SLS 18RS-80 ORIGINAL 2018 Regular Session SENATE BILL NO. 67 BY SENATOR CLAITOR PUBLIC RECORDS. Provides relative to certain reports of coroners. (8/1/18) 1 AN ACT 2 To amend and reenact R.S. 13:5713 and R.S. 44:19(A)(3), to enact R.S. 44:19(E), and to 3 repeal R.S. 13:5714(C), relative to coroner reports and duties; to provide for 4 autopsies; to provide for investigations to determine cause of death; to provide 5 relative to coroner final report; and to provide for related matters. 6 Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 13:5713 is hereby amended and reenacted to read as follows: 8 §5713. Duty to hold autopsies, investigations, etc. 9 A. The coroner shall either view the body or make an investigation into the 10 cause and manner of death in all cases involving the following: 11 (1) Suspicious, unexpected, or unusual deaths. 12 (2) Sudden or violent deaths. 13 (3) Deaths due to unknown or obscure causes or in any unusual manner. 14 (4) Bodies found dead. 15 (5) Deaths due to suspected suicide or homicide. 16 (6) Deaths in which poison is suspected. 17 (7) Any death from natural causes occurring in a hospital under twenty-four Page 1 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 hours of admission. 2 (8) Deaths following an injury or accident either old or recent. 3 (9) Deaths due to drowning, hanging, burns, electrocution, gunshot wounds, 4 stabs or cutting, lightning, starvation, radiation, exposure, alcoholism, addiction, 5 tetanus, strangulation, suffocation, or smothering. 6 (10) Deaths due to trauma from whatever cause. 7 (11) Deaths due to criminal means or by casualty. 8 (12) Deaths in prison or while serving a sentence. 9 (13) Deaths due to virulent contagious disease that might be caused by or 10 cause a public hazard, including acquired immune deficiency syndrome. 11 B.(1) The coroner may perform or cause to be performed by a competent 12 physician an autopsy in any case in his discretion. The coroner shall perform or 13 cause to be performed by a competent physician an autopsy in the case of any death 14 where there is a reasonable probability that the violation of a criminal statute has 15 contributed to the death. 16 (2) The coroner or the district attorney may order the disinterment of any 17 dead body within his jurisdiction under the direction or supervision of the person 18 ordering the disinterment or his designee, and may authorize the removal of such 19 dead body to a place designated by the person ordering the disinterment for the 20 purpose of examination and autopsy and, when such is completed, order the 21 reinterment of the body. 22 (3) The coroner may hold any dead body for any length of time that he deems 23 necessary. However, the coroner shall expedite any investigation at the scene of an 24 accident involving a fatality so as not to unduly delay the removal of the dead body 25 from the accident scene. However, if a bodily substance sample for a toxicology 26 screen is extracted at the accident scene, the extraction procedure shall be performed 27 outside of public view. 28 (4)(a) He may remove and retain for testing or examination any specimens, 29 organs, or other portion of the remains of the deceased that he may deem necessary Page 2 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 or advisable as possible evidence before a grand jury or court, subject to the 2 limitation set forth in R.S. 32:661(A)(2). 3 (b) The coroner may also remove and retain any specimens or organs of the 4 deceased which in his discretion are necessary or desirable for anatomical, 5 bacteriological, chemical, or toxicological examination, subject to the limitation set 6 forth in R.S. 32:661(A)(2). 7 C.(1)(a) The coroner shall perform or cause to be performed by a competent 8 physician an autopsy in all cases of infants under the age of one year who die 9 unexpectedly without explanation. 10 (b) The autopsy shall include microscopic and toxicology studies. 11 (c) The coroner shall furnish a death certificate based upon his autopsy with 12 his statement, to the best of his knowledge, of the cause and means manner of death. 13 (2) If the coroner finds that the cause of death was Sudden Infant Death 14 Syndrome, he shall notify the director of the parish health unit within forty-eight 15 hours after such determination. 16 (3) In preparing the certificate of death, the coroner may not, in lieu of an 17 autopsy, rely on statements of relatives, persons in attendance during the last 18 sickness, persons present at the time of death, or other persons having adequate 19 knowledge of the facts, even if such data may be permitted in other cases in this 20 Section. 21 (4) The coroner shall not perform an autopsy if the parents of the infant 22 provide to the coroner their objection in writing, unless the coroner finds that the 23 facts surrounding the death require that an autopsy be performed in the interest of the 24 public safety, public health, or public welfare. 25 D. If the family of the deceased objects to an autopsy on religious grounds, 26 the autopsy shall not be performed unless the coroner finds that the facts surrounding 27 the death require that an autopsy be performed in the interest of the public safety, 28 public health, or public welfare. In such cases the coroner shall provide the family 29 his written reasons for the necessity of the autopsy. Page 3 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 E.(1) The coroner shall furnish a death certificate based on his examination, 2 investigation, or autopsy, and he shall state as best he can the cause and means 3 manner of death. 4 (2) If it appears that death was due to accident, suicide, or homicide, he shall 5 so state. 6 (3) The cause of death, and the manner or mode in which the death occurred, 7 as incorporated in the death certificate as provided in the Vital Statistics Laws, R.S. 8 40:32 et seq., filed with the division of vital records of the Louisiana Department of 9 Health, shall be the legally accepted cause of death, unless the court of the parish in 10 which the death occurred, after a hearing, directs otherwise. 11 (4) In the case of a death without medical attendance, if there is no reason to 12 suspect the death was due to violence, casualty, or undue means, the coroner may 13 make the certificate of death from the statement of relatives, persons in attendance 14 during the last sickness, persons present at the time of death, or other persons having 15 adequate knowledge of the facts. 16 F. The coroner or his designee shall examine all alleged victims of a sexually- 17 oriented criminal offense. The coroner may select the hospital or healthcare provider 18 named as the lead entity for sexual assault examinations in the regional plan required 19 by R.S. 40:1300.41 as his designee to perform the forensic medical examination. 20 G.(1) Notwithstanding any provision of law to the contrary, when the coroner 21 is required to furnish information for the issuance of a death certificate by the office 22 of vital statistics, the coroner shall do so within ten working days after the receipt of 23 all test and investigation results or information associated with the investigation into 24 the cause and manner of death. 25 (2) If the coroner is unable to furnish the information required pursuant to 26 Paragraph (1) of this Subsection within ten days after taking charge of the case, upon 27 request, the coroner shall issue a written statement attesting to the fact of death, 28 which shall constitute proof of death for all purposes, including but not limited to, 29 any claim under any policy of insurance issued on the life of the deceased individual. Page 4 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 H. In deaths investigated by the coroner where he is not able to establish the 2 identity of the dead body by visual means, fingerprints, or other identifying data, the 3 coroner shall have a qualified dentist or forensic anthropologist or forensic 4 pathologist carry out a dental examination of the dead body. If the coroner, with the 5 aid of the dental examination, is still not able to establish the identity of the dead 6 body, the coroner shall prepare and forward the dental examination and other 7 identifying records to state and local law enforcement agencies. When the dead body 8 may be that of an individual under the age of eighteen years, the coroner shall send 9 this information to the Missing and Exploited Children Information Clearinghouse 10 within the Department of Public Safety and Corrections, office of state police. 11 I. The coroner shall furnish a copy of his final report or autopsy report, or 12 both, upon written request, to the last attending physician of the deceased or to the 13 designated family physician of the deceased, provided that the family of the deceased 14 has given written authorization to the coroner or to the requesting physician for the 15 release of such report. 16 J.(1) Autopsy reports prepared by the coroner or his designee are public 17 records. The coroner shall provide one copy of the autopsy report, records, writings, 18 and documents of any description in any way compiled, drafted or recorded in 19 connection with an autopsy upon request by the spouse, parent, sibling, child, 20 grandchild, niece, nephew, aunt or uncle. If there is no surviving spouse, parent, 21 sibling, child, grandchild, niece, nephew, aunt or uncle, then the coroner shall 22 provide one copy of the autopsy report upon request to the next of kin. The coroner 23 shall provide copies of the autopsy report, records, writings, and documents of any 24 description in any way compiled, drafted or recorded in connection with an autopsy 25 at no charge to the appropriate law enforcement agencies as requested. The public 26 records fee for any other copy of an autopsy report shall be the same as that charged 27 by the registrar of vital records for the state for a death certificate. The records, 28 writings, and documents of any descriptions in any way compiled, drafted, or 29 recorded in connection with an autopsy shall be provided by the coroner upon Page 5 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 payment of a reasonable copying charge pursuant to R.S. 40:1165.1. The autopsy 2 report shall be provided to relatives as provided in this Section at no charge. 3 (2) The provisions of this Subsection shall not apply to the medical records 4 of the decedent. 5 (3) Notwithstanding the provisions of this Subsection, records, writings, and 6 documents of any description in any way compiled, drafted, or recorded in 7 connection with an autopsy which are generated by any public entity other than the 8 coroner shall be obtained from the public entity generating those records, writings, 9 and documents in accordance with other applicable provisions of law. 10 K.(1) For the purposes of this Section, an autopsy report is the work product 11 of the coroner or his designee. When a coroner investigates a death, the office of the 12 coroner is required to make available for public inspection and copying the autopsy 13 report which shall contain the following: 14 (a) Name, age, sex, race, and address of the deceased. 15 (b) Date and reported time of death. 16 (c) Physical location, including address if available, where the deceased was 17 found. 18 (d) Date, time, and place of autopsy, and the name of the doctor performing 19 the autopsy and the names of all persons present at the autopsy. 20 (e) Information regarding the autopsy, including whether the autopsy was 21 requested or performed by operation of law, a listing of the physical findings of the 22 autopsy, a summary in narrative form of the medical findings and conclusions, the 23 cause of death, the manner and mechanism of death, and the classification of death 24 as homicide, accidental, suicide, undetermined, or under investigation. 25 (2) Notwithstanding the provisions of Paragraph (1) of this Subsection, in a 26 non-coroner case, no autopsy report shall be made available for public inspection or 27 copying if the classification of death is that of natural causes except upon request by 28 the next of kin or upon request in compliance with R.S. 13:3715.1. 29 (3) Notwithstanding the provisions of Paragraph (1) of this Subsection and Page 6 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 notwithstanding the provisions of R.S. 13:5714(C), no autopsy report pertaining to 2 criminal litigation as defined in and in accordance with R.S. 44:3(A) shall be 3 required to be made available for public inspection or copying except as otherwise 4 provided by law. 5 L.I.(1) Liability shall not be imposed on an elected coroner or his support 6 staff based upon the exercise or performance or the failure to exercise or perform 7 their policymaking or discretionary acts when such acts are within the course and 8 scope of their lawful powers and duties. 9 M.J. Upon request, the Department of Children and Family Services shall be 10 entitled to obtain at no charge the name, age, preliminary diagnosis, and manner of 11 death of a deceased minor from the office of the coroner conducting the autopsy 12 while the final autopsy is pending. 13 Section 2. R.S. 44:19(A)(3) is hereby amended and reenacted and R.S. 44:19(E) is 14 hereby enacted to read as follows: 15 §19. Records of a coroner; autopsy photographs, video, and other visual images 16 A. 17 * * * 18 (3) The provisions of Paragraph (1) of this Subsection shall not apply to a 19 death certificate, final report of a coroner, or autopsy report. 20 * * * 21 E. For the purposes of this Subsection, coroner death investigation 22 documents shall include the following: 23 (1) A Fact of Death Letter is a written statement attesting to the fact of 24 death, which shall constitute proof of death for all purposes, including but not 25 limited to any claim under any policy of insurance issued on the life of the 26 deceased individual. 27 (2) A Death Investigation Report is the work product of the coroner and 28 is an internal document that comprehensively records the findings and all 29 known information about the case created by both the investigative and Page 7 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 administrative staff of the coroner's office. The Death Investigation Report is 2 not a public document; however, it shall be made available at no charge to the 3 appropriate law enforcement agencies as requested and is subject to subpoena. 4 (3) A Coroner's Report is a document that includes the name of the 5 decedent, address, sex, and race of the decedent, date of birth, age, date and 6 time of death, place of death, date and time of autopsy, when applicable, and the 7 cause and manner of death. The Coroner's Report shall be a public record. The 8 coroner or his designee shall release this report to the news media, Department 9 of Children and Family Services, when appropriate, or to the next of kin 10 pursuant to R.S. 8:655(A). Nothing in this Subsection shall authorize the release 11 of the information set forth herein prior to notification of the next of kin to the 12 deceased unless no next of kin can be determined or, despite reasonable efforts 13 by the coroner's office, no next of kin can be located. This Subsection shall not 14 require the release of information in non-coroner cases. 15 (4) A Post-Mortem Forensic Medical Examination Report is a document 16 that is the work product of the coroner that contains the name of the decedent, 17 address, sex, race, date of birth, age, date and time of death, place of death, and 18 the date and time of autopsy, when applicable. The Post-Mortem Forensic 19 Medical Examination Report may include an external examination only, an 20 external examination with toxicology, toxicology only, or an autopsy with 21 supporting laboratory evaluation. Furthermore, the autopsy may include the 22 name of the doctor performing the autopsy, the names of all persons present at 23 the autopsy, and information regarding the autopsy, including: whether the 24 autopsy was requested or performed by operation of law; a listing of the 25 physical findings of the autopsy; a summary in narrative form of the medical 26 findings and conclusions; toxicology, histology, and radiology findings; and the 27 cause and manner of death. The Post-Mortem Forensic Medical Examination 28 Report shall not be a public document; however, it shall be made available at 29 no charge to the appropriate law enforcement agencies as requested and is Page 8 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 67 SLS 18RS-80 ORIGINAL 1 subject to subpoena. The coroner shall provide one copy of this document upon 2 request by the next of kin pursuant to R.S. 8:655(A) and one copy of this 3 document upon request by the decedent's physician. The provisions of this 4 Subsection shall not apply to the medical records of the decedent or any records 5 generated by any public entity other than the coroner. The records shall be 6 obtained from the entity generating the records in accordance with other 7 applicable provisions of law. 8 Section 3. R.S. 13:5714(C) is hereby repealed. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Ashley Mitchell Carter. DIGEST SB 67 Original 2018 Regular Session Claitor Present law provides for the duty of the coroner to hold autopsies and investigations. Present law provides that a final report must be prepared by the coroner or his designee of public records. Proposed law retains present law and adds that the Death Investigation Records of the Corner shall include the following: Fact of Death Letter, Death Investigation Report, Coroner's Report, and Post-Mortem Forensic Medical Examination Report. Effective August 1, 2018. (Amends R.S. 13:5713 and R.S. 44:19(A)(3); adds R.S. 44.19(E); repeals R.S. 13:5714(C)) Page 9 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.