GREEN SHEET REDIGEST
HB 662 2016 Regular Session Barras
(KEYWORD, SUMMARY, AND DIGEST as amended by Senate committee
amendments)
MEDICAID: Provides for a fee on emergency ground ambulance service
providers
DIGEST
Present law authorizes provider fees to be paid by certain healthcare providers.
Proposed law retains present law and establishes a provider fee for emergency ground
ambulance service providers.
Proposed law prohibits the amount of the initial fee from exceeding the total cost to the state
of providing the healthcare service subject to the fee and prohibits the amount of the fees
imposed from exceeding 1.5% of the net operating revenue of emergency ground ambulance
service providers.
Proposed law provides for the disposition of the fee including the deposit of the collected
fees into the state treasury with the required amount credited to the Bond Security and
Redemption Fund prior to the state treasurer placing the remaining amount into the Ground
Ambulance Service Provider Trust Fund Account within the La. Medical Assistance Trust
Fund.
Proposed law provides for the use of the collected fees to pay enhanced reimbursements to
emergency ground ambulance service providers.
Proposed law establishes the procedure for changing the fee amount after the first year and
prohibits the subsequent assessment from exceeding 3.5% of the net operating revenue of
emergency ground ambulance service providers.
Proposed law provides for the termination of the fee collection and the return of monies
collected.
Proposed law requires the Dept. of Health and Hospitals to promulgate all necessary rules
and regulations, submit any necessary Medicaid state plan amendments no later than 90 days
after the effective date of proposed law, and take all other actions as are necessary to institute
the assessments and reimbursement enhancements provided for proposed law.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 46:2625.1)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the original bill:
1. Add provisions prescribing the deposit of the collected fees into the Ground
Ambulance Service Provider Trust Fund Account.
2. Add provisions establishing the procedure for changing the fee amount after the
first year.
3. Add provisions requiring the collected fees to be used to provide enhanced
reimbursements.
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Prepared by Christine Arbo Peck. 4. Add provisions for the termination of the fee.
5. Add definitions.
6. Require DHH to perform all actions necessary to implement proposed law.
7. Add an effective date.
The House Floor Amendments to the engrossed bill:
1. Make technical changes.
2. Clarify that payment of reimbursement enhancements is limited to years when the
assessment is collected.
3. Clarify that state general funds are to be used only to fund the state's share of the
reimbursement.
4. Clarify that the supplemental amount paid to providers is limited to the amount
in the Emergency Ground Ambulance Service Trust Fund.
5. Clarify that 65% of providers have to agree to a change in the reimbursement
formula.
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to the
reengrossed bill
1. Clarified that the maximum fee allowable in any year is not a gross calculation.
2. Clarified that the payments made are enhancements, and not supplemental
payments.
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Prepared by Christine Arbo Peck.