Louisiana Administrative Code › Title 48 - PUBLIC HEALTH-GENERAL › Part I - General Administration › Subpart 3 - Licensing and Certification › Chapter 77 - Nursing Staffing Agencies Licensing Standards › Subchapter A - General Provisions › Section I-7715 - Change of Ownership of a Nurse Staffing Agency Provider

Current through Register Vol. 50, No. 6, June 20, 2024
A. The license of an NSA is not transferable
					 or assignable and cannot be sold. When an NSA is sold or ownership is
					 transferred, the transferee shall notify the department and apply for a new
					 license within 45 days prior to the transfer.
B. Before a license can be issued to the new
					 owner, the new owner shall meet all licensing application requirements. The new
					 owner shall submit to the department for approval, a change of ownership (CHOW)
					 application packet that includes:
1. a
					 completed CHOW application and the appropriate non-refundable licensing fee as
					 established by statute. The CHOW application shall contain the name and address
					 of the person, partnership, corporation, unincorporated association, or other
					 legal entity that is the applicant, and the name and address of the registered
					 agent;
2. if applicable, a copy of
					 the NSA's articles of incorporation or organization, a copy of its current
					 bylaws, and the names and addresses of its officers, administrator/director,
					 and shareholders owning more than 5 percent of the corporation's
					 stock;
3. the legal CHOW
					 document;
4. a copy of the
					 organizational chart of the NSA, including the names and addresses of the
					 person or persons under whose management or supervision the NSA will be
					 operated;
5. a statement detailing
					 the experience and qualifications of the applicant to operate an NSA;
6. a statement of financial solvency,
					 comprised of the following:
a. a line of
					 credit issued from a federally insured, licensed lending institution in the
					 amount of at least $25,000 that is:
i.
					 current and in effect at the time of submission of the application for
					 licensure; and
ii. issued to and in
					 the name of the applicant shown on the application for
					 licensure;
b. general and
					 professional liability insurance in an amount sufficient to provide coverage in
					 accordance with the total amount recoverable for all malpractice claims as
					 indicated in
					 R.S.
					 40:1231.2, or current law; and
c. worker's compensation insurance that is in
					 compliance with the Louisiana Workers' Compensation Law,
					 R.S.
					 23:1020.1 et seq., or current law, with a
					 minimum coverage in the amount of $1,000,000 that is current and in effect at
					 the time of submission of the license application;
7. proof that the LDH, HSS is specifically
					 identified as the certificate holder on any policies and any certificates of
					 insurance issued as proof of insurance by the insurer or producer
					 (agent);
8. a copy of a statewide
					 criminal background check, including sex offender registry status, on all
					 applicant(s), owner(s) with 5 percent or more ownership interest, and
					 administrator/director, and for any state lived in within the last five
					 years;
9. a completed disclosure of
					 ownership and control information form; and
10. any other relevant documentation or
					 information required by the department for licensure.