Provides relative to continuity of care for newborns enrolled in Medicaid managed care (RE1 SEE FISC NOTE See Note)
Impact
The legislation directly impacts state laws related to Medicaid and managed care, mandating that managed care organizations compensate providers at no less than ninety percent of the Medicaid fee-for-service rate for primary care services provided to newborns. It also requires annual reporting on the incidence and causes of rehospitalizations of infants born prematurely, which can provide valuable data for healthcare improvement and policy adjustments.
Summary
House Bill 392, enacted in Louisiana, focuses on ensuring the continuity of care for newborns enrolled in Medicaid managed care programs. This legislation establishes a framework under which managed care organizations are required to compensate healthcare providers for services rendered to newborns at a specified rate. The bill emphasizes the importance of timely and efficient care for infants, particularly during the critical first month of life, which can significantly impact their health outcomes.
Sentiment
General sentiment surrounding HB 392 has been positive, particularly among healthcare advocates and providers who see it as a necessary step toward improving health outcomes for newborns. By ensuring fair compensation for care, the bill is perceived as supportive of healthcare providers and families relying on Medicaid services. However, there may be concerns regarding the administrative implications of implementing new reporting requirements on rehospitalizations.
Contention
Notable points of contention around HB 392 may include the potential strain it places on managed care organizations to comply with payment regulations and reporting requirements. Some stakeholders might argue that additional financial burdens or administrative tasks could limit services or reduce the availability of care providers within the managed care framework. Nevertheless, the overarching aim of improving care continuity for the most vulnerable population—newborns—has garnered widespread support.
Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)
Provides relative to prescription drug benefits of certain managed care organizations participating in the La. Medicaid coordinated care network program (RE1 INCREASE GF EX See Note)
Establishes the Medicaid Managed Care Authority as a policymaking and oversight body for the Medicaid managed care program (OR INCREASE GF EX See Note)