HLS 10RS-1731 ORIGINAL Page 1 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 1046 BY REPRESENTATIVE WILLMOTT NURSES/REGISTERED: Authorizes a nurse practitioner to provide health care to a minor without the consent of the minor's spouse, parent, or guardian AN ACT1 To amend and reenact R.S. 40:1065.1, 1095, and 1096, relative to a minor's consent to2 medical treatment; to provide for the validity of a minor's consent for treatment by3 a nurse practitioner for venereal disease; to provide for the validity of a minor's4 consent for medical treatment by a nurse practitioner; to provide for the validity of5 a minor's consent for treatment by a nurse practitioner for drug abuse; to provide that6 the consent of the spouse, parent, or guardian of the minor shall not be necessary; to7 provide for notification to the spouse, parent, or guardian of the minor; to provide8 for civil and criminal liability; and to provide for related matters.9 Be it enacted by the Legislature of Louisiana:10 Section 1. R.S. 40:1065.1, 1095, and 1096 are hereby amended and reenacted to read11 as follows: 12 §1065.1. Minor's consent for treatment of venereal diseases 13 A. Consent to the provision of medical or surgical care or services by a14 hospital or public clinic, or to the performance of medical or surgical care or services15 by a physician, licensed to practice medicine in this state, or by a nurse practitioner16 licensed as an advanced practice registered nurse to provide health care in this state,17 when executed by a minor who is or believes himself to be afflicted with a venereal18 disease, shall be valid and binding as if the minor had achieved his majority. Any19 such consent shall not be subject to a later disaffirmance by reason of his minority.20 HLS 10RS-1731 ORIGINAL HB NO. 1046 Page 2 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. B. The consent of a spouse, parent, guardian, or any other person standing1 in a fiduciary capacity to the minor shall not be necessary in order to authorize such2 hospital care or services or medical or surgical care or services to be provided by a3 physician licensed to practice medicine to such a minor, or by a nurse practitioner4 licensed as an advanced practice registered nurse to provide health care to such a5 minor.6 C. Upon the advice and direction of a treating physician, a treating nurse7 practitioner, or, in the case of a medical staff, any one of them, a physician, a nurse8 practitioner, or member of a medical staff may, but shall not be obligated to, inform9 the spouse, parent or guardian of any such minor as to the treatment given or needed,10 and such information may be given to, or withheld from the spouse, parent, or11 guardian without the consent and over the express objection of the minor.12 D. No physician licensed to practice medicine in this state and no nurse13 practitioner licensed to provide health care in this state shall incur civil or criminal14 liability in connection with any examination, diagnosis, and treatment authorized by15 this section except for negligence. 16 * * *17 §1095. Medical treatment18 A.(1) Consent to the provision of medical or surgical care or services by a19 hospital or public clinic, or to the performance of medical or surgical care or services20 by a physician, licensed to practice medicine in this state, or by a nurse practitioner,21 licensed as an advanced practice registered nurse to provide health care in this state,22 when executed by a minor who is or believes himself to be afflicted with an illness23 or disease, shall be valid and binding as if the minor had achieved his majority. Any24 such consent shall not be subject to a later disaffirmance by reason of his minority.25 (2) A minor may consent to medical care or the administration of medication26 by a hospital licensed to provide hospital services, by a nurse practitioner licensed27 as an advanced practice registered nurse to provide health care in this state, or by a28 physician licensed to practice medicine in this state for the purpose of alleviating or29 HLS 10RS-1731 ORIGINAL HB NO. 1046 Page 3 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. reducing pain, discomfort, or distress of and during labor and childbirth. The manner1 of administration of medications includes but is not limited to intravenous,2 intramuscular, epidural, and spinal. This consent shall be valid and binding as if the3 minor had achieved her majority, and it shall not be subject to a later disaffirmance4 by reason of her minority.5 B. The consent of a spouse, parent, guardian, or any other person standing6 in a fiduciary capacity to the minor shall not be necessary in order to authorize such7 hospital care or services or medical or surgical care or services, or administration of8 drugs to be provided either by a physician licensed to practice medicine to such a9 minor or by a nurse practitioner licensed as an advanced practice registered nurse to10 provide health care to such a minor.11 C. Upon the advice and direction of a treating physician, a treating nurse12 practitioner, or, in the case of a medical staff, any one of them, a physician, a nurse13 practitioner, or member of a medical staff may, but shall not be obligated to, inform14 the spouse, parent, or guardian of any such minor as to the treatment given or15 needed, and such information may be given to, or withheld from the spouse, parent,16 or guardian without the consent and over the express objection of the minor.17 D. No hospital, no nurse practitioner licensed to provide health care in this18 state, and no physician licensed to practice medicine in this state shall incur civil or19 criminal liability in connection with any examination, diagnosis, and treatment20 authorized by this Section except for negligence.21 §1096. Treatment for drug abuse 22 A. Consent to the provision of medical or surgical care or services by a23 hospital or public clinic, or to the performance of medical or surgical care or services24 by a physician, licensed to practice medicine in this state, or by a nurse practitioner25 licensed as an advanced practice registered nurse to provide health care in this state,26 when executed by a minor who is or believes himself to be addicted to a narcotic or27 other drug, shall be valid and binding as if the minor had achieved his majority. Any28 such consent shall not be subject to a later disaffirmance by reason of his minority.29 HLS 10RS-1731 ORIGINAL HB NO. 1046 Page 4 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. B. The consent of a spouse, parent, guardian, or any other person standing1 in a fiduciary capacity to the minor shall not be necessary in order to authorize such2 hospital care or services or medical or surgical care or services to be provided by a3 physician licensed to practice medicine to such a minor, or by a nurse practitioner4 licensed as an advanced practice registered nurse to provide health care to such a5 minor. 6 C. Upon the advice and direction of a treating physician, a treating nurse7 practitioner, or, in the case of a medical staff, any one of them, a physician, a nurse8 practitioner, or member of a medical staff may, but shall not be obligated to, inform9 the spouse, parent, or guardian of any such minor as to the treatment given or10 needed, and such information may be given to, or withheld from the spouse, parent,11 or guardian without the consent and over the express objection of the minor.12 D. No hospital, no nurse practitioner licensed to provide health care in this13 state, and no physician licensed to practice medicine in this state shall incur civil or14 criminal liability in connection with any examination, diagnosis, and treatment15 authorized by this section Section except for negligence. 16 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Willmott HB No. 1046 Abstract: Provides for the validity of a minor's consent for medical treatment by a nurse practitioner, licensed as an advanced practice registered nurse. Present law provides that consent to the provision of medical or surgical care or services by a hospital or public clinic, or to the performance of medical or surgical care or services by a physician, licensed to practice medicine in this state, when executed by a minor who is or believes himself to be afflicted with a venereal disease, shall be valid and binding as if the minor had achieved his majority. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse, to provide health care in this state, to the list of permissible health care providers. Present law provides that consent to the provision of medical or surgical care or services by a hospital or public clinic, or to the performance of medical or surgical care or services by a physician, licensed to practice medicine in this state, when executed by a minor who is or HLS 10RS-1731 ORIGINAL HB NO. 1046 Page 5 of 5 CODING: Words in struck through type are deletions from existing law; words underscored are additions. believes himself to be afflicted with an illness or disease, shall be valid and binding as if the minor had achieved his majority. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse to provide health care in this state, to the list of permissible health care providers. Present law provides that consent to the provision of medical or surgical care or services by a hospital or public clinic, or to the performance of medical or surgical care or services by a physician, licensed to practice medicine in this state, when executed by a minor who is or believes himself to be addicted to a narcotic or other drug, shall be valid and binding as if the minor had achieved his majority. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse to provide health care in this state, to the list of permissible health care providers. Present law provides that the consent of a spouse, parent, guardian, or any other person standing in a fiduciary capacity to the minor shall not be necessary in order to authorize such hospital care or services or medical or surgical care or services to be provided by a physician licensed to practice medicine to such a minor. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse to provide health care in this state, to the list of health care providers who are not required to provide notification to the spouse, parent, or guardian of the minor. Present law provides that, upon the advice and direction of a treating physician, or, in the case of a medical staff, any one of them, a physician or member of a medical staff may, but shall not be obligated to, inform the spouse, parent or guardian of any such minor as to the treatment given or needed, and such information may be given to, or withheld from the spouse, parent, or guardian without the consent and over the express objection of the minor. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse to provide health care in this state, to the list of health care providers who may, but shall not be obligated to, inform the spouse, parent, or guardian of the minor as to the treatment given or needed. Present law provides that no hospital and no physician licensed to practice medicine in this state shall incur civil or criminal liability in connection with any examination, diagnosis and treatment authorized by present law except for negligence. Proposed law retains present law, but adds a nurse practitioner, licensed as an advanced practice registered nurse to provide health care in this state, to the list of health care providers who shall be immune from civil or criminal liability in connection with any examination, diagnosis, and treatment authorized except for negligence. (Amends R.S. 40:1065.1, 1095, and 1096)