The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Heitmeier (SB 503) Proposed law authorizes the Department of Health and Hospitals to seek approval from the Center for Medicare and Medicaid Services of a program designed to reimburse ambulatory surgical centers that have an agreement with a governmental entity or entities to provide enhanced Medicaid services. Proposed law authorizes the department to develop and maintain a Medicaid upper payment limit financing methodology for the ambulatory surgical centers provided for in proposed law. Proposed law provides disbursements of money generated by the use of an upper payment limit methodology shall be made only in accordance with an approved waiver or state plan amendment and provides the source of the nonfederal match for these payments may only be by voluntary certification of expenditures or intergovernmental transfer of funds. Effective upon signature of the governor or lapse of time for gubernatorial action. (Adds R.S. 40:1300.333)