The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Jerry J. Guillot.
DIGEST
SCR 131 Original 2015 Regular Session Claitor
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 that the hospital base reimbursement level shall not be deemed to be defined and established until the date of the first collection of the assessment. However, subject to this provision,
defines and establishes the hospital base reimbursement level as all of the following inpatient and
outpatient hospital reimbursement rates and methodologies under the state plan for the Louisiana
medical assistance program in effect on July 1, 2015:
(1)Inpatient peer group per diem rates.
(2)Outpatient fee schedules.
(3)Outpatient cost reimbursed services and cost report settlements.