SLS 16RS-584 REENGROSSED
2016 Regular Session
SENATE BILL NO. 360
BY SENATOR MILLS
HEALTH CARE. Provides for the Louisiana Physician Order for Scope of Treatment
(LaPOST) form. (gov sig)
1 AN ACT
2 To amend and reenact R.S. 40:1155.2(5), to enact R.S. 40:1155.2.1, and to repeal R.S.
3 40:1155.2(8), relative to the Louisiana Physician Order for Scope of Treatment; to
4 provide for definitions; to provide for the form; to provide for an effective date; and
5 to provide for related matters.
6 Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 40:1155.2(5) is hereby amended and reenacted and R.S. 40:1155.2.1
8 is hereby enacted to read as follows:
9 §1155.2. Definitions
10 As used in this Subpart, the following terms shall have the meanings ascribed
11 to them unless the context clearly states otherwise:
12 * * *
13 (5) "LaPOST" means Louisiana Physician Order for Scope of Treatment as
14 provided in R.S. 40:1155.2.1.
15 * * *
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words in boldface type and underscored are additions. SB NO. 360
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1 §1155.2.1. LaPOST Form
2
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words in boldface type and underscored are additions. SB NO. 360
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1
2 Section 2. R.S. 40:1155.2(8) is hereby repealed.
3 Section 3. This Act shall become effective upon signature by the governor or, if not
4 signed by the governor, upon expiration of the time for bills to become law without signature
5 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
6 vetoed by the governor and subsequently approved by the legislature, this Act shall become
7 effective on the day following such approval.
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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. 360
SLS 16RS-584 REENGROSSED
The original instrument was prepared by Christine Arbo Peck. The following
digest, which does not constitute a part of the legislative instrument, was
prepared by Jeanne C. Johnston.
DIGEST
SB 360 Reengrossed 2016 Regular Session Mills
Present law (R.S. 40:1155(5)) defines "LaPOST" as "Louisiana Physician Order for Scope
of Treatment".
Proposed law retains present law definition and additionally provides that LaPOST is further
defined by the form prescribed in proposed law.
Present law (R.S. 40:1155(8)) provides that "Louisiana Physician Order for Scope of
Treatment" means a form which documents the wishes of a qualified patient in a physician
order.
Present law verbally specifies the wording and information requirements for each section
and field of the form which provide information, instructions, and areas to record
information, including the following:
(1)HIPAA statement.
(2)Name of form.
(3)Instructions for following physician orders.
(4)Fields to record personal information and signatures of physician, patient, and
patient's personal health care representative.
(5)Patient diagnosis.
(6)Cardiopulmonary resuscitation (CPR).
(7)Medical interventions, including levels of additional interventions.
(8)Use or non-use of antibiotics.
(9)Artificially administered fluids and nutrition, including when and how such may be
used.
(10)Other instructions.
(11)Summary of goals, including the basis for physician orders.
(12)Directions for health care professionals.
(13)Completing LaPOST.
(14)Using LaPOST.
(15)Review of LaPOST form.
Proposed law repeals present law.
Proposed law (R.S. 40:1155.2.1) replaces the verbal directives in present law as to the form's
content with a visual representation of the actual LaPOST form to be used, which essentially
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SLS 16RS-584 REENGROSSED
includes the information required in present law. Primary changes to the required form are
as follows:
(1)Specifies that LaPOST complements an Advance Directive and is not intended to
replace that document.
(2)Adds field for a medical record number.
(3)Adds statement that use of the form is voluntary and that the signatures on the form
indicate that the physician's orders are consistent with the patient's medical condition
and treatment plan, and are the known desires or in the best interest of the patient.
Effective upon signature of the governor or upon lapse of time for gubernatorial action.
(Amends R.S. 40:1155.2(5); adds R.S. 40:1155.2.1; repeals R.S. 40:1155.2(8))
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to
the original bill
1. Makes technical changes to the statutory requirements for the LaPOST form.
Senate Floor Amendments to engrossed bill
1. Replaces verbal directions as to the wording, content, and layout of the
LaPOST form with a visual representation of the actual form to be used,
including the required information.
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.