HLS 22RS-666 ORIGINAL 2022 Regular Session HOUSE BILL NO. 605 BY REPRESENTATIVES LANDRY, DUPLESSIS, AND FREEMAN MENTAL HEALTH: Prohibits certain licensed professionals from engaging with any minor in the practice known as conversion therapy 1 AN ACT 2To amend and reenact R.S. 37:921(9), 1110(A)(9), and 1360.67(A)(28) and to enact R.S. 3 37:921(10), 1110(A)(10), 1285(A)(33), and 1360.67(A)(29), Part VIII-A of Chapter 4 20 of Title 37 of the Louisiana Revised Statutes of 1950, to be comprised of R.S. 5 37:1747.11 through 1747.15, R.S. 37:2359(B)(16) and 2717(A)(14), and Chapter 1-B 6 of Title 49 of the Louisiana Revised Statutes of 1950, to be comprised of R.S. 7 49:200.61, relative to certain state-licensed members of health professions; to 8 prohibit certain physicians, psychologists, professional counselors, social workers, 9 and advanced practice registered nurses from engaging with any minor in sexual 10 orientation change efforts known as conversion therapy; to define conversion therapy 11 and other terms; to provide penalties for violation of the prohibition on conversion 12 therapy; to establish engaging in prohibited conversion therapy as grounds for 13 disciplinary action or other sanctions pursuant to certain healthcare professional 14 licensing laws; to prohibit public funding of conversion therapy; to require 15 administrative rulemaking by agencies, boards, and commissions that license certain 16 healthcare professionals; to provide for findings and purpose; and to provide for 17 related matters. 18Be it enacted by the Legislature of Louisiana: 19 Section 1. R.S. 37:921(9), 1110(A)(9), 1360.67(A)(28) are hereby amended and 20reenacted and R.S. 37:921(10), 1110(A)(10), 1285(A)(33), and 1360.67(A)(29), Part VIII-A 21of Chapter 20 of Title 37 of the Louisiana Revised Statutes of 1950, comprised of R.S. Page 1 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 137:1747.11 through 1747.15, and R.S. 37:2359(B)(16) and 2717(A)(14) are hereby enacted 2to read as follows: 3 §921. Grounds for disciplinary proceedings 4 The board may deny, revoke, suspend, probate, limit, or restrict any license 5 to practice as a registered nurse or an advanced practice registered nurse, impose 6 fines, and assess costs, or otherwise discipline a licensee and the board may limit, 7 restrict, delay, or deny a student nurse from entering or continuing the clinical phase 8 of nursing education upon proof that the licensee or student nurse: 9 * * * 10 (9) Has engaged in conversion therapy as defined in and prohibited by the 11 provisions of Part VIII-A of Chapter 20 of this Title. 12 (10) Has violated any provision of this Part. 13 * * * 14 §1110. Denial, revocation, or suspension of licenses 15 A. The board shall withhold, deny, revoke, or suspend any license issued or 16 applied for in accordance with the provisions of this Chapter or otherwise discipline 17 a licensee upon proof that the applicant or licensee: 18 * * * 19 (9) Has engaged in conversion therapy as defined in and prohibited by the 20 provisions of Part VIII-A of Chapter 20 of this Title. 21 (10) Has willfully or negligently violated any of the provisions of this 22 Chapter. 23 * * * 24 §1285. Causes for nonissuance; suspension; revocation; or the imposition of 25 restrictions; fines; reinstatement; publication of action; stays 26 A. The board may refuse to issue, or may suspend or revoke any license or 27 permit, or impose probationary or other restrictions on any license or permit issued 28 pursuant to this Part for the following causes: 29 * * * Page 2 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 1 (33) Engaging in conversion therapy as defined in and prohibited by the 2 provisions of Part VIII-A of Chapter 20 of this Title. 3 * * * 4 §1360.67. Causes for refusal to issue, suspension or revocation of licenses, permits, 5 and certificates 6 A. The board may refuse to issue, or may suspend or revoke any license or 7 certificate, or impose probationary or other restrictions on any license or certificate 8 issued under this Part for the following causes: 9 * * * 10 (28) Engaging in conversion therapy as defined in and prohibited by the 11 provisions of Part VIII-A of Chapter 20 of this Title. 12 (29) Violation of any rules and regulations of the board, or any provisions 13 of this Part. 14 * * * 15 PART VIII-A. HEALTHCARE PROVIDERS: 16 PROHIBITION ON CONVERSION THERAPY 17 §1747.11. Purpose 18 The purpose of this Part is to protect lesbian, gay, bisexual, and transgender 19 youth from harmful efforts to change their sexual orientation known as conversion 20 therapy. 21 §1747.12. Legislative findings 22 The legislature hereby finds and declares all of the following: 23 (1) Conversion therapy is a general term that encompasses practices intended 24 to change a lesbian, gay, bisexual, transgender, queer, or two-spirit individual's 25 sexual orientation, gender identity, or both. 26 (2) Conversion therapy is rooted in the belief that any sexual orientation 27 other than heterosexuality is unnatural or immoral and that gender-nonconforming 28 people are abnormal. Page 3 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 1 (3) According to the American Psychiatric Association, there is no rigorous 2 scientific research supporting claims that an unwanted sexual orientation can be 3 "cured" through any method. 4 (4) All major professional psychological associations in the United States, 5 including the American Psychological Association, American Psychiatric 6 Association, and American Academy of Child and Adolescent Psychiatry have taken 7 public positions against the use of conversion therapy. 8 (5) Protecting young people from all forms of discrimination and harm to 9 their mental health is a public health priority of this state. 10 §1747.13. Definitions 11 As used in this Part, the following terms have the meaning ascribed in this 12 Section: 13 (1)(a) "Conversion therapy" means any practice or treatment conducted 14 without a person's consent which is intended to change the person's sexual 15 orientation or gender identity, including efforts to change behaviors or gender 16 expressions, or to eliminate or reduce sexual or romantic attractions or feelings 17 toward individuals of the same sex or gender. Conversion therapy includes all of the 18 following: 19 (i) Any practice by a healthcare provider that attempts or purports to change 20 a person's sexual orientation or gender identity conducted without the person's 21 consent. 22 (ii) Any practice by a healthcare provider that attempts or purports to change 23 the behavioral expression of a person's sexual orientation or gender identity 24 conducted without the person's consent. 25 (iii) Any practice by a healthcare provider that attempts or purports to 26 eliminate or reduce a person's sexual or romantic attractions or feelings toward 27 individuals of the same sex or gender conducted without the person's consent. Page 4 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 1 (b) Conversion therapy does not include any of the following: 2 (i) Counseling or other practices by a healthcare provider to assist a person 3 who is undergoing gender transition. 4 (ii) Counseling or other practices by a healthcare provider that provide 5 acceptance, support, and understanding of a person or facilitate a person's coping, 6 social support, and identity exploration and development, including sexual 7 orientation-neutral interventions to prevent or address unlawful conduct or unsafe 8 sexual practices, if such counseling does not seek to change an individual's sexual 9 orientation or gender identity. 10 (iii) Counseling or other practices that are conducted at a person's request or 11 otherwise with the person's consent. 12 (2) "Healthcare provider" means any of the following professionals who are 13 licensed in accordance with applicable provisions of this Title and whose health 14 profession is regulated pursuant to this Title: 15 (a) A psychiatrist and any other physician. 16 (b) A medical psychologist, specialist in school psychology, and any other 17 psychologist including any provisional licensed psychologist. 18 (c) A marriage and family therapist and any other licensed professional 19 counselor. 20 (d) A clinical social worker. 21 (e) A psychiatric mental health nurse practitioner and any other advanced 22 practice registered nurse. 23 §1747.14. Conversion therapy; prohibition; penalties 24 A. No healthcare provider shall engage in conversion therapy with any 25 patient under the age of eighteen. 26 B. Whoever violates the prohibition provided in Subsection A of this Section 27 shall, for each violation, be fined not more than one thousand dollars, imprisoned for 28 not more than six months, or both. Additionally, a violation of the prohibition 29 provided in Subsection A of this Section shall subject the healthcare provider who Page 5 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 1 committed the violation to any applicable disciplinary proceeding, penalty, or 2 sanction for unprofessional conduct imposed by the agency, board, or commission 3 through which he is licensed to practice a health profession. 4 §1747.15. Rulemaking 5 Each agency, board, or commission which licenses and regulates the health 6 profession of any healthcare provider as defined in R.S. 37:1747.13 shall promulgate 7 all such rules in accordance with the Administrative Procedure Act as are necessary 8 to effectuate the purpose of this Part and implement its provisions. 9 * * * 10 §2359. Denial, revocation, or suspension of license; psychologist; provisional 11 license; specialist in school psychology 12 * * * 13 B. The board shall have the power and duty to suspend, place on probation, 14 require remediation for a specified time, revoke any license to practice psychology, 15 any provisional license to practice psychology, or any license to practice as a 16 specialist in school psychology issued by the board, or take any other action 17 specified in the rules and regulations whenever the board, by affirmative vote of at 18 least four members of a five-member hearing panel, shall find by a preponderance 19 of the evidence that a psychologist, provisional licensed psychologist, or specialist 20 in school psychology has engaged in any of the following acts or offenses: 21 * * * 22 (16) Conversion therapy as defined in and prohibited by the provisions of 23 Part VIII-A of Chapter 20 of this Title. 24 * * * 25 §2717. Disciplinary action; hearing; procedures; appeal 26 A. The board shall have the power to deny, revoke, or suspend any license, 27 certificate, or registration issued by the board or applied for in accordance with this 28 Chapter, or otherwise discipline a social worker for any of the following causes: 29 * * * Page 6 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 1 (14) Engaging in conversion therapy as defined in and prohibited by the 2 provisions of Part VIII-A of Chapter 20 of this Title. 3 * * * 4 Section 2. Chapter 1-B of Title 49 of the Louisiana Revised Statutes of 1950, 5comprised of R.S. 49:200.61, is hereby enacted to read as follows: 6 CHAPTER 1-B. PROHIBITION ON PUBLIC FUNDING 7 OF CONVERSION THERAPY 8 §200.61. Public funding of conversion therapy; prohibition 9 A. As used in this Chapter, the terms "conversion therapy" and "healthcare 10 provider" shall have the meaning ascribed in R.S. 37:1747.13. 11 B. No institution, board, commission, department, agency, official, or 12 employee of the state, or of any political subdivision thereof, shall contract with, 13 award any grant to, or otherwise bestow any funding upon, an entity or organization 14 that employs a healthcare provider who engages in conversion therapy in violation 15 of the provisions of Part VIII-A of Chapter 20 of Title 37 of the Louisiana Revised 16 Statutes of 1950. The prohibition provided in this Subsection shall apply to state 17 funds, federal funds, and any other funds that may be used for purposes of 18 contracting for services, providing reimbursements, or grant issuance. 19 C. For purposes of compliance with Subsection B of this Section, the 20 Louisiana Department of Health shall not enter into any provider agreement, as 21 defined in R.S. 46:437.3, for medical assistance program funding with any healthcare 22 provider that engages in conversion therapy in violation of the provisions of Part 23 VIII-A of Chapter 20 of Title 37 of the Louisiana Revised Statutes of 1950. Page 7 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 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 605 Original 2022 Regular Session Landry Abstract: Defines "conversion therapy" and prohibits certain licensed health professionals from engaging in that practice with any minor. Proposed law sets forth legislative findings relative to the practice known as conversion therapy including the following: (1)"Conversion therapy" is a general term that encompasses practices intended to change a lesbian, gay, bisexual, transgender, queer, or two-spirit individual's sexual orientation, gender identity, or both. (2)According to the American Psychiatric Assoc., there is no rigorous scientific research supporting claims that an unwanted sexual orientation can be "cured" through any method. (3)The American Psychological Assoc., American Psychiatric Assoc., and American Academy of Child and Adolescent Psychiatry have all taken public positions against the use of conversion therapy. Proposed law defines "conversion therapy", for purposes of proposed law, as any practice or treatment conducted without a person's consent which is intended to change the person's sexual orientation or gender identity, including efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same sex or gender. Provides that conversion therapy includes all of the following: (1)Any practice by a healthcare provider that attempts or purports to change a person's sexual orientation or gender identity conducted without the person's consent. (2)Any practice by a healthcare provider that attempts or purports to change the behavioral expression of a person's sexual orientation or gender identity conducted without the person's consent. (3)Any practice by a healthcare provider that attempts or purports to eliminate or reduce a person's sexual or romantic attractions or feelings toward individuals of the same sex or gender conducted without the person's consent. Proposed law stipulates that conversion therapy does not include any of the following: (1)Counseling or other practices by a healthcare provider to assist a person who is undergoing gender transition. (2)Counseling or other practices by a healthcare provider that provide acceptance, support, and understanding of a person or facilitate a person's coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices, if such counseling does not seek to change an individual's sexual orientation or gender identity. Page 8 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 22RS-666 ORIGINAL HB NO. 605 (3)Counseling or other practices that are conducted at a person's request or otherwise with the person's consent. Proposed law defines "healthcare provider", for purposes of proposed law, as any of the following professionals who are licensed in accordance with, and whose health profession is regulated by, applicable provisions of present law: (1)A psychiatrist and any other physician. (2)A medical psychologist, specialist in school psychology, and any other psychologist including any provisional licensed psychologist. (3)A marriage and family therapist and any other licensed professional counselor. (4)A clinical social worker. (5)A psychiatric mental health nurse practitioner and any other advanced practice registered nurse. Proposed law prohibits healthcare providers, as defined for purposes of proposed law, from engaging in conversion therapy with any patient under the age of 18. Proposed law provides that whoever violates the prohibition on conversion therapy provided in proposed law shall, for each violation, be fined not more than $1,000, imprisoned for not more than six months, or both. Provides further that such violation shall also subject the healthcare provider to any applicable disciplinary proceeding, penalty, or sanction for unprofessional conduct imposed by the agency, board, or commission through which he is licensed to practice a health profession. Proposed law amends present law establishing the practice act of each healthcare provider to which proposed law applies in order to provide that engaging in conversion therapy as prohibited by proposed law is grounds for disciplinary action. Proposed law requires each agency, board, or commission which licenses and regulates a healthcare provider to which proposed law applies to promulgate all administrative rules necessary to implement proposed law. Proposed law prohibits boards, commissions, departments, agencies, officials, and employees of the state, or of any political subdivision thereof, from contracting with, awarding any grant to, or otherwise bestow any funding upon, an entity or organization that employs a healthcare provider who engages in conversion therapy in violation of proposed law. Specifically prohibits the La. Dept. of Health from entering into any Medicaid provider agreement with any healthcare provider that engages in conversion therapy in violation of proposed law. (Amends R.S. 37:921(9), 1110(A)(9), and 1360.67(A)(28); Adds R.S. 37:921(10), 1110(A)(10), 1285(A)(33), 1360.67(A)(29), 1747.11-1747.15, 2359(B)(16), and 2717(A)(14) and R.S. 49:200.61) Page 9 of 9 CODING: Words in struck through type are deletions from existing law; words underscored are additions.