SLS 17RS-404 ORIGINAL 2017 Regular Session SENATE BILL NO. 171 BY SENATOR BARROW TAX/INCOME/PERSONAL. Provides for an income tax credit for physicians who provide uncompensated care to indigent patients. (gov sig) 1 AN ACT 2 To enact R.S. 47:297.14 relative to tax credits; to provide for an individual income tax credit 3 for physicians who provide medical care to indigent patients; to provide for the rate 4 of the credit; to provide for an effective date; and to provide for related matters. 5 Be it enacted by the Legislature of Louisiana: 6 Section 1. R.S. 47:297.14 is hereby enacted to read as follows: 7 ยง297.14. Indigent medical care provider tax credit 8 A. For taxable periods beginning January 1, 2019, there shall be a 9 nonrefundable tax credit for physicians for a percentage of the cost of providing 10 unreimbursed medical care to an indigent patient. 11 B. Definitions. 12 (1) "Indigent patient" means a patient who receives medical care whose 13 care is not paid for by a health insurance provider, Medicaid, Medicare, private 14 funds, or any other funding source. 15 (2) "Cost" means the compensation for the service provided to the 16 indigent patient determined at lowest rate accepted by the physician from any 17 insurance provider, including Medicare and Medicaid. Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 171 SLS 17RS-404 ORIGINAL 1 (3) "Unreimbursed" means that the physician received no payment from 2 any source for providing the patient care and is not eligible to claim any other 3 state or federal income tax deduction related for the unpaid care. 4 C. Applicable credit percentage. 5 (1) For taxable years beginning on or after January 1, 2019, and ending 6 before January 1, 2021, the credit shall be fifteen percent of the cost of 7 providing unreimbursed medical care to an indigent patient. 8 (2) For taxable years beginning on or after January 1, 2021, and ending 9 before January 1, 2023, the credit shall be twenty percent of the cost of 10 providing unreimbursed medical care to an indigent patient. 11 (3) For taxable years beginning on or after January 1, 2023, and ending 12 before January 1, 2025, the credit shall be twenty-five percent of the cost. 13 (4) For taxable years beginning on or after January 1, 2025, and ending 14 before January 1, 2027, the credit shall be thirty percent of the cost of providing 15 unreimbursed medical care to an indigent patient. 16 (5) For taxable years beginning on or after January 1, 2027, and ending 17 before January 1, 2029, the credit shall be thirty-five percent of the cost of 18 providing unreimbursed medical care to an indigent patient. 19 (6) For taxable years beginning on or after January 1, 2029, and ending 20 before January 1, 2031, the credit shall be forty percent of the cost of providing 21 unreimbursed medical care to an indigent patient. 22 (7) For taxable years beginning on or after January 1, 2031, and ending 23 before January 1, 2033, the credit shall be forty-five percent of the cost of 24 providing unreimbursed medical care to an indigent patient. 25 (8) For taxable years beginning on or after January 1, 2033, the credit 26 shall be fifty percent of the cost of providing unreimbursed medical care to an 27 indigent patient. 28 D. Credit recapture. In the event that the physician later receives 29 compensation for the medical care for which this credit was claimed, the Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 171 SLS 17RS-404 ORIGINAL 1 physician shall file an amended individual income tax return reducing the credit 2 claim as necessary. 3 Section 2. This Act shall become effective upon signature by the governor or, if not 4 signed by the governor, upon expiration of the time for bills to become law without signature 5 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 6 vetoed by the governor and subsequently approved by the legislature, this Act shall become 7 effective on the day following such approval. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Leonore Heavey. DIGEST SB 171 Original 2017 Regular Session Barrow Present law provides for an individual income tax that is based on the individual's federal adjusted gross income. Proposed law provides for an individual income tax credit to physicians for a percentage of the cost of providing unreimbursed medical care to indigent patients. Proposed law provides that the credit shall be available beginning in the 2019 tax year and will increase from 15% by five percent every two years until it reaches its maximum rate of 50% in 2033. Effective upon signature of the governor or lapse of time for gubernatorial action. (Adds R.S. 47:297.14) Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.