SLS 23RS-1130 ORIGINAL 2023 Regular Session SENATE BILL NO. 233(Substitute of Senate Bill No. 181 by Senator CLOUD) BY SENATOR CLOUD FUNDS/FUNDING. Creates the Expanding Louisiana's Health Care Workforce Fund. (8/1/23) 1 AN ACT 2 To enact Chapter 37 of Title 51 of the Louisiana Revised Statutes of 1950, to be comprised 3 of R.S. 51:2201 through 2202, and 2312(A)(11), relative to health care workforce 4 initiatives; to create the Expanding Louisiana's Health Care Workforce Fund; to 5 provide for the Expanding Louisiana's Health Care Workforce Program; to provide 6 for grants to expand health care workforce training; to provide for the creation of a 7 commission; and to provide for related matters. 8 Be it enacted by the Legislature of Louisiana: 9 Section 1. Chapter 37 of Title 51 of the Louisiana Revised Statutes of 1950, 10 comprised of R.S. 51:2201 through 2202, and 2312(A)(11) are hereby enacted to read as 11 follows: 12 CHAPTER 37. EXPANDING LOUISIANA'S 13 HEALTH CARE WORK FORCE FUND 14 §2201. Expanding Louisiana's Health Care Workforce Fund 15 A. There is hereby created in the state treasury, as a special fund, the 16 Expanding Louisiana's Health Care Workforce Fund, hereinafter referred to 17 in this Section as the "fund". Page 1 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL 1 B. Monies in the fund shall be invested in the same manner as monies in 2 the state general fund. Interest earned on the investment of monies in the fund 3 shall be deposited in and credited to the fund. Any unexpended and 4 unencumbered monies remaining in the fund at the end of the fiscal year shall 5 remain in the fund. 6 C. Monies in the fund shall be appropriated by the legislature and used 7 solely to provide grant funding pursuant to the Expanding Louisiana's Health 8 Care Workforce Program as provided in this Chapter. 9 §2202. Expanding Louisiana's Health Care Workforce Program 10 A. The Expanding Louisiana's Health Care Workforce Program is 11 hereby established within the Department of Economic Development and shall 12 be administered by the Louisiana Economic Development Corporation. The 13 purpose of the program is to develop and provide grant funding for 14 collaborations between health care employers and post-secondary education 15 institutions to expand the capacity of the state to recruit, educate, and train 16 nursing and allied health professionals. 17 B. As used in this Section, the following terms shall have the following 18 meanings: 19 (1) "Commission" means the Expanding Health Care Workforce 20 Commission. 21 (2) "Corporation" means the Louisiana Economic Development 22 Corporation. 23 (3) "Department" means the Department of Economic Development. 24 (4) "Fund" means the Expanding Louisiana's Health Care Workforce 25 Fund. 26 (5) "Labor demand occupation" means an occupation for which there 27 is or is likely to be a greater demand than supply of adequately trained workers. 28 (6) "Program" means the Expanding Louisiana's Health Care 29 Workforce Program. Page 2 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL 1 (7) "Secretary" means the secretary of the Department of Economic 2 Development. 3 C.(1) The Expanding Health Care Workforce Commission is hereby 4 established to review applications submitted pursuant to the Expanding Health 5 Care Workforce Program and to approve applications for receipt of grant 6 funding. 7 (2) The commission shall be comprised of the following members: 8 (a) Three members of the House of Representatives appointed by the 9 speaker of the House of Representatives representing the first, third, and fifth 10 congressional districts. 11 (b) Three members of the Senate appointed by the president of the 12 Senate representing the second, fourth, and sixth congressional districts. 13 (3) A Senate member of the commission and a House member of the 14 commission shall serve as cochairmen of the commission. 15 (4) A quorum of the commission shall be four members. Approval of 16 funding for proposals shall require a quorum of the commission. 17 (5) The staffs of the Senate, House of Representatives, and legislative 18 fiscal office shall provide staff support and otherwise assist the commission as 19 requested by the commission. 20 D.(1) The Department shall administer the program. It shall review the 21 applications submitted and submit those applications eligible for the grant 22 program to the corporation for rating and recommendation for funding to the 23 commission. 24 (2) The corporation shall rate the applications in accordance with the 25 published guidance required under Subsection E of this Section and recommend 26 applications for approval to the commission. 27 E.(1) The department shall publish guidance for the administration of 28 the program. The guidance shall include application requirements, application 29 period dates, and deadlines for submissions and approval, criteria for ratings, Page 3 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL 1 and a process for prioritizing health care workforce needs in the various regions 2 of the state. The prioritization shall take into account the degree to which 3 measurable goals are established, the degree to which the grant demonstrates 4 regional collaboration between healthcare providers and academic institutions 5 as well as for programs that train high-demand healthcare professionals to 6 practice in the region. The program shall also provide opportunities for rural 7 and safety-net health care employers to participate in the program. The 8 Administrative Procedure Act, R.S. 49:950 et seq. shall not apply to guidance 9 promulgated pursuant to this Subsection. The department shall submit the 10 proposed guidance to the commission for review and approval. Any changes to 11 the guidance shall require approval by the commission. 12 (2) Primary applicants for grant funding through the program shall be 13 Louisiana licensed health care facilities. Primary applicants may designate a 14 third party to serve as the administrator of the grant funding. 15 (3) Prior to the application period, the department shall conduct 16 outreach and educational efforts to raise awareness regarding the program. 17 (4) The department shall post on its website a copy of the guidance 18 promulgated pursuant to this Subsection as well as any additional information 19 regarding the program, including the application process, procurement, or 20 scoring criteria upon request of the commission. 21 F. In addition to the guidance provided for in Subsection E of this 22 Section, the department shall submit a proposal outlining administrative costs 23 for the program to the commission for review and approval prior to 24 implementing the program. The commission shall review and approve the 25 proposed administrative costs. 26 G. Each grant recipient shall be required to provide cash or in-kind 27 funding in support of the overall costs of the grant application. However, the 28 commission may waive the shared funding requirement. In-kind funding, as 29 used in this Subsection, shall mean a contribution of a good or a service other Page 4 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL 1 than money. 2 H. The commission shall review and approve the recommendations 3 submitted by the corporation. Upon approval of a grant funding application by 4 the commission, the department shall execute any necessary agreements to 5 effectuate the approved grant application. 6 I.(1)(a) The commission may approve adjustments to any grant award 7 for a project for any of the following reasons: 8 (i) Duplication of benefits. 9 (ii) Increase in proposal costs, not to exceed five percent of the total grant 10 award for a proposal. 11 (iii) The inability of a grant recipient to complete one or more proposals 12 within the scope of the grant award. 13 (iv) Technical corrections. 14 (2) The commission may rescind any grant award for a project if the 15 grant recipient fails to comply with the guidance approved by the commission. 16 J. The department shall submit an annual summary of grant applications 17 that received funding approval to the commission and the Joint Legislative 18 Committee on the Budget. 19 * * * 20 §2312. Powers and authority; duties 21 A. The corporation shall serve as the single review board for all financial 22 assistance, loans, incentives or inducements, customized workforce training, 23 investment programs, and any related appropriations, grants, or joint ventures 24 administered by the Department of Economic Development, excluding those 25 financial incentive programs administered by the State Board of Commerce and 26 Industry. The corporation shall formulate and implement the policies for the delivery 27 of services to obtain the following effects: 28 * * * 29 (11) To support and administer the Expanding Louisiana's Health Care Page 5 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL 1 Workforce Program provided for in Chapter 37 of this Title to develop and 2 provide grant funding for collaborations between health care employers and 3 post-secondary education institutions to expand the capacity of the state to 4 recruit, educate, and train nursing and allied health professions. 5 * * * The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Tracy Sabrina Sudduth. DIGEST SB 233 Original 2023 Regular Session Cloud Proposed law creates the Expanding Louisiana's Health Care Workforce Fund (Fund) within the state treasury. Monies in the Fund shall be appropriated by the legislature and used solely to provide grant funding pursuant to proposed law. Proposed law establishes the Expanding Louisiana's Health Care Workforce Program (Program) within the Department of Economic Development (DED). The Program shall be administered by DED. Proposed law provides for the grant funding for collaborations between health care employers and post-secondary education institutions to expand the capacity of the state to recruit, educate, and train nursing and allied health professionals. Proposed law provides for definitions relative to the Program. Proposed law creates the Expanding Health Care Workforce Commission (Commission) which shall review and approve applications for receipt of grant funding to the Program. Proposed law provides that the Commission shall be comprised of the following: (1) Three members of the House of Representatives (HOR) appointed by the speaker of the HOR representing the first, third, and fifth congressional districts. (2)Three members of the Senate appointed by the president of the Senate representing the second, fourth, and sixth congressional districts. (3)A Senate member and a HOR member shall serve as co-chairmen. Proposed law provides that a quorum of the Commission shall be four members. Proposed law provides that the employees of the Senate, the HOR, and the Legislative Fiscal Office shall staff and assist the Commission as requested. Proposed law provides that the DED shall review the applications submitted and submit the eligible applications to the corporation. The corporation shall rate the applications as provided for in proposed law. Proposed law provides the DED shall publish guidance for the administration of the program. Proposed law requires DED to post a copy of the guidance and information on the Program on their website. Page 6 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 233 SLS 23RS-1130 ORIGINAL Proposed law provides that primary applicants to be granted funding shall be La. licensed health care facilities. Proposed law provides that each grant recipient shall provide cash or in-kind funding for the costs of application. The Commission may waive this requirement. Proposed law requires DED to submit an annual summary of approved grants to the Joint Legislative Committee on the Budget. Present law provides that the La. DED Corporation shall serve as the single review board for all financial assistance, loans, incentives or inducements, customized workforce training, investment programs, and any related appropriations, grants, or joint ventures administered by the DED, excluding those financial incentive programs administered by the State Board of Commerce and Industry. Present law provides that the Corporation shall formulate and implement the policies for the delivery of services. Proposed law retains present law and adds the Program. Effective August 1, 2023. (Adds R.S. 51:2201- 2202 and 2312(A)(11)) Page 7 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.