RDCSB61 2709 4176 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)] SB 61 Reengrossed 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 the boundaries of that hospital service district or outside the boundaries of that hospital service district but within the boundaries of the state. Proposed law provides if a hospital service district determines to lease and operate a licensed 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 prior notice to the governing authority of the parish in which the licensed nursing home is located. Proposed law provides if the governing authority of the parish in which the licensed nursing home is located 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 the licensed nursing home. Proposed law provides if the governing authority in which the licensed 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 licensed nursing home, and an agreement is not reached, then the hospital service district may lease and operate a licensed nursing home located outside of the boundaries of its hospital service district. Proposed law provides a hospital service district shall not operate a licensed 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, in any parish having a population of not less than 219,000 and not more than 228,000 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 licensed nursing home is located or receiving the approval of the hospital service district where the licensed nursing home is located. Proposed law provides that if a hospital service district does not grant approval to another hospital service district for operation of a licensed nursing home as provided in proposed Page 1 of 3 RDCSB61 2709 4176 law, then the hospital service district refusing to grant approval shall be prohibited from operating a licensed nursing home outside of its district boundaries. 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. Senate Floor Amendments to engrossed bill 1. Provides that a hospital service district may lease and operate a licensed nursing home that is located within the boundaries of that hospital service district or outside the boundaries of that hospital service district but within the boundaries of the state. 2. Requires that nursing homes must be licensed. 3. Provides for an additional exception for parishes having a population of not less than 219,000 and not more than 228,000 according to the latest federal decennial census. Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Health and Welfare to the reengrossed bill: 1. Add a provision stipulating that if a hospital service district does not grant approval to another hospital service district for operation of a nursing home as provided in proposed law, then the hospital service district refusing to grant approval shall be prohibited from operating a nursing home outside of its district boundaries. Page 2 of 3 RDCSB61 2709 4176 2. Make technical changes. Page 3 of 3