HLS 16RS-1980 ORIGINAL 2016 Regular Session HOUSE BILL NO. 1071 BY REPRESENTATIVE JONES HEALTH: Creates the office of state surgeon general 1 AN ACT 2To amend and reenact R.S. 36:251(C)(1), 252, and 258(G) through (L) and to enact R.S. 3 36:253.1 and 258(E), relative to the state surgeon general; to authorize the position 4 of state surgeon general; to establish the office of state surgeon general; to provide 5 for the qualifications and duties of the state surgeon general; to remove outdated 6 references in existing law provisions; and to provide for related matters. 7Be it enacted by the Legislature of Louisiana: 8 Section 1. R.S. 36:251(C)(1), 252, and 258(G) through (L) are hereby amended and 9reenacted and R.S. 36:253.1 and 258(E) are hereby enacted to read as follows: 10 §251. Department of Health and Hospitals; creation; domicile; composition; 11 purpose and functions 12 * * * 13 C.(1) The Department of Health and Hospitals shall be composed of the 14 executive office of the secretary, the office of the state surgeon general, the office 15 of management and finance, the office of public health, the office of behavioral 16 health, the office for citizens with developmental disabilities, the office of aging and 17 adult services, and such other offices as shall be created by law. 18 * * * 19 §252. Officers of the department; compensation for one office only Page 1 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-1980 ORIGINAL HB NO. 1071 1 A. The officers of the department shall be the secretary, the state surgeon 2 general, the undersecretary, the deputy secretary if a deputy secretary is appointed, 3 and assistant secretaries, each of whom shall be selected and shall perform functions 4 as provided in this Title. 5 B. No person serving as a secretary, state surgeon general, deputy secretary, 6 undersecretary, or assistant secretary shall receive any additional salary from the 7 state other than that salary which he receives by virtue of serving in any one of such 8 offices. Any statewide elected official appointed to serve as a secretary, deputy 9 secretary, undersecretary, or assistant secretary shall not receive any additional 10 salary from the state other than that salary which he receives as a statewide elected 11 official. 12 C. Notwithstanding any provision herein to the contrary, subject to approval 13 of the governor, any person, including any statewide elected official, serving or 14 appointed to serve as a secretary, state surgeon general, undersecretary, deputy 15 secretary, or assistant secretary may receive additional compensation for part-time 16 services rendered as an instructor in postsecondary educational institutions, or as a 17 member of the National Guard. 18 * * * 19 §253.1. State surgeon general; qualifications; appointment; powers and duties 20 A. There shall be a state surgeon general, who shall be a physician who 21 possesses an unrestricted license to engage in the practice of medicine in the state of 22 Louisiana and who shall act as the state medical advisor, public health advocate, and 23 health strategist. The state surgeon general shall be appointed by the governor with 24 consent of the Senate and shall serve at the pleasure of the governor at a salary fixed 25 by the governor, which salary shall not exceed the amount approved for such 26 position by the legislature while in session. 27 B. The state surgeon general shall serve as the leading voice on wellness and 28 disease-prevention efforts including the promotion of healthful lifestyles, 29 immunization practices, health literacy, and the assessment and promotion of the Page 2 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-1980 ORIGINAL HB NO. 1071 1 physician and healthcare workforce in order to meet the healthcare needs of the state 2 of Louisiana. The state surgeon general shall focus on advocating healthy lifestyles, 3 developing public health policy, and building collaborative partnerships with 4 schools, businesses, healthcare practitioners, community-based organizations, and 5 public and private institutions in order to promote health literacy and optimum 6 quality of life for all residents of Louisiana. 7 C. The state surgeon shall exercise his general powers, duties, functions, and 8 responsibilities independently of the secretary, the undersecretary, and any assistant 9 secretary and shall be under the general control and supervision of the governor. 10 * * * 11 §258. Offices; purposes and functions 12 * * * 13 E. The office of the state surgeon general shall be responsible for supporting 14 the state surgeon general in the fulfillment of his general powers, duties, functions, 15 and responsibilities as provided for in R.S. 36:253.1. 16 * * * 17 G. Notwithstanding the provisions of Subsections C, D, and E C and D of 18 this Section, the Jefferson Parish Human Services Authority shall be responsible for 19 and shall perform the functions relative to the operation and management of mental 20 health, developmental disabilities, and substance abuse services for Jefferson Parish 21 only, and the department shall not be responsible for nor perform such functions 22 unless the contract between the department and the authority has been terminated 23 pursuant to R.S. 28:919(H). 24 H. Notwithstanding the provisions of Subsections C, D, and E C and D of 25 this Section, the Capital Area Human Services District shall be responsible for and 26 shall perform the functions relative to the operation and management of community- 27 based mental health, developmental disabilities, substance abuse services, and 28 certain community-based public health services for the parishes of Ascension, East 29 Baton Rouge, East Feliciana, Iberville, Pointe Coupee, West Baton Rouge, and West Page 3 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-1980 ORIGINAL HB NO. 1071 1 Feliciana only unless the contract between the department and the authority has been 2 terminated pursuant to R.S. 28:919(H). 3 I. Notwithstanding the provisions of Subsections C, D, and E C and D of this 4 Section, the Florida Parishes Human Services Authority shall be responsible for and 5 shall perform the functions relative to the operation and management of mental 6 health, developmental disabilities, and addictive disorder services for the parishes 7 of Livingston, St. Helena, St. Tammany, Tangipahoa, and Washington, and the 8 department shall not be responsible for nor perform such functions unless the 9 contract between the department and the authority has been terminated pursuant to 10 R.S. 28:919(H). 11 J. Notwithstanding the provisions of Subsections C, D, and E C and D of this 12 Section, the South Central Louisiana Human Services District shall be responsible 13 for and shall perform the functions relative to the operation and management of 14 mental health, developmental disabilities, and addictive disorder services for the 15 parishes of Assumption, Lafourche, St. Charles, St. James, St. John the Baptist, St. 16 Mary, and Terrebonne, and the department shall not be responsible for nor perform 17 such functions unless the contract between the department and the authority has been 18 terminated pursuant to R.S. 28:919(H). 19 K. Notwithstanding the provisions of Subsections C, D, and E C and D of 20 this Section, the Metropolitan Human Services District shall be responsible for and 21 shall perform the functions relative to the operation and management of mental 22 health, developmental disabilities, and addictive disorder services for the parishes 23 of Orleans, St. Bernard, and Plaquemines, and the department shall not be 24 responsible for nor perform such functions unless the contract between the 25 department and the authority has been terminated pursuant to R.S. 28:919(H). 26 L. Notwithstanding the provisions of Subsections C, D, and E C and D of 27 this Section, the Northeast Delta Human Services Authority shall be responsible for 28 and shall perform the functions relative to the operation and management of mental 29 health, developmental disabilities, and addictive disorder services for the parishes Page 4 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-1980 ORIGINAL HB NO. 1071 1 of Caldwell, East Carroll, Franklin, Jackson, Lincoln, Madison, Morehouse, 2 Ouachita, Richland, Tensas, Union, and West Carroll, and the department shall not 3 be responsible for nor perform such functions unless the contract between the 4 department and the authority has been terminated pursuant to R.S. 28:919(H). 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)] HB 1071 Original 2016 Regular Session Jones Abstract: Creates the office of state surgeon general. Present law establishes the Dept. of Health and Hospitals (DHH) composed of the executive office of the secretary, the office of management and finance, the office of public health, the office of behavioral health, the office for citizens with developmental disabilities, the office of aging and adult services, and such other offices as shall be created by law. Proposed law retains present law and adds the office of the state surgeon general to support the state surgeon general in the fulfillment of his general powers, duties, functions, and responsibilities as provided for in proposed law. Present law establishes the officers of DHH as the secretary, the undersecretary, the deputy secretary, and assistant secretaries. Proposed law retains present law and adds the position of state surgeon general to act as the state medical advisor, public health advocate, and health strategist. Proposed law requires the state surgeon general to be a physician who possesses an unrestricted license to engage in the practice of medicine in La. Proposed law provides that the state surgeon general shall be appointed by the governor with consent of the Senate and shall serve at the pleasure of the governor at a salary fixed by the governor, not to exceed the amount approved for such position by the legislature while in session. Proposed law establishes the following duties for the state surgeon general: (1)Serve as the leading voice on wellness and disease-prevention efforts including the promotion of healthful lifestyles, immunization practices, health literacy, and the assessment and promotion of the physician and healthcare workforce in order to meet the healthcare needs of La. (2)Focus on advocating healthy lifestyles, developing public health policy, and building collaborative partnerships with schools, businesses, healthcare practitioners, community-based organizations, and public and private institutions in order to promote health literacy and optimum quality of life for all residents of La. Proposed law provides that the state surgeon shall function independently of the officers of DHH and shall be under the general control and supervision of the governor. Present law provides for the duties of the human services districts and human services authorities. Page 5 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 16RS-1980 ORIGINAL HB NO. 1071 Proposed law retains present law but makes technical changes to remove outdated references in present law. (Amends R.S. 36:251(C)(1), 252, and 258(G)-(L); Adds R.S. 36:253.1 and 258(E)) Page 6 of 6 CODING: Words in struck through type are deletions from existing law; words underscored are additions.