Requests the Department of Health and Hospitals to develop a plan for the creation of a demonstration program to coordinate and integrate the health care for an individual eligible for both Medicare and Medicaid.
Impact
If implemented, SCR112 could lead to significant changes in how healthcare services are delivered to dual eligibles in Louisiana. The resolution directs the department to ensure that the integration process does not disrupt existing services or the care continuum that beneficiaries have been accustomed to. Additionally, it suggests soliciting feedback from existing Medicare managed care plans to incorporate their perspectives into the development of the program, which could lead to a more effective and stakeholder-sensitive proposal.
Summary
SCR112 is a resolution that requests the Department of Health and Hospitals in Louisiana to develop a comprehensive plan aimed at creating a demonstration program intended to coordinate and integrate healthcare services for individuals who qualify for both Medicare and Medicaid, known as dual eligibles. This resolution acknowledges the potential benefits of such integration, which may enhance health outcomes and reduce costs associated with the two programs. It emphasizes the importance of maintaining the existing quality of care provided by Medicare managed care plans while augmenting the service delivery model for those eligible for both programs.
Sentiment
Discussions surrounding SCR112 reveal a generally supportive sentiment towards the need for better coordination of services for dual eligibles. Lawmakers and health advocates recognize the challenges faced by this vulnerable population and the potential for improved health outcomes through a cohesive care model. However, there may be underlying concerns regarding the execution of such a program and its implications on existing managed care plans and beneficiary autonomy.
Contention
Notably, one point of contention is the balance between effectively implementing a new integrated care program and preserving the beneficiary's right to choose and retain their current Medicare plans. The resolution explicitly instructs that any new program developed should not impair this choice, highlighting a critical aspect of stakeholder engagement. The success of SCR112 will ultimately hinge on how well the Department of Health and Hospitals designs the program to address the unique needs of dual eligibles while honoring existing rights and maintaining quality care.
Requests DHH to develop a plan for the creation of a demonstration program to coordinate and integrate the health care for an individual eligible for both Medicare and Medicaid.
Requests the Louisiana Department of Health to coordinate with stakeholders to develop a healthcare plan for individuals with intellectual and developmental disabilities
Authorizes and directs the secretary of the Department of Health and Hospitals to submit a Section 1115 Medicaid demonstration waiver to the Centers for Medicare and Medicaid Services.
Relating to the development and implementation of the Texas Plan demonstration program to fund the purchase by and provision to certain eligible individuals of health care services.
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.
Mental and Physical Health Care Comorbidities Act of 2025This bill establishes a demonstration program to test hospital innovations that support low-income or uninsured individuals with serious mental and physical health comorbidities and to identify appropriate payment reforms under Medicare and Medicaid.Participating hospitals must (1) have a proportionally high number of Medicare or Medicaid patients, and (2) develop a plan and related quality metrics for innovations to provide coordinated care and address social determinants of health for individuals with serious mental illness or emotional disturbance and physical comorbidities (e.g., chronic conditions).
Directs the Department of Health and Hospitals to submit a request to the Centers for Medicare and Medicaid Services to extend Louisiana's Section 1115a demonstration waiver for the Greater New Orleans Community Health Connection and authorizes the governor and the secretary of the department to identify a source or sources for matching of non-federal funds required under the extended waiver.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.