Buffington (SB 76) Act No. 409
Prior law provided for the La. Medical Assistance Trust Fund and how monies from the fund
as appropriated by the legislature shall be used and expended under the supervision of the
secretary of the Department of Health and Hospitals (DHH) for the Medicaid program.
New law amends prior law to provide for within the fund there shall be segregated sub-
accounts, one for each health care provider group that pays fees pursuant to prior law. New
law provides monies collected from each health care provider group shall accrue to the sub-
account of that health care provider group. New law provides monies shall be allocated, with
accompanying federal matching money, to each of the health care provider groups in
proportion to the amount of fees collected in each sub-account, based upon fees established
by DHH pursuant to prior law, and such allocation shall be calculated using collections data
from the most recent four quarters where data is available prior to the state fiscal year for
which the allocation will be made.
New law provides the legislature shall be authorized to appropriate as state funds to the
department for use in any fiscal year, all revenues dedicated and deposited into each
segregated sub-account. New law provides such appropriations shall be made for the sole
purpose to obtain federal financial participation in the provision of support to health care
provider groups listed in prior law. New law provides any appropriation from the segregated
sub-account for any purpose other than medical assistance payments to health care provider
groups listed in prior law shall be void. Appropriations from monies generated by health
care provider group fees, including federal financial participation on those fees, shall be
expended as follows:
For the first year commencing July 1, 2013, and fiscal years thereafter, all of such
appropriations in each sub-account shall be used for the purpose of Medicaid
reimbursement payments to the health care provider groups generating those fees
listed in prior law.
New law amends prior law to provide the monies in the fund shall not be used to displace,
replace, or supplant appropriations from the state general fund for the Medicaid program
below the amount of state general fund appropriations to the agency for the 2012-2013 Fiscal
Year.
New law amends prior law to provide the state treasurer shall report the status of the fund
and its sub-accounts at least quarterly to the secretary of DHH and the Joint Legislative
Committee on the Budget.
New law amends prior law to remove the requirement that use of the monies in the fund shall
be limited to those programs for which federal financial participation under Title XIX of the
Social Security Act is available.
Effective upon signature of the governor (June 20, 2013).
(Amends R.S. 46:2623)