HLS 12RS-586 ORIGINAL Page 1 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2012 HOUSE BILL NO. 591 BY REPRESENTATIVE SIMON HEALTH/HEAD INJURIES: Transitions certain functions of the Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board to DHH AN ACT1 To amend and reenact R.S. 46:2633(D) and (E), 2634(B)(2), (3), (13), (D), and (H), and2 2635(A), (B), and (C) and to enact R.S. 46:2633(F), relative to administration of the3 Traumatic Head and Spinal Cord Injury Trust Fund; to provide for certain duties of4 the Department of Health and Hospitals, office of aging and adult services relative5 to the Traumatic Head and Spinal Cord Injury Trust Fund; to provide for6 composition and certain duties of the Traumatic Head and Spinal Cord Injury Trust7 Fund Advisory Board; and to provide for related matters.8 Be it enacted by the Legislature of Louisiana:9 Section 1. R.S. 46:2633(D) and (E), 2634(B)(2), (3), (13), (D), and (H), and10 2635(A), (B), and (C) are hereby amended and reenacted and R.S. 46:2633(F) is hereby11 enacted to read as follows: 12 §2633. Traumatic Head and Spinal Cord Injury Trust Fund13 * * *14 D.(1) The monies in the fund shall be used solely for programs designed to15 provide services to Louisiana citizens disabled by traumatic head and spinal cord16 injuries, for the administrative costs of the programs, reimbursement of travel17 expenses of members of the Traumatic Head and Spinal Cord Injury Trust Fund18 Advisory Board which are incurred in the discharge of their duties, and as provided19 in Paragraph (2) of this Subsection. Disbursement of the amount appropriated to the20 HLS 12RS-586 ORIGINAL HB NO. 591 Page 2 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. department each year shall be made as determined by the board department. In1 determining disbursement of monies in the fund, the department may take into2 account any recommendations of the board.3 (2) The board department may authorize disbursement of an amount not to4 exceed fifty thousand dollars per year for the establishment and operation of an5 information resource center.6 (3) Money in the fund may be used to match available federal funding in7 order to provide enhanced or expanded services to persons eligible for benefits8 pursuant to the provisions of this Chapter; provided, however, that money be retained9 in the fund to provide payment for services for persons who are not eligible for10 services through federally funded sources.11 E. The board department shall:12 (1) determine Determine the eligibility of programs to receive funding ,.13 (2) Promulgate the rules and regulations necessary to implement the14 provisions of this Chapter.15 (3) Establish priorities and criteria for disbursement of the fund and act to16 obtain maximum benefits available.17 (4) Investigate the needs of the head-injured and spinal cord-injured, identify18 any gaps in services, and prepare and submit an annual report with recommendations19 to the legislature and the governor sixty days prior to each regular session of the20 legislature.21 (5) Monitor, evaluate, and review the development and quality of services22 and programs funded through the fund.23 (6) Arrange for full and accurate financial records to be maintained in24 compliance with law and shall make a full and complete report to the board annually.25 The department is specifically prohibited from publishing newsletters or other26 publications typically used in mass mailings.27 HLS 12RS-586 ORIGINAL HB NO. 591 Page 3 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. F. and the administration Administration of the fund shall be exercised by1 the Department of Health and Hospitals, office of aging and adult services, in2 accordance with the provisions of this Chapter.3 §2634. Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board;4 creation; membership5 * * *6 B. The Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board7 shall be composed of thirteen members as follows:8 * * *9 (2) The executive director of the Louisiana Head Injury Foundation or his10 designee president of the Louisiana Physical Therapy Association or his designee.11 (3) The executive director of the Louisiana Spinal Cord Injury Association12 or his designee president of the Louisiana Occupational Therapy Association or his13 designee.14 * * *15 (13) The president of the Louisiana Dental Association or his designee16 director of Louisiana Rehabilitation Services within the Louisiana Workforce17 Commission.18 * * *19 D.(1) The board shall meet and organize immediately after appointment of20 its members and shall elect a chairman and a treasurer from its membership and21 other officers it might deem appropriate. The board shall adopt rules for the orderly22 transaction of business and shall keep a record of its resolutions, transactions,23 findings, and determinations. A majority of the individuals appointed to the board24 shall constitute a quorum. Members shall serve without compensation but shall be25 reimbursed for travel expenses necessarily incurred in the discharge of their duties26 at the rate provided state employees.27 (2) The treasurer shall arrange for full and accurate financial records to be28 maintained in compliance with law and shall make a full and complete report to the29 HLS 12RS-586 ORIGINAL HB NO. 591 Page 4 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. board annually. The board is specifically prohibited from publishing newsletters or1 other publications typically used in mass mailings.2 * * *3 H. The board shall: serve in an advisory capacity to the office of aging and4 adult services of the department in all phases of administration by the department of5 the Traumatic Head and Spinal Cord Injury Trust Fund.6 (1) Promulgate the rules and regulations necessary to implement the7 provisions of this Chapter.8 (2) Establish priorities and criteria for disbursement of the fund and act to9 obtain maximum benefits available.10 (3) Investigate the needs of the head-injured and spinal cord-injured, identify11 any gaps in services, and prepare and submit an annual report with recommendations12 to the legislature and the governor sixty days prior to each regular session of the13 legislature.14 (4) Monitor, evaluate, and review the development and quality of services15 and programs funded through the fund.16 * * *17 §2635. Expenditures18 A. Except as provided in R.S. 46:2633(D)(2), money in the trust fund shall19 be distributed for the sole purpose of funding the cost of care or supportive services20 for traumatic head and spinal cord injury, including the administrative costs. The21 fund shall be considered as a source of last resort after private and governmental22 sources have been expended for Louisiana citizens.23 B. Authorization of expenditures for spinal cord injury care and head injury24 care shall be made by the office of aging and adult services, within the Department25 of Health and Hospitals, according to criteria established by the board department26 through administrative rule.27 C. Expenditures may include but are not limited to post-acute medical care28 rehabilitation, therapies, medication, attendant care, home or vehicle accessibility29 HLS 12RS-586 ORIGINAL HB NO. 591 Page 5 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. modifications, and equipment necessary for activities of daily living., provided that1 such expenses are related to the spinal cord injury or traumatic head injury.2 * * *3 Section 2. This Act shall become effective upon signature by the governor or, if not4 signed by the governor, upon expiration of the time for bills to become law without signature5 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If6 vetoed by the governor and subsequently approved by the legislature, this Act shall become7 effective on the day following such approval.8 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)] Simon HB No. 591 Abstract: Transitions certain functions of the Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board to DHH Present law creates a special fund in the state treasury known as the Traumatic Head and Spinal Cord Injury Trust Fund, and provides for an account for the monies of such fund within the DHH office of aging and adult services. Present law creates and provides for the composition and duties of the Traumatic Head and Spinal Cord Injury Trust Fund Advisory Board (board)within the DHH office of aging and adult services. Present law provides that disbursement of monies from the fund shall be made as determined by the board. Proposed law revises present law to provide that such disbursement of monies be made as determined by DHH, taking into account any recommendations by the board. Proposed law provides that money in the Traumatic Head and Spinal Cord Injury Trust Fund may be used to match available federal funding in order to provide enhanced or expanded services to eligible persons; provided, however, that money be retained in the fund to provide payment for services for persons who are not eligible for services through federally funded sources. Proposed law removes authority for the following duties from the board and provides such authority to DHH: (1)Determining eligibility of programs to receive funding. (2)Promulgating rules and regulations necessary to implement the provisions of present law and proposed law. (3)Establishing priorities and criteria for disbursement of the fund and acting to obtain maximum benefits available. HLS 12RS-586 ORIGINAL HB NO. 591 Page 6 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (4)Investigating the needs of the head-injured and spinal cord-injured, identifying any gaps in services, and preparing and submitting an annual report with recommendations to the legislature and the governor sixty days prior to each regular session of the legislature. (5)Monitoring, evaluating, and reviewing the development and quality of services and programs funded through the fund. (6)Arranging for full and accurate financial records to be maintained in compliance with law and making a full and complete report to the board annually. Present law provides for composition of the thirteen-member board. Proposed law removes the following members from the board: (1)The executive director of the La. Head Injury Foundation or his designee. (2)The executive director of the La. Spinal Cord Injury Association or his designee. (3)The president of the La. Dental Association or his designee. Proposed law adds the following members to the board: (1)The president of the La. Physical Therapy Association or his designee. (2)The president of the La. Occupational Therapy Association or his designee. (3)The director of La. Rehabilitation Services within the La. Workforce Commission. Proposed law deletes requirement of present law that the board elect a treasurer from its membership. Proposed law provides that the board shall serve in an advisory capacity to DHH in all phases of administration by the department of the Traumatic Head and Spinal Cord Injury Trust Fund. Present law provides that authorized expenditures for spinal cord injury care and head injury care may include but are not limited to post-acute medical care rehabilitation, therapies, medication, attendant care, and equipment necessary for activities of daily living. Proposed law retains present law and provides that authorized expenditures may also include home or vehicle accessibility modifications. Proposed law provides that equipment necessary for activities of daily living must be related to the spinal cord injury or traumatic head injury in order to qualify as an authorized expenditure from the fund. Effective upon signature of governor or lapse of time for gubernatorial action. (Amends R.S. 46:2633(D) and (E), 2634(B)(2), (3), (13), (D), and (H), and 2635(A), (B), and (C); Adds R.S. 46:2633(F))