Louisiana 2020 2020 2nd Special Session

Louisiana House Bill HB43 Comm Sub / Analysis

                    SSHB43 2709 738
HOUSE SUMMARY OF SENATE AMENDMENTS
HB 43	2020 Second Extraordinary Session Bacala
NURSING HOMES:  Provides for rights of nursing home residents relative to visitation
(Item #59)
Synopsis of Senate Amendments
1.Deletes proposed law adding provisions to present law known as the nursing
home residents' bill of rights, R.S. 40:2010.8.
2.Deletes proposed law providing that during a state of public health emergency
declared to address COVID-19, except in certain limited instances, no provision
of present law shall be construed to limit a resident's right to have access to
in-person visitation by an immediate family member of the resident, other
relative of the resident, the resident's clergy, or any other person visiting the
resident with the resident's consent as established in present law.
3.Deletes proposed law providing that residents of adult residential care provider
(ARCP) facilities shall have the right to be granted immediate access to all of
the following persons:
(a)Immediate family members, other relatives, and their clergy subject to
the resident's right to deny or withdraw consent at any time.
(b)Others who are visiting with the consent of the resident, subject to
reasonable restrictions and the resident's right to deny or withdraw
consent at any time.
4.Deletes proposed law providing that ARCP facilities shall allow in-person
access to the resident by any authorized person if the person or resident chooses
to visit in person.
5.Deletes proposed law authorizing ARCP facilities to ask any visitor who does
not comply with reasonable restrictions, or who otherwise endangers the health,
safety, or well-being of any resident or staff member, to leave the facility and
to prohibit that visitor from future visitation.
6.Deletes proposed law providing that a sponsor may act on a resident's behalf to
assure that the ARCP does not deny the resident's rights.
7.Deletes proposed law providing that no right recognized in regulations relative
to ARCP facilities may be waived for any reason.
8.Deletes proposed law stipulating that no provision of present law shall be
construed to limit an ARCP resident's right to have access to in-person
visitation by an immediate family member, other relative, clergy, or any other
authorized person visiting the resident with the resident's consent.
9.Requires the La. Dept. of Health (LDH) to prescribe and publish minimum
standards relative to nursing facilities allowing immediate family members and
other designated persons to visit residents during a public health emergency
whenever a resident requests such a visit with special consideration to be given
to residents receiving end-of-life care.  Provides that such rules shall:
(a)Include, but not be limited to, definitions, minimum requirements,
restrictions, and provisions to protect the health, safety, and welfare of
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the residents and the staff of the licensed nursing facility.
(b)Allow licensed nursing facilities to adopt reasonable time, place, and
manner restrictions on resident visitation that are implemented for the
purpose of mitigating the possibility of transmission of any infectious
agent or disease or to address the medical condition or clinical
considerations of an individual resident.
(c)Be preempted by any federal statute, regulation, or guidance that
requires a licensed nursing facility to restrict resident visitation in a
manner that is more restrictive than those rules.
10.Requires LDH to promulgate rules, regulations, and licensing standards relative
to ARCPs allowing immediate family members and other designated persons
to visit residents during a public health emergency whenever a resident requests
such a visit with special consideration to be given to residents receiving
end-of-life care.  Provides that such rules shall:
(a)Include, but not be limited to, definitions, minimum requirements,
restrictions, and provisions to protect the health, safety, and welfare of
the residents and the staff of the ARCP.
(b)Allow ARCPs to adopt reasonable time, place, and manner restrictions
on resident visitation that are implemented for the purpose of mitigating
the possibility of transmission of any infectious agent or disease or to
address the medical condition or clinical considerations of an individual
resident.
(c)Be preempted by any federal statute, regulation, or guidance that
requires an ARCP to restrict resident visitation in a manner that is more
restrictive than those rules.
Digest of Bill as Finally Passed by Senate
Present law requires the La. Department of Health (LDH) to promulgate rules, regulations,
and minimum standards for nursing facilities and adult residential care provider facilities.
Proposed law retains present law and requires further that LDH promulgate rules for such
facilities allowing immediate family members and other designated persons to visit residents
during a public health emergency whenever a resident requests such a visit, with special
consideration to be given to residents receiving end-of-life care.  Provides that such rules
shall:
(1)Include, but not be limited to, definitions, minimum requirements, restrictions, and
provisions to protect the health, safety, and welfare of facility residents and staff.
(2)Allow facilities to adopt reasonable time, place, and manner restrictions on resident
visitation that are implemented for the purpose of mitigating the possibility of
transmission of any infectious agent or disease or to address the medical condition
or clinical considerations of an individual resident.
(3)Be preempted by any federal statute, regulation, or guidance that requires a facility
to restrict resident visitation in a manner that is more restrictive than those rules.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 40:2009.4(A)(7) and 2166.5(B)(12))
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