HLS 25RS-398 ORIGINAL
2025 Regular Session
HOUSE BILL NO. 202
BY REPRESENTATIVE BOYD
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
HIGHER EDUCATION: Provides for a privacy waiver relative to certain mental health
information of postsecondary education students
1 AN ACT
2To enact R.S. 17:3138.1, relative to postsecondary education management boards; to require
3 each public postsecondary education institution to offer a privacy waiver to its
4 students for certain health information; and to provide for related matters.
5Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 17:3138.1 is hereby enacted to read as follows:
7 §3138.1. Waiver; health information; form
8 Each public postsecondary education management board shall require each
9 institution under its jurisdiction to make available to every student a form on which
10 the student may authorize the institution to disclose otherwise protected health
11 information to persons designated by the student in the event of a mental health crisis
12 or situation where the student poses a risk to himself or others. The form shall be
13 presented as follows:
14 Authorization to Release Information in the Event of a Mental Health Crisis
15 Student Name
16 Student ID Number
17 Date of Birth
18 Education Institution Name
19 Purpose of Authorization
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 25RS-398 ORIGINAL
HB NO. 202
1 In compliance with applicable privacy laws, this form allows the above-named
2 institution to notify my parent(s), guardian(s), or other designated individuals in the
3 event of a mental health crisis or situation where I may pose a risk to myself or others.
4 Section 1: Designated Contact(s)
5 I hereby authorize the institution to contact the following individual(s):
6 1. Primary Contact
7 Name:
8 Relationship to Student:
9 Phone Number:
10 Email Address:
11 2. Secondary Contact (Optional)
12 Name:
13 Relationship to Student:
14 Phone Number:
15 Email Address:
16 Section 2: Scope of Information to Be Shared
17 I authorize the education institution to share the following types of information with
18 the designated contact(s):
19 • General nature of the mental health crisis.
20 • Actions taken by the education institution (i.e. hospitalization, counseling
21 referral).
22 • Recommendations for follow-up care.
23 I understand that specific diagnoses or treatment details will not be disclosed unless
24 otherwise authorized or required by law.
25 Section 3: Duration of Authorization
26 This authorization will remain in effect (select one):
27 [ ] Until the conclusion of my enrollment at the education institution.
28 [ ] Until I submit a written request to revoke this authorization.
29 Section 4: Student Acknowledgment
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HB NO. 202
1 I understand the following:
2 • I am voluntarily granting this authorization.
3 • I have the right to revoke this authorization at any time by submitting a written
4 request to the education institution.
5 • Revocation of this authorization will not apply to information already shared
6 under this consent.
7 • This authorization does not require the education institution to notify my
8 designated contact(s) unless deemed necessary.
9 Signature of Student:
10 Section 5: University Representative Acknowledgment
11 Signature of Representative:
12 Printed Name:
13 Title:
14 Date:
15 Privacy Notice
16 The information disclosed under this authorization is protected by federal and state
17 privacy laws. The education institution will use reasonable efforts to safeguard your
18 information in accordance with these laws.
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 202 Original 2025 Regular Session Boyd
Abstract: Provides relative to a waiver of confidentiality of certain mental health
information for postsecondary students.
Proposed law requires each public postsecondary education management board to require
each institution under its jurisdiction to make available to every student a form to authorize
the institution to disclose certain health information to certain persons designated by the
student in the event of a mental health crisis or situation where the student poses a risk to
himself or others. Requires a certain form to be used by each institution.
(Adds R.S. 17:3138.1)
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.