.
Section 145.4245 — Procedure In Case Of Medical Emergency.
Section 145.4246 — Reporting Requirements.
Section 145.4248 — Severability.
Section 145.4249 — Supreme Court Jurisdiction.
Section 145.425 — Pay Toilets In Public Places; Prohibitions; Penalty.
Section 145.471 — Prenatal Trisomy Diagnosis Awareness Act.
Section 145.4711 — Definitions.
Section 145.4712 — Emergency Care To Sexual Assault Victims.
Section 145.4713 — Complaints.
Section 145.4715 — Reporting Prevalence Of Sexual Violence.
Section 145.4716 — Safe Harbor For Sexually Exploited Youth.
Section 145.4717 — Regional Navigator Grants.
Section 145.4718 — Program Evaluation.
Section 145.56 — Suicide Prevention.
Section 145.62 — Providing Information To Review Organization; Immunity.
Section 145.63 — Review Organization; Advisory Capacity; Immunity.
Section 145.64 — Confidentiality Of Records Of Review Organization.
Section 145.65 — Guidelines Not Admissible In Evidence.
Section 145.66 — Penalty For Violation.
Section 145.67 — Protection Of Patient.
Section 145.671 — Pediatric Vaccine Administration.
Section 145.672 — Healthy Children Through Immunization.
Section 145.682 — Certification Of Expert Review; Affidavit.
Section 145.698 — Confinement Of Drug Dependent Person.
Section 145.711 — Definitions.
Section 145.712 — Requirements For Contact Lenses Prescriptions.
Section 145.713 — Optometrist And Physician Practices.
Section 145.7131 — Exception To Eyeglass Prescription Expiration.
Section 145.714 — Enforcement.
Section 145.851 — Definitions.
Section 145.852 — Identifying Devices For Persons Having Certain Conditions.
Section 145.853 — Duty Of Law Enforcement Officer.
Section 145.854 — Duty Of Medical Practitioners.
Section 145.855 — Duty Of Others.
Section 145.856 — Falsifying Identification Or Misrepresenting Condition; Penalty.
Section 145.857 — Other Duties.
Section 145.867 — Persons Requiring Special Diets.
Section 145.87 — Home Visiting For Pregnant Women And Families With Young Children.
Section 145.8811 — Maternal And Child Health Advisory Task Force.
Section 145.882 — Maternal And Child Health Block Grant Distribution.
Section 145.8821 — Accountability.
Section 145.883 — Definitions.
Section 145.892 — Definitions.
Section 145.893 — Nutritional Supplement Program.
Section 145.894 — State Commissioner Of Health; Duties, Responsibilities.
Section 145.895 — Department Of Human Services.
Section 145.896 — Program Not A Substitute Or Replacement.
Section 145.897 — Food Benefits.
Section 145.898 — Sudden Infant Death.
Section 145.899 — Wic Food Benefits For Organics.
Section 145.901 — Maternal Death Studies.
Section 145.902 — Give Life A Chance; Safe Place For Newborns Duties; Immunity.
Section 145.905 — Location For Breastfeeding.
Section 145.906 — Postpartum Depression Education And Information.
Section 145.907 — Maternal Depression; Definition.
Section 145.924 — Aids Prevention Grants.
Section 145.925 — Family Planning Grants.
Section 145.9255 — Minnesota Education Now And Babies Later; Health.
Section 145.9261 — Abstinence Education Grant Program.
Section 145.9265 — Fetal Alcohol Syndrome Effects; Drug-exposed Infant.
Section 145.9266 — Fetal Alcohol Syndrome Campaign And Education.
Section 145.9268 — Community Clinic Grants.
Section 145.9269 — Federally Qualified Health Centers.
Section 145.928 — Eliminating Health Disparities.
Section 145.929 — Health Care Grants For The Uninsured.
Section 145.93 — Minnesota Poison Information Centers; Establishment.
Section 145.94 — Exposure To Hazardous Substance.
Section 145.945 — Certain Sales Of Cleaning Products Prohibited.
Section 145.951 — Implementation Plan; Statewide Program For Families.
Section 145.952 — Definitions.
Section 145.953 — Program Structure.
Section 145.954 — Standards For Program.
Section 145.955 — Duties Of Local Organization.
Section 145.956 — Training And Recruitment Of Volunteers.
Section 145.957 — Eligibility.
Section 145.958 — Youth Violence Prevention.