HLS 182ES-280 ORIGINAL
2018 Second Extraordinary Session
HOUSE RESOLUTION NO. 42
BY REPRESENTATIVE GLOVER
MEDICAID: Requests a comparative analysis of Medicaid supplemental hospital funding
across certain institutions within the state's safety net hospital system
1 A RESOLUTION
2To urge and request the Louisiana Department of Health to conduct a comparative analysis
3 of Medicaid supplemental hospital funding across certain institutions within the
4 state's safety net hospital system, and to report the results of the analysis to the
5 members of the legislature and to the legislative auditor.
6 WHEREAS, Louisiana's public safety net hospitals are a vital component of the
7overall healthcare system of this state; and
8 WHEREAS, the safety net hospital system underwent a rapid transformation
9beginning in 2012 when the state commenced a large-scale privatization of the public
10hospitals' operations while continuing to provide graduate medical education at the hospital
11facilities through the Louisiana State University Health Sciences Centers at Shreveport and
12New Orleans; and
13 WHEREAS, all but one of the state's safety net hospitals are now operated by private
14partners, and the hospitals are now referred to collectively as "public-private partnership
15hospitals"; and
16 WHEREAS, Medicaid supplemental hospital funding is a critical source of financing
17for public-private partnership hospitals and other hospitals across the state which treat
18significant numbers of low-income, uninsured, and indigent patients; and
19 WHEREAS, such funding includes payments made through the Medicaid
20disproportionate share hospital program, upper payment limit programs, full Medicaid
21pricing programs, and any Medicaid hospital payments other than base-rate payments which
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HR NO. 42
1are expended pursuant to special arrangements with individual hospitals or groups of
2hospitals; and
3 WHEREAS, as recognized in House Concurrent Resolution No. 86 of the 2017
4Regular Session and House Bill Nos. 350 and 462 of the 2018 Regular Session, Louisiana's
5current system for allocating Medicaid supplemental hospital funding lacks transparency and
6is in need of reform; and
7 WHEREAS, as a matter of fiscal policy and public health policy, it is essential for
8the state to ensure stability in the financing of health care delivered through the safety net
9hospital system and to provide for the system's sustainability.
10 THEREFORE, BE IT RESOLVED that the House of Representatives of the
11Legislature of Louisiana does hereby urge and request the secretary of the Louisiana
12Department of Health to determine all of the following Medicaid supplemental hospital
13funding amounts, and to report such amounts to the legislature and the legislative auditor in
14two annual reports:
15 (1) The total combined Medicaid supplemental hospital funding per adjusted
16occupied bed in the most recent state fiscal year for the public-private partnership hospitals
17at Shreveport and Monroe designated in R.S. 17:1519.2(B)(2)(a) and (b).
18 (2) The total combined Medicaid supplemental hospital funding per adjusted
19occupied bed in the most recent state fiscal year for the public-private partnership hospital
20at New Orleans designated in R.S. 17:1519.2(B)(1)(a).
21 BE IT FURTHER RESOLVED that the legislative auditor shall examine and validate
22the funding amounts reported pursuant to this Resolution. If the legislative auditor is unable
23to validate the amounts reported, then he shall notify the secretary of the Louisiana
24Department of Health, and the secretary shall submit recalculated amounts to the legislative
25auditor for validation.
26 BE IT FURTHER RESOLVED that the secretary of the Louisiana Department of
27Health shall submit the first annual report called for in this Resolution to the legislature and
28the legislative auditor on or before December 31, 2018, and shall submit the final annual
29report called for in this Resolution to the legislature and the legislative auditor on or before
30December 31, 2019.
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HR NO. 42
1 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
2secretary of the Louisiana Department of Health, the legislative auditor, and the
3commissioner of administration.
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 42 Original 2018 Second Extraordinary Session Glover
Request the La. Dept. of Health to conduct a comparative analysis of Medicaid supplemental
hospital funding across certain institutions within the state's safety net hospital system and
to report the results of the analysis to the legislature and the legislative auditor.
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