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 152 Original 2017 Regular Session Bacala
Abstract: Provides for implementation and funding of a Medicaid managed long-term services and
supports system and requires implementation to occur by a certain date.
Proposed law defines "managed long term services and supports" and "MLTSS" as a system for
delivery of long-term services and supports through a capitated Medicaid managed care program.
Proposed law provides findings and declares that establishment of an MLTSS system is a fiscal and
public health priority of this state.
Proposed law requires that the La. Dept. of Health (LDH) submit to the federal Medicaid agency any
new waiver application, amendment to an existing waiver, and Medicaid state plan amendment as
may be necessary to establish an MLTSS system within the Medicaid managed care program.
Additionally, requires LDH to take all of the following actions with respect to establishing an
MLTSS system:
(1)Select one or more capitated managed care plans as the MLTSS contractor or contractors
through a competitive request for proposals process.
(2)Promulgate all rules and regulations in accordance with the Administrative Procedure Act
as are necessary to institute the MLTSS system.
Proposed law requires the LDH secretary to take all such actions as are necessary to ensure that the
initial phase of implementation of the MLTSS system begins on or before Oct. 1, 2017; and that full
implementation of the system is completed on or before Oct. 1, 2018.
Proposed law provides that sources of funding for the implementation and administration of the
MLTSS system shall include, without limitation, monies dedicated in accordance with the provisions
of proposed law.
Proposed law amends present law relative to tax revenue from healthcare premium assessments paid
by Medicaid managed care organizations to require that such revenues be deposited into an account
created by proposed law within the La. Medical Assistance Trust Fund known as the "MLTSS
account".
Proposed law amends present law to require that LDH expend monies in the MLTSS account created
by proposed law for the purpose of funding the costs of initial implementation and ongoing administration of the MLTSS system. Provides further that if monies in the MLTSS account exceed
the level of funding necessary to implement or administer the MLTSS system then the state treasurer
shall deposit the excess amount certified by the LDH secretary into the general account of the La.
Medical Assistance Trust Fund.
Effective July 1, 2017.
(Amends R.S. 22:842(C) and R.S. 46:2623(B) and (C)(2); Adds R.S. 46:460.101-460.105 and
2623(C)(3))