2024 Regular Session ENROLLED SENATE BILL NO. 239 BY SENATOR MCMATH AND REPRESENTATI VE CHASSION 1 AN ACT 2 To enact Part IX of Chapter 1 of Title 40 of the Louisiana Revised Statutes of 1950, to be 3 comprised of R.S. 40:31.71 through 31.74, relative to amyotrophic lateral sclerosis; 4 to provide for legislative findings; to establish an amyotrophic lateral sclerosis 5 surveillance system; to require reporting to the Louisiana Department of Health; to 6 provide for exemptions to reporting requirements; to provide for confidentiality; to 7 provide for reporting requirements for the department; to provide for an effective 8 date; and to provide for related matters. 9 Be it enacted by the Legislature of Louisiana: 10 Section 1. Part IX of Chapter 1 of Title 40 of the Louisiana Revised Statutes of 1950, 11 comprised of R.S. 40:31.71 through 31.74, is hereby enacted to read as follows: 12 PART IX. LOUISIANA AMYOTROP HIC LATERAL 13 SCLEROSIS REGISTRY 14 §31.71. Legislative findings 15 The legislature hereby finds and declares that: 16 (1) Amyotrophic lateral sclerosis, or ALS, most often takes at least a year 17 to be diagnosed and is a diagnosis of exclusion, meaning that it becomes the 18 diagnosis after other options are exhausted. 19 (2) The average time living with the disease is two to five years, and is 20 often shorter and seldom much longer unless invasive measures are taken, such 21 as a tracheostomy. 22 (3) It costs over two hundred thousand dollars a year to live with a 23 tracheostomy tube, so ninety percent of the ALS population in the United States 24 chooses not to undergo the procedure. 25 (4) Because the disease progresses so rapidly, patients most often do not 26 attend an ALS clinic or long-term care clinic where their diagnosis would or 27 could be reported to the Centers for Disease Control and Prevention (CDC), the ACT No. 511 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. 239 ENROLLED 1 organization tasked with counting those with ALS. 2 (5) The CDC program uses payor information and self-reporting to 3 create their data and acknowledges their numbers are likely low, but they are 4 beholden to the methods outlined by Congress. 5 (6) Several studies have been done to show that in states with 6 implemented efforts to count those living with ALS, the number dramatically 7 increased in each state. 8 (7) Louisiana currently reflects very few people with ALS north of Baton 9 Rouge, likely because they remain uncounted. 10 (8) The only state, Massachusetts, that has ALS as a mandatory 11 reportable disease has become a hub for ALS research. 12 §31.72. ALS disease surveillance system 13 A. The Louisiana Department of Health shall establish an amyotrophic 14 lateral sclerosis (ALS) surveillance system within the office of public health to 15 collect, analyze, interpret, and disseminate data relative to individuals living 16 with ALS in Louisiana. 17 B. In establishing the surveillance system, the department shall require 18 reporting sources to report information on ALS to the office of public health. 19 §31.73. Confidentiality 20 Notwithstanding any other provision of the law to the contrary, 21 individual identifying data in the surveillance system shall be confidential and 22 shall not be subject to discovery. Data shall not be released for any child unless 23 express written informed consent of a parent or legal guardian has been 24 obtained. Data gathered by the office shall be used only for the purposes set 25 forth in this Part. 26 §31.74. Report 27 The department shall produce an annual report on the results obtained 28 through the surveillance system to be submitted to the secretary of the 29 Louisiana Department of Health and the House and Senate committees on 30 health and welfare. 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. 239 ENROLLED 1 Section 2. This Act shall become effective upon signature by the governor or, if not 2 signed by the governor, upon expiration of the time for bills to become law without signature 3 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 4 vetoed by the governor and subsequently approved by the legislature, this Act shall become 5 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.