DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part of the
legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law
or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 173 Original 2016 Regular Session Havard
Abstract: Requires the Dept. of Health and Hospitals to institute cost sharing for certain
Medicaid-covered services and dedicates revenues derived thereof to the New Opportunities
Waiver Fund.
Proposed law provides findings relative to the cost of the Medicaid program, and declares that cost
containment in the Medicaid program is an urgent fiscal and public health priority of this state.
Proposed law provides definitions.
Proposed law requires the Department of Health and Hospitals (DHH) to establish cost sharing
requirements in the Medicaid program for all of the following services provided to Medicaid
enrollees, subject to requirements and limitations provided in applicable federal law and regulation:
(1)Cost sharing for noninstitutional care, including but not limited to physician visits, as
authorized in 42 CFR 447.52.
(2)Cost sharing for nonemergency services furnished in a hospital emergency room as
authorized in 42 CFR 447.52.
Proposed law requires that the cost sharing requirements provided for in proposed law be imposed
upon all categories of recipients not excluded from such requirements by the provisions of Section
1916 of the Social Security Act.
Proposed law provides that the amount of each cost sharing function required by the provisions of
this Section shall be the maximum nominal amount allowed by federal regulations.
Proposed law dedicates to the New Opportunities Waiver Fund all state revenues derived as a result
of the cost sharing requirements provided for in proposed law. Provides that the state treasurer shall
annually deposit into the New Opportunities Waiver Fund monies in an amount equal to the net
reduction in Medicaid provider reimbursements corresponding to the cost sharing amounts assessed
to Medicaid enrollees pursuant to proposed law.
Proposed law requires DHH to submit any Medicaid state plan amendments, promulgate all rules
and regulations in accordance with the APA, and take any other actions as necessary to implement
the provisions of proposed law. (Adds R.S. 39:100.61(B)(1)(c) and R.S. 46:460.101-460.105)