Louisiana 2016 2016 Regular Session

Louisiana Senate Bill SB236 Introduced / Bill

                    SLS 16RS-374	ORIGINAL
2016 Regular Session
SENATE BILL NO. 236
BY SENATOR BARROW 
CORONERS.  Provides relative to admissions by emergency certificate of persons suffering
from mental illness and substance abuse. (8/1/16)
1	AN ACT
2 To amend and reenact the introductory paragraph of R.S. 28:53(G)(7) and (7)(c)(i), relative
3 to mental health law; to provide relative to examination, admission, commitment,
4 and treatment of persons suffering from mental illness and substance abuse; to
5 provide with respect to admission by emergency certificate; and to provide for
6 related matters.
7 Be it enacted by the Legislature of Louisiana:
8 Section 1.  The introductory paragraph of R.S. 28:53(G)(7) and (7)(c)(i) are hereby
9 amended and reenacted to read as follows: 
10 ยง53. Admission by emergency certificate; extension; payment for services rendered
11	*          *          *
12	G.(1) *          *          *
13	(7) As it relates to the parish parishes of East Baton Rouge, Jefferson,
14 Orleans, Ouachita, and St. Tammany, all of the following shall apply:
15	*          *          *
16	(c)(i) When a patient is transferred from another parish pursuant to an
17 emergency certificate, a second physician's emergency certificate may shall be
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 236
SLS 16RS-374	ORIGINAL
1 executed by a physician at the admitting facility.
2	*          *          *
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Angela L. De Jean.
DIGEST
SB 236 Original 2016 Regular Session	Barrow
Present law provides that upon admission of any person by emergency certificate to a
treatment facility, the director of the treatment facility shall immediately notify the coroner
of the parish in which the treatment facility is located of the admission, giving certain
information as provided in present law, if known.
Present law provides that as it relates to the parish of St. Tammany, all of the following shall
apply:
(1)The coroner or deputy coroner, who is a physician, preferably a psychiatrist, may
conduct an examination and execute an emergency certificate, as provided in present
law by telemedicine utilizing video conferencing equipment, provided that all of the
following are met:
(a)A licensed health care professional, who can adequately and accurately assist
with obtaining any necessary information including but not limited to that
information in present law and where such health care professional will be
present in the examining room with the patient at the time of the video
conferencing.
(b)The coroner or deputy coroner who is a physician, preferably a psychiatrist,
shall comply with all of the provisions in present law.
(2)The coroner or deputy coroner, who is a physician, preferably a psychiatrist, may
conduct an examination and execute an emergency certificate, as provided in present
law by telemedicine under all of the following circumstances:
(a)If the initial examination, pursuant to present law, has been made in person
by a psychiatrist, psychiatric mental health nurse practitioner, or a
psychologist.
(b)If the coroner conducted the initial examination, pursuant to present law, by
telemedicine and has executed the first emergency commitment certificate,
a second examination shall be made in person within the 72-hour period set
forth in present law by any psychiatrist, psychiatric mental health nurse
practitioner, or a psychologist at the treatment facility where the person is
confined.
Present law provides that when a patient is transferred from another parish pursuant to an
emergency certificate, a second physician's emergency certificate may be executed by a
physician at the admitting facility.
Present law provides that the coroner shall be notified immediately following the execution
of the second emergency certificate and shall conduct an independent examination within
72 hours as provided in present law.
Present law provides that nothing in present law shall be construed to authorize a period of
commitment to exceed 15 days from the date and time the initial emergency certificate was
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 236
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executed in the parish of origin.
Proposed law retains present law and provides that the provisions of present law also apply
to the parishes of East Baton Rouge, Jefferson, Orleans and Ouachita.
Present law provides that when a patient is transferred from another parish pursuant to an
emergency certificate, a second physician's emergency certificate may be executed by a
physician at the admitting facility.
Proposed law provides that when a patient is transferred from another parish pursuant to an
emergency certificate, a second physician's emergency certificate shall be executed by a
physician at the admitting facility.
Effective August 1, 2016.
(Amends R.S. 28:53(G)(7)(intro para) and (7)(c)(i))
Page 3 of 3
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.