SLS 12RS-544 REENGROSSED Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2012 SENATE BILL NO. 216 BY SENATOR MILLS MENTAL HEALTH. Amends definitions within the Mental Health Counselors Licensing Act. (gov sig) AN ACT1 To amend and reenact R.S. 37:1103(7) and (12)(e), relative to mental health counselors; to2 provide with respect to certain definitions for the Mental Health Counselors3 Licensing Act; and to provide for related matters.4 Be it enacted by the Legislature of Louisiana:5 Section 1. R.S. 37:1103(7) and (12)(e) are hereby amended and reeancted to read6 as follows: 7 ยง1103. Definitions8 * * *9 (7) "Mental health counseling services" means rendering or offering10 prevention, assessment, diagnosis, and treatment, which includes psychotherapy, of11 mental, emotional, behavioral, and addiction disorders to individuals, groups,12 organizations, or the general public by a licensed professional counselor, which that13 is consistent with his professional training as prescribed by R.S. 37:1107(A)(8), and14 code of ethics/behavior involving the application of principles, methods, or15 procedures of the mental health counseling profession. However, nothing in this16 Chapter shall be construed to authorize any person licensed under the provisions of17 SB NO. 216 SLS 12RS-544 REENGROSSED Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. this Chapter to assess, diagnose, or provide treatment to any individual suffering1 from a serious mental illness, as defined by this Section, when medication may be2 indicated, unless that individual is under the active care of except when a licensed3 professional counselor, in accordance with industry best practices, consults and4 collaborates with a practitioner who is licensed by the Louisiana State Board of5 Medical Examiners or an advanced practice registered nurse licensed by the6 Louisiana State Board of Nursing who is certified as a psychiatric nurse7 practitioner and is authorized to prescribe medications in the management of8 psychiatric illness, and only in the context of an ongoing consultation and9 collaboration with that practitioner. Moreover, except as provided in this Section,10 nothing in this Chapter shall be construed to authorize any person licensed hereunder11 to administer or interpret tests in accordance with the provisions of R.S. 37:2352(5),12 except as provided by Title 46, Part LXIII, Chapter 17, Section 1702(E) of the13 Louisiana Administrative Code, or engage in the practice of psychology or to14 prescribe, either orally or in writing, distribute, dispense, or administer any15 medications.16 * * *17 (12) "Serious mental illness" means any of the following diagnoses:18 * * *19 (e) Major depressive disorder-moderate to severe.20 * * *21 Section 2. This Act shall become effective upon signature by the governor or, if not22 signed by the governor, upon expiration of the time for bills to become law without signature23 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If24 vetoed by the governor and subsequently approved by the legislature, this Act shall become25 effective on the day following such approval.26 SB NO. 216 SLS 12RS-544 REENGROSSED Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. The original instrument was prepared by Christopher D. Adams. The following digest, which does not constitute a part of the legislative instrument, was prepared by Alan Miller. DIGEST Mills (SB 216) Present law provides nothing in the Mental Health Counselors Licensing Act shall be construed to authorize any person licensed under it to assess, diagnose, or provide treatment to any individual suffering from a serious mental illness, as defined by present law, unless that individual is under the active care of a practitioner who is licensed by the Louisiana State Board of Medical Examiners and is authorized to prescribe medications in the management of psychiatric illness, and only in the context of an ongoing consultation and collaboration with that practitioner. Proposed law allows a person licensed under the provisions of present law to assess, diagnose, or provide treatment to any individual suffering from a serious mental illness when medication may be indicated only when the counselor, in accordance with industry best practices, consults and collaborates with a practitioner who is licensed by the La. State Board of Medical Examiners or an advanced practice registered nurse licensed by the La. State Board of Nursing who is certified as a psychiatric nurse practitioner. Present law defines "serious mental illness" to include a diagnosis of major depressive disorder. Proposed law amends present law to provide that "serious mental illness" includes a diagnosis of major depressive order-moderate to severe. Effective upon signature of the governor or lapse of time for gubernatorial action. (Amends R.S. 37:1103(7) and (12)(e)) Summary of Amendments Adopted by Senate Senate Floor Amendments to engrossed bill 1. Makes technical change recommended by the Legislative Bureau. 2. Authorizes a licensed mental health counselor to treat an individual with serious mental illness, when medication may be indicated, when the counselor collaborates with an advanced practice registered nurse licensed by the La. State Board of Nursing who is certified as a psychiatric nurse practitioner.