Evidence status: CURRENT DUAL AUTHORITY AND CHANGE-PATH RECORD. Minnesota has two distinct government Contract-for-Care systems, and each has a different reform route.
Route 1 — Intractable-pain statute
The patient-provider agreement requirement in Minn. Stat. §152.125 is statutory. Removing or narrowing that requirement requires legislative amendment through the Minnesota Legislature.
Current health-policy gatekeepers
| Body | Current chair |
|---|---|
| Minnesota House Health Finance and Policy | Co-Chairs Rep. Jeff Backer and Rep. Robert Bierman |
| Minnesota Senate Health and Human Services | Sen. Melissa H. Wiklund |
Route 2 — Workers’ compensation rule
The written opioid treatment contract in Minn. R. 5221.6110 is administrative. The Minnesota Department of Labor and Industry controls the workers’ compensation treatment-parameter rulemaking process.
Current DLI leadership
The current Commissioner of Labor and Industry is Kate Perushek, appointed in July 2026. The current Assistant Commissioner for Workers’ Compensation is Jessica Stimac.
General Minnesota rule-petition route
Minn. Stat. §14.09 allows any person to petition an agency for adoption, amendment, or repeal of a rule. The agency must provide a specific written response within 60 days explaining its planned disposition and reasons.
Petition form and filing
Minn. R. 1400.2040 requires the petition to identify the petitioner, the specific rule action requested, and the need for the action. It is filed with the executive director or head of the agency.
Current reform map
- To change §152.125: legislative amendment.
- To change Minn. R. 5221.6110: DLI rulemaking or a §14.09 rule petition.
- To change clinical guidance: agency or program guidance revision, which is separate from changing statute or rule.
Primary sources
- Minn. Stat. §152.125
- Minn. R. 5221.6110
- Minn. Stat. §14.09
- Minn. R. 1400.2040
- Minnesota DLI — Current Leadership
Reviewed: October 5, 2026.
Freshness note: Named officeholders, committee assignments, meeting dates, and public-comment windows are time-sensitive. The responsible institution and legal change route are the durable authority. Recheck the linked official source before outreach.
Evidence boundary: Legislative and administrative reform paths are separate. A change to the workers’ compensation rule does not repeal the intractable-pain statute, and vice versa.