SLS 23RS-269 ENGROSSED 2023 Regular Session SENATE BILL NO. 169 BY SENATOR MIZELL Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. EVIDENCE. Provides for tracking rape kits from collection through conviction. (8/1/23) 1 AN ACT 2 To amend and reenact R.S. 15:623(A), R.S. 40:1216.1(A)(2)(c) and (7) through (9), and R.S. 3 46:1802(7), 1807(B)(7), and 1822(C), to enact R.S. 15:624.1 and 46:1802(14) and 4 to repeal R.S. 40:1216.1(A)(10), relative to DNA detection of sexual and violent 5 offenders; to provide for mandatory testing of certain rape kits; to create a system to 6 track the status of rape kits and to require all hospitals, law enforcement and district 7 attorneys to participate; to provide for reporting of sexual assault data to certain 8 government agencies; to provide for immunity; to provide payment to hospitals for 9 forensic medical exams; to provide for crime victim reparations; to provide for 10 identification; to provide for billing; to provide for medical services for sexual 11 assault victims; to provide for public records; and to provide for related matters. 12 Be it enacted by the Legislature of Louisiana: 13 Section 1. R.S. 15:623(A) is hereby amended and reenacted and R.S. 15:624.1 is 14 hereby enacted to read as follows: 15 §623. Submission of sexual assault collection kits 16 A. Within thirty days of receiving a sexual assault collection kit for a reported 17 case involving an unknown suspect, the criminal justice agency shall submit the Page 1 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 sexual assault collection kit to a forensic laboratory for testing. 2 * * * 3 §624.1. Submission of sexual assault collection kits 4 A. The office of state police shall create and operate a statewide sexual 5 assault collection kit tracking system. The office of state police may contract 6 with public or private entities, including but not limited to private software and 7 technology providers, for the creation and maintenance of the system. 8 B. The statewide sexual assault collection kit tracking system shall: 9 (1) Track the location status of the kits throughout the criminal justice 10 process, including the initial collection performed at medical facilities, receipt 11 and storage at law enforcement agencies, receipt and analysis at forensic 12 laboratories, and storage or destruction after completion of analysis. 13 (2) Designate sexual assault collection kits as unreported or reported. 14 (3) Indicate whether a sexual assault collection kit contains biological 15 materials collected for the purpose of forensic toxicological analysis. 16 (4) Allow medical facilities performing sexual assault forensic 17 examinations, law enforcement agencies, prosecutors, the Louisiana State Police 18 Crime Laboratory, all other forensic crime laboratories in the state, and other 19 entities having custody of sexual assault collection kits to update and track the 20 status and location of sexual assault collection kits. 21 (5) Allow victims of sexual assault to anonymously track or receive 22 updates regarding the status of their sexual assault collection kits. 23 (6) Use electronic technology allowing continuous access. 24 C. The office of state police may phase-in initial participation according 25 to region or volume of kits. 26 D. The office of state police may use a phased implementation process in 27 order to launch the system and facilitate entry and use of the system for 28 required participants. The office of state police may phase initial participation 29 according to the region or volume. All entities, including law enforcement and Page 2 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 healthcare providers having custody of sexual assault collection kits shall 2 provide all required information to the tracking system and fully participate in 3 the system no later than July 1, 2024. The office of state police shall submit a 4 report on the current status and plan for launching the system, including the 5 plan for phased implementation, to the Louisiana Sexual Assault Oversight 6 Commission, the Senate Committee on Judiciary B, the House Committee on 7 Administration of Criminal Justice, and the governor no later than January 1, 8 2024. 9 E. The office of state police shall submit an annual report on the 10 statewide sexual assault collection kit tracking system to the Louisiana Sexual 11 Assault Oversight Commission, the Senate Committee on Judiciary B, the 12 House Committee on Administration of Criminal Justice, and the governor no 13 later than July thirty-first of each year. The office of state police may make 14 public the current report on its website. The report shall include the following: 15 (1) The total number of sexual assault collection kits in the system 16 statewide and by jurisdiction. 17 (2) The total and semiannual number of sexual assault collection kits 18 where forensic analysis has been completed statewide and by jurisdiction. 19 (3) The number of sexual assault collection kits added to the system in 20 the reporting period statewide and by jurisdiction. 21 (4) The total and semiannual number of sexual assault collection kits 22 where forensic analysis has been requested, but not completed, statewide and 23 by jurisdiction. 24 (5) The average and median length of time for sexual assault collection 25 kits to be submitted for forensic analysis after being added to the system, 26 including separate sets of data for all sexual assault collection kits in the system 27 statewide and by jurisdiction. 28 (6) The average and median length of time for sexual assault collection 29 kits added to the system in the reporting period statewide and by jurisdiction. Page 3 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 (7) The total and semiannual number of sexual assault collection kits 2 destroyed or removed from the system statewide and by jurisdiction. 3 (8) The total number of sexual assault collection kits, statewide and by 4 jurisdiction, where forensic analysis has not been completed and six months or 5 more have passed since those sexual assault collection kits were added to the 6 system. 7 (9) The total number of sexual assault collection kits, statewide and by 8 jurisdiction, where forensic analysis has not been completed and one year or 9 more has passed since those sexual assault collection kits were added to the 10 system. 11 F. For the purpose of the reports required by Subsection E of this 12 Section, a sexual assault collection kit shall be assigned to the jurisdiction 13 associated with the law enforcement agency anticipated to receive the sexual 14 assault collection kit or otherwise have custody of the sexual assault collection 15 kit. 16 G. Any public agency or entity, including its officials or employees, and 17 any hospital and its employees providing services to victims of sexual assault, 18 shall not be held civilly liable for damages arising from any release of 19 information or the failure to release information related to the statewide sexual 20 assault collection kit tracking system, provided that the release was not grossly 21 negligent. 22 H. The office of state police shall adopt rules as necessary to implement 23 this Section. 24 I. For the purposes of this Section: 25 (1) "Reported sexual assault collection kit" means a sexual assault 26 collection kit where a law enforcement agency has received a related report or 27 complaint alleging that a sexual assault or other crime occurred. 28 (2) "Sexual assault collection kit" includes all evidence collected during 29 a sexual assault medical forensic examination. Page 4 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 (3) "Unreported sexual assault collection kit" means a sexual assault 2 collection kit where a law enforcement agency has not received a related report 3 or complaint alleging that a sexual assault has occurred. 4 Section 2. R.S. 40:1216.1(A)(2)(c) and (7) through (9) are hereby amended and 5 reenacted to read as follows: 6 §1216.1. Procedures for victims of a sexually oriented criminal offense; immunity; 7 regional plans; maximum allowable costs; definitions; documents 8 requested by victim 9 A. * * * 10 (2) * * * 11 (c) Any evidence collected shall be assigned a code number and the hospital 12 or healthcare provider that performed the forensic medical exam shall maintain 13 code records for a period of at least one year from the date the victim is presented for 14 treatment. The hospital or healthcare provider that performed the forensic medical 15 exam shall assign the code number by affixing to the evidence container a code to 16 be used in lieu of the victim's identifying information to maintain confidentiality. 17 The code number is to shall be used for identification should the victim later choose 18 to report the incident. The healthcare provider shall provide all information 19 required by the statewide tracking system operated by the office of state police, 20 pursuant to R.S. 15:624.1. 21 * * * 22 (7) A The healthcare provider who performed the forensic medical exam 23 and the healthcare facility shall may submit a claim for payment of healthcare 24 services rendered in for conducting a forensic medical exam for a victim of a 25 sexually oriented offense to any of the following: directly to the Crime Victim 26 Reparations Board to be paid in strict accordance with the provisions of R.S. 27 46:1822. A victim of a sexually-oriented criminal offense shall not be billed 28 directly or indirectly for the performance of any forensic medical exam. The 29 provisions of this Paragraph shall not be interpreted or construed to apply to Page 5 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 either of the following: 2 (a) A healthcare provider billing for any medical services that are not 3 specifically set forth in this Section or provided for diagnosis or treatment of the 4 victim for injuries related to the sexual assault. With the consent of the victim, to 5 the victim's health insurance issuer. Notwithstanding any provision to the contrary, 6 a health insurance issuer receiving a claim for covered healthcare services rendered 7 in conducting a forensic medical exam shall waive any applicable deductible, 8 coinsurance, and copay and the healthcare provider shall submit a claim to the Crime 9 Victims Reparations Fund for satisfaction of any noncovered services. In addition, 10 the health insurance issuer shall allow the victim to designate any address to be used 11 for purposes of transmitting an explanation of benefits or allow the victim to 12 designate that no explanation of benefits be generated or transmitted. 13 (b) A victim of a sexually-oriented criminal offense seeking reparations 14 in accordance with the Crime Victims Reparations Act, R.S. 46:1801 et seq. for 15 the costs for any medical services that are not specifically set forth in this 16 Section or provided for the diagnosis or treatment of the victim for injuries 17 related to the sexual assault. The Louisiana Medicaid, Medicare, or Tricare 18 programs, if the victim is enrolled as beneficiary of any of these programs. 19 (c) If the victim does not consent to the healthcare provider submitting a 20 claim to his or her health insurance issuer or the victim is not otherwise insured, the 21 Crime Victims Reparations Board. The Crime Victims Reparations Board shall 22 reimburse the healthcare provider in accordance with the provisions of R.S. 46:1822. 23 (8) Except for those services specifically set forth in the provision of this 24 Section, no other services shall be subject to the reimbursement or billing provisions 25 of this Section and shall continue to be reimbursable under the ordinary billing 26 procedures of the hospital or healthcare provider. In addition, a victim of a sexually- 27 oriented offense may seek reimbursement for these services through the Crime 28 Victims Reparations Board. 29 (9) The department shall make available to every hospital and healthcare Page 6 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 provider licensed under the laws of this state a pamphlet containing an explanation 2 of the billing process for services rendered pursuant to this Section. Every hospital 3 and healthcare provider shall provide a copy of the pamphlet to any person presented 4 for treatment as a victim of a sexually oriented criminal offense. 5 (10)(9)(a) The victim shall be provided with information about emergency 6 contraception which shall be developed and made available electronically to all 7 licensed hospitals in this state through the Louisiana Department of Health's website 8 and by paper form upon request to the department. 9 (b) The treating healthcare provider shall inform the victim of the option to 10 be provided emergency contraception at the hospital or healthcare facility and, upon 11 the completion of a pregnancy test yielding a negative result, shall provide 12 emergency contraception upon the request of the victim. 13 * * * 14 Section 3. R.S. 46:1802(7), 1807(B)(7), and 1822(C) are hereby amended and 15 reenacted and R.S. 46:1802(14) is hereby enacted to read as follows: 16 §1802. Definitions 17 As used in this Chapter: 18 * * * 19 (7) "Healthcare provider" means either of the following: 20 (a) A a physician or other healthcare practitioner licensed, certified, 21 registered, or otherwise authorized to perform specified healthcare services 22 consistent with state law. 23 (b) A facility or institution providing healthcare services, including but not 24 limited to a hospital or other licensed inpatient center, ambulatory surgical or 25 treatment center, skilled nursing facility, inpatient hospice facility, residential 26 treatment center, diagnostic, laboratory, or imaging center, or rehabilitation or other 27 therapeutic health setting. 28 * * * 29 (14) "Healthcare facility" means a facility or institution providing Page 7 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED 1 healthcare services, including but not limited to a hospital or other licensed 2 inpatient center, ambulatory surgical or treatment center, skilled nursing 3 facility, inpatient hospice facility, residential treatment center, diagnostic, 4 laboratory, or imaging center, or rehabilitation or other therapeutic health 5 setting. 6 * * * 7 §1807. Powers and duties of board; staff 8 * * * 9 B. In the performance of its powers and duties the board shall: 10 * * * 11 (7) Develop, adopt, and promulgate rules in the manner provided in the 12 Administrative Procedure Act and in accordance with the provisions of R.S. 13 46:1806(B). The rules shall contain specific guidelines which shall establish the 14 reasonable costs to be charged reimbursed for all healthcare services or expenses 15 ancillary to a forensic medical examination which shall not exceed one thousand 16 dollars for each case. 17 * * * 18 §1822. Forensic medical exams; reimbursement 19 * * * 20 C. A request for reimbursement by a healthcare provider or healthcare 21 facility for the performance of a forensic medical exam shall not constitute 22 reparations and therefore shall be immediately payable and not require 23 approval from the board as a condition of payment. The board shall direct 24 payment to be made to a healthcare provider or healthcare facility no later than 25 ninety thirty calendar days from the date the attestation is submitted to the board by 26 the healthcare provider or healthcare facility. 27 Section 4. R.S. 40:1216.1(A)(10) is hereby repealed. Page 8 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED The original instrument was prepared by Whitney Kauffeld. The following digest, which does not constitute a part of the legislative instrument, was prepared by Alan Miller. DIGEST SB 169 Engrossed 2023 Regular Session Mizell Present law requires law enforcement to submit a sexual assault collection kit for an assault reported to law enforcement with an unknown suspect to a forensic laboratory for testing within 30 days of receipt. Proposed law requires law enforcement to submit every reported sexual assault collection kit for an assault with a known or unknown suspect to a forensic laboratory for testing within 30 days of receipt. Proposed law requires La. State Police to create and operate a statewide sexual assault collection kit tracking system. Proposed law further provides that the tracking system must track the location and status of the kits throughout the criminal justice process; designate sexual assault collection kits as reported or unreported; indicate whether a sexual assault collection kit contains biological material; allow medical facilities, law enforcement, prosecutors, the La. State Police Crime Laboratory, and all other facilities having custody of the kit to update and track the status of the kits; and allow victims to track the status of their kit anonymously. Proposed law permits the La. State Police to phase-in implementation as necessary, but the system must be implemented fully by July 1, 2024. Proposed law requires La. State Police to submit a report for the current status and plan to the La. Sexual Assault Oversight Commission, the Senate Committee on Judiciary B, the House Committee on Admin. of Criminal Justice, and the governor no later than January 1, 2024. Proposed law requires the La. State Police to submit an annual report on the tracking system to the La. Sexual Assault Oversight Commission, the Senate Committee on Judiciary B, the House Committee on Admin. of Criminal Justice, and the governor no later than July 31 each year. Proposed law requires the report to contain the following, both statewide and by jurisdiction: (1)The total number of sexual assault collection kits in the system. (2)The total and semi-annual number of sexual assault collection kits with completed forensic analysis. (3)The number of sexual assault collection kits added to the system in the reporting period. (4)The total and semi-annual number of sexual assault collection kits where testing has been requested but not yet completed. (5)The average and median length of time for sexual assault collection kits to be submitted for testing after being added to the system. (6)The total and semi-annual number of sexual assault collection kits destroyed or removed from the system. (7)The total number of sexual assault collection kits waiting six months or longer to be tested. Page 9 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED (8)The total number of sexual assault collection kits waiting over one year to be tested. Proposed law requires that a sexual assault collection kit be assigned to a jurisdiction associated with the law enforcement agency anticipated to receive the kit. Proposed law shields from liability any participating public agency, hospital, or law enforcement agency, including its employees, for the release of information or the failure to release information, except when there is gross negligence. Proposed law permits the La. State Police to adopt rules necessary to implement proposed law. Proposed law defines "reported sexual assault collection kit", "sexual assault collection kit", and "unreported sexual assault collection kit". Proposed law clarifies present law by requiring healthcare providers who perform forensic medical exams to create a code number to maintain confidentiality for the victim in an unreported sexual assault. Proposed law clarifies present law by requiring healthcare providers to be paid or a victim reimbursed for the performance of a forensic medical exam by the Crime Victim Reparations Board (board), except for any treatment not related to the sexual assault. Proposed law distinguishes the definitions of "healthcare provider" and "healthcare facility". Proposed law provides that the performance of a forensic medical exam is not reparations and is immediately payable by the board. Proposed law further provides that payment must be made within 30 days of submission for payment. Present law provides for the powers and duties of the board. Present law requires the board to develop, adopt, and promulgate rules in the manner provided in the APA and in accordance with present law to contain specific guidelines which establishes the reasonable costs to be charged for all healthcare services or expenses ancillary to a forensic medical examination which shall not exceed $1,000 for each case. Proposed law requires the board to promulgate rules in the manner provided in the APA and in accordance with present law to contain specific guidelines which establishes the reasonable costs to be reimbursed for all healthcare services or expenses ancillary to a forensic medical examination. Effective August 1, 2023. (Amends R.S. 15:623(A), R.S. 40:1216.1(A)(2)(c) and (7)-(9), and R.S. 46:1802(7), 1807(B)(7), and 1822(C); adds R.S. 15:624.1 and 46:1802(14); repeals R.S. 40:1216.1(A)(10)) Page 10 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 SLS 23RS-269 ENGROSSED Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Judiciary B to the original bill 1. Makes technical changes 2. Adds the House Committee on Admin. of Criminal Justice to the list of entities to which the La. State Police must submit reports regarding the implementation of the statewide sexual assault collection kit tracking system and plan. 3. Provides for reimbursement by the Crime Victims Reparations Board for all healthcare services or expenses ancillary to a forensic medical examination. Page 11 of 11 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.