2023 Regular Session ENROLLED SENATE BILL NO. 169 BY SENATORS MIZELL, ABRAHAM, BARROW, BERNARD, BOUDREAUX, CLOUD, DUPLESSIS, FESI, FIELDS, HARRIS, HENRY, HENSGENS, KLEINPETER, MILLIGAN, ROBERT MILLS, PRICE, SMITH, STINE, TALBOT AND TARVER AND REPRESENTATIVES AMEDEE, BOYD, BRYANT, CARRIER, WILFORD CARTER, ECHOLS, EMERSON, FISHER, FREEMAN, GAROFALO, GLOVER, HILFERTY, HUGHES, ILLG, LAFLEUR, LARVADAIN, MARCELLE, NEWELL, ORGERON, SCHLEGEL, SELDERS, TARVER, THOMAS, THOMPSON, VI LLIO AND WHITE Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. 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 18 sexual assault collection kit to a forensic laboratory for testing. 19 * * * 20 §624.1. Submission of sexual assault collection kits 21 A. The office of state police shall create and operate a statewide sexual ACT No. 193 Page 1 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 assault collection kit tracking system. The office of state police may contract 2 with public or private entities, including but not limited to private software and 3 technology providers, for the creation and maintenance of the system. 4 B. The statewide sexual assault collection kit tracking system shall: 5 (1) Track the location status of the kits throughout the criminal justice 6 process, including the initial collection performed at medical facilities, receipt 7 and storage at law enforcement agencies, receipt and analysis at forensic 8 laboratories, and storage or destruction after completion of analysis. 9 (2) Designate sexual assault collection kits as unreported or reported. 10 (3) Indicate whether a sexual assault collection kit contains biological 11 materials collected for the purpose of forensic toxicological analysis. 12 (4) Allow medical facilities performing sexual assault forensic 13 examinations, law enforcement agencies, prosecutors, the Louisiana State Police 14 Crime Laboratory, all other forensic crime laboratories in the state, and other 15 entities having custody of sexual assault collection kits to update and track the 16 status and location of sexual assault collection kits. 17 (5) Allow victims of sexual assault to anonymously track or receive 18 updates regarding the status of their sexual assault collection kits. 19 (6) Use electronic technology allowing continuous access. 20 C. The office of state police may phase in initial participation according 21 to region or volume of kits. 22 D. The office of state police may use a phased implementation process in 23 order to launch the system and facilitate entry and use of the system for 24 required participants. The office of state police may phase initial participation 25 according to the region or volume. All entities, including law enforcement and 26 healthcare providers having custody of sexual assault collection kits shall 27 provide all required information to the tracking system and fully participate in 28 the system no later than July 1, 2024. The office of state police shall submit a 29 report on the current status and plan for launching the system, including the 30 plan for phased implementation, to the Louisiana Sexual Assault Oversight Page 2 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 Commission, the Senate Committee on Judiciary B, the House Committee on 2 Administration of Criminal Justice, and the governor no later than January 1, 3 2024. 4 E. The office of state police shall submit an annual report on the 5 statewide sexual assault collection kit tracking system to the Louisiana Sexual 6 Assault Oversight Commission, the Senate Committee on Judiciary B, the 7 House Committee on Administration of Criminal Justice, and the governor no 8 later than July thirty-first of each year. The office of state police may make 9 public the current report on its website. The report shall include the following: 10 (1) The total number of sexual assault collection kits in the system 11 statewide and by jurisdiction. 12 (2) The total and semiannual number of sexual assault collection kits 13 where forensic analysis has been completed statewide and by jurisdiction. 14 (3) The number of sexual assault collection kits added to the system in 15 the reporting period statewide and by jurisdiction. 16 (4) The total and semiannual number of sexual assault collection kits 17 where forensic analysis has been requested but not completed, statewide and by 18 jurisdiction. 19 (5) The average and median length of time for sexual assault collection 20 kits to be submitted for forensic analysis after being added to the system, 21 including separate sets of data for all sexual assault collection kits in the system 22 statewide and by jurisdiction. 23 (6) The average and median length of time for sexual assault collection 24 kits added to the system in the reporting period statewide and by jurisdiction. 25 (7) The total and semiannual number of sexual assault collection kits 26 destroyed or removed from the system statewide and by jurisdiction. 27 (8) The total number of sexual assault collection kits, statewide and by 28 jurisdiction, where forensic analysis has not been completed and six months or 29 more have passed since those sexual assault collection kits were added to the 30 system. Page 3 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 (9) The total number of sexual assault collection kits, statewide and by 2 jurisdiction, where forensic analysis has not been completed and one year or 3 more has passed since those sexual assault collection kits were added to the 4 system. 5 F. For the purpose of the reports required by Subsection E of this 6 Section, a sexual assault collection kit shall be assigned to the jurisdiction 7 associated with the law enforcement agency anticipated to receive the sexual 8 assault collection kit or otherwise have custody of the sexual assault collection 9 kit. 10 G. Any public agency or entity, including its officials or employees, and 11 any hospital and its employees providing services to victims of sexual assault, 12 shall not be held civilly liable for damages arising from any release of 13 information or the failure to release information related to the statewide sexual 14 assault collection kit tracking system, provided that the release was not grossly 15 negligent. 16 H. The office of state police shall adopt rules as necessary to implement 17 this Section. 18 I. For the purposes of this Section: 19 (1) "Reported sexual assault collection kit" means a sexual assault 20 collection kit where a law enforcement agency has received a related report or 21 complaint alleging that a sexual assault or other crime occurred. 22 (2) "Sexual assault collection kit" includes all evidence collected during 23 a sexual assault medical forensic examination. 24 (3) "Unreported sexual assault collection kit" means a sexual assault 25 collection kit where a law enforcement agency has not received a related report 26 or complaint alleging that a sexual assault has occurred. 27 Section 2. R.S. 40:1216.1(A)(2)(c) and (7) through (9) are hereby amended and 28 reenacted to read as follows: 29 §1216.1. Procedures for victims of a sexually oriented criminal offense; immunity; 30 regional plans; maximum allowable costs; definitions; documents Page 4 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 requested by victim 2 A. * * * 3 (2) * * * 4 (c) Any evidence collected shall be assigned a code number and the hospital 5 or healthcare provider that performed the forensic medical exam shall maintain 6 code records for a period of at least one year from the date the victim is presented for 7 treatment. The hospital or healthcare provider that performed the forensic medical 8 exam shall assign the code number by affixing to the evidence container a code to 9 be used in lieu of the victim's identifying information to maintain confidentiality. 10 The code number is to shall be used for identification should the victim later choose 11 to report the incident. The healthcare provider shall provide all information 12 required by the statewide tracking system operated by the office of state police, 13 pursuant to R.S. 15:624.1. 14 * * * 15 (7) A The healthcare provider who performed the forensic medical exam 16 and the healthcare facility shall may submit a claim for payment of healthcare 17 services rendered in for conducting a forensic medical exam for a victim of a 18 sexually oriented offense to any of the following: directly to the Crime Victim 19 Reparations Board to be paid in strict accordance with the provisions of R.S. 20 46:1822. A victim of a sexually oriented criminal offense shall not be billed 21 directly or indirectly for the performance of any forensic medical exam. The 22 provisions of this Paragraph shall not be interpreted or construed to apply to 23 either of the following: 24 (a) A healthcare provider billing for any medical services that are not 25 specifically set forth in this Section or provided for diagnosis or treatment of the 26 victim for injuries related to the sexual assault. With the consent of the victim, to 27 the victim's health insurance issuer. Notwithstanding any provision to the contrary, 28 a health insurance issuer receiving a claim for covered healthcare services rendered 29 in conducting a forensic medical exam shall waive any applicable deductible, 30 coinsurance, and copay and the healthcare provider shall submit a claim to the Crime Page 5 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 Victims Reparations Fund for satisfaction of any noncovered services. In addition, 2 the health insurance issuer shall allow the victim to designate any address to be used 3 for purposes of transmitting an explanation of benefits or allow the victim to 4 designate that no explanation of benefits be generated or transmitted. 5 (b) A victim of a sexually oriented criminal offense seeking reparations 6 in accordance with the Crime Victims Reparations Act, R.S. 46:1801 et seq. for 7 the costs for any medical services that are not specifically set forth in this 8 Section or provided for the diagnosis or treatment of the victim for injuries 9 related to the sexual assault. The Louisiana Medicaid, Medicare, or Tricare 10 programs, if the victim is enrolled as beneficiary of any of these programs. 11 (c) If the victim does not consent to the healthcare provider submitting a 12 claim to his or her health insurance issuer or the victim is not otherwise insured, the 13 Crime Victims Reparations Board. The Crime Victims Reparations Board shall 14 reimburse the healthcare provider in accordance with the provisions of R.S. 46:1822. 15 (8) Except for those services specifically set forth in the provision of this 16 Section, no other services shall be subject to the reimbursement or billing provisions 17 of this Section and shall continue to be reimbursable under the ordinary billing 18 procedures of the hospital or healthcare provider. In addition, a victim of a sexually- 19 oriented offense may seek reimbursement for these services through the Crime 20 Victims Reparations Board. 21 (9) The department shall make available to every hospital and healthcare 22 provider licensed under the laws of this state a pamphlet containing an explanation 23 of the billing process for services rendered pursuant to this Section. Every hospital 24 and healthcare provider shall provide a copy of the pamphlet to any person presented 25 for treatment as a victim of a sexually oriented criminal offense. 26 (10)(9)(a) The victim shall be provided with information about emergency 27 contraception which shall be developed and made available electronically to all 28 licensed hospitals in this state through the Louisiana Department of Health's website 29 and by paper form upon request to the department. 30 (b) The treating healthcare provider shall inform the victim of the option to Page 6 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 be provided emergency contraception at the hospital or healthcare facility and, upon 2 the completion of a pregnancy test yielding a negative result, shall provide 3 emergency contraception upon the request of the victim. 4 * * * 5 Section 3. R.S. 46:1802(7), 1807(B)(7), and 1822(C) are hereby amended and 6 reenacted and R.S. 46:1802(14) is hereby enacted to read as follows: 7 §1802. Definitions 8 As used in this Chapter: 9 * * * 10 (7) "Healthcare provider" means either of the following: 11 (a) A a physician or other healthcare practitioner licensed, certified, 12 registered, or otherwise authorized to perform specified healthcare services 13 consistent with state law. 14 (b) A facility or institution providing healthcare services, including but not 15 limited to a hospital or other licensed inpatient center, ambulatory surgical or 16 treatment center, skilled nursing facility, inpatient hospice facility, residential 17 treatment center, diagnostic, laboratory, or imaging center, or rehabilitation or other 18 therapeutic health setting. 19 * * * 20 (14) "Healthcare facility" means a facility or institution providing 21 healthcare services, including but not limited to a hospital or other licensed 22 inpatient center, ambulatory surgical or treatment center, skilled nursing 23 facility, inpatient hospice facility, residential treatment center, diagnostic, 24 laboratory, or imaging center, or rehabilitation or other therapeutic health 25 setting. 26 * * * 27 §1807. Powers and duties of board; staff 28 * * * 29 B. In the performance of its powers and duties the board shall: 30 * * * Page 7 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 169 ENROLLED 1 (7) Develop, adopt, and promulgate rules in the manner provided in the 2 Administrative Procedure Act and in accordance with the provisions of R.S. 3 46:1806(B). The rules shall contain specific guidelines which shall establish the 4 reasonable costs to be charged reimbursed for all healthcare services or expenses 5 ancillary to a forensic medical examination which shall not exceed one thousand 6 dollars for each case. 7 * * * 8 §1822. Forensic medical exams; reimbursement 9 * * * 10 C. A request for reimbursement by a healthcare provider or healthcare 11 facility for the performance of a forensic medical exam shall not constitute 12 reparations and therefore shall be immediately payable and not require 13 approval from the board as a condition of payment. The board shall direct 14 payment to be made to a healthcare provider or healthcare facility no later than 15 ninety thirty calendar days from the date the attestation is submitted to the board by 16 the healthcare provider or healthcare facility. 17 Section 4. R.S. 40:1216.1(A)(10) is hereby repealed. PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 8 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.