Amendment vs bill Senate Floor Amendment, #4322, Mizell, Adopted vs Enrolled

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ENROLLED Regular Session HOUSE BILL NO.
SFAHB944 3005 4322 SENATE FLOOR AMENDMENTS Regular Session Amendments proposed by Senator Mizell to Reengrossed 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 1, line 2, delete "R.S.
to provide for the functions of the consortium;
36:259(B)(23) and" AMENDMENT NO.
to provide for the organization of the consortium;
2 On page 1, line 5, delete "an annual report;" and insert "a report;
to require a report;
to provide for a termination date;
to provide for a termination date;" AMENDMENT NO.
and to provide for related matters.
3 On page 1, delete lines 8 through 16 AMENDMENT NO.
Be it enacted by the Legislature of Louisiana:
4 On page 1, line 17, change "Section 2." to "Section 1." AMENDMENT NO.
Section 1.
5 On page 2, delete lines 13 through 16 AMENDMENT NO.
R.S.
6 On page 2, line 17, change "(7)" to "(5)" AMENDMENT NO.
46:2527 is hereby enacted to read as follows:
7 On page 2, line 19, change "(8)" to "(6)" AMENDMENT NO.
§2527.
8 On page 2, line 20, change "(9)" to "(7)" AMENDMENT NO.
Women's Health Consortium A.
9 On page 2, line 21, change "(10)" to "(8)" AMENDMENT NO.
There is herebyestablished within the Louisiana Department of Health, office on women's health and community health, the Women's Health Consortium.
10 On page 2, line 22, change "(11)" to "(9)" AMENDMENT NO.
B.
11 On page 2, line 24, change "(12)" to "(10)" AMENDMENT NO.
The consortium shall be comprised of the following members:
12 On page 2, line 26, change "(13)" to "(11)" AMENDMENT NO.
(1) One member who is the surgeon general or his designee.
13 On page 2, line 28, change "(14)" to "(12)" Page 1 of 5 SFAHB944 3005 4322 AMENDMENT NO.
(2) One member who is the executive director of the Louisiana State Board of Medical Examiners or his designee.
14 On page 3, line 1, change "(15)" to "(13)" AMENDMENT NO.
(3) One member from the Pennington Biomedical Research Center specializingintheareasofwomen'shealthappointedbytheexecutivedirectorofthe Pennington Biomedical Research Center.
15 On page 3, line 3, change "(16)" to "(14)" AMENDMENT NO.
(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.
16 On page 3, delete lines 9 through 24 and insert the following:
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"(1) Xavier University of Louisiana College of Pharmacy.
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HB NO.
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.
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(9)TheLouisianasectionofAmericanCollegeofObstetriciansandGynecologists." AMENDMENT NO.
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17 On page 3, delete lines 26 through 28 and insert the following:
HB NO.
"E.Theconsortiummayadoptproceduresandpoliciestoprovideforthegovernance of the consortium.
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944 ENROLLED (9) The Louisiana section of American College of Obstetricians and Gynecologists.
Such procedures and policies shall include but not be limited to procedures and grounds for the removal of any consortium member and filling any vacancies." AMENDMENT NO.
D.
18 On page 4, delete lines 1 and 2 AMENDMENT NO.
Each member shall serve at the pleasure of the appointingauthority.
19 On page 4, at the end of line 5, insert "Any reimbursement for expenses incurred by a 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." AMENDMENT NO.
E.
20 On page 4, delete lines 6 through 11 and insert the following:
The consortium may adopt procedures and policies to provide for the governance of the consortium.
"G.Thechairmanandvicechairmanoftheconsortiumshallbeelectedbyamajority oftheconsortiummembersatitsfirstmeeting,whichshallbecallednolaterthanSeptember 1, 2026, and the members may elect other officers as the consortium deems appropriate." AMENDMENT NO.
Such procedures and policies shall include but not belimitedtoproceduresandgroundsfortheremovalofanyconsortiummemberand filling any vacancies.
21 Onpage4,line14,delete"I.Theconsortiumshallholdquarterlymeetingsunless"andinsert "I.(1) The consortium shall meet at such times and places as" AMENDMENT NO.
F.
22 On page 4, line 17, change "J." to "(2)" AMENDMENT NO.
Each consortium member shall serve without compensation except a membermayreceivereimbursement for expenses in accordancewith theguidelines of the entity he represents.
23 On page 4, delete lines 20 through 23 and insert the following:
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.
Page 2 of 5 SFAHB944 3005 4322 "J.TheconsortiumandallmeetingsconductedpursuanttothisSectionshallcomply with the provisions of the Louisiana Open Meetings Law, as provided in R.S.
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.
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K.
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Each department participating on the consortium shall provide reasonable administrative assistance and staff support to the consortium, subject to the availability of personnel, appropriated funding, and existing agency resources." AMENDMENT NO.
HB NO.
24 On page 4, line 28, change "prioritize" to "recommend" AMENDMENT NO.
944 ENROLLED K.
25 On page 4, line 29, change "initiatives" to "funding opportunities" AMENDMENT NO.
Eachdepartmentparticipatingontheconsortiumshallprovidereasonable administrative assistance and staff support to the consortium, subject to the availability of personnel, appropriated funding, and existing agency resources.
26 On page 5, line 1, after "innovation" insert a period "." and delete the remainder of the line and delete lines 2 and 3 and insert "The identification or recommendation of any public-privatepartnership,fundingopportunity,orcollaborativeinitiativebytheconsortium shall not authorize or obligate the Louisiana Department of Health or any participating agencytoenterintoanycontract,memorandumofunderstanding,orfinancialcommitment." AMENDMENT NO.
L.
27 On page 5, line 4, delete "this state" and insert "recommendations to the Louisiana Department of Health" AMENDMENT NO.
The functions of the consortium shall be to accomplish all of the following:
28 On page 5, line 10, delete "Focus on those issues of health" and insert "Identify health issues" AMENDMENT NO.
(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.
29 On page 5, delete lines 12 and 13 AMENDMENT NO.
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.
30 On page 5, line 14, change "(5)" to "(4)" AMENDMENT NO.
(2) Develop an Interagency Women's Health Agenda for recommendations to the Louisiana Department of Health.
31 On page 5, delete line 16, and insert the following:
The agenda shall include but not be limited to all of the following:
"(5) Evaluate and provide recommendations on:" AMENDMENT NO.
(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.
32 On page 5, line 17, at the beginning of the line insert the following:
(b) The Funding Priority Program for Women's Health Initiatives.
"(a) Solutions and partnerships to drive" AMENDMENT NO.
(3) Identify health issues which significantly affect women in this state, including but not limited to perimenopause, menopause, and postmenopause.
33 On page 5, line 19, delete "(7) Evaluate the training" and insert "(b) Training" AMENDMENT NO.
(4) Identify systemic barriers and health gaps to standard access of quality care across women's health and possible solutions.
34 On page 5, line 22, delete "(8) Evaluate the impacts" and insert "(c) Impacts" Page 3 of 5 SFAHB944 3005 4322 AMENDMENT NO.
(5) Evaluate and provide recommendations on:
35 On page 5, line 23, delete "(9) Ensure information" and insert "(d) Information" AMENDMENT NO.
(a) Solutionsandpartnershipstodriveinnovationinthediagnosis,treatment, and prevention of women-specific conditions in this state.
36 On page 5, line 25, delete "(10) Identify a" and insert "(e) A" AMENDMENT NO.
(b) Training in the delivery of care for medical students and physicians in this state, relating to the health issues which significantly affect women.
37 On page 5, line 27, delete "(11) Coordinate an" and insert "(f) An" AMENDMENT NO.
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38 On page 6, delete lines 1 through 8 and insert the following:
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"M.
HB NO.
The consortium and its members shall maintain the confidentiality of all information, data, and records received pursuant to this Section in accordance with applicablefederalandstatelaw,includingbutnotlimitedtotheHealthInsurancePortability and Accountability Act of 1996 (HIPAA), Medicaid confidentiality requirements, and applicable state medical privacy laws.
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.
Anydata-sharingarrangementinvolvingconfidentialinformationshallbesubjectto written agreements approved bythe applicable state agency.
Any data-sharing arrangement involving confidential information shall be subject to written agreements approved bythe applicable state agency.
TheconsortiumshallsubmittotheDavidR.PoynterLegislativeResearch Library,theHouseandSenatecommittees onhealthandwelfare,andthe governor's officepriortotheconveningofthe2027RegularSessionoftheLegislatureawritten report that summarizes the activities, findings, and recommendations of the consortium,includingtheInteragencyWomen's HealthAgendaforthestate.
The consortium shall submit to the David R.
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.
Poynter Legislative Research Library, the House and Senate committees on health and welfare, and the governor's office prior to the convening of the 2027 Regular Session of the Legislature a written report that summarizes the activities, findings, and recommendations of the consortium, including the InteragencyWomen's Health Agenda for the state.
O.
To the extent practicable, such reporting requirementsmaybe satisfiedbyincorporatingthem into existing Louisiana Departmentof Health reporting mechanisms or publications to minimize duplicative administrative burdens." AMENDMENT NO.
For the purposes of this Section, the following terms have the meanings ascribed to them in this Subsection:
39 On page 6, line 11, delete "a network" and insert "the Woman's Health Consortium within theLouisianaDepartmentofHealth,officeonwomen'shealthandcommunityhealth,which is an advisory group comprised" AMENDMENT NO.
(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:
40 On page 6, line 13, delete "necessary to effectuate change for" and insert "to provide recommendations on" AMENDMENT NO.
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41 On page 6, delete lines 15 through 20 and insert the following:
HB NO.
"(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 entity receiving the funding, any additional funding needed in future fiscal years, and any alternative funding sources identified through potential public-private partnerships and multi-state collaborations." AMENDMENT NO.
944 ENROLLED to provide recommendations on a comprehensive women's health agenda for the state.
42 On page 6, line 21, delete "a yearly" and insert "an" AMENDMENT NO.
(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.
43 On page 6, after line 29 insert the following:
(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.
Page 4 of 5 SFAHB944 3005 4322 "P.Theduties,functions,andresponsibilities imposedpursuanttothis Sectionshall beimplementedonlytotheextentthatfundingisappropriatedbythelegislatureorotherwise made available through federal funds, grants, or other funding sources.
(4) "Menopause"meanstwelvemonthssincethelastmenstrualcycleandthe end of reproductive capabilities.
Nothing in this Sectionshallbeconstruedtorequiretheexpenditureoffundsinexcessofthoseappropriated or otherwise available for such purposes.
(5) "Perimenopause" means an extended transitional stage that takes place prior to menopause.
Q.NothinginthisSectionshallbeconstruedtocreateanobligationfortheLouisiana Department of Health or any participating agency to create new positions, enter into contracts, or expend additional funds absent specific legislative appropriation.
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.
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:
Nothingin this Sectionshall beconstruedto requiretheLouisianaDepartmentof Health or any other state agency to implement, adopt, or enforce any recommendation, policy proposal, initiative, or action of the consortium absent separate legislative approval, existing statutory or regulatory authority, the availability of specifically appropriated funding, and the approval of the secretary of the Louisiana Department of Health and the Louisiana surgeon general.
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S.Anyrecommendation,report,agenda,finding,orproposaloftheconsortiumshall not constitute official policy or guidance of the Louisiana Department of Health unless separately adopted by the department in accordance with applicable law.
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.
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.
The consortium shall serve solelyin an advisorycapacityand shall not constitute a program, office, or operational division of the Louisiana Department of Health.
TheLouisianaDepartmentofHealthshallbetherecordscustodianforthe consortium for purposes of compliance with applicable public records and open meetings laws.
The Louisiana Department of Health shall be the records custodian for the 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.
The Louisiana Department of Health shall not be deemed the custodian of records of any participating non-state entity.
Section2.
Section 2.This Act shall become effective upon signature bythe Governor or, if not 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.
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.
The provisions of this Act shall terminate on June 30, 2027, unless extended by the legislature.
The provisions of this Act shall terminate on June 30, 2027, unless extended by the legislature." Page 5 of 5
SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
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