The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST SB 40 Original 2015 Regular Session Nevers Proposed law requires beginning no later than January 1, 2016, every legal Louisiana resident whose household income is at or below 138 percent of the federal poverty level shall have health care coverage with essential health benefits, and the Department of Health and Hospitals (DHH) shall administer a state program which makes available to every legal resident of this state whose household income is at or below 138 percent of the federal poverty level access to health care coverage with essential health benefits, as provided by federal law and applicable rules and regulations. Proposed law requires DHH make all necessary state Medicaid plan amendments or waiver applications to the federal government in order to access all federal funding available for the provision of health care services, including but not limited to funds available through federal law. Proposed law provides DHH, through federally-approved state Medicaid plan amendments or waiver applications, may consider requirements such as the use of participant required premiums, participant required copayments, participant required health accounts, and cost sharing for nonemergency use of an emergency department. Proposed law provides the legislature annually appropriate the state and federal revenues necessary to fund the program to provide health care coverage for this eligible population, except that, if total funding to operate this state program is comprised of less than 90 percent federal funds, the legislature has the authority to decide whether to continue the program. The state general fund shall not be used to pay for the state's responsibility of the program required pursuant to this Section. Effective August 1, 2015. (Adds R.S. 46:980.1)