SLS 10RS-3499 ENGROSSED Page 1 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2010 SENATE BILL NO. 803 (Substitute for Senate Bill No. 773 by Sen. Donahue) BY SENATORS DONAHUE, CHEEK, B. GAUTREAUX, MOUNT, PETERSON AND NEVERS CORONERS. Create a Coroner's Strategic Initiative for a Health Information and Intervention Program in the office of the Coroner. (8/15/10) AN ACT1 To amend and reenact R.S. 44:4.1(B)(15) and to enact Part IX-A of Chapter 1 of Title 28 of2 the Louisiana Revised Statutes of 1950, to be comprised of R.S. 28:215.1 through3 215.6, relative to coroners; to provide for the establishment of a Coroner's Strategic4 Initiative for a Health Information and Intervention Program within offices of the5 coroner; to provide for certain services; to provide for consent; to provide for the6 Coroner's Strategic Initiative for a Health Information and Intervention Program7 advisory board; to provide for an exception to the public records law; to provide for8 duties of certain treatment facilities; to provide for limitations of liability; and to9 provide for related matters.10 Be it enacted by the Legislature of Louisiana:11 Section 1. Part IX-A of Chapter 1 of Title 28 of the Louisiana Revised Statutes of12 1950, comprised of R.S. 28:215.1 through 215.6, is hereby enacted to read as follows:13 PART IX-A. CORONER'S STRATEGIC INITIATIVE FOR A14 HEALTH INFORMATION AND INTERVENTION PROGRAM15 §215.1. Coroner's Strategic Initiative for a Health Information and16 Intervention Program; creation17 SB NO. 803 SLS 10RS-3499 ENGROSSED Page 2 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. The office of the coroner in each parish is hereby authorized to establish1 within his office a Coroner's Strategic Initiative for a Health Information and2 Intervention Program, hereinafter referred to as "CSI/HIP".3 §215.2. Coroner's Strategic Initiative for a Health Information and4 Intervention Program; powers and duties5 A. Subject to the availability of adequate funding, a CSI/HIP may6 perform any of the following functions:7 (1) Provide a home-based support system, which shall not provide any8 mental health treatment but rather shall provide aid to the individual to ensure9 that the treatment protocol is being met and to access available mental health10 resources in the community for persons who satisfy all of the following criteria:11 (a) The person was committed pursuant to Part III of Chapter 1 of Title12 28 of the Louisiana Revised Statutes of 1950.13 (b) The person has completed the treatment program and has been14 released.15 (c) The person has voluntarily consented to have personnel of the16 coroner, performing duties in conjunction with the CSI/HIP, periodically visit17 the person at the person's residence.18 (2) Establish a community resource center that is accessible by telephone19 or Internet to provide twenty-four hour support for persons suffering from a20 mental health or substance abuse condition or disorder by providing21 educational and outreach materials about the resources for mental health22 patients which are available in the community, including the location,23 transportation, and methods for accessing these resources.24 (3) Apply for and receive any grants, funds or monies from any25 foundation, nonprofit organization, state or federal governmental agency or26 entity.27 §215.3. Treatment facilities; dissemination of information28 A. For the purposes of this Section, "treatment facility" shall mean any29 SB NO. 803 SLS 10RS-3499 ENGROSSED Page 3 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. healthcare facility which provides services or treatment to a person who is1 suffering from a mental health or substance abuse condition or disorder except2 for a nursing home as defined in R.S. 40:2009.2.3 B. A treatment facility shall provide all individuals in the parish4 suffering from a mental health condition or disorder upon discharge or release5 an information and consent form which details the information, programs and6 services which can be provided by the CSI/HIP to individuals suffering from7 mental health conditions and disorders and includes a voluntary consent form8 for the individual to complete if the individual desires to have the treatment9 facility notify the CSI/HIP on behalf of the individual that the individual would10 like to be contacted by the CSI/HIP to receive additional information about the11 program.12 C. The information and consent forms shall be provided to the13 treatment facility by the CSI/HIP.14 §215.4. Consent15 A. Prior to personnel of the coroner's office or CSI/HIP providing any16 home-based supports or services to an individual, the personnel of the coroner's17 office or of the CSI/HIP shall provide the individual in writing a full disclosure18 of all services to be provided, frequency of home visits, and notice that the19 individual may withdraw his consent in writing at any time. In addition, the20 individual shall also consent in writing to the list of persons, if any, to which the21 personnel of the coroner or the CSI/HIP may discuss his mental condition.22 B. The personnel of the office of the coroner or the CSI/HIP shall ensure23 that if any protected health information of an individual is to be obtained from24 any healthcare provider that the information is obtained in accordance with the25 Health Insurance Portability and Accountability Act of 1996.26 C. The office of the coroner or the CSI/HIP shall provide a copy to the27 individual of all signed consent forms.28 D. All records of interviews, questionnaires, reports, statements, notes,29 SB NO. 803 SLS 10RS-3499 ENGROSSED Page 4 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. and memoranda procured by and prepared by employees or agents of the office1 of coroner or by any other person, agency, or organization acting jointly with2 that office pursuant to a function which is authorized by R.S. 28:215.1 shall be3 deemed nonpublic and confidential information.4 §215.5. Coroner's Strategic Initiative for a Health Information and5 Intervention Program; advisory board6 A. Each coroner establishing the program authorized in R.S. 28:215.17 shall establish a Coroner's Strategic Initiative for a Health Information and8 Intervention Program Advisory Board to advise the coroner on matters related9 to the services and programs provided through Coroner's Strategic Initiative10 for a Health Information and Intervention Program. The advisory board shall11 serve the coroner only in an advisory capacity and shall not have any control or12 authority over the services or programs provided or funds expended by the13 office of the coroner to carry out the functions of the Coroner's Strategic14 Initiative for a Health Information and Intervention Program. The advisory15 board shall be domiciled in the same parish in which the CSI/HIP is maintained.16 B. The membership of the advisory board shall be the following:17 (1) The executive director of the coroner's office, who shall also serve as18 the chairperson of the advisory board.19 (2) The director of the Mental Health Advocacy Service or his designee.20 (3) One member appointed by the chief executive officer of a hospital21 within the parish where the CSI/HIP is located and which operates a psychiatric22 ward.23 (4) One member appointed by the executive director of the human24 services authority/district which serves the parish where the CSI/HIP is located.25 (5) One member appointed by the National Alliance for the Mentally Ill26 for the parish in which the CSI/HIP is located.27 (6) One member appointed by the Ministerial Alliance for the parish in28 which the CSI/HIP is located.29 SB NO. 803 SLS 10RS-3499 ENGROSSED Page 5 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. (7) One member appointed by the coroner who is a member of a civic1 organization which provides charitable resources or services to low income2 patients in the parish where the CSI/HIP is located.3 C. Meetings of the advisory board shall be held at a time and place as4 determined by the chairperson or when requested by a majority of the board5 members. Notice of all meetings of the board, together with an agenda of the6 business to come before the board, shall be provided to the public. The board7 shall be subject to the Open Meetings Law (R.S. 42:4.1 et seq.) and the Public8 Records Law (R.S. 44:1 et seq.). A majority of the individuals appointed to the9 board shall constitute a quorum.10 D. Members of the board shall serve on a voluntary basis and shall not11 receive any compensation or reimbursement for expenses.12 §215.6. Limitation of liability13 (1) Any and all personnel of the office of the coroner, who are14 performing duties in conjunction with the Coroner's Strategic Initiative for a15 Health Information and Intervention Program ("CSI/HIP"), shall be immune16 from criminal penalties or civil damages resulting from any act, decision,17 omission, communication, or any failure to act, which is made in good faith,18 including but not limited to any action pursuant to Part XXIII of Chapter 5 of19 Title 40 of the Louisiana Revised Statutes of 1950, while engaged in the20 performance of the functions provided for in R.S. 28:215.1, unless the damage21 or injury is caused by willful or wanton negligence or gross misconduct.22 (2) For the purposes of this Section, the "personnel of the office of the23 coroner" shall mean any person who provides services or furnishes assistance24 pursuant to this Part, including an employee, contractor, or volunteer.25 Section 2. R.S. 44:4.1(B)(15) is hereby amended and reenacted to read as follows:26 §4.1. Exceptions27 * * *28 B. The legislature further recognizes that there exist exceptions, exemptions,29 SB NO. 803 SLS 10RS-3499 ENGROSSED Page 6 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. and limitations to the laws pertaining to public records throughout the revised1 statutes and codes of this state. Therefore, the following exceptions, exemptions, and2 limitations are hereby continued in effect by incorporation into this Chapter by3 citation:4 * * *5 (15) R.S. 28:56, 215.4, 391, 3986 * * *7 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Greg Waddell. DIGEST Donahue (SB 803) Proposed law authorizes the office of the coroner in each parish to establish a Coroner's Strategic Initiative for a Health Information and Intervention Program, hereinafter referred to as "CSI/HIP". Proposed law provides that subject to the availability of adequate funding, a CSI/HIP may perform any of the following functions: (1) Provide a home-based support system, which shall not provide any mental health treatment but rather shall provide aid to the individual to ensure that the treatment protocol is being met and to access available mental health resources in the community for persons who satisfy certain criteria in proposed law. (2) Establish a community resource center that is accessible by telephone or internet to provide twenty-four hour support for persons suffering from a mental health or substance abuse condition or disorder by providing educational and outreach materials about the resources for mental health patients which are available in the community, including the location, transportation, and methods for accessing these resources. (3) Apply for and receive any grants, funds or monies from any foundation, nonprofit organization, state or federal governmental agency or entity. Proposed law provides a treatment facility shall provide all individuals in the parish suffering from a mental health condition or disorder upon discharge or release an information and consent form which details the information, programs and services which can be provided by the CSI/HIP to individuals suffering from mental health conditions and disorders and includes a voluntary consent form for the individual to complete if the individual desires to have the treatment facility notify the CSI/HIP on behalf of the individual that the individual would like to be contacted by the CSI/HIP to receive additional information about the program. Proposed law provides that the information and consent forms shall be provided to the treatment facility by the CSI/HIP. Proposed law provides that prior to personnel of the coroner's office or CSI/HIP providing any home-based supports or services to an individual, the personnel of the coroner's office or of the CSI/HIP shall provide the individual in writing a full disclosure of all services to SB NO. 803 SLS 10RS-3499 ENGROSSED Page 7 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. be provided, frequency of home visits, and notice that the individual may withdraw his consent in writing at any time. Proposed law provides that the individual shall also consent in writing to the list of persons, if any, to which the personnel of the coroner or the CSI/HIP may discuss his mental condition. Proposed law provides that the personnel of the office of the coroner or the CSI/HIP shall ensure that if any protected health information of an individual is to be obtained from any healthcare provider that the information is obtained in accordance with HIPPA. Proposed law provides that the office of the coroner or the CSI/HIP shall provide a copy to the individual of all signed consent forms. Proposed law provides that all records of interviews, questionnaires, reports, statements, notes, and memoranda procured by and prepared by employees or agents of the office of coroner or by any other person, agency, or organization acting jointly with that office pursuant to a function which is authorized by proposed law shall be deemed nonpublic and confidential information. Proposed law provides that if a coroners office establishes a program pursuant to proposed law that the office of the coroner shall also establish a Coroner's Strategic Initiative for a Health Information and Intervention Program Advisory Board to advise the coroner on matters related to the services and programs provided through Coroner's Strategic Initiative for a Health Information and Intervention Program. Proposed law provides that the advisory board shall serve the coroner only in an advisory capacity and shall not have any control or authority over the services or programs provided or funds expended by the office of the coroner to carry out the functions of the Coroner's Strategic Initiative for a Health Information and Intervention Program. Proposed law provides that the membership of the advisory board shall be the following: (1) The executive director of the coroner's office, who shall also serve as the chairperson of the advisory board. (2) The director of the Mental Health Advocacy Service or his designee. (3) One member appointed by the chief executive officer of a hospital within the parish where the CSI/HIP is located and which operates a psychiatric ward. (4)One member appointed by the executive director of the human services authority/district which serves the parish where the CSI/HIP is located. (5) One member appointed by the National Alliance for the Mentally Ill for the parish in which the CSI/HIP is located. (6) One member appointed by the Ministerial Alliance for the parish in which the CSI/HIP is located. (7) One member appointed by the coroner who is a member of a civic organization which provides charitable resources or services to low income patients in the parish where the CSI/HIP is located. Proposed law provides that meetings of the advisory board shall be held at a time and place as determined by the chairperson or when requested by a majority of the board members. Notice of all meetings of the board, together with an agenda of the business to come before the board, shall be provided to the public. SB NO. 803 SLS 10RS-3499 ENGROSSED Page 8 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Proposed law provides that the board shall be subject to the Open Meetings Law (R.S. 42:4.1 et seq.) and the Public Records Law (R.S. 44:1 et seq.). Proposed law provides that members of the board shall serve on a voluntary basis and shall not receive any compensation or reimbursement for expenses. Proposed law provides that any and all personnel of the office of the coroner, who are performing duties in conjunction with the Coroner's Strategic Initiative for a Health Information and Intervention Program ("CSI/HIP"), shall be immune from criminal penalties or civil damages resulting from any act, decision, omission, communication, or any failure to act, which is made in good faith unless the damage or injury is caused by willful or wanton negligence or gross misconduct. Effective August 15, 2010. (Adds R.S. 28:215.1 - 215.6)