SLS 10RS-947 REENGROSSED Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2010 SENATE BILL NO. 408 BY SENATOR MCPHERSON HOSPITALS. Provides for the definition of major teaching hospital for the purposes of hospital prospective reimbursement methodology. (8/15/10) AN ACT1 To amend and reenact R.S. 40:1300.291(B)(2) and to enact R.S. 40:1300.291(B)(3), relative2 to the hospital prospective payment methodology; to provide for the criteria that3 must be met in order to be deemed a major teaching hospital; and to provide for4 related matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 40:1300.291(B)(2) is hereby amended and reenacted and R.S.7 40:1300.291(B)(3) is hereby enacted to read as follows: 8 ยง1300.291. Hospital prospective reimbursement methodology9 * * *10 B. A major teaching hospital shall meet one of the following criteria:11 * * *12 (2) Maintain an intern and resident full-time equivalency of at least twenty13 fourteen filled positions with an approved medical residency program in family14 practice located more than one hundred fifty miles from the medical school15 accredited by the Liaison Committee on Medical Education.16 (3) Maintain an intern and resident full-time equivalency of at least17 SB NO. 408 SLS 10RS-947 REENGROSSED Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. fourteen filled positions with an approved residency program in family practice1 located more than one hundred ten miles from the medical school accredited by2 the Liaison Committee on Medical Education, which program or positions3 include periodic rotation, placement or supervision of medical residents at Huey4 P. Long Medical Center under a public-private partnership or affiliation5 agreement.6 The original instrument was prepared by Greg Waddell. The following digest, which does not constitute a part of the legislative instrument, was prepared by Ann S. Brown. DIGEST McPherson (SB 408) Present law provides that in order to be designated a major teaching hospital for purposes of the hospital prospective reimbursement methodology, a hospital shall meet one of the following criteria: (1) Be a major participant in at least four approved medical residency programs of which at least two of the programs shall be in medicine, surgery, obstetrics and gynecology, pediatrics, family practice, emergency medicine, or psychiatry. (2) Maintain an intern and resident full-time equivalency of at least 20 filled positions with an approved medical residency program in family practice located more than 150 miles from the medical school accredited by the Liaison Committee on Medical Education. Proposed law retains present law relative to the first criteria. Proposed law changes the second criteria by reducing from 20 to 14 the number of positions to be filled in order to meet the intern and resident requirement. Proposed law adds a third criteria of maintaining an intern and full-time equivalency of at least 14 filled positions with an approved residency program in family practice located more than 110 miles from the medical school accredited by the Liaison Committee on Medical Education, and where the residency program or positions to include periodic rotation, placement or supervision of medical residents at Huey P. Long Medical Center under a public-private partnership or affiliation agreement. Effective August 15, 2010. (Amends R.S. 40:1300.291(B)(2), adds R.S. 40:1300.291(B)(3)) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill. 1. Changes the required number of intern and residency positions from eighteen to fourteen. 2. Changes from one hundred miles to one hundred ten miles the distance in SB NO. 408 SLS 10RS-947 REENGROSSED Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. which the residency program must be located from the medical school. 3.Requires the residency program or positions to include periodic rotation, placement or supervision of medical residents at Huey P. Long Medical Center under a public-private partnership or affiliation agreement. Senate Floor Amendments to engrossed bill. 1. Reduces from 20 to 14 the number of positions to be filled in order to meet the intern and resident requirement.