HLS 19RS-284 ENGROSSED 2019 Regular Session HOUSE BILL NO. 77 BY REPRESENTATIVE ARMES Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. HEALTH CARE/PROVIDERS: Authorizes online delivery of certain training required for medication attendants 1 AN ACT 2To amend and reenact R.S. 37:1022 and 1023, relative to medication attendants; to provide 3 relative to the training required for certification of medication attendants; to 4 authorize formats through which such training may be delivered; to repeal certain 5 provisions relating to fees for drug administration courses for medication attendants; 6 and to provide for related matters. 7Be it enacted by the Legislature of Louisiana: 8 Section 1. R.S. 37:1022 and 1023 are hereby amended and reenacted to read as 9follows: 10 §1022. Drugs which may be administered 11 Nonlicensed personnel who have successfully completed and passed the drug 12 administration course provided for in R.S. 37:1023 may administer oral medication, 13 ointments, and suppositories, but shall not administer any medication by 14 intramuscular, intravenous, or subcutaneous routes. 15 §1023. Drug administration course; certification of medication attendants; rules; 16 instructor training courses; fees 17 A.(1) Drug administration courses shall be established by the office of the 18 secretary of the Louisiana Department of Health in conjunction with the Louisiana 19 State Board of Nursing and the Louisiana State Board of Practical Nurse Examiners 20 and as approved by the secretary of the Louisiana Department of Health. Page 1 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-284 ENGROSSED HB NO. 77 1 (2)(a) Subject to approval by the secretary of the Louisiana Department of 2 Health, the requisite number of hours of a course established pursuant to this Section 3 and designated as classroom theory may be delivered in a live, in-person format; an 4 online format; or a combination of these formats. 5 (b) Subject to approval by the secretary of the Louisiana Department of 6 Health, the requisite number of hours of a re-certification course established pursuant 7 to this Section may be delivered in a live, in-person format; an online format; or a 8 combination of these formats. 9 (3) Persons who have successfully completed the course provided for in this 10 Subsection and passed a qualifying examination shall be permitted to administer 11 certain medications to residents of facilities operated by the office for citizens with 12 developmental disabilities or community homes for persons with developmental 13 disabilities funded through the Louisiana Department of Health or the Department 14 of Children and Family Services and to persons receiving in-home Medicaid home- 15 and community-based services and shall be known as medication attendants. The 16 course shall include but not be limited to instruction of the legal aspects, roles, and 17 responsibilities of drug administration, definitions, terminology, classification, 18 measurement, identification, effects, distribution, and the care and handling of drugs. 19 B. Fees for the drug administration courses shall be determined by the office 20 of the secretary of the Louisiana Department of Health. The cost of implementation 21 will of drug administration courses shall be reimbursed to providers with contracts 22 by the Louisiana Department of Health or the Department of Children and Family 23 Services. 24 C. The Louisiana Department of Health shall promulgate rules in accordance 25 with the Administrative Procedure Act to provide for the all of the following: 26 (1) The certification of medication attendants,. 27 (2) The the renewal, suspension, or revocation of such medication attendant 28 certification,. Page 2 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-284 ENGROSSED HB NO. 77 1 (3) An and an appeals process for persons who have been denied 2 certification or renewal, or whose certification has been suspended or revoked. 3 (4) The department shall also promulgate rules for the assessment of fees for 4 instructor training courses. 5 (5) With respect to training courses established pursuant to Subsection A of 6 this Section, an authorization for that course to be delivered in a live, in-person 7 format; an online format; or a combination of these formats. 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 77 Engrossed 2019 Regular Session Armes Abstract: Authorizes, subject to approval by the secretary of the La. Dept. of Health, online delivery of certain training required for medication attendants. Present law authorizes nonlicensed personnel who have successfully completed and passed the drug administration course required by present law to administer oral medication, ointments, and suppositories; but prohibits such personnel from administering any medication by intramuscular, intravenous, or subcutaneous routes. Proposed law retains present law. Proposed law provides that persons who have successfully completed the drug administration course and passed a qualifying examination shall be known as medication attendants. Authorizes such persons to administer certain medications to residents of facilities operated by the office for citizens with developmental disabilities, to residents of certain community homes for persons with developmental disabilities, and to persons receiving certain in-home Medicaid services. Proposed law retains present law. Present law provides that drug administration courses for medication attendants shall be established by the La. Department of Health (LDH) in conjunction with the La. State Board of Nursing and the La. State Board of Practical Nurse Examiners and as approved by the secretary of LDH. Proposed law retains present law and adds the following: (1)Subject to approval by the secretary of LDH, the requisite number of hours of a course established pursuant to present law and designated as classroom theory may be delivered in a live, in-person format; an online format; or a combination of these formats. (2)Subject to approval by the secretary of LDH, the requisite number of hours of a re-certification course established pursuant to present law may be delivered in a live, in-person format; an online format; or a combination of these formats. Proposed law requires LDH to promulgate in rule the authorized methods of delivery of medication attendant courses (e.g. live, in-person; online; or a combination of these formats). Page 3 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 19RS-284 ENGROSSED HB NO. 77 Proposed law repeals present law requiring LDH to determine the fees for the drug administration courses provided for in present law and proposed law. (Amends R.S. 37:1022 and 1023) Page 4 of 4 CODING: Words in struck through type are deletions from existing law; words underscored are additions.