HLS 22RS-863 ENGROSSED 2022 Regular Session HOUSE CONCURRENT RESOL UTION NO. 44 BY REPRESENTATIVE DUSTIN MILLER HEALTH: Creates and provides for the Health Disparities in Rural Areas Task Force 1 A CONCURRENT RESOL UTION 2To create the Health Disparities in Rural Areas Task Force as a subcommittee of the 3 Statewide Health Equity Consortium within the Louisiana Department of Health, to 4 provide for the composition and duties of the task force, and to require the task force 5 to report findings and recommendations to the legislative committees on health and 6 welfare. 7 WHEREAS, according to the United States Centers for Disease Control and 8Prevention, overall health outcomes for African Americans, Hispanic Americans, and 9American Indians in this country are far poorer than for white people; and 10 WHEREAS, vast health disparities persist in this country, particularly in rural areas, 11and many have worsened during the COVID-19 pandemic; and 12 WHEREAS, rural areas comprise roughly eighty percent of Louisiana's total 13geographic area; and 14 WHEREAS, nearly twenty-six percent of our state's population, totaling more than 15one million two hundred thousand Louisianans, live in rural communities; and 16 WHEREAS, sixty-three of Louisiana's sixty-four parishes are classified as health 17professional shortage areas according to the standards of the federal Health Resources and 18Services Administration; and 19 WHEREAS, approximately ninety-eight percent of this state's entire population lives 20in a federally designated health professional shortage area; and Page 1 of 5 HLS 22RS-863 ENGROSSED HCR NO. 44 1 WHEREAS, the vast majority of Louisiana's rural communities are medically 2underserved by all established measures, yet programs to address the healthcare needs of this 3population remain underfunded and few are guided by local stakeholders or locally 4conducted needs assessments; and 5 WHEREAS, in consideration of the findings set forth in this Resolution, the 6legislature hereby declares that improving health outcomes in rural communities is a critical 7public health priority of this state. 8 THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby 9create the Health Disparities in Rural Areas Task Force. 10 BE IT FURTHER RESOLVED that the task force shall be composed of the 11following members: 12 (1) The president of the board of directors of the Louisiana State Nurses Association 13or his designee. 14 (2) One member who possesses postgraduate degrees in both nursing and business 15administration appointed by the director of clinical practice, health policy, and advocacy of 16the Louisiana State Nurses Association. 17 (3) The executive director of the Louisiana State Board of Nursing or his designee. 18 (4) The executive director of the Louisiana State Board of Medical Examiners or his 19designee. 20 (5) The dean of the Southern University School of Nursing or his designee. 21 (6) The president of the board of directors of the Louisiana Association of Nurse 22Practitioners or his designee. 23 (7) The chief executive officer of the Louisiana State Medical Society or his 24designee. 25 (8) The chief operating officer of the Rural Hospital Coalition, Inc. or his designee. 26 (9) The president of the Louisiana Hospital Association or his designee. 27 (10) The executive director of the Louisiana Rural Health Association or his 28designee. 29 (11) The executive director of the Louisiana Primary Care Association or his 30designee. Page 2 of 5 HLS 22RS-863 ENGROSSED HCR NO. 44 1 (12) The secretary of the Louisiana Department of Health or his designee. 2 (13) The president of the board of directors of the Louisiana Managed Medicaid 3Association or his designee. 4 (14) The state director of AARP Louisiana or his designee. 5 (15) A certified nurse midwife appointed by the executive director of the Louisiana 6State Board of Nursing. 7 (16) The president of the board of directors of the Louisiana Academy of Family 8Physicians or his designee. 9 (17) One primary care physician from each of the six Louisiana congressional 10districts appointed by the president of the board of directors of the Louisiana Academy of 11Family Physicians. 12 (18) The president of the Louisiana Council of Administrators in Nursing Education 13or his designee. 14 (19) The president of the Black Nurses Association of Acadiana or his designee. 15 (20) The president of the Louisiana Independent Pharmacies Association. 16 BE IT FURTHER RESOLVED that the duties of the task force shall include, without 17limitation, all of the following: 18 (1) Identifying the key drivers of health disparities in rural areas. 19 (2) Considering social determinants of health in developing recommendations for 20delivering high-quality health care in rural areas. 21 (3) Studying practicable solutions for reducing healthcare provider shortages in rural 22communities of Louisiana. 23 (4) Collaborating with health professional licensing boards of this state to draft 24proposals for legislation that will foster greater access to care for rural residents. 25 (5) Developing proposals for healthcare workforce training initiatives which 26promote diversity in health professions. 27 (6) Studying the impact of access to broadband internet and other technologies that 28facilitate wider deployment of telehealth and telemedicine services and thereby improve 29access to care in rural areas. Page 3 of 5 HLS 22RS-863 ENGROSSED HCR NO. 44 1 (7) Serving as a resource for parish governments to build partnerships for 2community outreach to address social determinants of health in rural communities. 3 BE IT FURTHER RESOLVED that the task force shall be a subcommittee of the 4Statewide Health Equity Consortium within the Louisiana Department of Health. 5 BE IT FURTHER RESOLVED that the Statewide Health Equity Consortium shall 6convene the first meeting of the task force no later than August 15, 2022. 7 BE IT FURTHER RESOLVED that, at its first meeting, the task force shall select 8from among its members a chairperson and any other officers it deems necessary for the 9functioning of the group. 10 BE IT FURTHER RESOLVED that the task force may adopt rules of procedure and 11any other policies as may be necessary to facilitate the work of the group. 12 BE IT FURTHER RESOLVED that on or before March 1, 2023, the task force shall 13submit to the House Committee on Health and Welfare, the Senate Committee on Health and 14Welfare, and the David R. Poynter Legislative Research Library a report of its findings and 15recommendations. 16 BE IT FURTHER RESOLVED that legislative authority for the task force shall 17terminate on July 1, 2023. 18 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the 19president of the board of directors and the director of clinical practice, health policy, and 20advocacy of the Louisiana State Nurses Association, the executive director of the Louisiana 21State Board of Nursing, the executive director of the Louisiana State Board of Medical 22Examiners, the dean of the Southern University School of Nursing, the president of the board 23of directors of the Louisiana Association of Nurse Practitioners, the chief executive officer 24of the Louisiana State Medical Society, the chief operating officer of the Rural Hospital 25Coalition, Inc., the president of the Louisiana Hospital Association, the executive director 26of the Louisiana Rural Health Association, the executive director of the Louisiana Primary 27Care Association, the secretary of the Louisiana Department of Health, the president of the 28board of directors of the Louisiana Managed Medicaid Association, the state director of 29AARP Louisiana, the president of the board of directors of the Louisiana Academy of 30Family Physicians, the president of the Louisiana Council of Administrators in Nursing Page 4 of 5 HLS 22RS-863 ENGROSSED HCR NO. 44 1Education, the president of the Black Nurses Association of Acadiana, and the president of 2the Louisiana Independent Pharmacies Association. 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)] HCR 44 Engrossed 2022 Regular Session Dustin Miller Creates the 25-member Health Disparities in Rural Areas Task Force as a subcommittee of the Statewide Health Equity Consortium within the La. Department of Health and provides for the duties of the task force. Requires the task force to report its findings and recommendations to the legislative committees on health and welfare on or before March 1, 2023. Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Health and Welfare to the original bill: 1. Change the name of the task force from the "Health Inequities and Disparities in Rural Areas Task Force" to the "Health Disparities in Rural Areas Task Force". 2. Change the qualifications of one task force member to be appointed by the La. State Nurses Association. 3. Change the representative of the La. Managed Medicaid Association on the task force from the association's executive director or his designee to the president of the association's board or his designee. 4. Add the following persons as members of the task force: a. One primary care physician from each of the six La. congressional districts appointed by the president of the board of directors of the La. Academy of Family Physicians. b. The president of the La. Council of Administrators in Nursing Education or his designee. c. The president of the Black Nurses Association of Acadiana or his designee. d. The president of the La. Independent Pharmacies Association. 5. Require the Statewide Health Equity Consortium, rather than the secretary of the La. Department of Health, to convene the first meeting of the task force. Page 5 of 5