Louisiana Senate Bill SCR9

Louisiana 2016 Regular Session

• Introduced: 3/14/16
• Refer: 3/15/16
• Report Pass: 3/30/16
• Passed: 3/31/16
• Engrossed: 4/4/16
• Refer: 4/5/16

Caption

Directs the Department of Health and Hospitals to evaluate and report on the number of Bayou Health plans that are necessary and appropriate before releasing another RFP to procure such plans.

Impact

The passage of SCR9 intends to address systemic frustrations within the Bayou Health program by ensuring that an evaluation is conducted before further contracts are extended or new plans are procured. This evaluation seeks to determine whether the current number of plans is optimal for delivering healthcare services and meeting the needs of Louisiana's Medicaid recipients. By emphasizing the necessity for a thorough assessment, the bill could potentially lead to significant changes in the administration of Medicaid in the state.

Summary

SCR9, introduced by Senator Mills, is a Senate Concurrent Resolution that urges the Louisiana Department of Health and Hospitals to evaluate and report on the number of Bayou Health plans necessary and appropriate before any new Requests for Proposals (RFP) are issued. It highlights the ongoing issues faced by Medicaid recipients and providers since the Bayou Health program transitioned from a fee-for-service model to one involving multiple managed care organizations. The resolution aims to assess the operational burdens that have arisen from managing multiple health plans, as well as the access issues faced by recipients unaware of their coverage details until denied services.

Sentiment

The general sentiment surrounding SCR9 appears to be supportive of ensuring accountability and efficiency within the Bayou Health system. Lawmakers recognize the challenges that both health care providers and recipients have encountered due to the proliferation of health plans. The resolution expresses a collective concern that without proper evaluation, the system may not effectively serve the needs of those relying on Medicaid, echoing feedback from stakeholders who believe reform is essential.

Contention

Notably, some contention could arise around the decision-making power of the Department of Health and Hospitals, as the number of Bayou Health plans is currently at their discretion. Critics may argue that this could lead to insufficient oversight unless robust evaluation practices are implemented. Furthermore, the evaluation's outcomes may affect the livelihoods of providers as many have exited the program due to inadequate reimbursement rates, adding a layer of complexity to potential changes in the Bayou Health structure.