Louisiana House Bill HCR7

Louisiana 2013 Regular Session

• Introduced: 4/8/13
• Refer: 4/8/13
• Report Pass: 5/7/13

Caption

Requests DHH to implement a more equitable system of reimbursement for Medicaid long-term care providers (OR +$63,336,674 GF EX See Note)

Impact

The resolution halts the application of certain sections of the Louisiana Revised Statutes that dictate how resource allocation for Medicaid services is managed, which has become increasingly important amid rising demand for home-based care. The current funding models have led to substantial decreases, with in-home support providers facing cuts of approximately forty percent while more funding continues to be allocated to institutional providers. This disparity poses a threat to the viability of these essential services, which enable individuals with disabilities and the elderly to receive care in their own homes.

Summary

House Concurrent Resolution 7 (HCR7) addresses significant issues surrounding the Medicaid-covered home- and community-based long-term care services in Louisiana. The resolution seeks to suspend existing provisions related to the Department of Health and Hospitals' (DHH) resource allocation models, which have been criticized for disproportionately affecting in-home support providers. By halting these provisions, HCR7 aims to avert further funding cuts while urging DHH to adopt a more equitable reimbursement system for service providers.

Sentiment

The sentiment surrounding HCR7 is predominantly one of concern among stakeholders in the health care community, particularly those representing in-home support providers. Advocates argue that the ongoing reimbursement challenges create systemic injustices that jeopardize the quality and availability of care. Critics of the existing funding model express frustration over the lack of recognition for the significant contributions made by in-home services, advocating that their financial support should be equitable and reflective of the services provided.

Contention

Among the points of contention raised during discussions surrounding HCR7 is the perception that DHH's funding models suggest a prevailing view of in-home support providers as potentially fraudulent. Many argue that such insinuations are unfounded and disrespectful, particularly as these providers play a crucial role in delivering care that allows individuals to live independently. The resolution highlights efforts to remind legislators of the importance of sustaining a robust network of home- and community-based services that align with the preferences of Louisiana's elderly population.