Heitmeier (SB 503) Act No. 494 New 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. Authorizes the department to develop and maintain a Medicaid upper payment limit financing methodology for the ambulatory surgical centers provided for in new 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 (June 4, 2014). (Adds R.S. 40:1300.333)