SLS 12RS-671 ENGROSSED
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Regular Session, 2012
SENATE BILL NO. 371
BY SENATOR HEITMEIER AND REPRESENTATIVE BROSSETT
HEALTH/HOSPITALS DEPT. Provides authority for the Department of Health and
Hospitals to create an upper payment limit mechanism for outpatient behavioral health
services for Medicaid recipients under the age of twenty-one. (gov sig)
AN ACT1
To enact R.S. 40:1300.332, relative to Medicaid; to provide for the Department of Health2
and Hospitals upper payment limit mechanism for outpatient behavioral health3
services for certain Medicaid recipients; to provide for rules and regulations; and to4
provide for related matters.5
Be it enacted by the Legislature of Louisiana:6
Section 1. R.S. 40:1300.332 is hereby enacted to read as follows: 7
ยง1300.332. Upper payment limit mechanism for outpatient behavioral health8
services for Medicaid recipients under the age of twenty-one9
A. The Department of Health and Hospitals is authorized to seek10
approval from the Center for Medicare and Medicaid Services of a program11
designed to reimburse non-state, governmental entities through the Medicaid12
program for outpatient behavioral health services to Medicaid recipients under13
the age of twenty-one.14
B. The Department of Health and Hospitals may develop and maintain15
a Medicaid upper payment limit financing methodology for the behavioral16
health services provided for in Subsection A of this Section. The disbursements17 SB NO. 371
SLS 12RS-671 ENGROSSED
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
of monies generated by the use of an upper payment limit methodology shall be1
made only in accordance with an approved waiver or state plan amendment.2
The source of the non-federal match for these payments may only be by3
voluntary certification of expenditures or intergovernmental transfer of funds.4
Section 2. This Act shall become effective upon signature by the governor or, if not5
signed by the governor, upon expiration of the time for bills to become law without signature6
by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If7
vetoed by the governor and subsequently approved by the legislature, this Act shall become8
effective on the day following such approval.9
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Christopher D. Adams.
DIGEST
Heitmeier (SB 371)
Proposed law authorizes the Department of Health and Hospitals to seek approval from the
Center for Medicare and Medicaid Services of a program designed to reimburse non-state,
governmental entities through the Medicaid program for outpatient behavioral health
services to Medicaid recipients under the age of twenty-one.
Proposed law authorizes the department to develop and maintain a Medicaid upper payment
limit financing methodology for the behavioral health services provided for in proposed law.
Further provides disbursements of monies generated by the use of an upper payment limit
methodology shall be made only in accordance with an approved waiver or state plan
amendment and provides the source of the non-federal match for these payments may only
be by voluntary certification of expenditures or intergovernmental transfer of funds.
Effective upon signature of the governor or lapse of time for gubernatorial action.
(Adds R.S. 40:1300.332)
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to
the original bill
1. Authorizes the department to develop and maintain a Medicaid upper
payment limit financing methodology for certain behavioral health services.