SLS 16RS-424 ORIGINAL 2016 Regular Session SENATE BILL NO. 230 BY SENATOR PETERSON HEALTH SERVICES. Provides relative to the Health Education Authority of Louisiana (HEAL). (8/1/16) 1 AN ACT 2 To amend and reenact the introductory paragraph of R.S. 17:3051, 3051(1) and (3), 3052(6), 3 (7) and (8), 3053(A), (B)(3), (6), (C) and (G), 3055(10), 3056(A)(1) and (H), and 4 3058, and R.S. 36:259(B) and to repeal R.S. 17:3052(4) and 3055(9), relative to the 5 Health Education Authority of Louisiana; to provide for clarification to statement of 6 purpose; to provide for definitions; to provide for updates to the authority 7 membership; to provide for powers and duties; to provide with respect to bonds; to 8 provide for an effective date; and to provide for related matters. 9 Be it enacted by the Legislature of Louisiana: 10 Section 1. R.S. 17:3051 (introductory paragraph), (1) and (3), 3052(6), (7) and (8), 11 3053(A), (B)(3), (6) and (C), 3055(10), 3056(A)(1) and (H), and 3058, and R.S. 36:259(B) 12 are hereby amended and reenacted to read as follows: 13 CHAPTER 21. HEALTH EDUCATION AUTHORITY OF LOUISIANA 14 §3051. Statement of purpose and function 15 In order to promote the medical and/or health educational activities of various 16 public and private institutions and organizations in the state of Louisiana and to 17 promote health and welfare of its citizens through encouraging and assisting in the Page 1 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 provision of medical care and prompt and efficient health and health related services 2 at reasonable cost by public and private institutions and organizations in modern, 3 well-equipped facilities, and to strive to achieve superlative standards of attainment 4 in health care and education that will place Louisiana in the position of regional, 5 national, and international leadership in those fields, it is hereby declared to be in the 6 public interest that the Health Education Authority of Louisiana be created within the 7 Department of Health and Hospitals. The serve the following purposes and 8 functions of the authority are: 9 (1) To operate, in accordance with a master plan, a cooperative and 10 coordinated multi-institutional complex that will serve to attract, encourage and 11 assist public and private institutions and organizations that are dedicated to 12 exemplary patient care, health science education and biomedical research, as well as 13 organizations providing facilities and/or services deemed appropriate by the 14 authority, to locate and/or operate in a functional geographic relationship with said 15 complex. 16 * * * 17 (3) To acquire or assist in the acquisition of land and the planning, 18 acquisition, construction, reconstruction, rehabilitation, improvement and 19 development of facilities in the complex and primary service area for the use of the 20 primary and participating institutions, and the development, acquisition, 21 construction, reconstruction, rehabilitation, improvement and operation of jointly 22 usable facilities for such institutions, and 23 * * * 24 §3052. Definitions 25 The following terms shall have the following meanings, unless the context 26 clearly indicates otherwise: 27 * * * 28 (6) "Participating institutions" shall mean those institutions which apply to 29 and are designated by the authority, other than primary institutions, and consisting Page 2 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 of (a) public or private hospital, medical or health corporations or institutions located 2 or desiring to locate in the complex or (b) public or private hospital hospitals, 3 medical or health corporations or institutions which deliver medical or health 4 services or provide facilities therefor outside the complex but within the primary 5 service area. 6 (7) "Primary institutions" shall mean Charity Hospital of Louisiana 7 University Medical Center at New Orleans, Louisiana State University and 8 Agricultural and Mechanical College, and Tulane University of Louisiana. 9 (8) "Primary service area" means that area within a radius of ten miles of 10 Charity Hospital of Louisiana at New Orleans communities in Louisiana where 11 graduate medical education is offered. 12 * * * 13 §3053. Health Education Authority of Louisiana; creation; domicile; membership; 14 terms; vacancies; quorum; staff 15 A. There is hereby created within the office of management and finance of 16 the Department of Health and Hospitals the Health Education Authority of 17 Louisiana, which is hereby declared to be a body corporate and public, constituting 18 an instrumentality of the state of Louisiana and exercising public and essential 19 governmental functions. The domicile of the authority shall be the city of New 20 Orleans. 21 B. The power to establish policy to carry out the intent of this Chapter shall 22 be vested in a board of trustees which shall consist of the governor as ex-officio 23 trustee and thirteen persons selected as follows: 24 * * * 25 (3) Two members shall be appointed by the governor from a list of six names 26 submitted by the Board of Administrators of Charity Hospital of Louisiana 27 University Medical Center at New Orleans. 28 * * * 29 (6) One member shall be appointed by the mayor of the city of New Orleans Page 3 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 with the advice and consent of the Commission Council from a list of five names, 2 one each submitted by the Board of Administrators of the Tulane Educational Fund, 3 Tulane University of Louisiana; the Board of Administrators of Charity Hospital of 4 Louisiana University Medical Center at New Orleans; the Board of Supervisors of 5 Louisiana State University and Agricultural and Mechanical College; local dental 6 association memberships including Orleans Parish dentists; and the Orleans Parish 7 Medical Society. 8 * * * 9 C. No person appointed directly by the governor or mayor or nominated by 10 any of the nominating groups or individuals shall be associated in any staff or 11 advisory capacity for which he receives payment for services from Louisiana State 12 University and Agricultural and Mechanical College, Tulane University of 13 Louisiana, or Charity Hospital of Louisiana University Medical Center at New 14 Orleans, any statewide dental association, or the Louisiana State Medical Society. 15 * * * 16 G. The board shall employ a professionally qualified executive director to 17 carry out the policies established by the board. The secretary of the Department of 18 Health and Hospitals shall employ such staff as is necessary to carry out the policies 19 and directives of the board and to operate and administer the functions of the 20 authority. The compensation of the executive director shall be determined by the 21 board and he shall be in the unclassified service of the state. 22 §3055. Powers; duties; functions 23 To accomplish the purposes of this Act Chapter, and for the general welfare 24 and health of the citizens of Louisiana, the Health Education Authority of Louisiana 25 shall have the following powers, duties and functions: 26 * * * 27 (10) To construct, acquire, reconstruct, rehabilitate, improve, repair, operate, 28 lease, as lessor or lessee, or to enter into contracts for the management and operation 29 of hospitals, sanitariums, clinics, laboratories, or any other facility, building or Page 4 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 structure of the primary and/or participating institutions in the complex or primary 2 service area which may be of use or benefit in the teaching, training or practice of 3 medical science and the treatment of human ailments, or for such other facilities as 4 the authority shall find useful in the study of, research in, or treatment of illnesses 5 or infirmities. The authority may construct, acquire, reconstruct, rehabilitate, 6 improve, repair, operate, lease, as lessor or lessee, or enter into contracts for the 7 management and operation of support facilities for primary and/or participating 8 institutions in the complex or primary service area that are useful, necessary or 9 convenient for the orderly conduct of such institutions, including but not limited to: 10 parking facilities, ambulatory care facilities, office buildings for physicians or 11 dealers in medical accessories, dormitories, homes or residences for the medical 12 profession, including interns, nurses, students or other officers or employees of the 13 primary or participating institutions, or for the use of relatives or visitors of patients 14 in the hospitals or other institutions within the complex or primary service area. The 15 authority may finance, acquire property for and plan and acquire, construct, 16 reconstruct, rehabilitate or improve facilities for, and provide and operate, central 17 services and shared facilities for the common use of the primary and participating 18 institutions in the complex. The authority may, at its option, rent, lease or sell the use 19 of these facilities or services, or provide them at no cost. The authority may not 20 acquire, construct, reconstruct, rehabilitate, improve or develop any of the facilities 21 herein authorized except at the request of any one of the primary or participating 22 institutions and, in the case of primary institutions, only if the authority has 23 determined, after a public hearing held thereon, that there is a public need and 24 necessity for the proposed facilities. 25 * * * 26 §3056. Bonds of the authority 27 A.(1) To obtain funds to defray costs of the acquisition of land, the 28 acquisition or construction of buildings, structures and other facilities, including 29 furnishings and equipment therefor, the authority may incur debt and issue bonds for Page 5 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 an amount not in excess of four hundred million dollars. Said bonds shall be 2 negotiable instruments, and shall be solely the obligations of the authority and not 3 of the state of Louisiana. Said bonds and the income thereof shall be exempt from 4 all taxation in the state of Louisiana. Said bonds shall be payable out of the income, 5 revenues, and receipts derived or to be derived from the properties and facilities 6 maintained and operated by the authority or received by the authority from any other 7 sources whatsoever, including, but not by way of limitation, other monies which, by 8 law or contract, may be made available to the authority; however, such bonds shall 9 not be payable out of any funds received by the authority under the Medicaid 10 program. In addition to the pledge of income, revenues, or receipts to secure said 11 bonds, the authority may further secure their payment by a conventional mortgage 12 upon any or all of the properties constructed or acquired or to be constructed or 13 acquired by it. Such bonds shall be authorized and issued by resolution of the 14 authority and shall be of such series, bear such date or dates, mature at such time or 15 times, bear interest at such rate or rates, be in such denominations, be in such form, 16 either coupon or fully registered without coupons, carry such registration and 17 exchangeability privileges, be payable in such medium of payment and at such place 18 or places, be subject to such terms of redemption and be entitled to such priorities 19 on the income, revenues, and receipts of the authority as such resolution may 20 provide. The bonds shall be signed by such officers as the authority shall determine, 21 and coupon bonds shall have attached thereto interest coupons bearing the facsimile 22 signatures of such officer or officers as the authority shall designate. Any such bonds 23 may be issued and delivered, notwithstanding that one or more of the officers signing 24 such bonds or the officer or officers whose facsimile signature or signatures may be 25 on the coupons shall have ceased to be such officer or officers at the time such bonds 26 shall actually have been delivered. Such Notwithstanding any other law to the 27 contrary, such bonds may shall be sold by the authority in such manner and from 28 time to time as may be determined by the authority, and the authority may pay all 29 expenses and commissions which it may deem necessary or advantageous in Page 6 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL 1 connection with the issuance and sale thereof. 2 * * * 3 H. No bonds of the authority shall be issued or sold by the State Bond 4 Commission without the prior approval of the secretary of the Department of Health 5 and Hospitals consultation with the authority. 6 §3058. Professional advisory committees 7 The authority shall appoint committees to assist in the carrying out of its 8 business. Membership on said committees need not be restricted to primary and/or 9 participating institutions of the complex, but may be drawn from all institutions, 10 organizations, and persons concerned with the delivery of health services. The 11 authority shall also consult with advisory committees appointed by medical and 12 health related organizations and nonprovider consumer groups. 13 Section 2. R.S. 36:259(B) is hereby amended and reenacted to read as follows: 14 §259. Transfer of agencies and functions to Department of Health and Hospitals 15 * * * 16 B. The Health Education Authority of Louisiana (R.S. 17:3051 et seq.) is 17 transferred to and hereafter shall be placed within the Department of Health and 18 Hospitals and shall exercise and perform its powers, duties, functions, and 19 responsibilities in the manner provided for agencies transferred in accordance 20 with the provisions of, as provided in R.S. 36:804. 21 * * * 22 Section 3. R.S. 17:3052(4) and 3055(9) are hereby repealed. 23 Section 4. This Act shall become effective on August 1, 2016; if vetoed by the 24 governor and subsequently approved by the legislature, this Act shall become effective on 25 August 1, 2016, or on the day following such approval by the legislature, whichever is later. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christine Arbo Peck. DIGEST SB 230 Original 2016 Regular Session Peterson Present law provides that HEAL shall operate in accordance with a master plan, a Page 7 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 230 SLS 16RS-424 ORIGINAL cooperative and coordinated multi-institutional complex to attract medical services within a functional geographic relationship to the complex. Proposed law repeals present law references to the complex and proximity to the complex. Present law references Charity Hospital of Louisiana. Proposed law updates the current reference to the hospital as University Medical Center. Present law requires formulation of a general master plan for development of the original complex. Proposed law repeals present law. Present law places HEAL within the DHH office of management and finance. Proposed law repeals present law. Present law requires DHH to staff HEAL to carry out policies and administer the functions of the authority. Proposed law repeals present law. Present law sets a bond cap amount. Proposed law repeals the amount. Effective August 1, 2016. (Amends R.S. 17:3051(intro para), (1) and (3), 3052(6), (7) and (8), 3053(A), (B)(3), (6), (C) and (G), 3055(10), 3056(A)(1) and (H), and 3058, and R.S. 36:259(B); repeals R.S. 17:3052(4) and 3055(9)) Page 8 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.