Policies and procedures.

(a) A license holder must develop and maintain the policies and procedures required in this subdivision.

(b) For a program that is not open every day of the year, the license holder must maintain a policy and procedure that deleted text begin permits a client to receive a single deleted text end new text begin covers requirements under section 245G.22, subdivisions 6 and 7. new text end Unsupervised use of medication used for the treatment of opioid use disorder for days that the program is closed for business, including deleted text begin , deleted text end but not limited to deleted text begin , deleted text end Sundays and state and federal holidays deleted text begin as required under subdivision 6, paragraph (a), clause (1) deleted text end new text begin , must meet the requirements under section 245G.22, subdivisions 6 and 7 new text end .

(c) The license holder must maintain a policy and procedure that includes specific measures to reduce the possibility of diversion. The policy and procedure must:

(1) specifically identify and define the responsibilities of the medical and administrative staff for performing diversion control measures; and

(2) include a process for contacting no less than five percent of clients who have unsupervised use of medication, excluding clients approved solely under subdivision 6, paragraph (a), deleted text begin clause (1), deleted text end to require clients to physically return to the program each month. The system must require clients to return to the program within a stipulated time frame and turn in all unused medication containers related to opioid use disorder treatment. The license holder must document all related contacts on a central log and the outcome of the contact for each client in the client's record. new text begin The medical director must be informed of each outcome that results in a situation in which a possible diversion issue was identified. new text end

(d) Medication used for the treatment of opioid use disorder must be ordered, administered, and dispensed according to applicable state and federal regulations and the standards set by applicable accreditation entities. If a medication order requires assessment by the person administering or dispensing the medication to determine the amount to be administered or dispensed, the assessment must be completed by an individual whose professional scope of practice permits an assessment. For the purposes of enforcement of this paragraph, the commissioner has the authority to monitor the person administering or dispensing the medication for compliance with state and federal regulations and the relevant standards of the license holder's accreditation agency and may issue licensing actions according to sections 245A.05 , 245A.06 , and 245A.07 , based on the commissioner's determination of noncompliance.

new text begin (e) A counselor in an opioid treatment program must not supervise more than 50 clients. new text end