HLS 25RS-337 ORIGINAL 2025 Regular Session HOUSE BILL NO. 137 BY REPRESENTATIVE CARLSON Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. HEALTH/EMERG MED SERVICE: Authorizes psychologists and medical psychologists to evaluate a patient via telehealth for emergency certificates 1 AN ACT 2To amend and reenact R.S. 28:53(B)(1), relative to admission for emergency certificates via 3 telehealth; to authorize psychologists and medical psychologists to conduct 4 telehealth examinations under certain circumstances; and to provide for related 5 matters. 6Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 28:53(B)(1) is hereby amended and reenacted to read as follows: 8 * * * 9 ยง53. Admission by emergency certificate; extension; payment for services rendered 10 * * * 11 B.(1) Any physician licensed or permitted by the Louisiana State Board of 12 Medical Examiners, physician assistant when acting in accordance with their his 13 respective clinical practice guidelines, psychiatric mental health nurse practitioner, 14 other nurse practitioner who acts in accordance with a collaborative practice 15 agreement and receives verbal approval for executing the certificate from his 16 collaborating physician, or psychologist may execute an emergency certificate only 17 after an actual examination of a person alleged to have a mental illness or be 18 suffering from a substance-related or addictive disorder who is determined to be in 19 need of immediate care and treatment in a treatment facility because the examining 20 physician, physician assistant when acting in accordance with their his respective Page 1 of 2 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 25RS-337 ORIGINAL HB NO. 137 1 clinical practice guidelines, psychiatric mental health nurse practitioner, other nurse 2 practitioner who acts in accordance with a collaborative practice agreement and 3 receives verbal approval for executing the certificate from his collaborating 4 physician, or psychologist determines the person to be dangerous to self or others or 5 to be gravely disabled. The actual examination of the person by a psychiatrist, 6 psychologist, medical psychologist, or psychiatric mental health nurse practitioner 7 may be conducted by telehealth utilizing video conferencing technology, provided 8 that a licensed healthcare professional who can adequately and accurately assist with 9 obtaining any necessary information including but not limited to the information 10 listed in Paragraph (4) of this Subsection shall be in the examination room with the 11 patient at the time of the video conference. A patient examined in such a manner 12 shall be medically cleared prior to admission to a mental health treatment facility. 13 Failure to conduct an examination prior to the execution of the certificate will be 14 evidence of gross negligence. 15 * * * DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] HB 137 Original 2025 Regular Session Carlson Abstract: Authorizes psychologists and medical psychologists to conduct certain examinations via telehealth. Present law allows licensed medical physicians, certain physician assistants, psychiatric mental health nurse practitioners, nurse practitioners with the appropriate collaborative practice agreement, and psychologists to execute an emergency certificate after an actual examination of a person alleged to have a mental illness or be suffering from a substance- related or addictive disorder who is determined to be in need of immediate care. Present law allows the actual examination of the person to be conducted by a psychiatrist or psychiatric mental health nurse practitioner via telehealth utilizing video conferencing technology under certain circumstances. Proposed law retains present law but further allows psychologists and medical psychologists to conduct the examination via telehealth. (Amends R.S. 28:53(B)(1)) Page 2 of 2 CODING: Words in struck through type are deletions from existing law; words underscored are additions.