The HSE is designed to facilitate cross-jurisdictional licensure mobility and multiple lines of service licensure qualification while recognizing the highest licensing credential awarded for senior living leaders. The HSE qualification will be awarded to long-term care professionals who have demonstrated through a combination of education, experience, and examination the entry-level competencies to meet licensure requirements in all three lines of service (NHA, RC/AL, and HCBS). Detailed information about application and qualification for the HSE can be found on the NAB website at www.nabweb.org/health-servicesexecutive .
The Health Services Executive legislation was signed into law by Governor Tim Walz on May 29, 2019. Rules are on schedule to be approved by February 1, 2021. Minnesota is the second state to establish an HSE license; Nevada inaugurated its HSE licensure in 2018 and Ohio recognizes the HSE Licensure as a separate single license serving skilled care, assisted living, and home and community-based services. In Minnesota, the LHSE license meets two separate licenses to practice as a nursing home administrator and assisted living director. Twenty states have adopted the HSE through licensure by equivalency: Alabama, Arizona, Georgia, Kansas, Kentucky, Louisiana, Montana, Nebraska, New Hampshire, North Dakota, Oklahoma, South Carolina, South Dakota, Utah, Virginia and Washington. Current states are listed on the NAB website.
States that adopt the NAB HSE qualification will recognize NAB HSE qualified candidates as meeting their state licensure requirements in state-specific required categories (NHA, RC/AL and/or HCBS) of licensure with minimal additional requirements (i.e., criminal background checks and state law exams as required by the state).
An LHSE allows a single individual professional license issued by the board to operate a campus of SNF with an assisted living facility campus using the definition as found in 144G.08. An LHSE may be shared with other licensed communities, but a shared license for a separate campus must be applied for and issued by the BELTSS.
An LNHA is required for each SNF/Title 18/19 licensed by MDH. An LNHA may be shared for two skilled communities or a SNF and an unrelated AL, if they hold a LALD license. A graduate from a NAB or Minnesota approved NHA program and licensed LNHA is validated as meeting the education and experience entry to practice minimums but must apply for a separate assisted living director license. The LNHA is required for the SNF portion of your operations and one LNHA is required to be the Administrator of Record.
A LALD is required for each Assisted Living licensed by MDH. By August 2021, A LALD is required for the MN AL services and a Director of Record must be identified as the lead person for a Licensed Minnesota Assisted Living Facility. A LALD is required to be identified as that lead person for the AL. A LALD is only for the Assisted Living line of service. A single LALD may be used for an Assisted Living Facility Campus as defined in 144G.08. A LALD may be shared.