SLS 14RS-284 ORIGINAL Page 1 of 2 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. 499 BY SENATOR HEITMEIER HEALTH SERVICES. Provides for authorized procedures provided by direct service workers. (gov sig) AN ACT1 To amend and reenact R.S. 37:1032(3) and to enact R.S. 37:1032(4), relative to authorized2 procedures of direct service workers; to provide for the administration of insulin; to3 provide for an effective date; and to provide for related matters.4 Be it enacted by the Legislature of Louisiana:5 Section 1. R.S. 37:1032(3) is hereby amended and reenacted, and R.S. 37:1032(4)6 is hereby enacted to read as follows:7 ยง1032. Authorized procedures8 Direct service workers may perform any or all of the following tasks for an9 individual who is in stable condition only when the task may be performed according10 to exact directions and there is no need to alter the standard procedure and the results11 are predictable:12 * * *13 (3) Administration of insulin subcutaneously, nasally, or via insulin14 pump.15 (4) Other non-complex tasks which may be delegated by the registered nurse16 to the direct service worker pursuant to rules promulgated pursuant to this Part.17 SB NO. 499 SLS 14RS-284 ORIGINAL Page 2 of 2 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Section 2. This Act shall become effective upon signature by the governor or, if not1 signed by the governor, upon expiration of the time for bills to become law without signature2 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If3 vetoed by the governor and subsequently approved by the legislature, this Act shall become4 effective on the day following such approval.5 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Heitmeier (SB 499) Present law provides a direct service worker may perform the following tasks for an individual: (1)Administration of oral and topical medication, ointments, suppositories, or a pre- measured dosage unit provided by the manufacturer of an oral inhalant aerosol as ordered by an authorized prescriber. Any medication administered by a direct service worker under present law shall be in a container that meets acceptable pharmaceutical standards and is marked with clear instructions, the prescriber's name, the prescription number, if any, and the name of medication, dosage, and route. Under no condition shall a direct service worker administer medications not in compliance with the provisions of present law. (2)Provision of routine hydration, nutrition, or medication by way of an established gastro-tube. (3)Other non-complex tasks which may be delegated by the registered nurse to the direct service worker pursuant to rules promulgated pursuant to present law. Proposed law adds the administration of insulin subcutaneously, nasally, or via insulin pump to the present law of tasks a direct service worker may perform for an individual. Effective upon signature of the governor or lapse of time for gubernatorial action. (Amends R.S. 37:1032(3); adds R.S. 37:1032(4))