RegularSCASB405 Session3005 ENROLLED3246 SENATE BILLCOMMITTEE NO.AMENDMENTS Regular Session AmendmentsproposedbySenateCommitteeonHealthandWelfareto OriginalSenateBill No.

405 BYby SENATORSSenator TALBOT,Talbot BASS,AMENDMENT BOUDREAUX,NO. EDMONDS, MCMATH, MYERS, PRICE AND WHEAT AN ACT To enact R.S.

40:2009.10.2,1 relativeOn topage nursing1, facilities;line 2, after "facilities;" delete the remainder of the line and delete line 3 AMENDMENT NO.

to2 On page 1, line 4, delete "rated facilities;" and insert "to provide for a statewide quality oversight initiative for nursing facilities;

to provide for goals and strategies;strategies;" AMENDMENT NO.

to3 provideforOn thepage duties1, andline responsibilities5, oftheLouisianaDepartmentofHealth;tochange provide"effectiveness" forto reporting;"reporting" AMENDMENT NO.

and4 On page 1, line 9, change "One-star" to provide"Statewide forquality relatedoversight matters.for" AMENDMENT NO.

Be5 itOn enactedpage by1, thedelete Legislaturelines of10 Louisiana:through 17, delete page 2, and on page 3, delete lines 1 through 23, and insert the following:

Section"A. 1.

R.S.The Louisiana Department of Health shall develop a statewide quality oversight initiative for nursing facilities.

40:2009.10.2(1) isThe herebyshort-term enactedgoal of the initiative shall be to readstabilize asperformance follows:of facilitiesbyidentifyinggaps,deployingtargetedincentives,aligninginterventionswith the most pressing quality risks, and identifying funding for execution of the initiative.

§2009.10.2.(2) The long-term goal shall be to create a more robust statewide quality oversight system capable of supporting and driving continuous improvement and overall system level changes.

Statewide(3)Stakeholders,includingtradeandadvocacyassociations,individualsengaged qualityin oversightthe fordaily operational practice of nursing facilities;facility care, and quality improvement organizationsshallbeidentifiedandutilizedby thedepartmenttobuild acoordinated approach centered on collaboration, education, and practical tools.

stateB. requirements A.TheLouisianaDepartmentofHealthshalldevelopastatewidequality oversight initiative for nursing facilities.

(1)Theshort-termgoaloftheinitiativeshallbetostabilizeperformanceThe Louisiana Department of facilitiesHealth, bythrough identifyingthe gaps,office deployingof targetedaging incentives,and aligningadult interventionsservices, withshall theidentify mostand pressingdevelop qualityinternal risks,subject-matter andexperts identifyingto fundingsupport forthe executionstatewide ofquality theoversight initiative.

(2)Thelong-termgoalshallbetocreateamorerobuststatewidequalityThe oversightdepartment systemmay capableutilize ofsuch supportingefforts andas drivingconsidered continuousappropriate, improvementincluding andbut overallnot systemlimited levelto: changes.

(3)Stakeholders,includingtradeandadvocacyassociations,individuals engaged in the daily operational practice of nursing facility care, and quality improvement organizations, shall be identified and utilized by the department to build a coordinated approach centered on collaboration, education, and practical tools.

B.TheLouisiana DepartmentofHealth, through theofficeofagingand adult services, shall identify and develop internal subject-matter experts to support the statewide quality oversight initiative.

The department may utilize Page 1 of 2 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SB NO.

405 ENROLLED such efforts as considered appropriate, including but not limited to:

C.ThedepartmentshallsubmitaninitialreporttotheSenateandHouseC. committees on health and welfare on the status of the statewide quality oversight initiative on January 1, 2028, and annually on the first of January thereafter.

PRESIDENTThe OFdepartment THEshall SENATEsubmit SPEAKERan OFinitial THEreport HOUSEto OFthe REPRESENTATIVESSenate GOVERNORand OFHouse THEcommittees STATEon OFhealth LOUISIANAand APPROVED:welfare on the status of the statewide quality oversight initiative on January 1, 2028, and annually on the first of January thereafter." Page 1 of 1

Page 2 of 2 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.