La. Admin. Code tit. 46 § XLV-3803

Current through Register Vol. 50, No. 9, September 20, 2024

Section XLV-3803 - Definitions

A. As used in this Chapter, unless the context clearly states otherwise, the following terms and phrases shall have the meanings specified.

ABGC- American Board of Genetic Counseling, or its successor.

ABMGG- American Board of Medical Genetics and Genomics, or its successor.

Act- the Genetic Counselor Practice Act, R.S. 37:1360.101 et seq., as may be amended.

Active Candidate Status- an individual who has met the requirements established by the ABGC or the ABMGG to take the certification examination in genetic counseling or medical genetics and has been granted this designation by the ABGC or the ABMGG.

Advisory Committee or Committee- the Louisiana Genetic Counselor Advisory Committee, as established, appointed and organized pursuant to R.S. 37:1360.102 of the Act.

Applicant- an individual who has applied to the board for a license or temporary license to practice genetic counseling in this state.

Board- the Louisiana State Board of Medical Examiners.

Collaborating Physician or CP- a physician who has entered into a collaborative practice agreement with a genetic counselor.

Collaborative Practice Agreement or CPA- a document established by a genetic counselor, who engages in any of the functions listed in §6021 of these rules, and a physician which governs the professional relationship between the genetic counselor and the physician.

Direct Supervision-supervision provided by a licensed genetic counselor or a physician who has the overall responsibility to assess the work of the holder of a temporary license, including regular meetings and chart review, provided pursuant to a supervision contract. The genetic supervisor shall not be required to be physically present where such licensee provides genetic counseling services; however, the supervisor shall be readily accessible during the performance of services by telephone or other means of telecommunication, to answer questions, provide oversight and furnish assistance and direction.

Genetic Counseling- means any of the following actions by a genetic counselor that occur through and as a result of communication between the genetic counselor and a patient:

a. obtaining and evaluating individual, family, and medical histories to determine genetic risk for genetic or medical conditions and diseases in a patient, his offspring, and other family members;

b. discussing the features, natural history, means of diagnosis, genetic and environmental factors, and management of risk for genetic and medical conditions and diseases;

c. identifying and coordinating genetic laboratory tests and other diagnostic studies as appropriate for the genetic assessment;

d. integrating genetic laboratory test results and other diagnostic studies with personal and family medical history to assess and communicate risk factors for genetic and medical conditions and diseases;

e. explaining the clinical implications of genetic laboratory tests and other diagnostic studies and their results;

f. evaluating the client's or family's responses to the condition or risk of recurrence and providing client-centered counseling and anticipatory guidance;

g. identifying and utilizing community resources that provide medical, educational, financial, and psychosocial support and advocacy;

h. providing written documentation of medical, genetic, and counseling information for families and healthcare professionals.

Genetic Counselor- an individual who is licensed pursuant to this Part to provide genetic counseling.

Genetic Supervision- the assessment of the holder of a temporary license by a genetic counselor or a physician based on direct supervision.

Good Moral Character- as applied to an applicant, means that an applicant has not, prior to or during the pendency of an application to the board, been guilty of any act, omission, condition or circumstance which would provide legal cause under R.S. 37:1360.108 for the denial, suspension or revocation of genetic counselor licensure; the applicant has not, prior to or in connection with his application, made any representation to the board, knowingly or unknowingly, which is in fact false or misleading as to material fact or omits to state any fact or matter that is material to the application; and the applicant has not made any representation or failed to make a representation or engaged in any act or omission which is false, deceptive, fraudulent or misleading in achieving or obtaining any of the qualifications for a license required by this Chapter.

License or Licensure- the lawful authority to engage in the practice of genetic counseling in the state of Louisiana, as evidenced by a certificate duly issued by and under the official seal of the board.

Licensed Genetic Counselor or LGC- an individual who is licensed by the board to practice genetic counseling in Louisiana.

NSGC- the National Society of Genetic Counselors, or its successor.

Physician- an individual lawfully entitled to engage in the practice of medicine in this state as evidenced by a license duly issued by the board.

State- any state of the United States, the District of Columbia, or any of its territories.

Supervision Contract or Genetic Supervision Contract- a contract between the holder of a temporary license and a licensed genetic counselor or physician, that sets forth the manner in which the genetic supervisor will provide direct supervision. The supervision contract shall provide for:

a. assessment and documentation of the professional competence, skill, and experience of the supervisee;

b. the nature and level of the supervision required by the supervisee;

c. regular meetings to review clinical services and administrative practices;

d. monthly chart or case reviews;

e. coverage during the absence, incapacity, infirmity, or emergency by the genetic supervisor; and

f. such other items as may be deemed appropriate by the parties.

True Consultation- an informal consultation or second opinion, provided by an individual practicing genetic counseling in a state other than Louisiana, who is certified by the American Board of Genetic Counseling or the American Board of Medical Genetics; provided, however, that the Louisiana licensed physician or genetic counselor receiving the consultation or opinion is personally responsible to the patient for any evaluation, testing or treatment provided.

United States Government- any department, agency or bureau of the United States Armed Forces or Veterans Administration.

B. Masculine terms wherever used in this Chapter shall also be deemed to include the feminine.

La. Admin. Code tit. 46, § XLV-3803

Promulgated by the Department of Health, Board of Medical Examiners, LR 451070 (8/1/2019).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1360.101-1360.111 and 37:1270.