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Health Services Executive

The Health Services Executive and assisted living director (LALD) legislation was signed by Governor Tim Walz on May 29, 2019, will be effective July 1, 2021. Both licenses will be administered by the Minnesota Board of Executives for Long Term Care Services and Supports (BELTSS - name change will be effective July 1, 2020), which also licenses nursing home administrators.  Minnesota is the second state to establish an HSE license; Nevada inaugurated its HSE licensure in 2018. Ten other states have adopted the HSE through licensure by equivalency: Alabama, Arizona, Kansas, Kentucky, Nebraska, New Mexico, North Dakota, Oklahoma, Utah, and Virginia.  HSE licensure will not be available until rules are enacted in Minnesota in July 2020.  Individuals must be NAB HSE qualified to obtain an HSE license at that time.  

The HSE is designed to facilitate cross-jurisdictional licensure mobility and multiple lines of service licensure qualification. 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 .

Read the full press release from NAB here.

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). Candidates for the Health Services Executive qualification must first register and apply for the HSE through NABVerify at and be NAB HSE qualified prior to applying to your state board for licensure. State boards do not accept an application for the HSE qualification. Upon NAB approval, the HSE applicant will be approved by NAB to take the required Line of Service Examination(s) to achieve the HSE qualification. Upon qualification, you may apply directly to your state board for licensure, and NAB will transfer your HSE file to your state licensure board or agency.

See the NAB Candidate Handbook for further information about the Health Services Executive (HSE) Qualification.

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