HLS 19RS-724 ENGROSSED 2019 Regular Session HOUSE BILL NO. 250 BY REPRESENTATIVE DAVIS Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. HEALTH/BEHAVIORAL: Requires residential treatment facilities to provide access to medication-assisted treatment for patients with opioid use disorder 1 AN ACT 2To amend and reenact R.S. 40:2156(B)(introductory paragraph) and (6) and 2159 and to 3 enact R.S. 40:2153(15), relative to behavioral health services providers; to provide 4 relative to licensure and regulation of such providers by the Louisiana Department 5 of Health; to establish requirements for residential facilities licensed as behavioral 6 health services providers which provide treatment for opioid use disorder; to prohibit 7 certain actions against behavioral health services provider licenses prior to a specific 8 date; to require the Louisiana Department of Health to furnish technical assistance 9 to certain providers relative to opioid use disorder treatment; to require certain 10 providers to submit reports to the Louisiana Department of Health concerning such 11 treatment; to provide for definitions; to provide for an effective date; and to provide 12 for related matters. 13Be it enacted by the Legislature of Louisiana: 14 Section 1. R.S. 40:2156(B)(introductory paragraph) and (6) and 2159 are hereby 15amended and reenacted and R.S. 40:2153(15) is hereby enacted to read as follows: 16 §2153. Definitions 17 For the purposes of this Part, and subject to the provisions of R.S. 40:2154, 18 unless the context otherwise clearly indicates, the following terms shall have the 19 following meanings: 20 * * * Page 1 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-724 ENGROSSED HB NO. 250 1 (15) "FDA" means the Food and Drug Administration of the United States 2 Department of Health and Human Services. 3 * * * 4 §2156. Rules and regulations; licensing standards; fees 5 * * * 6 B. The department shall prescribe, promulgate, and publish rules, 7 regulations, and licensing standards for behavioral health services providers. The 8 rules, regulations, and licensing standards shall include but are not limited to the 9 following: 10 * * * 11 (6) Treatment priorities, as well as residential and outpatient criteria, and 12 residential treatment program requirements including, without limitation, those 13 provided in R.S. 40:2159. 14 * * * 15 §2159. Opioid treatment programs; facility-need review; residential treatment 16 program requirements 17 A. The department shall not license any an opioid treatment programs 18 program under the behavioral health services provider license unless the department, 19 in its discretion, determines that there is a need for another opioid treatment the 20 program in a certain geographic location. The department has promulgated and 21 adopted shall promulgate rules and regulations in accordance with the Administrative 22 Procedure Act to provide for the criteria and processes for determining whether such 23 a need exists and the procedures for selecting an opioid treatment program or 24 programs to be licensed once a need has been determined. 25 B. Each residential facility licensed pursuant to this Part which provides 26 treatment for opioid use disorder shall provide all of the following: 27 (1) Onsite access to at least one form of FDA-approved opioid agonist 28 treatment. Page 2 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-724 ENGROSSED HB NO. 250 1 (2) Access to at least one form of FDA-approved opioid antagonist treatment 2 either onsite or by referral. 3 Section 2.(A) The Louisiana Department of Health shall not take any action against 4the license of a behavioral health services provider which holds a license on the effective 5date of this Act for failure to comply with the requirements of R.S. 40:2159(B), as enacted 6by Section 1 of this Act, prior to January 1, 2023. 7 (B) The Louisiana Department of Health shall develop a monitoring mechanism to 8track and report on which behavioral health services providers are complying with the 9requirements of R.S. 40:2159(B), as enacted by Section 1 of this Act, during the limited 10moratorium on actions against provider licenses provided in this Section. 11 (C) The Louisiana Department of Health shall offer technical assistance to 12behavioral health services providers seeking to comply with the requirements of R.S. 1340:2159(B), as enacted by Section 1 of this Act, during the limited moratorium on actions 14against provider licenses provided in this Section. Such technical assistance may include 15buprenorphine waiver training, administrative support, and other guidance as requested by 16participating providers. 17 Section 3. On or before January 1, 2021, each behavioral health services provider 18subject to the requirements of R.S. 40:2159(B), as enacted by Section 1 of this Act, shall 19furnish to the Louisiana Department of Health a report addressing its progress toward 20satisfying those requirements. 21 Section 4. This Act shall become effective January 1, 2020. 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 250 Engrossed 2019 Regular Session Davis Abstract: Requires residential treatment facilities licensed pursuant to the Behavioral Health Services Provider Licensing Law to provide access to medication-assisted treatment for patients with opioid use disorder. Proposed law requires each residential treatment facility licensed pursuant to present law, R.S. 40:2151 et seq., which provides treatment for opioid use disorder to provide all of the following: Page 3 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-724 ENGROSSED HB NO. 250 (1)Onsite access to at least one form of FDA-approved opioid agonist treatment. (2)Access to at least one form of FDA-approved opioid antagonist treatment either onsite or by referral. Proposed law prohibits the La. Department of Health (LDH) from taking any action prior to Jan. 1, 2023, against a residential treatment facility licensed as of the effective date of proposed law for failure to comply with proposed law. Proposed law requires LDH to develop a monitoring mechanism to track and report on which providers are complying with the requirements of proposed law. Proposed law requires LDH to offer technical assistance to providers seeking to comply with the requirements of proposed law. Proposed law requires each provider subject to proposed law to furnish to LDH a report on or before Jan. 1, 2021, which addresses its progress toward satisfying the requirements of proposed law. Eff. Jan. 1, 2020. (Amends R.S. 40:2156(B)(intro. para.) and (6) and 2159; Adds R.S. 40:2153(15)) Page 4 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions.