HLS 17RS-587 REENGROSSED 2017 Regular Session HOUSE BILL NO. 253 BY REPRESENTATIVES SMITH, ABRAHAM, AMEDEE, BACALA, BAGLEY, BAGNERIS, BARRAS, BERTHELOT, BILLIOT, BISHOP, BOUIE, CHAD BROWN, TERRY BROWN, CARMODY, CARPENTER, GARY CARTER, ROBBY CARTER, STEVE CARTER, CHANEY, CONNICK, COUSSAN, COX, CROMER, DEVILLIER, DWIGHT, EMERSON, FALCONER, FOIL, FRANKLIN, GAINES, GAROFALO, GISCLAIR, GLOVER, GUINN, HALL, JIMMY HARRIS, HAVARD, HENSGENS, HILFERTY, HOFFMANN, HORTON, HOWARD, HUNTER, HUVAL, JACKSON, JAMES, JEFFERSON, JENKINS, JOHNSON, JORDAN, NANCY LANDRY, LEBAS, LEOPOLD, LYONS, MARINO, MCFARLAND, DUSTIN MILLER, GREGORY MILLER, MORENO, JIM MORRIS, PEARSON, POPE, PRICE, PYLANT, RICHARD, SCHRODER, SHADOIN, STAGNI, STEFANSKI, THIBAUT, THOMAS, AND ZERINGUE Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. EXCEPTIONAL PERSONS: Revises terminology referring to the deaf and hard of hearing 1 AN ACT 2To amend and reenact R.S. 4:715(B)(2), R.S. 14:32(D)(3) and 39(D)(3), R.S. 17:43(B)(2) 3 and 1942(B), R.S. 21:51(C) and 52(A) and (B), R.S. 22:245, 1027(A), and 4 1038(C)(2)(a) and (E), R.S. 36:259(N), R.S. 37:2446.1(B)(7) and 2651(7)(b)(v)(hh), 5 R.S. 40:1580.1(A) and 2208, R.S. 42:1119(B)(2)(a)(i), R.S. 45:1355(A), the heading 6 of Chapter 30-A of Title 46 of the Louisiana Revised Statutes of 1950, R.S. 46:2261, 7 2262(A) and (C), 2262.1(introductory paragraph), (4), and (12), 2263(3), (4), and (6) 8 through (8), 2264(A), (C), and (D), 2265(A)(introductory paragraph), (9), and (10), 9 2266(1) and (3) through (5), 2352(7)(a) and (10)(a)(introductory paragraph), 2361, 10 2362(2) through (6), 2363 through 2365, 2367, 2368(B), and 2372, R.S. 11 47:6301(A)(3), the heading of Part X of Chapter 1 of Title 49 of the Louisiana 12 Revised Statutes of 1950, R.S. 49:181(A), and Code of Criminal Procedure Article 13 401.1(B)(introductory paragraph), relative to terminology referring to the deaf and 14 hard of hearing; to delete and make substitutions for terms which are derogatory, 15 inaccurate, or obsolete; to provide for consistency in usage of terms referring to the Page 1 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 deaf and hard of hearing and to hearing loss; to provide for revision of terminology 2 relative to the deaf and hard of hearing in administrative rules, policy documents, 3 professional resources, reference materials, manuals, and other publications; to 4 provide for legislative intent; to provide for construction; and to provide for related 5 matters. 6Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 4:715(B)(2) is hereby amended and reenacted to read as follows: 8 §715. Personnel to hold games; commissions or salaries; equipment and supplies; 9 expenses 10 * * * 11 B. 12 * * * 13 (2) Notwithstanding any provision of law to the contrary, any person, 14 association, or corporation licensed to hold, operate, or conduct any games of chance 15 that benefit persons with visual or hearing impairments, hearing loss, paraplegia, 16 quadriplegia, intellectual disabilities, or persons sixty years of age or older, under 17 any license issued pursuant to this Chapter, may compensate for services rendered, 18 any fifteen employees who assist in the holding, operating, or conducting of such 19 games. The rate of compensation shall be no more than fifteen dollars per hour and 20 in any event shall not exceed ninety dollars per session for any employee. Each 21 employee or volunteer worker may also be provided meals and beverages to be eaten 22 on the premises not to exceed a total value of fifteen dollars per person. 23 Expenditures made under the provisions of this Subsection shall be subject to the 24 reporting provisions of R.S. 4:716. Compensation provided for in this Subsection 25 shall not constitute a violation of the prohibition against the payment or giving of a 26 commission, salary, compensation, reward, or recompense to any person holding, 27 operating, or conducting, or assisting in the holding, operation, or conduct of any 28 such game. Page 2 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 Section 2. R.S. 14:32(D)(3) and 39(D)(3) are hereby amended and reenacted to read 2as follows: 3 §32. Negligent homicide 4 * * * 5 D. The provisions of this Section shall not apply to: 6 * * * 7 (3) Any guide or service dog trained at a qualified dog guide or service 8 school who is accompanying any blind person, visually impaired person, deaf 9 person, hearing impaired person who is deaf or hard of hearing, or person with any 10 other physical disability who is using the dog as a guide or for service. 11 * * * 12 §39. Negligent injuring 13 * * * 14 D. The provisions of this Section shall not apply to: 15 * * * 16 (3) Any guide or service dog trained at a qualified dog guide or service 17 school who is accompanying any blind person, visually impaired person, deaf 18 person, hearing impaired person who is deaf or hard of hearing, or person with any 19 other physical disability who is using the dog as a guide or for service. 20 * * * 21 Section 3. R.S. 17:43(B)(2) and 1942(B) are hereby amended and reenacted to read 22as follows: 23 §43. Special schools defined; benefits for certificated teachers; legislative policy 24 * * * 25 B. 26 * * * 27 (2) Teachers at the Louisiana Schools for the Deaf and Visually Impaired 28 may attain tenure in the educational program, either the educational program for the 29 hearing impaired deaf and hard of hearing or the educational program for the visually Page 3 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 impaired, for which they are certified. Teachers at the Louisiana Special Education 2 Center may attain tenure at the Louisiana Special Education Center. Teachers in 3 Special School Programs may attain tenure in Special School Programs. 4 * * * 5 §1942. Definitions 6 * * * 7 B. A "student with an exceptionality", including a student with a disability, 8 is any student who is evaluated according to state and federal regulation or policy 9 and is deemed to have a mental disability, hearing impairment loss (including 10 deafness), multiple disabilities, deaf-blindness, speech or language impairment, 11 visual impairment (including blindness), emotional disturbance, orthopedic 12 impairment, other health impairment, specific learning disability, traumatic brain 13 injury, autism, or as is deemed to be gifted or talented, and as a result requires 14 special education and related services. A student with an exceptionality may include, 15 as determined by the local education agency, a student experiencing developmental 16 delay ages three through eight. 17 * * * 18 Section 4. R.S. 21:51(C) and 52(A) and (B) are hereby amended and reenacted to 19read as follows: 20 §51. Pet animals; prohibitions relative to hotels and motels; penalty; exemptions 21 * * * 22 C. This Section shall not apply to guide dogs or service dogs used by blind 23 persons, visually impaired persons, deaf persons, hearing impaired persons who are 24 deaf or hard of hearing, and other persons with physical disabilities who have been 25 taught to use such dogs at a qualified dog guide or service school. 26 §52. Guide or service dog; rights and privileges of owners and trainers; penalties for 27 violations 28 A. Any blind person, visually impaired person, deaf person, hearing 29 impaired person who is deaf or hard of hearing, or person with any other physical Page 4 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 disability who is accompanied by a properly controlled dog which such person has 2 been taught to use as a guide or for service at a qualified dog guide or service school, 3 or any person who is qualified to provide training for a guide dog or service animal 4 and is accompanied by a guide dog in training, is entitled to the full and equal 5 accommodations, advantages, facilities, and privileges of all public accommodation, 6 amusement, or resort, and other places to which the general public is invited, and 7 shall be entitled to take such dog into such conveyances and places, subject only to 8 the accommodations and limitations applicable to all persons not so accompanied, 9 provided that the dog shall not occupy a seat in any public conveyance. 10 B. Any person, firm, or corporation, or agent, representative, or employee 11 of any person, firm, or corporation who deprives any blind person, visually impaired 12 person, deaf person, hearing impaired person who is deaf or hard of hearing, or 13 person with any other physical disability, or any person who is accompanied by a 14 guide dog in training of any right conferred by Subsection A of this Section, shall be 15 deemed guilty of a misdemeanor, and upon conviction thereof, shall be fined a sum 16 not to exceed five hundred dollars, or be imprisoned in the parish jail for a period not 17 to exceed ninety days, or both, within the discretion of the judge; and for every such 18 offense such person shall forfeit and pay a sum not to exceed five hundred dollars 19 to any person aggrieved thereby, to be recovered in any court of competent 20 jurisdiction in the parish where such offense was committed. 21 * * * 22 Section 5. R.S. 22:245, 1027(A), and 1038(C)(2)(a) and (E) are hereby amended and 23reenacted to read as follows: 24 §245. Hearing impaired interpreter Interpreter services for the deaf and hard of 25 hearing; expenses; requirement 26 As a requirement for authorization to do business in this state pursuant to 27 R.S. 22:244, all health maintenance organizations shall provide coverage for 28 expenses incurred by any hearing impaired enrollee who is deaf or hard of hearing 29 for services performed by a qualified interpreter/transliterator, other than a family Page 5 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 member of the enrollee, when such services are used by the enrollee in connection 2 with medical treatment or diagnostic consultations performed by a health care 3 healthcare provider. 4 * * * 5 §1027. Hearing-impaired interpreter Interpreter services for the deaf and hard of 6 hearing; expenses 7 A. Any hospital or medical expense insurance policy delivered or issued for 8 delivery in this state on or after December 1, 1991, shall contain a provision or 9 endorsement requiring payment for expenses incurred by the insured for services 10 performed by a qualified interpreter/transliterator, other than a family member of the 11 insured, when such services are used by the insured in connection with medical 12 treatment or diagnostic consultations performed by a physician, dentist, chiropractor, 13 or podiatrist, provided such medical treatment or consultation is covered under said 14 insurance policy and provided the services are required because of a hearing 15 impairment loss of the insured or a failure of the insured to understand or otherwise 16 communicate in spoken language. 17 * * * 18 §1038. Hearing aid coverage for minor child 19 * * * 20 C. 21 * * * 22 (2)(a) An entity subject to this Section may limit the benefit payable under 23 Paragraph (1) of this Subsection to one thousand and four hundred dollars per 24 hearing aid for each hearing-impaired ear with hearing loss every thirty-six months. 25 * * * 26 E. The provisions of this Section shall apply to any new policy, contract, 27 program, or plan issued by an entity subject to the provisions of this Section on or 28 after January 1, 2004. Any such policy, contract, program, or plan in effect prior to 29 January 1, 2004, shall convert to the provisions of this Section on or before the Page 6 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 renewal date but in no event later than January 1, 2005. Any policy affected by the 2 provisions of this Section shall apply to an insured or participant under such policy, 3 contract, program, or plan whether or not the hearing impairment loss is a 4 pre-existing condition of the insured or participant. 5 * * * 6 Section 6. R.S. 36:259(N) is hereby amended and reenacted to read as follows: 7 §259. Transfer of agencies and functions to Louisiana Department of Health 8 * * * 9 N. The advisory council for the program of early identification of deaf or 10 hard of hearing impaired infants (R.S. 46:2261 et seq.) is placed within the Louisiana 11 Department of Health and shall exercise and perform its powers, duties, functions, 12 and responsibilities as provided by or pursuant to law. 13 * * * 14 Section 7. R.S. 37:2446.1(B)(7) and 2651(7)(b)(v)(hh) are hereby amended and 15reenacted to read as follows: 16 §2446.1. Continuing education requirement 17 * * * 18 B. Among those subjects which shall be approved by the board as categories 19 of study toward completion of the annual requirement of continuing education are: 20 * * * 21 (7) Allied professional disciplines relating to the hearing impaired deaf or 22 hard of hearing and hearing aid devices may be approved by the board. 23 * * * 24 §2651. Definitions 25 As used in this Chapter: 26 * * * 27 (7) 28 * * * Page 7 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 (b) An individual who meets the requirements of this Chapter for licensure 2 as an audiologist and who engages in the fitting and selling of hearing aids shall: 3 * * * 4 (v) Provide documentation of completion of at least thirty semester credit 5 hours of professional coursework, twenty-one hours of which shall be in audiology. 6 A minimum of six semester credit hours shall be in specific areas in amplification, 7 including: 8 * * * 9 (hh) Rehabilitative procedures, such as hearing aid orientation, counseling 10 of hearing impaired individuals who are deaf or hard of hearing and their families, 11 speechreading, and auditory training. 12 * * * 13 Section 8. R.S. 40:1580.1(A) and 2208 are hereby amended and reenacted to read 14as follows: 15 §1580.1. Fire alarms; hotel or motel rooms 16 A. Every new or renovated hotel or motel room shall have sleeping rooms 17 equipped with approved fire detection and alarm systems for the deaf or hard of 18 hearing impaired in case of fire in accordance with the requirements of Section 9 of 19 the Americans with Disabilities Act Accessibility Guidelines (ADAAG) table 9.1.2 20 and 9.1.3. 21 * * * 22 §2208. Hearing impaired interpreter Interpreter services for the deaf and hard of 23 hearing; expenses; coverage 24 As a requirement for authorization to do business in this state pursuant to 25 R.S. 40:2203, all preferred provider organizations shall provide coverage for 26 expenses incurred by any hearing impaired covered patient who is deaf or hard of 27 hearing for services performed by a qualified interpreter/translator, other than a 28 family member of the covered patient, when such services are used by the covered Page 8 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 patient in connection with medical treatment or diagnostic consultations performed 2 by the health care provider. 3 Section 9. R.S. 42:1119(B)(2)(a)(i) is hereby amended and reenacted to read as 4follows: 5 §1119. Nepotism 6 * * * 7 B. 8 * * * 9 (2) Notwithstanding the provisions of Paragraph (1) of this Subsection: 10 (a)(i) Any local school board may employ any member of the immediate 11 family of any board member or of the superintendent as a classroom teacher 12 provided that such family member is certified to teach or is temporarily authorized 13 to teach while pursuing certification. Any local school board in a parish having a 14 population of fewer than sixty thousand according to the latest federal decennial 15 census may employ any member of the immediate family of any board member or 16 of the superintendent as a special education related services professional provided 17 that such family member is licensed in an appropriate field for special education 18 related services and such family member is the only applicant who meets the 19 qualifications for the position set by the school board who has applied for the 20 position after it has been advertised for at least thirty days in the official journal of 21 the school board. A special education related services professional shall include the 22 following when employed to provide special education services: a social worker, 23 occupational therapist, physical therapist, speech therapist/pathologist, teacher of 24 hearing impaired students who are deaf or hard of hearing, teacher of visually 25 impaired students, or nurse. Any school board member or superintendent whose 26 immediate family member is employed by the school board shall recuse himself 27 from any decision involving the promotion or assignment of teaching or service 28 location of such employee. 29 * * * Page 9 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 Section 10. R.S. 45:1355(A) is hereby amended and reenacted to read as follows: 2 §1355. Disasters; deaf and hearing-impaired hard of hearing persons informed 3 A. During any time of a disaster, or threat of a disaster, television stations 4 shall transmit information or instructions in connection with the disaster, or threat 5 of disaster, to the deaf and hearing-impaired persons hard of hearing by scrolling or 6 other appropriate means of communication in order to provide such persons with the 7 same information or instructions as is provided to hearing persons. 8 * * * 9 Section 11. The heading of Chapter 30-A of Title 46 of the Louisiana Revised 10Statutes of 1950, R.S. 46:2261, 2262(A) and (C), 2262.1(introductory paragraph), (4), and 11(12), 2263(3), (4), and (6) through (8), 2264(A), (C), and (D), 2265(A)(introductory 12paragraph), (9), and (10), 2266(1) and (3) through (5), 2352(7)(a) and (10)(a)(introductory 13paragraph), 2361, 2362(2) through (6), 2363 through 2365, 2367, 2368(B), and 2372 are 14hereby amended and reenacted to read as follows: 15 CHAPTER 30-A. IDENTIFICATION OF HEARING 16 IMPAIRMENT LOSS IN INFANTS LAW 17 §2261. Short title 18 This Chapter may be cited as the "Identification of Hearing Impairment Loss 19 in Infants Law". 20 §2262. Purpose 21 A. The purpose of the program for early identification of hearing impairment 22 loss is to identify hearing impaired deaf or hard of hearing infants at the earliest 23 possible time so that medical treatment, early audiological evaluation, selection of 24 amplification, and early educational intervention can be provided. 25 * * * 26 C. Early identification and management of the hearing impaired deaf or hard 27 of hearing infant are essential if that infant is to acquire the vital language and speech 28 skills needed to achieve maximum potential educationally, emotionally, and socially. 29 * * * Page 10 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 §2262.1. Bill of Rights 2 In order to insure ensure that children who are deaf or hard of hearing 3 impaired have the same rights and potential to become independent and self- 4 actualizing as children who are not deaf or hard of hearing impaired, the Deaf Child's 5 Bill of Rights is established so that children who are deaf or hard of hearing impaired 6 are entitled: 7 * * * 8 (4) To adult role models who are deaf or hard of hearing impaired. 9 * * * 10 (12) Where appropriate, to have deaf and hard of hearing impaired adults 11 directly involved in determining the extent, content, and purpose of all programs that 12 affect their education. 13 §2263. Definitions 14 Except where the context clearly indicates otherwise, in this Chapter: 15 * * * 16 (3) "Hearing impaired Deaf or hard of hearing infant" means an infant who 17 has a disorder of the auditory system of any type or degree, causing a hearing 18 impairment hearing loss sufficient to interfere with the development of language and 19 speech skills. The term "hearing impaired infant" includes both deaf and hard-of- 20 hearing infants. 21 (4) "Infants at risk" "Infants susceptible to a hearing disability" means those 22 infants who are at risk for susceptible to hearing impairment loss because they have 23 one or more risk factors. 24 * * * 25 (6) "Program" means the program that the office of public health establishes 26 to provide for the early identification and follow-up of infants at risk susceptible to 27 a hearing disability, of deaf or hard of hearing impaired infants, and of infants who 28 have a risk factor for developing a progressive hearing impairment loss. Page 11 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 (7)(a) "Risk factors" means those criteria or factors, any one of which 2 identifies an infant as being at risk for susceptible to hearing impairment loss. 3 (a) (b) The risk factors that identify those neonates, infants from birth 4 through the first twenty-eight days, who are at risk for susceptible to sensorineural 5 hearing impairment loss include the following: 6 (i) Family history of congenital or delayed onset childhood sensorineural 7 impairment. 8 (ii) Congenital infection known or suspected to be associated with 9 sensorineural hearing impairment loss such as toxoplasmosis, syphilis, rubella, 10 cytomegalovirus, and herpes. 11 (iii) Craniofacial anomalies including morphologic abnormalities of the 12 pinna and ear canal, absent philtrum, low hairline, et cetera. 13 (iv) Birth weight less than one thousand five hundred grams or less than 14 three and three tenths pounds. 15 (v) Hyperbilirubinemia at a level exceeding indication for exchange 16 transfusion. 17 (vi) Ototoxic medications, including but not limited to the aminoglycosides 18 used for more than five days, such as gentamicin, tobramycin, kanamycin, 19 streptomycin, and loop diuretics used in combination with aminoglycosides. 20 (vii) Bacterial meningitis. 21 (viii) Severe depression at birth, which may include infants with Apgar 22 scores of zero to three at five minutes or those who fail to initiate spontaneous 23 respiration by ten minutes or those with hypotonia persisting to two hours of age. 24 (ix) Prolonged mechanical ventilation for a duration equal to or greater than 25 ten days, such as persistent pulmonary hypertension. 26 (x) Stigmata or other findings associated with a syndrome known to include 27 sensorineural hearing loss, such as Waardenburg or Usher's Syndrome. Page 12 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 (xi) Other risk factors added or deleted by the office of public health upon 2 recommendation of the advisory council for early identification of deaf or hard of 3 hearing impaired children. 4 (b) (c) The factors that identify those infants aged twenty-nine days to two 5 years who are at risk for susceptible to sensorineural hearing impairment loss include 6 the following: 7 (i) Parent or caregiver concerns regarding hearing, speech, language, or 8 and/or developmental delay. 9 (ii) Bacterial meningitis. 10 (iii) Neonatal risk factors that may be associated with progressive 11 sensorineural hearing loss, such as cytomegalovirus, prolonged mechanical 12 ventilation, and inherited disorders. 13 (iv) Head trauma, especially with either longitudinal or transverse fracture 14 of the temporal bone. 15 (v) Stigmata or other findings associated with syndromes known to include 16 sensorineural hearing loss, such as Waardenburg or Usher's Syndrome. 17 (vi) Ototoxic medications, including but not limited to the aminoglycosides 18 used for more than five days, such as gentamicin, tobramycin, kanamycin, 19 streptomycin, and loop diuretics used in combination with aminoglycosides. 20 (vii) Neurodegenerative disorders such as neurofibromatosis, myoclonic 21 epilepsy, Werdnig-Hoffman disease, Tay-Sach's disease, infantile Gaucher's disease, 22 Nieman-Pick disease, any metachromatic leukodystrophy, or any infantile 23 demyelinating neuropathy. 24 (viii) Childhood infectious diseases known to be associated with 25 sensorineural hearing loss, such as mumps or measles. 26 (ix) Other risk factors added or deleted by the office of public health upon 27 recommendation of the advisory council for early identification of deaf or hard of 28 hearing impaired children. Page 13 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 (8) "Screening for hearing impairment loss" means employing a device for 2 identifying whether an infant has a disorder of the auditory system, but may not 3 necessarily provide a comprehensive determination of hearing thresholds in the 4 speech range. Procedures may include auditory brainstem response (ABR) 5 screening, or evoked otoacoustic emissions (EOAE) screening, or and other devices 6 approved by the office upon recommendation of the advisory council. 7 §2264. Identification of hearing impairment loss in infants 8 A. The office of public health in the Louisiana Department of Health shall 9 establish, in consultation with the advice of the Louisiana Commission for the Deaf 10 and the advisory council created in R.S. 46:2265, a program for the early 11 identification and follow-up of infants at risk infants susceptible to a hearing 12 disability, deaf or hard of hearing impaired infants, and infants at risk of susceptible 13 to developing a progressive hearing impairment loss. That The program shall, at a 14 minimum: 15 (1) Develop criteria or factors to identify those infants at risk for hearing 16 impairment and infants at risk of developing a progressive hearing impairment who 17 are likely deaf or hard of hearing and infants who may develop a progressive hearing 18 loss, including the risk factors set forth in this Chapter, and develop an at-risk a 19 susceptibility questionnaire for infant hearing loss. 20 (2) Create an at-risk a susceptibility registry to include, but not be limited to, 21 the identification of infants at risk for susceptible to hearing impairment loss, deaf 22 or hard of hearing impaired infants, and infants at risk of susceptible to developing 23 a progressive hearing impairment loss. 24 (3) Provide to the hospitals and other birthing sites the at-risk susceptibility 25 questionnaire for infant hearing loss and require that the form be completed for any 26 newborn prior to discharge from the hospital or other birthing site. As to infants at 27 risk infants susceptible to a hearing disability, copies of the completed at-risk 28 susceptibility questionnaire shall be distributed to the at-risk susceptibility registry Page 14 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 of the office, the parent or guardian, and, if known, the infant's primary care 2 physician and the provider of audiological services. 3 (4) Require for all newborn infants that the hospital of birth or that hospital 4 to which the newborn infant may be transferred provide screening for hearing 5 impairment loss by auditory brainstem response (ABR) screening, or evoked 6 otoacoustic emissions (EOAE) screening, or any other screening device approved by 7 the office before discharge. The results of that screening for hearing impairment loss 8 shall be provided to the at-risk susceptibility registry of the office of public health, 9 the parent or guardian, and if known, the primary care physician and the provider of 10 audiological services. 11 (5) Develop and provide to the hospitals or other birthing sites appropriate 12 written materials regarding hearing impairment loss, and require that the hospitals 13 or other birthing sites provide this written material to all parents or guardians of 14 newborn infants. 15 (6) Develop methods to contact parents or guardians of infants at risk infants 16 susceptible to a hearing disability, of deaf or hard of hearing impaired infants, and 17 of infants at risk of susceptible to developing a progressive hearing impairment loss. 18 (7) Establish a telephone hotline to communicate information about hearing 19 impairment loss, hearing screening, audiological evaluation, and other services for 20 deaf or hard of hearing impaired infants. 21 (8) Provide that when a screening for hearing impairment indicates a hearing 22 loss, audiological evaluation shall be done as soon as practical. The parents or 23 guardians of the infant shall be provided with information on locations at which 24 medical and audiological follow up can be obtained. 25 * * * 26 C. The office shall develop a system for the collection of data, determine the 27 cost-effectiveness of the program, and disseminate statistical reports to the Louisiana 28 Commission for the Deaf. Page 15 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 D. The office, in cooperation with the state Department of Education, shall 2 develop a plan to coordinate early educational and audiological services for infants 3 identified as deaf or hard of hearing impaired. 4 * * * 5 §2265. Advisory council creation; membership; terms; quorum; compensation 6 A. There is hereby created an advisory council for the program of early 7 identification of deaf or hard of hearing impaired infants. The council shall consist 8 of fourteen members as follows: 9 * * * 10 (9) A parent of an oral hearing impaired who chose the oral method for their 11 deaf or hard of hearing child. 12 (10) A parent of a deaf or hard of hearing impaired child utilizing total 13 communication. 14 * * * 15 §2266. Powers, duties, functions of the advisory council 16 The advisory council shall: 17 (1) Advise and recommend risk factors or criteria for infants who are at risk 18 of hearing impairments and infants at risk of developing a progressive hearing 19 impairment likely deaf or hard of hearing and infants who may develop a progressive 20 hearing loss. 21 * * * 22 (3) Advise the office as to integrating the program for early identification of 23 deaf or hard of hearing impaired infants with existing medical, audiological, and 24 early infant education programs. 25 (4) Advise the office as to materials to be distributed to the public 26 concerning deaf or hard of hearing impaired infants. 27 (5) Advise the office on the implementation of the program for early 28 identification and follow-up of infants at risk infants susceptible to a hearing Page 16 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 disability, deaf or hard of hearing impaired infants, and infants who are at risk of 2 developing a progressive hearing impairment loss. 3 * * * 4 §2352. Duties 5 The commission shall: 6 * * * 7 (7) Certify interpreters and maintain a registry of certified interpreters. The 8 commission shall promulgate rules for the examination of applicants for certification 9 and the issuance of certificates. Such rules shall be subject to legislative oversight 10 review pursuant to the Administrative Procedure Act and shall be subject to the 11 following limitations: 12 (a) The commission shall not promulgate any rule or regulation which denies 13 a hearing-impaired deaf or hard of hearing person's right to choose his interpreter. 14 * * * 15 (10)(a) Establish, administer, and promote a statewide program to provide 16 access to all public telecommunications services by persons who are deaf, deaf-blind, 17 and others such as severely hearing impaired persons with severe hearing loss or 18 severely speech impaired severe speech impairments. This program shall include but 19 is not limited to: 20 * * * 21 §2361. Purpose 22 It is the policy of this state to secure the rights of persons with hearing 23 impairments loss who cannot readily understand or communicate in spoken 24 languages and who consequently cannot equally participate in or benefit from 25 proceedings, programs, and activities of the courts, legislative bodies, administrative 26 agencies, licensing commissions, departments, and boards of the state and its 27 subdivisions unless qualified interpreters/transliterators are available to facilitate 28 communication. Page 17 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 §2362. Definitions 2 As used in this Chapter: 3 * * * 4 (2) A "hearing-impaired person who is deaf or hard of hearing" means a 5 person who, because of a hearing impairment loss, has difficulty understanding the 6 communication occurring. 7 (3) "Interpreter/transliterator" means a facilitator of communication among 8 persons with hearing and hearing-impaired persons who are deaf or hard of hearing 9 as provided in R.S. 46:2365 and R.S. 14:2368 2368. 10 (4) "Intermediary interpreter/transliterator" means any person, including any 11 hearing-impaired person who is deaf or hard of hearing, who is able to assist in 12 providing an accurate interpretation between spoken English and sign language or 13 between variants of sign language by acting as an intermediary between a hearing- 14 impaired person who is deaf or hard of hearing and a qualified 15 interpreter/transliterator. The intermediary interpreter/transliterator may be needed 16 for non-manual hearing-impaired persons who are deaf or hard of hearing and shall 17 be provided. 18 (5) "Qualified interpreter/transliterator" means any person certified by the 19 Registry of Interpreters for the Deaf, or in the event an interpreter/transliterator so 20 certified is not available, one whose qualifications are such that he is able to 21 accurately communicate with and convey information to and from the hearing- 22 impaired person who is deaf or hard of hearing. 23 (6) "Quasi-judicial proceeding" means any proceeding of a public 24 administrative office or body which is required to investigate facts, ascertain the 25 existence of facts, hold hearings, and draw conclusions from them as a basis for their 26 official action, and to exercise discretion of a judicial nature. 27 §2363. Waiver 28 The right of a hearing-impaired person who is deaf or hard of hearing to the 29 services of an interpreter/transliterator may not be waived except by a hearing- Page 18 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 impaired person who is deaf or hard of hearing who requests a waiver. The failure 2 of the hearing-impaired person who is deaf or hard of hearing to request the services 3 of an interpreter/transliterator is not deemed a waiver of that right. 4 §2364. Interpreter/transliterator required 5 A. Whenever a hearing-impaired person who is deaf or hard of hearing is a 6 party or witness at any stage involving direct communication with hearing-impaired 7 persons who are deaf or hard of hearing or his legal representative or custodian 8 during any judicial or quasi-judicial proceeding in this state or in its political 9 subdivisions, including but not limited to proceedings of civil and criminal court, 10 grand jury, before a magistrate, juvenile, adoption, mental health commitment, and 11 any proceeding in which a hearing-impaired person who is deaf or hard of hearing 12 may be subjected to confinement or criminal sanction, the appointing authority shall 13 appoint and pay for a qualified interpreter/transliterator to interpret or transliterate 14 the proceedings to the hearing-impaired person who is deaf or hard of hearing and 15 to interpret or transliterate the hearing-impaired person's testimony of the person who 16 is deaf or hard of hearing. 17 B. Whenever a juvenile whose parent is hearing-impaired deaf or hard of 18 hearing is brought before a court for any reason, the court shall appoint and pay for 19 a qualified interpreter/transliterator to interpret or transliterate the proceedings to the 20 hearing-impaired deaf or hard of hearing parent and to interpret or transliterate the 21 hearing-impaired that parent's testimony. 22 C. If any hearing or proceeding of any department, board, licensing 23 authority, commission, or administrative agency of the state or of its political 24 subdivision is held, the appointing authority shall appoint and pay for a qualified 25 interpreter/transliterator for hearing-impaired deaf or hard of hearing participants. 26 D. Whenever a hearing-impaired person who is deaf or hard of hearing is a 27 witness before any legislative committee or subcommittee, or legislative research or 28 study committee, or subcommittee or commission authorized by the state legislature 29 or by the legislative body of any political subdivision of the state, the appointing Page 19 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 authority shall appoint and pay for a qualified interpreter/transliterator to 2 interpret/transliterate the proceedings to the hearing-impaired person who is deaf or 3 hard of hearing and to interpret/transliterate the hearing-impaired that person's 4 testimony. 5 E.(1) Whenever a hearing-impaired person who is deaf or hard of hearing is 6 arrested for an alleged violation of a criminal law, including a local ordinance, the 7 arresting officer shall procure and the court with jurisdiction over the alleged 8 violation shall pay for a qualified interpreter/transliterator for any interrogation, 9 warning, notification of rights, or taking of a statement. 10 (2) No hearing-impaired person who is deaf or hard of hearing who has been 11 arrested and who is otherwise eligible for release shall be held in custody pending 12 arrival of an interpreter/transliterator. 13 (3) No answer, statement, or admission, written or oral, made by a hearing- 14 impaired person who is deaf or hard of hearing in reply to a question of a law 15 enforcement officer or any other person having a prosecutorial function in any 16 criminal proceeding may be used against that hearing-impaired person who is deaf 17 or hard of hearing unless either the statement was made or elicited through a 18 qualified interpreter/transliterator and was made knowingly, voluntarily, and 19 intelligently or, in the case of waiver of interpreters/transliterators, unless the court 20 makes a special finding that any statement made by the hearing-impaired person who 21 is deaf or hard of hearing was made knowingly, voluntarily, and intelligently. 22 F. Where it is the policy and practice of a court of this state or of its political 23 subdivisions to appoint counsel for indigent persons, the appointing authority shall 24 appoint and pay for a qualified interpreter/transliterator for hearing-impaired indigent 25 people who are deaf or hard of hearing to assist in communication with counsel in 26 all phases of the preparation and presentation of the case. 27 §2365. Determination of interpreter's/transliterator's qualifications 28 A. Before appointing an interpreter/transliterator, the appointing authority 29 shall make a preliminary determination, based on the hearing-impaired person's Page 20 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 needs, the certification of an interpreter/transliterator needs of the person who is deaf 2 or hard of hearing and upon the recommendation of the Louisiana Commission for 3 the Deaf. If the interpreter/transliterator is not able to facilitate effective 4 communication with the hearing-impaired person who is deaf or hard of hearing, the 5 appointing authority shall provide another qualified interpreter/transliterator. 6 B. Upon request of the person for whom the interpreter/transliterator is 7 appointed, or on the appointing authority's own motion, an interpreter/transliterator 8 may be removed for the inability to communicate with the hearing-impaired person 9 who is deaf or hard of hearing, or if, for reasonable cause, another 10 interpreter/transliterator is so desired by the hearing-impaired person who is deaf or 11 hard of hearing for whom the interpreter/transliterator is serving. 12 * * * 13 §2367. Interpreter/transliterator in full view 14 Whenever an interpreter/transliterator is required to be appointed under this 15 Chapter, the appointing authority shall not commence proceedings until the 16 appointed interpreter/transliterator is in full view of and spatially situated to assure 17 effective communication with the hearing-impaired deaf or hard of hearing 18 participant. 19 §2368. Coordination of interpreter/transliterator requests 20 * * * 21 B. Whenever an interpreter/transliterator is required under pursuant to this 22 Chapter, the appointing authority shall use one of the interpreters/transliterators on 23 the Louisiana Commission for the Deaf list. If none of the listed 24 interpreters/transliterators is available or is able to provide effective communication 25 with the particular hearing-impaired person who is deaf or hard of hearing, then the 26 appointing authority shall appoint any other person who is able to accurately 27 communicate with and convey information to and from the particular hearing- 28 impaired person involved who is deaf or hard of hearing. 29 * * * Page 21 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 §2372. Visual recording 2 The appointing authority, on his own motion or on the motion of a party to 3 the proceedings, may order that the testimony of the hearing-impaired person who 4 is deaf or hard of hearing and the interpretation/transliteration thereof be 5 electronically or visually recorded for use in verification of the official transcript of 6 the proceedings. 7 Section 12. R.S. 47:6301(A)(3) is hereby amended and reenacted to read as follows: 8 §6301. Rebates; donations to school tuition organizations 9 A. 10 * * * 11 (3) In order for a donation from a taxpayer to qualify for the rebate, the 12 donation shall be used by the school tuition organization to provide scholarships for 13 tuition and fees for students to attend a qualified school in accordance with the 14 provisions of this Section. No more than five percent of a donation shall be used by 15 the school tuition organization for administrative or promotional costs. No 16 scholarship shall be designated, referred to, or in any way named after a private 17 entity nor shall any donation be earmarked by a donor to provide a scholarship for 18 a particular qualified student or a particular qualified school. However this 19 Paragraph shall not prohibit a donation being earmarked for a student with a 20 disability. A student shall be considered to have a disability if such student is 21 evaluated according to state and federal regulation or policy and is deemed to have 22 a mental disability, hearing impairment loss (including deafness), multiple 23 disabilities, deaf-blindness, speech or language impairment, visual impairment 24 (including blindness), emotional disturbance, orthopedic impairment, other health 25 impairment, specific learning disability, traumatic brain injury, dyslexia and related 26 disorders, or autism, and as a result requires special education and related services. 27 * * * 28 Section 13. The heading of Part X of Chapter 1 of Title 49 of the Louisiana Revised 29Statutes of 1950 and R.S. 49:181(A) are hereby amended and reenacted to read as follows: Page 22 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 PART X. EMPLOYMENT AND LICENSING 2 EXAMINATIONS--INTERPRETERS FOR DEAF PERSONS 3 THE DEAF AND HARD OF HEARING 4 §181. Interpreters for deaf or severely hearing-impaired persons taking state 5 examinations State examinations; interpreters for the deaf and hard of 6 hearing 7 A. Any deaf or severely hearing-impaired person who is deaf or hard of 8 hearing and takes taking an examination which is a prerequisite for employment or 9 licensing by the state or any of its agencies is entitled to be furnished, upon request, 10 with an interpreter by the state or its agency. 11 * * * 12 Section 14. Code of Criminal Procedure Article 401.1(B)(introductory paragraph) 13is hereby amended and reenacted to read as follows: 14 Art. 401.1. Court instructions for interpreter 15 * * * 16 B. When a deaf or hard of hearing or hearing impaired person is summoned 17 for jury duty, the court shall: 18 * * * 19 Section 15.(A) The legislature hereby finds that language used to refer to persons 20with disabilities and other persons with exceptionalities shapes and reflects attitudes toward 21and perceptions of those persons by society. 22 (B) It is hereby declared that the intent of the legislature is to delete from the 23lawbodies of this state terms that convey negative or derogatory perceptions of persons with 24disabilities and other persons with exceptionalities. Accordingly, the intent of the legislature 25is to provide in this Act for establishment of terminology in law referring to the deaf and 26hard of hearing that is more appropriate than the terminology replaced herein, and which 27conveys no indignity toward persons with hearing loss. Page 23 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 1 (C) It is the intent of the legislature that no provision of this Act shall alter or affect 2in any way the substance, interpretation, or application of any present law or administrative 3rule. 4 (D) Nothing in this Act shall be construed to expand or diminish any right of or 5benefit for any person provided by any existing law or administrative rule. 6 Section 16.(A) Each agency, board, commission, department, office, and other 7instrumentality of the state to which the legislature has delegated authority to promulgate 8rules and regulations in accordance with the Administrative Procedure Act, R.S. 49:950 et 9seq., is hereby authorized and requested to employ the preferred terminology enacted in 10Sections 1 through 14 of this Act for referring to the deaf and hard of hearing and to hearing 11loss in duly promulgated administrative rules, policy publications, and materials published 12in paper format or electronically, whether for internal use or public use, including but not 13limited to informational brochures, resource guides, reference materials, manuals, and the 14content of any Internet website or other electronic media. The provisions of this Section 15shall apply prospectively; however, nothing herein shall be construed to limit any agency, 16board, commission, department, office, or other instrumentality of the state from amending 17existing administrative rules for the purpose of instituting the preferred terminology 18provided for in this Act. 19 (B) The legislative services offices of the House of Representatives and the Senate 20are hereby authorized and requested to publish guidance in legislative drafting manuals and 21in any other professional resources as those offices may deem appropriate concerning use 22of the preferred terminology for referring to the deaf and hard of hearing and to hearing loss 23provided for in this Act. 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 253 Reengrossed 2017 Regular Session Smith Abstract: Revises terminology referring to the deaf and persons who are hard of hearing by deleting and making substitutions for derogatory, inaccurate, and obsolete terms. Page 24 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 Proposed law revises terminology in present law referring to the deaf and persons who are hard of hearing by deleting and making substitutions for derogatory, inaccurate, and obsolete terms. Proposed law provides for the following changes in terminology throughout present law: (1)Proposed law changes "deaf person" and "hearing-impaired person" to "the deaf and hard of hearing". (2)Proposed law changes "the hearing-impaired" to "the deaf or hard of hearing". (3)Proposed law changes "hearing impairment" to "hearing loss". Proposed law provides for the following changes to terminology in present law relative to identification of hearing loss in infants: (1)Proposed law changes "infants at risk" to "infants susceptible to a hearing disability". (2)Proposed law changes "at-risk", when referring to a person, to "susceptible". (3)Proposed law changes "at-risk questionnaire" and "at-risk registry" to "susceptibility questionnaire" and "susceptibility registry", respectively. Proposed law provides for revision of terminology relative to the deaf and hard of hearing in administrative rules, policy documents, professional resources, reference materials, manuals, and other governmental publications. Proposed law sets forth the following legislative findings and declarations of intent: (1)Language used to refer to persons with disabilities and other persons with exceptionalities shapes and reflects attitudes toward and perceptions of those persons by society. (2)The legislature intends to delete from present law terms that convey negative or derogatory perceptions of persons with disabilities and other persons with exceptionalities, and to provide through proposed law for appropriate terminology which conveys no indignity toward persons with hearing loss. (3)The legislature intends that no provision of proposed law shall alter or affect in any way the substance, interpretation, or application of present law or present administrative code. Proposed law stipulates that nothing in proposed law shall be construed to expand or diminish any right of or benefit for any person provided by present law or present administrative code. (Amends R.S. 4:715(B)(2), R.S. 14:32(D)(3) and 39(D)(3), R.S. 17:43(B)(2) and 1942(B), R.S. 21:51(C) and 52(A) and (B), R.S. 22:245, 1027(A), and 1038(C)(2)(a) and (E), R.S. 36:259(N), R.S. 37:2446.1(B)(7) and 2651(7)(b)(v)(hh), R.S. 40:1580.1(A) and 2208, R.S. 42:1119(B)(2)(a)(i), R.S. 45:1355(A), the heading of Ch. 30-A of Title 46 of the La. Revised Statutes of 1950, R.S. 46:2261, 2262(A) and (C), 2262.1(intro. para.), (4), and (12), 2263(3), (4), and (6)-(8), 2264(A), (C), and (D), 2265(A)(intro. para.), (9), and (10), 2266(1) and (3)- (5), 2352(7)(a) and (10)(a)(intro. para.), 2361, 2362(2)-(6), 2363-2365, 2367, 2368(B), and 2372, R.S. 47:6301(A)(3), the heading of Part X of Ch. 1 of Title 49 of the La. Revised Statutes of 1950, R.S. 49:181(A), and C.Cr.P. Art.401.1(B)(intro. para.)) Page 25 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 17RS-587 REENGROSSED HB NO. 253 Summary of Amendments Adopted by House The House Floor Amendments to the engrossed bill: 1. Insert provisions of present law for purposes of making additional changes of the type provided for in proposed law. 2. Make technical changes. Page 26 of 26 CODING: Words in struck through type are deletions from existing law; words underscored are additions.