SLS 15RS-542 ENGROSSED
2015 Regular Session
SENATE BILL NO. 167
BY SENATOR BUFFINGTON
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
MEDICAID. Provides relative to the Medical Assistance Program. (8/1/15)
1 AN ACT
2 To enact R.S. 46:2762, relative to the Medical Assistance Program; to provide for
3 uncompensated care costs for hospital inpatient acute care services; to require a
4 methodology for reimbursing uncompensated care costs; to provide for legislative
5 oversight; and to provide for related matters.
6 Be 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
9 inpatient acute care service
10 A. Prior to August first of each year, the Department of Health and
11 Hospitals shall annually develop and implement a methodology for reimbursing
12 uncompensated care costs for inpatient services provided in nonrural acute care
13 hospitals in any parish having a population of not less than one hundred
14 fourteen thousand and not more than one hundred eighteen thousand according
15 to the latest federal decennial census or having a population of not less than two
16 hundred forty-five thousand and not more than three hundred thousand
17 according to the latest federal decennial census. The methodology developed by
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 167
SLS 15RS-542 ENGROSSED
1 the department shall be reviewed and approved by the House Committee on
2 Health and Welfare and the Senate Committee on Health and Welfare prior to
3 implementation. The department shall calculate the increase in total
4 uncompensated care costs of each noncooperative endeavor agreement hospital
5 over the uncompensated care costs of the same hospital in 2012. Subject to
6 approval by the Centers for Medicare and Medicaid Services, the department
7 shall use this calculation to develop and implement a methodology for
8 reimbursing each noncooperative endeavor agreement hospital the amount of
9 the increase in uncompensated care costs. Reimbursements to the cooperative
10 endeavor agreement hospital shall be considered a payment to the cooperative
11 endeavor agreement hospital and therefore, shall reduce the amount payable
12 directly or indirectly to the noncooperative endeavor agreement hospital.
13 B. For purposes of this Section, the term "noncooperative endeavor
14 agreement hospital" shall mean a nonrural acute care hospital pursuant to
15 Subsection A of this Section that has not entered into a cooperative endeavor
16 agreement with the state for the provision of indigent inpatient acute care
17 services. The term "cooperative endeavor agreement hospital" shall mean a
18 nonrural acute care hospital or other organization pursuant to Subsection A of
19 this Section that has entered into a cooperative endeavor agreement with the
20 state for the provision of indigent inpatient acute care services.
The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Christopher D. Adams.
DIGEST
SB 167 Engrossed 2015 Regular Session Buffington
Proposed law provides prior to August first of each year, the Department of Health and
Hospitals shall annually develop and implement a methodology for reimbursing
uncompensated care costs for inpatient services provided in nonrural acute care hospitals in
any parish having a population of not less than 114,000 and not more than 118,000 according
to the latest federal decennial census or having a population of not less than 245,000 and not
more than 300,000 according to the latest federal decennial census.
Proposed law provides the methodology developed by DHH shall be reviewed and approved
by the House Committee on Health and Welfare and the Senate Committee on Health and
Welfare prior to implementation. DHH shall calculate the increase in total uncompensated
care costs of each noncooperative endeavor agreement hospital over the uncompensated care
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 167
SLS 15RS-542 ENGROSSED
costs of the same hospital in 2012. Subject to approval by the Centers for Medicare and
Medicaid Services, DHH shall use this calculation to develop and implement a methodology
for reimbursing each noncooperative endeavor agreement hospital the amount of the increase
in uncompensated care costs. Reimbursements to the cooperative endeavor agreement
hospital shall be considered a payment to the cooperative endeavor agreement hospital and
therefore, shall reduce the amount payable directly or indirectly to the noncooperative
endeavor agreement hospital.
Proposed law provides the term "noncooperative endeavor agreement hospital" shall mean
a nonrural acute care hospital pursuant to proposed law that has not entered into a
cooperative endeavor agreement with the state for the provision of indigent inpatient acute
care services. The term "cooperative endeavor agreement hospital" shall mean a nonrural
acute care hospital or other organization pursuant to proposed law that has entered into a
cooperative endeavor agreement with the state for the provision of indigent inpatient acute
care services.
Effective August 1, 2015.
(Adds R.S. 46:2762)
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to
the original bill
1. Provides for reimbursing uncompensated care costs for hospital inpatient
acute care services for certain eligible hospitals.
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.