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 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.