HLS 15RS-633 ORIGINAL
2015 Regular Session
HOUSE BILL NO. 683
BY REPRESENTATIVES KLECKLEY AND DANAHAY AND SENATORS JOHNS
AND MORRISH
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
HOSPITALS: Requires the Department of Health and Hospitals to determine a
methodology for reimbursement related to uncompensated care costs in Calcasieu
Parish
1 AN ACT
2To enact R.S. 46:2762, relative to uncompensated care costs for hospital inpatient acute care
3 services; to require a methodology for reimbursing uncompensated care costs in
4 Calcasieu Parish; to provide for legislative oversight; and to provide for related
5 matters.
6Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 46:2762 is hereby enacted to read as follows:
8 ยง2762. Methodology for reimbursing uncompensated care costs for hospital inpatient
9 acute care service in Calcasieu Parish
10 A. Prior to August first of each year, the Department of Health and Hospitals
11 shall annually develop and implement a methodology for reimbursing
12 uncompensated care costs for inpatient services provided in nonrural acute care
13 hospitals in Calcasieu Parish. The methodology developed by the department shall
14 be reviewed and approved by the House Committee on Health and Welfare and the
15 Senate Committee on Health and Welfare prior to implementation. The department
16 shall calculate the increase in total uncompensated care costs of each non-CEA
17 hospital over the uncompensated care costs of the same hospital in 2012. Subject to
18 approval by the Centers for Medicare and Medicaid Services, the department shall
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 15RS-633 ORIGINAL
HB NO. 683
1 use this calculation to develop and implement a methodology for reimbursing each
2 non-CEA hospital the amount of the increase in uncompensated care costs.
3 Reimbursements to the non-CEA hospital shall be considered a payment to the CEA
4 hospital and therefore, shall reduce the amount payable directly or indirectly to the
5 CEA hospital.
6 B. For purposes of this Section, the term "non-CEA hospital" shall mean a
7 nonrural acute care hospital in Calcasieu Parish that has not entered into a
8 cooperative endeavor agreement with the state for the provision of indigent inpatient
9 acute care services. The term "CEA hospital" shall mean a nonrural acute care
10 hospital in Calcasieu Parish that has entered into a cooperative endeavor agreement
11 with the state for the provision of indigent inpatient acute care services.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 683 Original 2015 Regular Session Kleckley
Abstract: Requires the Dept. of Health and Hospitals (DHH) to develop a methodology for
reimbursing nonrural acute care hospitals in Calcasieu Parish.
Proposed law requires the DHH to develop a methodology for reimbursing nonrural acute
care hospitals in Calcasieu Parish that do not have a cooperative endeavor agreement (CEA)
with the state for the provision of indigent inpatient acute care services by calculating the
increase in uncompensated care costs over 2012 costs for those hospitals. Further requires
review and approval of the methodology by the House Committee on Health and Welfare
and the Senate Committee on Health and Welfare.
Proposed law provides that any reimbursement of uncompensated care costs to a hospital
that does not have a CEA with the state shall be considered as a payment to the hospital in
the parish that has a CEA with the state and is to be reduced from the amount payable
directly or indirectly to the hospital that has a CEA with the state.
(Adds R.S. 46:2762)
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.