Louisiana 2016 2016 Regular Session

Louisiana Senate Bill SB230 Introduced / Bill

                    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
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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
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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
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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
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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
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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
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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
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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))
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