ENROLLED ACT No. 425 2019 Regular Session HOUSE BILL NO. 250 BY REPRESENTATIVES DAVIS, BILLIOT, TERRY BROWN, FOIL, GUINN, HOFFMANN, LEBAS, MCFARLAND, STAGNI, STOKES, WHITE, AND ZERINGUE 1 AN ACT 2 To amend and reenact R.S. 40:2156(B)(introductory paragraph) and (6) and to enact R.S. 3 40:2153(15) and 2159.1, 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. 13 Be it enacted by the Legislature of Louisiana: 14 Section 1. R.S. 40:2156(B)(introductory paragraph) and (6) are hereby amended and 15 reenacted and R.S. 40:2153(15) and 2159.1 are 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 * * * 21 (15) "FDA" means the Food and Drug Administration of the United States 22 Department of Health and Human Services. 23 * * * Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 250 ENROLLED 1 §2156. Rules and regulations; licensing standards; fees 2 * * * 3 B. The department shall prescribe, promulgate, and publish rules, 4 regulations, and licensing standards for behavioral health services providers. The 5 rules, regulations, and licensing standards shall include but are not limited to the 6 following: 7 * * * 8 (6) Treatment priorities, as well as residential and outpatient criteria, and 9 residential treatment program requirements including, without limitation, those 10 provided in R.S. 40:2159.1. 11 * * * 12 §2159.1. Residential substance use disorder facilities 13 A.(1) Each residential substance use disorder facility licensed pursuant to 14 this Part as a behavioral health services provider that provides treatment for opioid 15 use disorder shall provide all of the following: 16 (a) Onsite access to at least one form of FDA-approved opioid antagonist 17 treatment. 18 (b) Onsite access to at least one form of FDA-approved partial opioid agonist 19 treatment. 20 (2) For purposes of this Section, "onsite access" shall mean delivery of the 21 treatment to the patient at the location of the residential substance use disorder 22 facility. "Onsite access" shall not mean that the residential substance use disorder 23 facility is required to maintain stock of the medication-assisted treatment at the 24 facility. 25 (3) A residential substance use disorder facility shall not be found to be in 26 violation of this Section if prior authorization from a patient's health insurer, 27 including a Medicaid program, is required and the preapproval request is denied by 28 the patient's health insurer. 29 B. Each residential substance use disorder facility licensed pursuant to this 30 Part as a behavioral health services provider which provides treatment for opioid use Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HB NO. 250 ENROLLED 1 disorder shall submit to the department on its initial licensing application or its 2 annual licensing renewal application an attestation as to whether it is complying with 3 the requirements of Subsection A of this Section. The requirement for submission 4 of the attestation shall commence on January 1, 2021. If the licensed facility is not 5 fully complying with the requirements of Subsection A of this Section, then the 6 attestation that the facility submits shall include a report addressing its progress 7 toward satisfying those requirements. 8 Section 2.(A) The Louisiana Department of Health shall not take any action to 9 enforce the requirements of R.S. 40:2159.1(B), as enacted by Section 1 of this Act, prior to 10 January 1, 2021. 11 (B) The Louisiana Department of Health shall not take any action against the license 12 of a behavioral health services provider which holds a license on the effective date of this 13 Act for failure to comply with the requirements of R.S. 40:2159.1(A), as enacted by Section 14 1 of this Act, prior to January 1, 2021. 15 Section 3. This Act shall become effective January 1, 2020. SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions.