SLS 22RS-717 ENGROSSED 2022 Regular Session SENATE BILL NO. 411 BY SENATORS WHITE AND BARROW HEALTH CARE. Provides relative to the Louisiana Emergency Response Network. (8/1/22) 1 AN ACT 2 To amend and reenact R.S. 40:2841, 2842(3), 2843(A), 2844(B)(3), (15), (16), (17), (20), 3 and (23), (C), and (D), and 2845(A)(1) and (2)(b) and (C)(1), relative to the 4 Louisiana Emergency Response Network; to provide for legislative purpose; to 5 provide for definitions; to provide for the Louisiana Emergency Response Network; 6 to provide for the governing board; to provide for an annual report; and to provide 7 for related matters. 8 Be it enacted by the Legislature of Louisiana: 9 Section 1. R.S. 40:2841, 2842(3), 2843(A), 2844(B)(3), (15), (16), (17), (20), and 10 (23), (C), and (D), and 2845(A)(1) and (2)(b) and (C)(1) are hereby amended and reenacted 11 to read as follows: 12 §2841. Legislative purpose 13 The legislature declares that in order to safeguard the public health, safety, 14 and welfare of the people of this state against unnecessary trauma and time-sensitive 15 related deaths and incidents of morbidity due to trauma, stroke, and ST-segment 16 myocardial infarction (STEMI), a comprehensive, coordinated statewide system 17 for access to regional trauma-patient trauma, stroke, and STEMI patient care Page 1 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 411 SLS 22RS-717 ENGROSSED 1 throughout the state be established. This system shall be compatible and interfaced 2 with the Governor's Office of Homeland Security and Emergency Preparedness. 3 §2842. Definitions 4 As used in this Chapter the following terms shall have the following 5 meanings: 6 * * * 7 (3) "Louisiana Emergency Response Network" (LERN) means the statewide 8 system of regional trauma-patient trauma, stroke, and STEMI patient care that is 9 an organized, seamless, coordinated effort among each component of care including 10 pre-hospital, acute care, post-acute care, rehabilitation, and injury prevention in a 11 defined geographic area which provides access to local health systems for time- 12 sensitive patient care treatment and is integrated with local public health systems and 13 the Governor's Office of Homeland Security and Emergency Preparedness. 14 * * * 15 §2843. Louisiana Emergency Response Network; creation; domicile 16 A. The Louisiana Emergency Response Network is hereby created as a 17 network which, through its board, shall direct the efforts to decrease trauma-related 18 trauma, stroke, and STEMI-related deaths and incidents of morbidity and 19 mortality due to trauma, stroke, and STEMI in Louisiana. By maximizing the 20 integrated delivery of optimal resources for patients who ultimately need acute 21 trauma, stroke, and STEMI care, the network shall address the daily demands of 22 trauma, stroke, and STEMI care and form the basis for disaster preparedness. The 23 resources required for each component of the system shall be clearly identified, 24 deployed, and studied to ensure that all injured patients gain access to the appropriate 25 level of care in a timely, coordinated, and cost-effective manner. 26 * * * 27 §2844. Governing board; membership, appointment, terms, compensation, vacancies 28 * * * 29 B. The network shall be governed by a board of twenty-nine members which Page 2 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 411 SLS 22RS-717 ENGROSSED 1 shall include: 2 * * * 3 (3) One member from nominees submitted by the Metropolitan Hospital 4 Council of New Orleans Louisiana Hospital Association to represent hospitals with 5 one hundred beds or more. 6 * * * 7 (15) Two members from the Louisiana House of Representatives to be 8 appointed by the speaker of the House of Representatives. 9 (16) Two members from the Louisiana Senate to be appointed by the 10 president of the Senate. 11 (17) One 211 member of the Louisiana Alliance of Information and Referral 12 Systems. One member who is an EMS practitioner from a list of nominees 13 submitted by the Louisiana Association of Nationally Registered Emergency 14 Medical Technicians (LANREMT). 15 * * * 16 (20) One member of the Louisiana Hospital Association rehabilitation 17 constituency group to represent hospitals providing rehabilitation services. 18 * * * 19 (23) One medical director of an emergency medical services agency from 20 nominees submitted by the Louisiana Association of EMS Physicians Chapter of 21 the National Association of EMS Physicians (NAEMSP). 22 * * * 23 C.(1) The Except as provided in Paragraphs (B)(15) and (16) of this 24 Section, members listed in Paragraphs (B)(1) through (14) and (17) through (24) of 25 this Section shall be appointed by the governor from a list of qualified candidates 26 nominated by the respective organizations. Each organization shall submit a list 27 of at least four nominees to the governor. 28 (2) The organizations listed in Paragraphs (B)(1) through (14) and (17) 29 through (24) of this Section shall each submit a list of at least four nominees for the Page 3 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 411 SLS 22RS-717 ENGROSSED 1 respective board position to the governor. 2 (3) The members listed in Paragraphs (B)(15) and (16) of this Section shall 3 be appointed by the speaker of the House of Representatives and the president of the 4 Senate, respectively. 5 D. All members of the board shall serve terms of three years., except for 6 initial terms beginning on the effective date of this Chapter, and determined by lot 7 at the first meeting of the board as follows: 8 (1) Six shall serve until July 1, 2005. 9 (2) Seven shall serve until July 1, 2006. 10 (3) Seven shall serve until July 1, 2007. 11 * * * 12 §2845. Board; functions, powers, and duties 13 A. The board shall: 14 (1) Establish and maintain a statewide trauma system that shall include a 15 centralized communication center for resource coordination of medical capabilities 16 for participating trauma centers, as defined by R.S. 40:2171, participating stroke 17 and STEMI centers, as defined by rule, and emergency medical services. 18 (2) Provide for implementation of a network and plan designed to achieve: 19 * * * 20 (b) A reduction in the number and severity of disabilities caused by trauma, 21 stroke, and STEMI. 22 * * * 23 C.(1) The board shall submit an annual written report to the Senate and 24 House committees on health and welfare at least thirty days prior to each regular 25 session. The report shall include a summary of the data relevant to the goals set forth 26 in Paragraph (A)(2) of this Section and all other information relevant to 27 trauma-patient trauma, stroke, and STEMI patient care and its delivery in 28 Louisiana through the network. 29 * * * Page 4 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 411 SLS 22RS-717 ENGROSSED The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Brandi Cannon. DIGEST SB 411 Engrossed 2022 Regular Session White Present law provides for the Louisiana Emergency Response Network (LERN), a comprehensive, coordinated statewide system for access to regional trauma-patient care throughout the state. Present law further provides for the system to be compatible and interfaced with the Governor's Office of Homeland Security and Emergency Preparedness. Proposed law retains present law and expands the scope to include patient care for strokes and ST-segment myocardial infarction (STEMI). Present law provides for a governing board of 29 members and provides for the qualifications of the membership. Proposed law changes the nominating entity for the member representing hospitals with 100 beds or more from the Metropolitan Hospital Council of New Orleans to the La. Hospital Association. Proposed law further removes the 211 member of the La. Alliance of Information and Referral Systems and adds one EMS practitioner from a list of nominees submitted by the La. Association of Nationally Registered Emergency Medical Technician. Present law provides that all members of the board shall serve terms of three years except for the terms of the initial board members. Proposed law retains present law and repeals outdated language relative to the initial terms. Present law provides for the establishment and maintenance of a statewide trauma system, which shall include a centralized communication center for resource coordination of medical capabilities for participating trauma centers and emergency medical services. Proposed law retains present law and expands the scope to include participating stroke and STEMI centers. Present law provides for an annual written report to the Senate and House committees on health and welfare at least 30 days prior to each regular session which shall include a summary of the data relevant to the goals of present law and all other information relevant to trauma-patient care and its delivery in this state through the network. Proposed law retains present law and expands the scope to include data regarding patient care for strokes and STEMI. (Amends R.S. 40:2841, 2842(3), 2843(A), 2844(B)(3), (15), (16), (17), (20), and (23), (C), and (D), and 2845(A)(1) and (2)(b) and (C)(1)) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Clarifies the appointing authority for legislative members. 2. Makes technical changes. Page 5 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.