SLS 14RS-558 ORIGINAL Page 1 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2014 SENATE BILL NO. 508 BY SENATOR HEITMEIER TAX/SALES. Changes the exemptions from local sales tax for Medicare-related transactions. (7/1/14) AN ACT1 To amend and reenact R.S. 47:301(7)(i) and (10)(u), 315.3, and 337.9(F), and to enact R.S.2 47:301(18)(q), relative to the sales and use tax of political subdivisions; to provide3 for certain exemptions of and refunds for transactions ultimately related to Medicare4 patients; and to provide for related matters.5 Be it enacted by the Legislature of Louisiana:6 Section 1. R.S. 47:301(7)(i) and (10)(u), 315.3, and 337.9(F) are hereby amended7 and reenacted and R.S. 47:301(18)(q) is hereby enacted to read as follows: 8 §301. Definitions9 As used in this Chapter the following words, terms, and phrases have the10 meaning ascribed to them in this Section, unless the context clearly indicates a11 different meaning:12 (7) * * *13 (i) For purposes of sales and use taxes levied and imposed by local14 governmental subdivisions, school boards, and other political subdivisions whose15 boundaries are not coterminous with those of the state, "lease or rental" by a person16 shall not mean or include the lease or rental of tangible personal property if such17 SB NO. 508 SLS 14RS-558 ORIGINAL Page 2 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. lease or rental is made under the provisions of Medicare to either of the following:1 (i) A Medicare patient in the medical treatment of his disease under the2 supervision of a licensed physician.3 (ii) A medical service provider such as a physician, clinic, dialysis facility,4 surgical center, or other health care facility, and the tangible personal property5 is ultimately used by a Medicare patient, or administered to him by a physician,6 nurse, or other health care personnel, in the medical treatment of disease under7 the supervision of a licensed physician.8 * * *9 (10) * * *10 (u) For purposes of sales and use taxes levied and imposed by local11 governmental subdivisions, school boards, and other political subdivisions whose12 boundaries are not coterminous with those of the state, "sale at retail" by a person13 shall not mean or include the sale of tangible personal property if such sale is made14 under the provisions of Medicare to either of the following:15 (i) A Medicare patient in the medical treatment of his disease under the16 supervision of a licensed physician.17 (ii) A medical service provider such as a physician, clinic, dialysis facility,18 surgical center, or other health care facility, and the tangible personal property19 is ultimately used by a Medicare patient, or administered to him by a physician,20 nurse, or other health care personnel, in the medical treatment of disease under21 the supervision of a licensed physician.22 * * *23 (18) * * *24 (q) Solely for purposes of sales and use taxes levied and imposed by local25 governmental subdivisions, school boards, and other political subdivisions26 whose boundaries are not coterminous with those of the state, the term "use"27 shall not include the purchase, the use, the consumption, the distribution, the28 storage for use or consumption, or the exercise of any right or power over29 SB NO. 508 SLS 14RS-558 ORIGINAL Page 3 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. tangible personal property by either of the following:1 (i) A Medicare patient in the medical treatment of his disease under the2 supervision of a licensed physician.3 (ii) A medical service provider such as a physician, clinic, dialysis facility,4 surgical center, or other health care facility, and the tangible personal property5 is ultimately used by a Medicare patient, or administered to him by a physician,6 nurse, or other health care personnel, in the medical treatment of disease under7 the supervision of a licensed physician.8 . * * *9 §315.3. Sales tax refund; sales and rentals covered by Medicare10 A.(1) Any person who has paid sales and use taxes, levied by the state and11 any other taxing authorities in the state, upon the sale, purchase, use, lease, or rental12 of tangible personal property when such sale, lease, or rental is paid by or under the13 provisions of Medicare, shall be entitled to reimbursement of the amount of tax paid14 on such property transaction when such sale, purchase, use, lease, or rental is of15 tangible personal property by either of the following:16 (a) A Medicare patient in the medical treatment of his disease under the17 supervision of a licensed physician.18 (b) A medical service provider such as a physician, clinic, dialysis facility,19 surgical center, or other health care facility, and the tangible personal property20 is ultimately used by a Medicare patient, or administered to him by a physician,21 nurse, or other health care personnel, in the medical treatment of disease under22 the supervision of a licensed physician.23 (2) Upon receipt of a signed statement of such person as to the amount of24 taxes paid under the provisions of this Chapter on such tangible personal property25 and upon proof of payment by or under the provisions of Medicare, the secretary and26 the appropriate taxing authorities shall make a refund to such person in the amount27 to which he is entitled.28 * * *29 SB NO. 508 SLS 14RS-558 ORIGINAL Page 4 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. §337.9. Exemptions applicable to local tax in Chapters 2, 2-A, and 2-B; other1 exemptions applicable2 * * *3 F. Notwithstanding any provision of law to the contrary, prescription drugs4 purchased by a Medicare patient in the medical treatment of his disease through5 or pursuant to a Medicare Part B and D plan and prescription drugs purchased by6 a medical service provider such as a physician, clinic, dialysis facility, surgical7 center, or other health care facility, and the tangible personal property is8 ultimately administered to a Medicare Part B patient by a physician, nurse, or9 other health care personnel in the medical treatment of disease under the10 supervision of a licensed physician shall be exempt from the sales and use taxes11 imposed by any local governmental subdivision, school board, or other political12 subdivision whose boundaries are not coterminous with the state.13 * * *14 Section 2. This Act shall become effective on July 1, 2014.15 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Riley Boudreaux. DIGEST Heitmeier (SB 508) Present law grants exemptions from and refunds of local sales tax for sales, leases, and rentals of property "made under the provisions of Medicare" and for prescription drugs purchased "through or pursuant to a Medicare Part B and D plan". Proposed law grants such exemptions and refunds when the sale, purchase, use, lease, or rental is by either of the following: (1)A Medicare patient in the medical treatment of his disease under the supervision of a licensed physician. (2)A "medical service provider" such as a physician, clinic, dialysis facility, surgical center, or other health care facility, and the property or prescription drugs are ultimately (a) used by a Medicare patient, or (b) administered to him by a physician, nurse, or other health care personnel, in the medical treatment of disease under the supervision of a licensed physician. Effective July 1, 2014. (Amends R.S. 47:301(7)(i) and (10)(u), 315.3, and 337.9(F); adds R.S. 47:301(18)(q))