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 517 Original 2016 Regular Session Bacala
Abstract: Authorizes the Dept. of Health and Hospitals to impose provider fees on every class of
healthcare provider, facility, and service recognized in federal Medicaid regulations.
Present law authorizes the Department of Health and Hospitals (DHH) to impose Medicaid provider
fees in the following amounts:
(1)$10 per occupied bed per day for nursing facilities.
(2)$30 per occupied bed per day for intermediate care facilities for people with developmental
disabilities.
(3)10¢ per out-patient prescription.
(4)10¢ per out-patient out-of-state prescription.
(5)10¢ per out-patient prescription dispensed by dispensing physicians.
(6)$7.50 per medical service trip for medical transportation providers.
Proposed law revises present law to authorize DHH instead to impose Medicaid provider fees on
every class of healthcare provider, facility, and service provided for in federal Medicaid regulations.
Such providers and services include:
(1)Inpatient hospital services.
(2)Outpatient hospital services.
(3)Nursing facility services.
(4)Intermediate care facility services for individuals with intellectual disabilities, and similar
services furnished by community-based residences for individuals with intellectual
disabilities, subject to certain limitations.
(5)Physician services.
(6)Home healthcare services. (7)Outpatient prescription drugs.
(8)Services of managed care organizations.
(9)Ambulatory surgical center services.
(10)Dental services.
(11)Podiatric services.
(12)Chiropractic services.
(13)Optometric and optician services.
(14)Psychological services.
(15)Therapist services, defined to include physical therapy, speech therapy, occupational therapy,
respiratory therapy, audiological services, and rehabilitative specialist services.
(16)Nursing services, defined to include all nursing services, including services of nurse
midwives, nurse practitioners, and private duty nurses.
(17)Laboratory and x-ray services.
(18)Emergency ambulance services.
(19)Other healthcare items or services not listed above on which the state has enacted a licensing
or certification fee.
Present law stipulates that the amount of any provider fee shall not exceed the total cost to the state
of providing the healthcare service subject to the fee. Proposed law retains present law, and
stipulates further that the amount of each fee shall be the maximum nominal amount allowed
pursuant to federal Medicaid regulations, not to exceed any cap provided in those regulations.
Present law provides that DHH shall not impose any new fee or increase any fee on any nursing
home on or after April 1, 1992, without prior approval of the specific fee amount by record vote of
a majority of the elected members of each house of the legislature while in session. Proposed law
repeals present law.
(Amends R.S. 46:2625(A)(1) and (2)(b); Repeals R.S. 46:2625(B))