The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST SB 61 Engrossed 2015 Regular Session Buffington Proposed law provides a hospital service district created pursuant to present law may lease and operate a licensed nursing home as defined in present law that is located within or outside the boundaries of the hospital service district but within the boundaries of the state of Louisiana. Proposed law provides if a hospital service district determines to lease and operate a nursing home within 35 miles of a hospital service district hospital in an adjoining hospital service district, then the hospital service district shall provide a 60-day written notice to the governing authority of the parish in which the nursing home is located. Proposed law provides if the governing authority of parish does not provide written notice of objection to the hospital service district within the required 60 days, then the hospital service district may lease and operate a licensed nursing home outside the geographic boundaries described in proposed law. Proposed law provides if the governing authority in which the nursing home is located objects in writing within the 60 days of providing notice as described in proposed law, and after a good faith effort is made to reach an agreement between the governing authority of the parish and the nursing home, and an agreement is not reached, then the hospital service district may lease and operate a nursing home located outside of the boundaries of its hospital service district. Proposed law provides a hospital service district shall not operate a nursing home in any parish having a population of not less than 430,000 and not more than 435,000 according to the latest federal decennial census or in any parish having a population of not less than 110,000 and not more than 115,000 according to the latest federal decennial census without either being the service district hospital where the nursing home is located or receiving the approval of the hospital service district where the nursing home is located. Effective upon signature of the governor or lapse of time for gubernatorial action. (Adds R.S. 46:1069.1) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Provides for the process for hospital service district to lease and operate a nursing home. 2. Provides for an exception for two different population categories.