RÉSUMÉ DIGEST
HCR75 2015 Regular Session Kleckley
Provides for a hospital stabilization formula pursuant to Art. VII, Sec. 10.13 of the
Constitution of La. including an assessment, reimbursement enhancements, and a base
reimbursement level.
Provides for DHH to calculate, collect, and levy as an assessment from hospitals equal to the
lesser of one of the following:
(1) The state portion of the cost, excluding any federal financial participation, of the
reimbursement enhancements from the payment for health care services through the
implementation of Medicaid expansion which are directly attributable to payments
to hospitals.
(2) 1% of the total net patient revenue of all hospitals included in the assessment, as
reported in the Medicare cost report ending in federal FY 2013.
Further provides for the allocation of the assessment to each assessed hospital based on a pro
rata calculation. Authorizes the DHH to exclude certain hospitals from the assessment.
Provides for the assessment if the following occur:
(1) Implementation of the reimbursement enhancements from the payment for health
care services through the implementation of Medicaid expansion on or before April
1, 2016.
(2) The applicable federal financial participation for newly eligible Medicaid recipients
under Medicaid expansion is less than 100%.
(3) Approval from the Joint Legislative Committee on the Budget of the proposed
assessment, including a list of each hospital that will be assessed.
Provides for reimbursement enhancements from the following:
(1)Payment for health care services through the implementation of Medicaid expansion.
(2)Payment of hospital inpatient and outpatient reimbursement rates which were in
effect on Dec. 31, 2010, or such rates that were in effect on June 30, 2013, whichever
is greater if there are adequate savings generated from the implementation of
Medicaid expansion and funds are appropriated in the budget.
Provides for a hospital base reimbursement level based on rates in effect on June 30, 2013.
Further provides for exceptions to the rates used to define and establish the base
reimbursement level.