la-202610-a04c3ad959: Nursing Staffing AgenciesLicensing Standards

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H.The nurse staffing agency (NSA) shall submit a monthly report to Health Standards Section using forms prescribed by the department. The monthly report shall list all certified nurse aides (CNAs) currently employed, contracted, referred, or assigned by the NSA. 1.For each CNA, the NSA shall report the following information: a.full name; b.date of birth; c.physical address; d.email address, if available; e.certification number; f.social security number; g.initial date worked within the monthly reporting period; h.last date worked within the monthly reporting period; and i.any changes in status of the CNA's eligibility to work including but not limited to termination, resignation, or inactive status. 2.Failure to submit complete and accurate monthly reports in accordance with this Section may result in deficiencies cited against the NSA up to and including civil fines, denial of license renewal, or license revocation. AUTHORITY NOTE:Promulgated in accordance with R.S.36:254. HISTORICAL NOTE:Promulgated by the Department of Health, Bureau of Health Services Financing, LR 49:1728 (October 2023), amended by the Department of Health, Health Standards Section, LR 52:701 (May 2026), amended LR 53: §7719.Denial of Initial Licensure, Revocation of License, Denial of License Renewal, Operation without License and Penalty

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C.Revocation of License or Denial of License Renewal. An NSA license may be revoked or denied renewal for any of the reasons the following:

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5.failure to report hours worked by certified nurse aides to the certified nurse aide registry in accordance with §7701; C.6. - F.3.a.... AUTHORITY NOTE:Promulgated in accordance with R.S. 36:254. HISTORICAL NOTE:Promulgated by the Department of Health, Bureau of Health Services Financing, LR 49:1734 (October 2023), amended by the Department of Health, Health Standards Section, LR 52:704 (May 2026), LR 53: Family Impact Statement In compliance with Act 1183 of the 1999 Regular Session of the Louisiana Legislature, the impact of this proposed Rule on the family has been considered. It is anticipated that this proposed Rule will not have an impact on family functioning, stability, and autonomy as described in R.S. 49:972. Poverty Impact Statement In compliance with Act 854 of the 2012 Regular Session of the Louisiana Legislature, the poverty impact of this proposed Rule has been considered. It is anticipated that this proposed Rule will not have an impact on child, individual, or family poverty in relation to individual or community asset development as described in R.S. 49:973. Small Business Analysis In compliance with the Small Business Protection Act, the economic impact of this proposed Rule on small businesses has been considered. It is anticipated that this proposed Rule will not have a fiscal impact on small businesses. Nurse Staffing Agencies are already submitting the report, and this proposed Rule serves to formalize the requirement. Provider Impact Statement In compliance with House Concurrent Resolution (HCR) 170 of the 2014 Regular Session of the Louisiana Legislature, the provider impact of this proposed Rule has been considered. It is anticipated that this proposed Rule will not have a fiscal impact on providers. Nurse Staffing Agencies are already submitting the report, and this proposed Rule serves to formalize the requirement. Public Comments Interested individuals may submit written comments to Cecile Castello, RN, Health Standards Section, P.O. Box 3767, Baton Rouge, LA 70821. Ms. Castello is responsible for responding to inquiries regarding this proposed Rule. The deadline for submitting written comments is at 4:30 p.m. on December 3, 2026. Public Hearing Interested persons may submit a written request to conduct a public hearing by U.S. mail to the Office of the Secretary ATTN: LDH Rulemaking Coordinator, Post Office Box 629, Baton Rouge, LA 70821-0629; however, such request must be received no later than 4:30 p.m. on November 9, 2026. If the criteria set forth in R.S. 49:953(A)(2)(a) are satisfied, LDH will conduct a public hearing at 9:30 a.m. on December 2, 2026, in Room 173 of the Bienville Building, which is located at 628 North Fourth Street, Baton Rouge, LA. To confirm whether a public hearing will be held, interested individuals should first call Allen Enger at (225) 342-1342 after November 9, 2026. If a public hearing is to be held, all interested individuals are invited to attend and present data, views, comments, or arguments, orally or in writing. In the event of a hearing, parking is available to the public in the Galvez Parking Garage, which is located between North Sixth and North Fifth/North and Main Streets (cater-corner from the Bienville Building). Bruce D. Greenstein Secretary FISCAL AND ECONOMIC IMPACT STATEMENT FOR ADMINISTRATIVE RULES RULE TITLE: Nursing Staffing AgenciesLicensing Standards I.ESTIMATED IMPLEMENTATION COSTS (SAVINGS) TO STATE OR LOCAL GOVERNMENT UNITS (Summary) It is anticipated that implementation of this proposed Rule will have no programmatic fiscal impact on the costs of state or local governmental units other than the cost of promulgation in FY 27. It is anticipated that $320 SGR will be expended in FY 27 for the state's administrative expense for promulgation of this proposed Rule and the final Rule. The proposed Rule amends the provisions governing the licensing of nurse staffing agencies (NSA) to require the submission of a monthly report to Health Standards Section, listing certified nurse aides employed, contracted, referred, or assigned by the NSA. This amendment will ensure consistency across healthcare providers for the monthly submission of this information. II.ESTIMATED EFFECT ON REVENUE COLLECTIONS OF STATE OR LOCAL GOVERNMENTAL UNITS (Summary) It is anticipated that implementation of this proposed Rule will not impact revenue collections of state or local governmental units. III.ESTIMATED COSTS AND/OR ECONOMIC BENEFITS TO DIRECTLY AFFECTRED PERSONS, SMALL BUSINESSES, OR NONGOVERNMENTAL GROUPS (Summary) It is anticipated that implementation of this proposed Rule will not impact estimated costs and/or economic benefits of directly affected persons, small businesses, or non-governmental groups. Nurse staffing agencies are already submitting the report, and this proposed Rule serves to formalize the requirement. IV.ESTIMATED EFFECT ON COMPETITION AND EMPLOYMENT (Summary) It is anticipated that this proposed Rule will not have an impact on competition and employment. Cecile Castello, RNPatrice Thomas Interim Deputy Assistant SecretaryDeputy Fiscal Officer 2610#042Legislative Fiscal Office