Amendment vs bill House Committee Amendment, #1697, H&W, Draft vs Enrolled

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ENROLLED Regular Session HOUSE BILL NO.
HCAHB944 4465 1697 HOUSE COMMITTEE AMENDMENTS Regular Session Amendments proposed byHouse Committee on Health and Welfare to Original House Bill No.
944 BY REPRESENTATIVES HILFERTY, BILLINGS, BOYD, CARRIER, CHASSION, DOMANGUE, EDMONSTON, CHANCE HENRY, LAFLEUR, LYONS, SAWYER, AND SCHLEGEL AND SENATORS BARROW, BOUDREAUX, CARTER, CONNICK, FOIL, HENRY, JACKSON-ANDREWS, MIZELL, AND PRESSLY AN ACT ToenactR.S.46:2527,relativetothecreationoftheWomen'sHealthConsortiumwithinthe Louisiana Department of Health;
944 by Representative Hilferty AMENDMENT NO.
to provide for the membership of the consortium;
1 On page 2, at the end of line 15, delete "community." and insert "community appointed by the surgeon general." AMENDMENT NO.
to provide for the functions of the consortium;
2 On page 2, betweenlines 19 and20, insert"(16) One member who is a functional medicine provider or integrative medicine provider appointed bythe surgeon general." AMENDMENT NO.
to provide for the organization of the consortium;
3 On page 2, line 22, after "and" delete the remainder of the line and insert "stakeholders, including but not limited to the following:" AMENDMENT NO.
to require a report;
4 On page 2, delete line 23 in its entirety AMENDMENT NO.
to provide for an effective date;
5 On page 3, between lines 8 and 9, insert the following:
to provide for a termination date;
"(7) One member of the Louisiana section of American College of ObstetriciansandGynecologists appointedbythesectionchairoftheorganization." AMENDMENT NO.
and to provide for related matters.
6 On page 5, line 6, after "information" and before "sharing" insert "data and" AMENDMENT NO.
Be it enacted by the Legislature of Louisiana:
7 On page 5, line 13 after "information" and before "or" insert "data" AMENDMENT NO.
Section 1.
8 On page 5, delete lines 16 through 23 and insert the following:
R.S.
"O.
46:2527 is hereby enacted to read as follows:
The consortium shall submit to the David R.
§2527.
Poynter Legislative Research Library, the House and Senate committees on health and welfare, and the governor's office prior to December thirty-first each year an annual written report that summarizes the activities for the yearprior,includingthe InteragencyWomen's Health Agenda for the state, and anyrecommendations." AMENDMENT NO.
Women's Health Consortium A.
9 On page 5, line 27, after "professionals" and before "specializing" insert "in this state" Page 1 of 1 CODING:
There is herebyestablished within the Louisiana Department of Health, office on women's health and community health, the Women's Health Consortium.
B.
The consortium shall be comprised of the following members:
(1) One member who is the surgeon general or his designee.
(2) One member who is the executive director of the Louisiana State Board of Medical Examiners or his designee.
(3) One member from the Pennington Biomedical Research Center specializingintheareasofwomen'shealthappointedbytheexecutivedirectorofthe Pennington Biomedical Research Center.
(4) One member from the Tulane School of Medicine specializing in the areas of women's health appointed by the dean of the Tulane School of Medicine.
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944 ENROLLED (5) OnememberfromtheLouisiana House ofRepresentativesappointedby the speaker.
(6) One member from the Louisiana Senate appointed by the president.
(7) One member who is the secretaryof Louisiana Works or his designee.
(8) One member who is the commissioner of insurance or his designee.
(9) One member who is the assistant secretary for the office of women's health and community health or his designee.
(10) One member who is the executive director of the governor's office on women's policy or his designee.
(11) One member who is a nurse practitioner or physician assistant from a rural community appointed by the surgeon general.
(12) One member who is an epidemiologist or health statistician appointed by the surgeon general.
(13) One member who is a healthcare consumer appointed by the surgeon general.
(14) One member who is a functional medicine provider or integrative medicine provider appointed by the surgeon general.
C.
The consortium may engage and solicit, as necessary, input, recommendations,andguidanceonissuespertainingtotheadvancementofwomen's healthfrominterestedpartiesandstakeholders,includingbutnotlimitedtoallofthe following:
(1) Xavier University of Louisiana College of Pharmacy.
(2) University of Louisiana at Monroe College of Pharmacy.
(3) Baton Rouge General Medical Center.
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(4) Our Lady of the Lake Health.
(5) Ochsner Health System.
(6) Woman's Hospital of Baton Rouge.
(7) Louisiana Association of Health Plans.
(8) Louisiana Hospital Association.
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944 ENROLLED (9) The Louisiana section of American College of Obstetricians and Gynecologists.
D.
Each member shall serve at the pleasure of the appointingauthority.
E.
The consortium may adopt procedures and policies to provide for the governance of the consortium.
Such procedures and policies shall include but not belimitedtoproceduresandgroundsfortheremovalofanyconsortiummemberand filling any vacancies.
F.
Each consortium member shall serve without compensation except a membermayreceivereimbursement for expenses in accordancewith theguidelines of the entity he represents.
Anyreimbursement for expenses incurred bya member shall be the sole responsibility of the entity or agency the member represents, and nothing in this Section shall be construed to require the Louisiana Department of Health to provide reimbursement for such expenses.
G.
The chairman and vice chairman of the consortium shall be elected by a majority of the consortium members at its first meeting, which shall be called no later than September 1, 2026, and the members may elect other officers as the consortium deems appropriate.
H.
ThedomicileoftheconsortiumshallbeEastBatonRougeParish,butthe consortium may hold meetings elsewhere in the state.
I.(1) Theconsortiumshallmeetatsuchtimesandplacesasdecidedbyavote of the consortium or by order of the chair.
Special meetings shall be held on call of the chair or of a quorum of the members of the consortium.
(2) A majority of the total membership shall constitute a quorum of the consortium and any official action taken by the consortium shall require an affirmative vote of the majority of the quorum present and voting.
J.
The consortium and all meetings conducted pursuant to this Section shall complywiththeprovisionsoftheLouisianaOpenMeetingsLaw,asprovidedinR.S.
42:11 et seq.
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944 ENROLLED K.
Eachdepartmentparticipatingontheconsortiumshallprovidereasonable administrative assistance and staff support to the consortium, subject to the availability of personnel, appropriated funding, and existing agency resources.
L.
The functions of the consortium shall be to accomplish all of the following:
(1) Develop an initiative known as the Funding Priority Program for Women's Health Initiatives to identifycurrent funding provided for women's health initiatives, recommend funding needed to sustain and enhance current effective initiatives, and identify new funding opportunities to support emerging scientific researchandinnovation.
Theidentificationorrecommendationofanypublic-private partnership, funding opportunity, or collaborative initiative bythe consortium shall not authorize or obligate the Louisiana Department of Health or any participating agency to enter into any contract, memorandum of understanding, or financial commitment.
(2) Develop an Interagency Women's Health Agenda for recommendations to the Louisiana Department of Health.
The agenda shall include but not be limited to all of the following:
(a) Strengths, weaknesses, and opportunities in research, access to care, medical education, funding, policy, regulations, public education, and access to information pertaining to women's health at every stage of life.
(b) The Funding Priority Program for Women's Health Initiatives.
(3) Identify health issues which significantly affect women in this state, including but not limited to perimenopause, menopause, and postmenopause.
(4) Identify systemic barriers and health gaps to standard access of quality care across women's health and possible solutions.
(5) Evaluate and provide recommendations on:
(a) Solutionsandpartnershipstodriveinnovationinthediagnosis,treatment, and prevention of women-specific conditions in this state.
(b) Training in the delivery of care for medical students and physicians in this state, relating to the health issues which significantly affect women.
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944 ENROLLED (c) Impacts of health issues on the workforce.
(d) Information and data sharing between governmental and non-governmental entities relative to women's health issues.
(e) Asystemforeducatingwomenonhealthissuestoimprovequalityoflife and increase longevity.
(f) An online clearinghouse of credible online evidence-based information and resources, including the Interagency Women's Health Agenda, as identified by the consortium.
M.
The consortium and its members shall maintain the confidentialityof all information, data, and records received pursuant to this Section in accordance with applicable federal and state law, including but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Medicaid confidentiality requirements, and applicable state medical privacy laws.
No individually identifiable information shall be disclosed except as otherwise authorized by law.
Anydata-sharingarrangementinvolvingconfidentialinformationshallbesubjectto written agreements approved bythe applicable state agency.
N.
TheconsortiumshallsubmittotheDavidR.PoynterLegislativeResearch Library,theHouseandSenatecommittees onhealthandwelfare,andthe governor's officepriortotheconveningofthe2027RegularSessionoftheLegislatureawritten report that summarizes the activities, findings, and recommendations of the consortium,includingtheInteragencyWomen's HealthAgendaforthestate.
Tothe extent practicable, such reporting requirements may be satisfied by incorporating them into existing Louisiana Department of Health reporting mechanisms or publications to minimize duplicative administrative burdens.
O.
For the purposes of this Section, the following terms have the meanings ascribed to them in this Subsection:
(1) "Consortium" means the Woman's Health Consortium within the Louisiana Department of Health, office on women's health and community health, whichisanadvisorygroupcomprisedofpublicandprivatesectorexpertsandhealth professionals in this state specializing in women's health, as well as policy leaders Page 5 of 7 CODING:
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HB NO.
944 ENROLLED to provide recommendations on a comprehensive women's health agenda for the state.
(2) "Funding Priority Program for Women's Health Initiatives" means a detailed information schedule of women's health initiatives in this state which are recommended by the consortium which includes any current funding provided, the entityreceivingthefunding,anyadditionalfundingneededinfuturefiscalyears,and any alternative funding sources identified through potential public-private partnerships and multi-state collaborations.
(3) "Interagency Women's Health Agenda" means an assessment by the consortium given to the governor, legislature, and made available to the public of strengths,weaknesses,andopportunitiesonthoseissuesofhealthwhichsignificantly affect women, in particular perimenopause, menopause, and postmenopause.
(4) "Menopause"meanstwelvemonthssincethelastmenstrualcycleandthe end of reproductive capabilities.
(5) "Perimenopause" means an extended transitional stage that takes place prior to menopause.
This state is initiated by fluctuations in hormone levels.
(6) "Postmenopause" means the remaining lifespan after menopause.
P.
The duties, functions, and responsibilities imposed pursuant to this Section shall be implemented only to the extent that funding is appropriated by the legislature or otherwise made available through federal funds, grants, or other fundingsources.NothinginthisSectionshallbeconstruedtorequiretheexpenditure of funds in excess of those appropriated or otherwise available for such purposes.
Q.
Nothing in this Section shall be construed to create an obligation for the LouisianaDepartmentofHealthoranyparticipatingagencyto createnewpositions, enter into contracts, or expend additional funds absent specific legislative appropriation.
R.
Nothing in this Section shall be construed to require the Louisiana Department of Health or anyother state agencyto implement, adopt, or enforce any recommendation, policy proposal, initiative, or action of the consortium absent separate legislative approval, existing statutory or regulatory authority, the Page 6 of 7 CODING:
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HB NO.
944 ENROLLED availability of specifically appropriated funding, and the approval of the secretary of the Louisiana Department of Health and the Louisiana surgeon general.
S.
Any recommendation, report, agenda, finding, or proposal of the consortium shall not constitute official policy or guidance of the Louisiana Department of Health unless separately adopted by the department in accordance with applicable law.
T.
The consortium shall serve solely in an advisory capacity and shall not constitute a program, office, or operational division of the Louisiana Department of Health.
U.
TheLouisianaDepartmentofHealthshallbetherecordscustodianforthe consortium for purposes of compliance with applicable public records and open meetings laws.
The Louisiana Department of Health shall not be deemed the custodian of records of anyparticipating non-state entity.
Section2.
ThisActshall becomeeffectiveuponsignaturebytheGovernoror,ifnot signed by the Governor, upon expiration of the time for bills to become law without signature by the Governor, as provided in Article III, Section 18 of the Constitution of Louisiana.
IfvetoedbytheGovernorandsubsequentlyapprovedbytheLegislature,thisAct shall become effective on the dayfollowing such approval.
Section 3.
The provisions of this Act shall terminate on June 30, 2027, unless extended by the legislature.
SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
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