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 414 Engrossed 2017 Regular Session Leger
Abstract: Increases license fees assessed by the La. Dept. of Health (LDH) on health facilities and
providers; subjects additional types of providers to initial license, license renewal, and bed
fees.
Proposed law makes the following revisions to present law relative to licensing fees for ambulance
services and air ambulance services:
(1)Increases the initial licensing fee from $150 to $300.
(2)Increases the annual license renewal fee from $150 to $300.
(3)Deletes a requirement that a delinquent fee of $100 for failure to timely pay an annual license
renewal fee be assessed and become due and payable at 12:01 a.m. on the 36th day following
the date of the invoice by which the department bills the applicant or licensee for the annual
license renewal fee. Inserts in lieu thereof a requirement that this $100 fee be assessed and
become due and payable at 12:01 a.m. on the first day following the expiration of the license.
(4)Deletes a requirement that ambulance services pay a delinquent fee of $100 per ambulance
and emergency medical response vehicle for failure to timely pay a vehicle inspection fee.
(5)Deletes a requirement that air ambulance services pay a delinquent fee of $25 per aircraft for
failure to timely pay an aircraft inspection fee.
Present law authorizes initial licensure and annual license renewal fees not to exceed $600, payable
to LDH, for the following facilities and providers: Adult day health care facilities; behavioral health
services providers; ambulatory surgical centers; case management providers; urine drug screening
providers; home health agencies; hospices; hospitals; nursing homes; rural health clinics;
intermediate care facilities for people with developmental disabilities (ICF/DD); end stage renal
disease facilities; outpatient abortion facilities; psychiatric residential treatment facilities; children's
respite care centers; pediatric day healthcare facilities.
Proposed law repeals present law authorizing assessment of initial licensure and annual license
renewal fees for urine drug screening providers. For all other facilities and providers, proposed law
revises present law to provide that initial licensure and annual license renewal fees shall be set as
follows: (1)For a facility or provider that is licensed as of Dec. 31, 2017, the annual licensing fee shall
be as follows:
(a)$700 per year for a license issued or renewed on or after Jan. 1, 2018 and before Jan.
1, 2019.
(b)$800 per year for a license issued or renewed on or after Jan. 1, 2019 and before Jan.
1, 2020.
(c)$900 per year for a license issued or renewed on or after Jan. 1, 2020 and before Jan.
1, 2021.
(d)$1,000 per year for a license issued or renewed on or after Jan. 1, 2021.
(2)For a new facility or provider that is initially licensed after Dec. 31, 2017, the annual license
fee shall be $1,000 per year. Provides that this fee shall apply to each facility, provider, or
entity which undergoes a change of ownership after Dec. 31, 2017.
Proposed law provides that the fee schedule above for initial licensure and annual license renewal
shall also apply to the following facilities and providers:
(1)Pain management clinics.
(2)Therapeutic group homes.
(3)Crisis receiving centers.
(4)Adult brain injury facilities.
(5)Forensic supervised transitional residential and aftercare facilities.
(6)Home- and community-based service providers.
Present law provides that at the time of initial licensure or annual license renewal, any entity
currently operating or planning to operate any one of the following healthcare facilities shall be
assessed an additional application and renewal fee not to exceed $5 per unit (defined as a room or
station), payable to LDH: Hospices; hospitals; nursing homes; intermediate care facilities for people
with developmental disabilities; behavioral health services providers; psychiatric residential
treatment facilities; children's respite care centers; end stage renal disease facilities.
Proposed law revises present law to provide that the additional fee shall be per bed. Provides that
for purposes of proposed law, "bed" means a licensed bed or station. Extends applicability of the
additional fee per bed to the following facilities:
(1)Therapeutic group homes. (2)Crisis receiving centers.
(3)Adult brain injury facilities.
(4)Forensic supervised transitional residential and aftercare facilities.
(5)Home- and community-based service providers.
Present law provides that any entity currently operating or planning to operate a satellite, branch, or
offsite office of a healthcare facility licensed by LDH shall be assessed a fee not to exceed $300 per
subsidiary license or registration, payable to LDH. Proposed law increases this fee to $400.
Present law provides that any entity currently operating or planning to operate any one of the
following licensed facilities or providers shall be assessed a delinquent fee of $100 for failure to
timely renew its license or any subsidiary license: Adult day health care facility; behavioral health
services provider; ambulatory surgical center; case management provider; urine drug screening
provider; home health agency; hospice; hospital; nursing home; intermediate care facility for people
with developmental disabilities; end stage renal disease facility; outpatient abortion facility; rural
health clinic; psychiatric residential treatment facility; children's respite care center; pediatric day
health care facility; home- and community-based service provider; adult brain injury facility; pain
management clinic.
Proposed law repeals present law authorizing assessment of the delinquent fee on urine drug
screening providers, and extends applicability of the delinquent fee to the following facilities:
(1)Therapeutic group homes.
(2)Crisis receiving centers.
(3)Forensic supervised transitional residential and aftercare facilities.
Present law requires adult residential care providers to pay an initial license application fee and an
annual license renewal fee, both in the amount of $600. Proposed law decreases this fee amount to
$500.
Present law requires assessment of an additional application and renewal fee not to exceed $5 per
unit on adult residential care providers. Proposed law retains present law and changes the definition
of "unit" from "room or station" to "the licensed capacity of the adult residential care provider".
Proposed law exempts state-owned health facilities from fees for applications for and renewal of
licenses.
Proposed law makes technical and conforming changes in present law to reflect the fee amounts
provided in proposed law. Effective Jan. 1, 2018.
(Amends R.S. 28:35(B) and R.S. 40:1135.4, 1135.8(E)(2), 1135.11, 2006(A)(1) and (2)(intro. para.)
and (c), (B)(1) and (2)(intro. para.), (C), and (E)(1) and (2)(intro. para.) and (c), 2120.4(D),
2120.34(F), 2139(A), 2166.5(C), and 2198.13; Adds R.S. 40:2006(A)(2)(r)-(w), (B)(2)(i)-(m),
(E)(2)(t)-(v), and (F) and 2166.5(D); Repeals R.S. 28:34(C) and 36(B) and R.S. 40:2006(A)(2)(e)
and (E)(2)(e) and 2107(A))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to the
original bill:
1. Remove adult residential care providers from the listing of facilities to which the license
fee increases provided in proposed law would apply.
2. Restore and amend present law relative to adult residential care provider license
application and renewal fees to decrease the amount of such fees from $600 to $500.
3. In provisions requiring assessment of an additional application and renewal fee not to
exceed $5 per unit on adult residential care providers, change the definition of "unit"
from "room or station" to "the licensed capacity of the adult residential care provider".
4. Make technical changes.