HLS 18RS-449 REENGROSSED 2018 Regular Session HOUSE BILL NO. 480 BY REPRESENTATIVE BACALA MEDICAID: Provides relative to Medicaid fraud detection and prevention 1 AN ACT 2To enact R.S. 24:513(P) and R.S. 47:1508(B)(42), relative to Medicaid program integrity; 3 to authorize the Louisiana Department of Revenue to share state income tax return 4 data with the legislative auditor for certain limited purposes; to authorize the 5 legislative auditor to utilize such data for purposes of Medicaid fraud detection and 6 prevention; to provide for interagency agreements relative to sharing of data; and to 7 provide for related matters. 8Be it enacted by the Legislature of Louisiana: 9 Section 1. R.S. 24:513(P) is hereby enacted to read as follows: 10 §513. Powers and duties of legislative auditor; audit reports as public records; 11 assistance and opinions of attorney general; frequency of audits; subpoena 12 power 13 * * * 14 P. The legislative auditor may access individual-level state income tax return 15 data in accordance with R.S. 47:1508(B)(42) for the limited purposes of ensuring 16 accuracy of Medicaid eligibility determinations, detecting and preventing fraud in 17 the Medicaid program, and fulfilling all other applicable requirements of the Medical 18 Assistance Programs Integrity Law, R.S. 46:437.1 et seq. 19 Section 2. R.S. 47:1508(B)(42) is hereby enacted to read as follows: 20 §1508. Confidentiality of tax records 21 * * * Page 1 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 18RS-449 REENGROSSED HB NO. 480 1 B. Nothing herein contained shall be construed to prevent: 2 * * * 3 (42)(a) The secretary from disclosing individual-level state income tax return 4 data to the legislative auditor exclusively for the purposes specified in this 5 Paragraph. 6 (b) The legislative auditor shall utilize data disclosed pursuant to this 7 Paragraph for the following purposes, exclusively: 8 (i) Ensuring accuracy of Medicaid eligibility determinations. 9 (ii) Detecting and preventing fraud in the Medicaid program. 10 (iii) Fulfilling the requirements of the Medical Assistance Programs Integrity 11 Law, R.S. 46:437.1 et seq. 12 (c) The secretary may enter into any memorandum of understanding, 13 cooperative endeavor, or other type of agreement as may be necessary to facilitate 14 the sharing of data with the legislative auditor for the purposes set forth in this 15 Paragraph. 16 Section 3. This Act shall become effective upon signature by the governor or, if not 17signed by the governor, upon expiration of the time for bills to become law without signature 18by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 19vetoed by the governor and subsequently approved by the legislature, this Act shall become 20effective on the day following such approval. 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 480 Reengrossed 2018 Regular Session Bacala Abstract: Authorizes the La. Dept. of Revenue to share individual-level state income tax return data with the legislative auditor for purposes of Medicaid fraud detection and prevention. Present law, R.S. 47:1508(A), provides that the records and files of the secretary of the La. Dept. of Revenue are confidential and privileged, and that no person shall divulge or disclose any information obtained from such records and files except as authorized by present law. Page 2 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 18RS-449 REENGROSSED HB NO. 480 Proposed law authorizes the secretary of the La. Dept. of Revenue to disclose individual-level state income tax return data to the legislative auditor for the following purposes exclusively: (1)Ensuring accuracy of Medicaid eligibility determinations. (2)Detecting and preventing fraud in the Medicaid program. (3)Fulfilling the requirements of present law relative to Medicaid program integrity, R.S. 46:437.1 et seq. Proposed law authorizes the secretary of the La. Dept. of Revenue to enter into any memorandum of understanding, cooperative endeavor, or other type of agreement as may be necessary to facilitate sharing of data with the legislative auditor for the purposes set forth in proposed law. Present law, R.S. 24:513, provides for the powers and duties of the legislative auditor. Proposed law retains present law and adds thereto an authorization for the legislative auditor to access individual-level state income tax return data, in accordance with proposed law, for the following purposes: (1)Ensuring accuracy of Medicaid eligibility determinations. (2)Detecting and preventing fraud in the Medicaid program. (3)Fulfilling all other applicable requirements of present law relative to Medicaid program integrity, R.S. 46:437.1 et seq. (Adds R.S. 24:513(P) and R.S. 47:1508(B)(42)) Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Appropriations to the engrossed bill: 1. Delete proposed law providing for duties of the La. Dept. of Health in administering the Medicaid program. 2. Delete proposed law providing relative to Medicaid eligibility determination functions of the La. Dept. of Health. 3. Delete proposed law requiring the La. Dept. of Health to utilize income tax data in the Medicaid eligibility determination process. 4. Make technical changes. Page 3 of 3 CODING: Words in struck through type are deletions from existing law; words underscored are additions.