HLS 19RS-869 REENGROSSED
2019 Regular Session
HOUSE BILL NO. 431
BY REPRESENTATIVES JACKSON, BAGLEY, COX, HOFFMANN, LEBAS,
MCMAHEN, MOORE, AND STAGNI
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
LICENSING: Provides relative to individuals providing hospice care
1 AN ACT
2To enact R.S. 40:2184(3) and 2192, relative to the Hospice Licensing Law; to provide for
3 the rules, regulations, and standards for licensing; to provide for the issuance of
4 permits to nonlicensed persons; to provide for the training of such persons; and to
5 provide for related matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 40:2184(3) and 2192 are hereby enacted to read as follows:
8 §2184. Rules, regulations, and standards for licenses
9 The administration of this Part is vested in the Louisiana Department of Health. The
10department shall:
11 * * *
12 (3) Promulgate rules and regulations to carry out the provisions of R.S.
13 40:2192 in accordance with the Administrative Procedure Act. The rules and
14 regulations shall require a hospice agency or hospice to disclose the employment of
15 an otherwise qualified nonlicensed person to its patients and their immediate family.
16 * * *
17 §2192. Purpose; issuing of permits to nonlicensed persons; training
18 A.(1) This Section is intended to foster innovative solutions to limited access
19 to needed hospice care through alternative permitting.
Page 1 of 4
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 19RS-869 REENGROSSED
HB NO. 431
1 (2) For the purposes of this Section, an "otherwise-qualified nonlicensed
2 person" means an ex-offender with a certificate of completion from a
3 community-based hospice licensed by the department, who has been convicted of an
4 offense or offenses, except for a sex offense as defined by R.S. 15:541.
5 B. Notwithstanding the provisions of R.S. 40:1203.2 or 1203.3, or any rule
6 adopted and promulgated by the department, the Louisiana-Mississippi Hospice and
7 Palliative Care Organization shall develop and issue permits to otherwise-qualified
8 nonlicensed persons who provide, for compensation, health-related services directly
9 related to patient care to residents in, or patients of, a hospice agency, and to any
10 person who provides such services to individuals in their own homes as an employee
11 or contract provider of a hospice.
12 C. An otherwise-qualified nonlicensed person may apply to the
13 Louisiana-Mississippi Hospice and Palliative Care Organization for a permit to
14 provide health-related services to a hospice agency or hospice. The
15 Louisiana-Mississippi Hospice and Palliative Care Organization shall issue the
16 permit for which the applicant applied and is otherwise qualified to receive.
17 D. The training for an otherwise-qualified nonlicensed person shall include
18 a minimum of:
19 (1) Forty hours of classroom training, which shall include sixteen hours of
20 skills training.
21 (2) Four hours of orientation to the clinical training site.
22 (3) Forty hours of clinical training, which shall include hands-on patient or
23 resident care.
24 E. The Louisiana-Mississippi Hospice and Palliative Care Organization shall
25 approve a program curriculum for an otherwise-qualified nonlicensed person, which
26 shall include the time allotted for each unit or subject and the time allotted to skills
27 instruction, including, but not limited to:
28 (1) At least sixteen hours in the following areas, prior to any direct contact
29 with a patient or resident:
Page 2 of 4
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 19RS-869 REENGROSSED
HB NO. 431
1 (a) Communication and interpersonal skills.
2 (b) Infection control.
3 (c) Safety and emergency procedures.
4 (d) Promoting patient or resident independence.
5 (e) Respecting patient or resident rights.
6 (2) At least sixteen hours of supervised skills practical training prior to
7 clinical instruction.
8 (3) Basic caregiving skills.
9 (4) Personal care skills.
10 (5) Mental health and social service needs.
11 (6) Care of residents with intellectual disabilities or other cognitive
12 impairments.
13 (7) Basic restorative services.
14 (8) Residents' rights.
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 431 Reengrossed 2019 Regular Session Jackson
Abstract: Provides relative to the rules, regulations, and standards for licensing of hospice
care facilities and implements regulations regarding the issuance of permits to
nonlicensed persons.
Proposed law provides that the administration of proposed law is vested in the La. Dept. of
Health and the Louisiana-Mississippi Hospice and Palliative Care Organization and that the
department shall promulgate rules and regulations to carry out the provisions of proposed
law in accordance with the Administrative Procedure Act.
Proposed law defines "otherwise-qualified nonlicensed person" to mean an ex-offender with
a certificate of completion from a community-based hospice licensed by the department,
who has been convicted of an offense or offenses, except for a sex offense as defined by R.S.
15:541.
Proposed law provides that Louisiana-Mississippi Hospice and Palliative Care Organization
shall issue permits to otherwise-qualified nonlicensed persons who provide, for
compensation, health-related services directly related to patient care to residents in, or
patients of, a hospice agency, and to any person who provides such services to individuals
in their own homes as an employee or contract provider of a hospice.
Page 3 of 4
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 19RS-869 REENGROSSED
HB NO. 431
Proposed law provides that an otherwise-qualified nonlicensed person may apply to the
Louisiana-Mississippi Hospice and Palliative Care Organization for a permit to provide
health-related services to a hospice agency or hospice. Louisiana-Mississippi Hospice and
Palliative Care Organization shall issue the permit for which the applicant applied and is
otherwise qualified to receive.
Proposed law provides for the training required for an otherwise-qualified nonlicensed
person.
Proposed law requires the Louisiana-Mississippi Hospice and Palliative Care Organization
to approve a program curriculum for an otherwise-qualified nonlicensed person.
(Adds R.S. 40:2184(3) and 2192)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the original bill:
1. Remove the requirement for an otherwise-qualified nonlicensed person to obtain
laboratory training.
2. Remove the authority to provide a permit to provide nursing care to an
otherwise-qualified nonlicensed person.
3. Amend proposed law by divesting any authority vested to the La. Department of
Health and vesting the power to adopt and promulgate rules and develop and
issue permits to the Louisiana-Mississippi Hospice and Palliative Care
Organization.
4. Require the promulgation of a rule that will require a hospice agency or hospice
to disclose the employment of an otherwise-qualified nonlicensed person to its
patients and their immediate family.
5. Make technical changes.
Page 4 of 4
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.