HLS 17RS-3301 ORIGINAL
2017 Regular Session
HOUSE RESOLUTION NO. 187
BY REPRESENTATIVE LEGER
HEALTH/EMERG MED SERVICE: Urges and requests the Louisiana Department of
Health to facilitate implementation of mobile integrated emergency response
programs and nonemergency community paramedicine programs
1 A RESOLUTION
2To urge and request the Louisiana Department of Health to facilitate the implementation of
3 mobile integrated emergency response programs and nonemergency community
4 paramedicine programs for the state of Louisiana and to create and administer a pilot
5 program in a limited geographic area for this purpose.
6 WHEREAS, it is well established that emergency care is one of the costliest forms
7of healthcare delivery, and overutilization of emergency services is one of the major cost
8drivers in our healthcare system; and
9 WHEREAS, several states have instituted mobile integrated emergency response
10programs and nonemergency community paramedicine programs which use evidence-based
11practices to improve emergency response times, facilitate post-hospital discharge care, deter
12preventable hospital readmission, and provide for other benefits that address the problem of
13unnecessary overutilization of emergency departments and the associated costs; and
14 WHEREAS, mobile integrated emergency response programs and nonemergency
15community paramedicine programs can be cost-savers and improve patient outcomes; and
16 WHEREAS, the Louisiana Department of Health can rely upon the frameworks
17already established in other states to promote and develop these programs.
18 THEREFORE, BE IT RESOLVED that the House of Representatives of the
19Legislature of Louisiana does hereby urge and request the Louisiana Department of Health
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HR NO. 187
1to facilitate the implementation of mobile integrated emergency response programs and
2nonemergency community paramedicine programs for the state of Louisiana.
3 BE IT FURTHER RESOLVED that the House of Representatives of the Legislature
4of Louisiana does hereby urge and request the Louisiana Department of Health to collaborate
5with various stakeholders, including but not limited to healthcare providers, managed care
6organizations, and the Centers for Medicare and Medicaid Services, to facilitate and
7accomplish all of the following:
8 (1) Identify and overcome any impediments to the development, implementation,
9and financing of mobile integrated emergency response programs and nonemergency
10community paramedicine programs in the state of Louisiana.
11 (2) Create the standards for, implement, and administer a pilot program, in a manner
12consistent with existing scope of practice laws, under the auspices of the Louisiana
13Department of Health, in collaboration with Medicaid managed care organizations.
14 (3) Identify and obtain sources of financial support for the implementation of the
15pilot program, provide participation incentives to Medicaid managed care organizations as
16mutually agreed upon by the organizations and the Louisiana Department of Health, and
17ensure that the participation program is actuarially and financially sound and beneficial to
18the Medicaid managed care organizations.
19 BE IT FURTHER RESOLVED that the implementation of the pilot program shall
20be contingent on available and appropriate funding and reimbursement outside of the current
21funding allocated for emergency medical transportation.
22 BE IT FURTHER RESOLVED that the Louisiana Department of Health shall report
23on the results of the pilot program, including but not limited to health outcomes and the
24potential for shared savings, to the House Committee on Health and Welfare and shall
25provide recommendations as necessary to facilitate the implementation of these programs
26throughout the state.
27 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
28secretary of the Louisiana Department of Health.
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HR NO. 187
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)]
HR 187 Original 2017 Regular Session Leger
Requests the La. Dept. of Health to facilitate the implementation of mobile integrated
emergency response programs and nonemergency community paramedicine programs for
the state of La. and to create and administer a pilot program.
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