2022 Regular Session ENROLLED SENATE BILL NO. 33 BY SENATOR FRED MILLS AND REPRESENTATIVE GLOVER 1 AN ACT 2 To enact R.S. 40:2009.24, relative to nursing facilities; to require an emergency alternative 3 electrical power source; to provide for minimum requirements; to provide for fuel; 4 to provide for waivers; to provide for a compliance deadline; to provide for an 5 extension; to provide for an effective date; and to provide for related matters. 6 Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 40:2009.24 is hereby enacted to read as follows: 8 ยง2009.24. Alternative electrical power source required 9 A. Nursing facilities shall have a generator or other Louisiana 10 Department of Health approved alternate electrical power source in the event 11 of the loss of primary electrical power in accordance with this Section. 12 B. The generator or alternate electrical power source shall have a 13 simultaneous capability of providing sufficient electrical power for all of the 14 following: 15 (1) Life safety systems. 16 (2) Lighting in patient care areas. 17 (3) Medical equipment in patient care areas. 18 (4) Electrical components of the approved potable water system. 19 (5) Electrical components of the approved sewer systems. 20 (6) Operation of the nursing facility's medication dispensing and 21 medication refrigeration systems. 22 (7) Operation of the nursing facility's dietary services and related 23 refrigeration. 24 (8) Operation of the nursing facility's laundry services. 25 (9)(a) For nursing facilities built or whose construction plans have been 26 approved by the department prior to August 1, 2022, HVAC systems or ACT No. 253 Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 33 ENROLLED 1 portions of systems required to maintain a safe indoor temperature to be 2 powered at a minimum fifty percent of the air conditioning systems and fifty 3 percent of the heating systems in the facility. 4 (b) For nursing facilities approved for construction and built on or after 5 August 1, 2022, HVAC systems or portions of systems required to maintain a 6 safe indoor temperature to be powered at a minimum ninety percent of the air 7 conditioning systems and ninety percent of the heating systems in the facility. 8 C.(1) The generator or alternate electrical power source shall be 9 permanently installed onsite at the nursing facility and shall have fuel stored 10 onsite at the nursing facility or delivered prior to the emergency event, in the 11 following quantities: 12 (a) For nursing facilities built or whose construction plans have been 13 approved by the department prior to August 1, 2022, an amount sufficient to 14 operate the generator or alternative electrical power source under full load for 15 forty-eight hours. 16 (b) For nursing facilities approved for construction and built on or after 17 August 1, 2022, an amount sufficient to operate the generator or alternative 18 electrical power source under full load for seventy-two hours. 19 (2) Natural gas is an allowable fuel source and meets the onsite fuel 20 requirement if there is an onsite propane tank sufficient in size to meet the fuel 21 requirements provided for in this Section. 22 D. Each nursing facility shall have fuel delivery agreements in place that 23 will extend the uninterrupted operation of the generator or alternative electrical 24 power source under full load to a total period of one hundred sixty-eight hours 25 for a single emergency event. Nursing facilities may interrupt operation of the 26 generator or alternative electrical power source to conduct routine maintenance 27 as recommended by manufacturer's specifications. 28 E.(1) For nursing facilities built or whose construction plans have been 29 approved by the department prior to August 1, 2022, the Louisiana Department 30 of Health may provide a waiver for the permanently installed generator or Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 33 ENROLLED 1 alternative electrical power source required by this Section if it is determined 2 that there is not sufficient physical space available or a governmental ordinance 3 exists that makes it impossible to place a generator or alternative electrical 4 power source and the fuel required by this Section on the premises of the 5 nursing facility. 6 (2) Each nursing facility which receives a waiver pursuant to this 7 Subsection shall annually submit to the department for review and approval a 8 plan to provide for the health and safety of the facility's residents in the event 9 of power loss. The annual plan may incorporate but is not limited to mobile 10 generators, chillers, or evacuation. 11 F. Nursing facilities shall meet the requirements of this Section no later 12 than June 30, 2023. The department may grant a one-time extension, not to 13 exceed six months, upon written application by a nursing facility that 14 compliance with this Section has been delayed due to extraordinary and 15 unforeseen circumstances. No extension shall be granted if the nursing facility 16 fails to provide sufficient evidence of substantial compliance or good faith 17 efforts to comply with the requirement deadline provided for in this Subsection. 18 Section 2. This Act shall become effective upon signature by the governor or, if not 19 signed by the governor, upon expiration of the time for bills to become law without signature 20 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 21 vetoed by the governor and subsequently approved by the legislature, this Act shall become 22 effective on the day following such approval. PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.