Louisiana 2013 2013 Regular Session

Louisiana House Bill HCR139 Comm Sub / Analysis

                    Barrow	HCR No. 139
Directs DOA, DHH, and LSU to develop and submit a report to the legislative health and
welfare committees and to the Joint Legislative Committee on the Budget no later than 30
days prior to the convening of the 2014 Regular Session of the Legislature, and annually
thereafter, concerning the operation of state hospitals by private providers which includes,
at minimum, the following information for each state hospital operated by a private provider
through a cooperative endeavor agreement with the state:
(1)A detailed account of the net costs or savings associated with the privatization of
hospital operations.
(2)A recapitulation of the measures reported to the Centers for Medicare and Medicaid
Services through the Hospital Compare program.
(3)A comparison of employment information for the hospital prior to and subsequent
to privatization, including the number of employees terminated and the number
subsequently rehired; the average compensation, including wages, benefits, and
retirement contributions, for hospital employees prior to and subsequent to
privatization; a comparison of average compensation of employees terminated and
subsequently rehired pursuant to privatization; and a comparison of the number of
credentialed personnel employed at the hospital by professional category, including
but not limited to physicians, allied health professionals, registered nurses, and
licensed practical nurses, prior to and subsequent to privatization.
(4)A comparison of actual costs to the state of delivering hospital services through the
private provider with the best estimate of costs to the state of delivering the same
level of services directly, including but not limited to per diem costs for inpatient
care.
(5)Measures of accessibility of health care services at the hospital by medically needy
patients prior to and subsequent to privatization, along with recommendations for
mitigating or eliminating any barriers to health care access which medically needy
persons experience.
(6)Evaluation of overall health outcomes and quality of care for medically needy
patients in the catchment area of the hospital prior to and subsequent to privatization,
along with recommendations for policy changes to improve such outcomes and
quality of care.
(7)If obstetrics, gynecology, contraception, or other health services for women are not
offered by the private provider operating a state hospital, then the report shall address
means by which the state provides for access to health services for women in the
catchment area of the hospital.