SLS 14RS-274 ORIGINAL 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, 2014 SENATE BILL NO. 41 BY SENATOR BROOME HEALTH CARE. Provides for screening of pregnant women for HIV and syphillis in the third trimester of pregnancy. (gov sig) AN ACT1 To amend and reenact R.S. 40:1091, relative to blood samples during pregnancy; to provide2 for re-screening for HIV and syphilis in the third trimester of pregnancy; to provide3 obligations of the physician; to provide for an effective date; and to provide for4 related matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 40:1091 is hereby amended and reenacted to read as follows:7 ยง1091. Blood samples; standard test8 A. Every physician who attends any pregnant woman for conditions relating9 to pregnancy during the period of gestation or at delivery shall offer to take or to10 have taken a sample of her blood at the time of first examination or as soon as11 possible thereafter. Additionally, every physician who attends any pregnant12 woman for conditions relating to pregnancy during the third trimester of13 gestation shall offer to take or to have taken a sample of her blood at the time14 of first examination during such trimester or as soon as possible thereafter,15 regardless of whether such a sample was taken or offered during the first two16 trimesters of her pregnancy. Every physician who attends any pregnant woman17 SB NO. 41 SLS 14RS-274 ORIGINAL Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. during labor or delivery shall offer to take or to have taken a sample of her1 blood at such time or as soon as possible thereafter. If available documentation2 indicates that a sample of her blood was already screened in accordance with3 this Section during the third trimester of her pregnancy, and she does not4 disclose when questioned any activities posing a risk for infection with HIV or5 syphilis occurring more recently than would have been detected by such6 screening, the attending physician during labor or delivery is not required to7 offer to take or to take a blood sample. If no objection is made by the woman, a8 blood sample shall be taken and submitted to any approved laboratory for a standard9 test for syphilis as approved by the American Board of Pathology and for a standard10 diagnostic HIV test approved by the Food and Drug Administration.11 B. All other persons permitted by law to attend pregnant women but not12 permitted to take blood samples shall have a sample of the blood of every pregnant13 woman attended by them taken by a duly licensed physician, if no objection to the14 taking of the sample is made by the woman, and submitted to an approved laboratory15 for a standard test for syphilis and a standard diagnostic HIV test.16 Section 2. This Act shall become effective upon signature by the governor or, if not17 signed by the governor, upon expiration of the time for bills to become law without signature18 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If19 vetoed by the governor and subsequently approved by the legislature, this Act shall become20 effective on the day following such approval.21 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Present law provides every physician who attends any pregnant woman for conditions relating to pregnancy during the period of gestation or at delivery shall offer to take or to have taken a sample of her blood at the time of first examination or as soon as possible thereafter. Furthermore, if no objection is made by the woman, a blood sample shall be taken and submitted to any approved laboratory for a standard test for syphilis as approved by the American Board of Pathology and for a standard diagnostic HIV test approved by the Food and Drug Administration. Present law provides all other persons permitted by law to attend pregnant women but not permitted to take blood samples shall have a sample of the blood of every pregnant woman SB NO. 41 SLS 14RS-274 ORIGINAL Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. attended by them taken by a duly licensed physician, if no objection to the taking of the sample is made by the woman, and submitted to an approved laboratory for a standard test for syphilis. Proposed law amends present law to include the requirements of present law for the third trimester. Proposed law amends present law to include a standard diagnostic HIV test. Effective upon signature of the governor or lapse of time for gubernatorial action. (Amends R.S. 40:1091)