SLS 20RS-532 ORIGINAL 2020 Regular Session SENATE BILL NO. 302 BY SENATOR BARROW ELDERLY. Provides for a technical changes to the abuse and neglect of adults statute and Adult Protective Services Act. (gov sig) 1 AN ACT 2 To amend and reenact R.S. 14:403.2(A) and (C), the introductory paragraph of R.S. 3 15:1503, (2), (3), (4)(b), (5), (6), (8), (9), the introductory paragraph of (10), (11), 4 and the introductory paragraph of (12), 1504(B)(1) and (2), 1505(A), 1506(B) and 5 (C), 1507(A) through (D), (F), (G), (H)(1), (2), and (3), (I)(1) and (2), 1508(A), 6 (B)(1), (2), and (5), and (D), 1509, 1510(A), and 1511(A)(1), (B), (C), (D)(2), (3), 7 and (7), and to repeal R.S. 15:1503(13), relative to the Adult Protective Services Act; 8 to provide for technical changes; to provide for definitions; to provide for timing of 9 reports; and to provide for related matters. 10 Be it enacted by the Legislature of Louisiana: 11 Section 1. R.S. 14:403.2(A) and (C) are hereby amended and reenacted to read as 12 follows: 13 §403.2. Abuse and neglect of adults 14 A. Any person, who under R.S. 15:1504(A), is required to report the abuse, 15 or neglect, or exploitation of an adult and knowingly and willfully fails to so report 16 shall be guilty of a misdemeanor and upon conviction shall be fined not more than 17 five hundred dollars or imprisoned for not more than six months, or both. Page 1 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 * * * 2 C. Any person who reports an adult as abused, or neglected, or exploited to 3 an adult protection agency as defined in R.S. 15:1503 or to any law enforcement 4 agency, knowing that such information is false, shall be guilty of a misdemeanor and 5 upon conviction shall be fined not more than five hundred dollars or imprisoned for 6 not more than six months, or both. 7 Section 2. 15:1503, (2), (3), (4)(b), (5), (6), (8), (9), the introductory paragraph of 8 (10), (11), and the introductory paragraph of (12), 1504(B)(1) and (2), 1505(A), 1506(B) and 9 (C), 1507(A) through (D), (F), (G), (H)(1), (2), and (3), (I)(1) and (2), 1508(A), (B)(1), (2), 10 and (5), and (D), 1509, 1510(A), and 1511(A)(1), (B), (C), (D)(2), (3), and (7) are hereby 11 amended and reenacted to read as follows: 12 §1503. Definitions 13 For the purposes of this Chapter, the following terms shall have the following 14 meanings, unless the context clearly indicates a different meaning: 15 * * * 16 (2) "Abuse" means the infliction of physical or mental injury, or actions 17 which may reasonably be expected to inflict physical or mental injury, on an adult 18 by other parties, including but not limited to such means as sexual abuse, 19 abandonment, isolation, exploitation, or extortion of funds or other things of value. 20 (3) "Adult" means any individual eighteen years of age or older, or an 21 emancipated minor who, due to a physical, mental, or developmental disability or the 22 infirmities of aging, is unable to manage his own resources, carry out the activities 23 of daily living, or protect himself from abuse, neglect, or exploitation. 24 (4)(a) * * * 25 (b) "Adult protection agency" means the Louisiana Department of Health for 26 any individual between the ages of eighteen and fifty-nine years of age in need of 27 adult protective services as provided in this Chapter. The secretary of the Louisiana 28 Department of Health may assign the duties and powers provided in this Chapter to 29 any office of the department for the provision of adult protective services, as Page 2 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 provided in this Chapter 2 (5) "Capacity to consent" means the ability to understand and appreciate the 3 nature and consequences of making decisions concerning one's person, including but 4 not limited to provisions for health or mental health care, food, shelter, clothing, 5 safety, or financial affairs. This determination may be based on an assessment or 6 investigative findings, observation, or medical or mental health evaluations. 7 (6) "Caregiver" means any person or persons, either temporarily or 8 permanently, responsible for the care of a person who is aged or an adult with a 9 physical or mental disability. "Caregiver" includes but is not limited to adult 10 children, parents, relatives, neighbors, daycare personnel, adult foster home 11 sponsors, personnel of public and private institutions and facilities, adult congregate 12 living facilities, and nursing homes which have voluntarily assumed the care of a 13 person who is aged or an adult with a disability, have assumed voluntary residence 14 with a person who is aged or an adult with a disability, or have assumed voluntary 15 use or tutelage management of the assets, funds, or property of a person who is aged 16 or a person with a disability, and specifically shall include city, parish, or state law 17 enforcement agencies. 18 * * * 19 (8) "Extortion" is the acquisition of a thing of value from an unwilling or 20 reluctant adult by physical force, intimidation, or abuse of legal or official authority. 21 (9) "Isolation" includes: 22 (a) Intentional acts committed for the purpose of preventing, and which do 23 serve to prevent, to prevent an adult from having contact with family, friends, or 24 concerned persons. This shall not be construed to affect a legal restraining order. 25 (b) Intentional acts committed to prevent an adult from receiving his mail or 26 telephone calls. 27 (c) Intentional acts of physical or chemical restraint of an adult committed 28 for the purpose of preventing to prevent contact with visitors, family, friends, or 29 other concerned persons. Page 3 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 (d) Intentional acts which restrict, place, or confine an adult in a restricted 2 area for the purposes of social deprivation or preventing contact with family, friends, 3 visitors, or other concerned persons. However, medical isolation prescribed by a 4 licensed physician caring for the adult shall not be included in this definition. 5 (10)(9) "Neglect" means the failure, by a caregiver responsible for an adult's 6 care or by other parties, to provide the proper or necessary support or medical, 7 surgical, or any other care necessary for his well-being. No adult who is being 8 provided treatment in accordance with a recognized religious method of healing in 9 lieu of medical treatment shall for that reason alone be considered to be neglected 10 or abused. 11 (11)(10) "Protective services" includes but is not limited to: 12 * * * 13 (12)(11) "Self-neglect" means the failure, either by the adult's action or 14 inaction, to provide the proper or necessary support or medical, surgical, or any other 15 care necessary for his own well-being. No adult who is being provided treatment in 16 accordance with a recognized religious method of healing in lieu of medical 17 treatment shall, for that reason alone, be considered to be self-neglected. 18 (13)(12) "Sexual abuse" means the abuse of an adult, as defined in this 19 Section, when any of the following occur: 20 * * * 21 §1504. Mandatory reports and immunity 22 * * * 23 B. * * * 24 (1) Any alleged principal, conspirator, or accessory to an offense involving 25 the abuse, or neglect, or exploitation of the adult. 26 (2) Any person who makes a report known to be false or with reckless 27 disregard for the truth of the report. 28 * * * 29 §1505. Contents of report and agency to receive a report Page 4 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 A. Reports reflecting the reporter's belief that an a vulnerable adult has been 2 abused, or neglected, or exploited shall be made to any the appropriate adult 3 protection agency or to any local or state law enforcement agency. These reports 4 need not name the persons suspected of the alleged abuse, or neglect, or 5 exploitation. 6 * * * 7 §1506. Receipt of reports 8 * * * 9 B. When the appropriate adult protection agency receives a report of sexual 10 or physical abuse, whether directly or by referral, the agency shall notify the chief 11 law enforcement agency of the parish in which the incident is alleged to have 12 occurred of such report. Such notification shall be made prior to before the end of 13 the next business day subsequent to the day on in which the adult protection agency 14 received the report. For the purposes of this Subsection, the chief law enforcement 15 agency of Orleans Parish shall be the New Orleans Police Department. 16 C. Upon receipt of a report from an adult protection agency, the chief law 17 enforcement agency shall initiate an incident report and shall notify the referring 18 adult protection agency of the disposition of the report within seven business days 19 after it is completed. 20 §1507. Investigation of reports, assessment, actions taken, and court orders 21 A. The adult protection agency shall make a prompt investigation and 22 assessment. When the report concerns care in a facility or program under the 23 supervision of the Louisiana Department of Health, the secretary of the department 24 may assign the duties and powers enumerated in Subsection B of this Section to any 25 office or entity within the department to carry out the purposes of this Chapter. 26 B. The investigation and assessment shall include the nature, extent, and 27 cause of the abuse, and neglect, or exploitation, the identity of the person or persons 28 responsible for the abuse, and neglect, or exploitation, if known, and an interview 29 with the adult and a visit to the adult's home, if possible. Consultation with others Page 5 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 having knowledge of or information about the facts of the particular case reported 2 abuse of the adult shall also be included in the investigation. 3 C. In the event that If admission to the adult's home or access to the adult for 4 purposes of conducting to conduct the investigation, including a face-to-face private 5 interview with the adult and with other members of the household and inspection of 6 the home is refused, the adult protection agency may apply to a court of competent 7 civil jurisdiction for an order to be granted access to the adult and to the location 8 where the alleged abuse, or neglect, or exploitation occurred to make such an 9 conduct the investigation. 10 D. To secure further information and coordinate community service efforts, 11 the adult protection agency shall contact other appropriate local, or state or federal 12 agencies. 13 * * * 14 F. If it appears after an investigation that an adult has been abused, and 15 neglected, or exploited by other parties and that the problem cannot be remedied by 16 extrajudicial means, the adult protection agency may refer the matter to the 17 appropriate district attorney's office or may initiate judicial proceedings as provided 18 in R.S. 15:1508. Evidence that abuse, or neglect, or exploitation has occurred must 19 be presented together with an account of the protective services given or available 20 to the adult and a recommendation as to what services, if ordered, would eliminate 21 the abuse, or neglect, or exploitation. 22 G. Protective services may not be provided in cases of self-neglect to any 23 adult having the capacity to consent, who does not consent agree to such service or 24 who, having consented, withdraws such consent. Nothing herein shall prohibit the 25 adult protection agency, the district attorney, the coroner, or the judge from 26 petitioning for interdiction pursuant to Civil Code Articles 389 through 399 or 27 petitioning for an order for protective custody or for judicial commitment pursuant 28 to R.S. 28:50 et seq., seeking an order for emergency protective services pursuant to 29 R.S. 15:1511, or from seeking an order for involuntary protective services pursuant Page 6 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 to R.S. 15:1508(B)(5). 2 H.(1) The adult protection agency shall have access to any records or 3 documents, including client-identifying information and medical, psychological, 4 criminal or financial records necessary to the performance of the agency's duties 5 under this Chapter. The duties include the provision of protective services to an 6 adult, or the investigation of abuse, neglect, or exploitation or extortion of an adult. 7 A person or agency that has a record or document that the adult protection agency 8 needs to perform its duties under this Chapter shall, without unnecessary delay, make 9 the record or document available to the agency. 10 (2) The adult protection agency is exempt from the payment of a fee 11 otherwise required or authorized by law to obtain a record if the request for a record 12 is made in the course of an investigation properly or in the provision of protective 13 services by the agency. 14 (3) If the adult protection agency is unable to obtain access to a record or 15 document that is necessary to properly conduct an investigation or to provide 16 protective services, the agency may petition a court of competent jurisdiction for 17 access to the record or document. The person or agency in possession of this 18 necessary record or document and the patient, in the case of a medical record, is 19 entitled to notice and a hearing on the petition. 20 * * * 21 I.(1) Information contained in the case records of the adult protection agency 22 shall be confidential and shall not be released without a handwritten authorization 23 from the adult or his legal representative, except that the information may be 24 released to law enforcement agencies pursuing enforcement of criminal statutes 25 related to the abuse of the adult or the filing of false reports of abuse, or neglect, or 26 exploitation to social service agencies, licensed health care providers, and 27 appropriate local or state agencies where indicated for the purpose of coordinating 28 to coordinate the provision of services or treatment necessary to reduce the risk to 29 the adult from abuse, neglect, or exploitation, or extortion and to state regulatory Page 7 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 agencies for the purpose of enforcing to enforce federal or state laws and regulations 2 relating to abuse, neglect, or exploitation, or extortion by persons compensated 3 through state or federal funds. 4 (2) The identity of any person who in good faith makes a report of abuse, 5 neglect, or exploitation, or extortion shall be confidential and shall not be released 6 without the handwritten authorization of the person making the report, except that 7 the information may be released to law enforcement agencies pursuing enforcement 8 of criminal statutes related to the abuse of the adult or to the filing of false reports 9 of abuse, or neglect, or exploitation. 10 * * * 11 §1508. Petition for hearing, criminal proceedings, and subpoenas 12 A. The district attorney or adult protective services agency may petition a 13 court of competent civil jurisdiction for a hearing with respect to concerning the 14 alleged abuse, or neglect, or exploitation. The petitioner shall notify the adult of the 15 hearing and the proposed action. The adult shall be advised of his right to be 16 represented by an attorney. 17 B. The district attorney or adult protective services agency may apply for an 18 order to: 19 (1) Provide mandatory counseling for the parties involved to prevent further 20 abuse, or neglect, or exploitation of the adult. 21 (2) Enjoin the parties contributing to the abuse, or neglect, or exploitation 22 of the adult from continuing such acts. 23 * * * 24 (5) Provide protective services, if the adult lacks the capacity to consent to 25 services, and the adult is suffering harm or deterioration or is likely to suffer harm 26 or deterioration from abuse, neglect, exploitation, or self-neglect, if protective 27 services are not provided, and no other person authorized by law or by court order 28 to give consent for the adult is available or willing to arrange for protective services. 29 Such an order shall specify the services needed to protect the adult, which may Page 8 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 include medical treatment, social services, placement in a safer living situation, the 2 services of law enforcement or emergency medical services to transport the adult to 3 a treatment facility or safe secure living location and other services needed to protect 4 the adult. Such an order shall be effective valid for a period of one hundred eighty 5 days, but an order may be renewed one time for another one hundred eighty days and 6 thereafter annually upon a showing to the court that continuation of the order is 7 necessary to prevent further harm to the adult. However, admission to a mental 8 health treatment facility shall be made only in accordance with the provisions of R.S. 9 28:1 et seq. 10 * * * 11 D. Pursuant to Code of Criminal Procedure Article 66, the district attorney 12 or the attorney general may cause to be issued a subpoena or subpoena duces tecum 13 for the purpose of requiring a person having knowledge, written material, or other 14 evidence pertinent to alleged abuse, neglect, or exploitation of the adult to produce 15 such evidence to the district attorney, attorney general or the adult protection agency. 16 §1509. Hearing 17 A. Upon an application under the provisions of R.S. 15:1508, the court shall 18 fix a date for a hearing to be held not more than twenty days, excluding Saturdays, 19 Sundays, and legal holidays, from receipt of the petition. If the alleged abused or 20 neglected adult has no attorney, the court shall appoint an attorney to represent him. 21 The adult's attorney shall be granted access to all records of the adult. 22 B. The court shall cause the alleged abused or neglected adult and his 23 attorney to be served with notice of the appointment and of the time, date, and place 24 of the hearing no later than five days prior to before the hearing. The notice shall 25 inform such respondent that he has a right to be present at the hearing, that he has a 26 right to choose his own privately retained and paid counsel or have a court-appointed 27 attorney if he cannot afford one, that he has a right to subpoena witnesses to testify 28 on his behalf, and that he has a right to cross-examine any witness testifying against 29 him. The alleged abused or neglected adult shall have the right to attend the hearing; Page 9 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 however, this may be waived by his attorney for cause with approval of the court. 2 C. In order to To protect the confidentiality and dignity of the alleged abused 3 or neglected adult, any hearing conducted by the court may be closed and the record 4 of the hearing may be sealed. 5 D. In any proceeding concerning the abuse, neglect, or self-neglect of an 6 adult, evidence may not be excluded on any ground of privilege, except in the case 7 of communications between an attorney and his client or between a priest, rabbi, 8 duly ordained minister, or Christian Science practitioner and his communicant. 9 §1510. Implementation 10 A. The adult protection agency may adopt such rules and regulations as may 11 be necessary in for carrying out the provisions of this Chapter. Specifically, such 12 rules shall provide for cooperation with local agencies, including but not limited to 13 hospitals, clinics, and nursing homes, and cooperation collaboration with other 14 states. The adult protection agency shall also be responsible for ongoing inservice 15 training for its staff which assures adequate performance. 16 * * * 17 §1511. Emergency protective services; ex parte order 18 A.(1) If the adult protection agency has reasonable cause to believe that an 19 adult is at immediate and present risk of substantial harm or deterioration from 20 abuse, neglect, exploitation, or self-neglect, and the adult lacks the capacity to 21 consent, or with the consent of an adult who has capacity, the agency or any entity 22 named in R.S. 15:1507(G) may petition a court of competent civil jurisdiction for an 23 ex parte order to provide emergency protective services. The petition shall contain 24 an affidavit setting forth the facts upon which the agency relied in making the 25 determination. 26 * * * 27 B. The ex parte order shall specify the services needed to protect the adult, 28 which may include medical treatment, social services, placement in a safer living 29 situation, the services of law enforcement or emergency medical services to transport Page 10 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL 1 the adult to a treatment facility or safe living secure location, and other services 2 needed necessary to protect the adult and may contain any remedy outlined in R.S. 3 15:1508 or any remedy deemed by the court as needed necessary to protect the 4 adult. However, admission to a mental health treatment facility shall be made only 5 in accordance with the provisions of R.S. 28:1 et seq. 6 C. The ex parte order shall be effective valid for fifteen days but may be 7 extended one time for another fifteen days upon a showing to the court that 8 continuation of the order is necessary to prevent further harm to the adult. 9 D.(1) * * * 10 (2) The adult has the right to be represented by an attorney. If the alleged 11 abused or neglected adult has no attorney, the court shall appoint an attorney to 12 represent him. 13 (3) At the hearing, the adult protection agency has the burden to prove that 14 the adult lacks the capacity to consent, and that the adult is at immediate and present 15 risk of substantial harm or deterioration from abuse, neglect, exploitation, or 16 self-neglect. 17 * * * 18 (7) The order shall be effective valid for a period of one hundred eighty days, 19 but the order may be renewed one time for another one hundred eighty days and 20 thereafter annually upon a showing to the court that continuation of the order is 21 necessary to prevent further harm to the adult. 22 Section 3. R.S. 15:1503(13) is hereby repealed in its entirety. 23 Section 4. This Act shall become effective upon signature by the governor or, if not 24 signed by the governor, upon expiration of the time for bills to become law without signature 25 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 26 vetoed by the governor and subsequently approved by the legislature, this Act shall become 27 effective on the day following such approval. Page 11 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 302 SLS 20RS-532 ORIGINAL The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Margaret M. Corley. DIGEST SB 302 Original 2020 Regular Session Barrow Present law provides for the Adult Protect Services Act which generally protects adults who cannot physically or mentally protect themselves and who are harmed or threatened with harm through action or inaction by themselves or by the individuals responsible for their care or by other parties. Proposed law retains present law and makes technical changes to include exploitation of adults to reporting requirements. Proposed law removes the definition for "extortion". Present law requires the chief law enforcement agency to initiate an incident report after being notified of an incident by an adult protection agency and further requires the chief law enforcement agency to notify the reporting agency of the disposition of the report. Proposed law retains present law and requires the chief law enforcement agency to notify the reporting agency of the disposition of the report within seven business days after it is complete. Effective upon signature of the governor or lapse of time for gubernatorial action. (Amends R.S. 14:403.2(A) and (C), (intro para), R.S. 15:1503, (2), (3), (4)(b), (5), (6), (8), (9), (intro para) (10), (11), and (intro para)(12), 1504(B)(1) and (2), 1505(A), 1506(B) and (C), 1507(A) through (D), (F), (G), (H)(1), (2), and (3), (I)(1) and (2), 1508(A), (B)(1), (2), and (5), and (D), 1509, 1510(A), and 1511(A)(1), (B), (C), (D)(2), (3), and (7); repeals R.S. 15:1503(13)) Page 12 of 12 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.