The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Christopher D. Adams.
DIGEST
Heitmeier (SB 647)
Proposed law provides for the use of health insurance exchanges by Medicaid managed care
plans.
Proposed law provides for legislative findings.
Proposed law provides the Department of Health and Hospitals shall require a Medicaid managed
care plan to ensure:
(1) Hospitals that are providers for a Medicaid managed care plan shall report each enrolled
individual's hospital admission, discharge, and transfer data to the appropriate health
information exchange for its parish.
(2) A notification system shall be developed in collaboration with the health information
exchanges by which such information is promptly reported to each enrolled individual's
primary care providers and managed care plan to improve continuity and coordination of
patient care.
Proposed law provides an enrolled individual's hospital admission, discharge, and transfer data
shall be reported to the appropriate health information exchange in a uniform manner proscribed
by the department through rules and regulations promulgated pursuant to the Administrative
Procedure Act.
Proposed law provides the department shall maximize all available federal financial assistance to
cover the cost of the reporting and notification required by proposed law.
Furthermore, if there is insufficient funding to cover the costs of the health information
exchanges, the Medicaid managed care plans shall pay a charge to the health information
exchanges to offset unfunded costs that are associated with the reporting and notification of the
enrolled individuals' admission, discharge, and transfer data as required by proposed law.
Proposed law provides the department implement a statewide system of reporting and
notification, the health information exchanges located within the state receiving funding from the
Office of the National Coordinator for Health Information Technology, United States Department
of Health and Human Services, the Greater New Orleans Health Information Exchange, and the
Louisiana Health Information Exchange shall provide services to its respective parishes.
(1) The Greater New Orleans Health Information Exchange shall provide services in the
greater New Orleans area, consisting of the parishes of Orleans, Jefferson, Plaquemines,
St. Bernard, St. Charles, and St. Tammany. (2) The Louisiana Health Information Exchange shall provide services in the other parishes
of the state.
Proposed law provides the health information exchanges shall coordinate with each other for the
implementation of the reporting and notifications.
Proposed law provides a health information exchange shall report to the department on a
quarterly basis regarding its implementation of the reporting and notification requirements.
Proposed law provides a health information exchange shall maintain the confidentiality of the
hospital admission, discharge, and transfer data and shall only provide such data to the managed
care plan and primary care providers of the enrolled individual who is the subject of the report,
unless otherwise instructed by the enrolled individual.
Effective August 1, 2014.
(Adds R.S. 46:460.81)