Louisiana Senate Bill SB487

Louisiana 2014 Regular Session

• Introduced: 3/10/14
• Refer: 3/10/14

Caption

Provides for certain requirements regarding a Medicaid managed care program. (8/1/14)

Impact

The enactment of SB487 is expected to solidify the structure of the Medicaid program in Louisiana by defining the roles and responsibilities surrounding primary care case management. This is significant as it creates a more organized framework within which Medicaid services may be administered. By aligning with federal definitions for primary care case management and managed care organizations, the bill also aims to enhance the consistency of services provided to enrollees.

Summary

Senate Bill 487, introduced by Senator Mills, establishes requirements regarding the Medicaid managed care program in Louisiana. The bill mandates that the Department of Health and Hospitals maintain a primary care case management program as long as the Medicaid managed care program remains in effect. It aims to ensure that all primary care case management options are available to Medicaid enrollees whenever they choose to enroll in the managed care program.

Sentiment

The overall sentiment surrounding SB487 appears to be one of cautious optimism. Lawmakers and stakeholders agree that better organization of Medicaid managed care will likely benefit patients by streamlining care access. However, there are underlying concerns regarding the implementation of such a program and ensuring that resources are adequate for its success. Some advocates raise worries about the potential challenges in transitioning to a managed care system and the impacts it could have on enrollees' access to care.

Contention

Notable points of contention involve concerns from various stakeholders about how the managed care structures may affect service delivery and the quality of care. Critics argue that while the bill is well-intentioned, the complexities involved in managing such a program may introduce inefficiencies and lead to gaps in care for vulnerable populations. Supporters contend that a structured case management system is necessary for improving overall health outcomes and ensuring that Medicaid enrollees receive the appropriate care.