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)]
HCR 6 Reengrossed 2018 Regular Session Barras
Provides for a hospital stabilization formula pursuant to Art. VII, ยง10.13 of the Constitution of La.,
including assessments and reimbursement enhancements.
Requires the La. Dept. of Health (LDH) to calculate, collect, and levy an assessment from hospitals
not to exceed the lesser of one of the following:
(1)The state portion of the cost of the reimbursement enhancements from the payment for
healthcare services through the implementation of Medicaid expansion which are directly
attributable to payments to hospitals, excluding any federal financial participation and
supplemental Medicaid payments.
(2)1% of the total net patient revenue of all hospitals included in the assessment, as reported in
the Medicare cost report ending in state FY 2015.
Exempts rural hospitals from the assessment. Also exempts facilities prohibited from participating
in the Medicare Program from the assessment, subject to the approval of the Centers for Medicare
and Medicaid Services (CMS) and LDH.
Provides for the assessment if the following occur:
(1)The applicable federal financial participation for newly eligible Medicaid recipients under
Medicaid expansion is less than 100%.
(2)LDH submits a Medicaid assessment report to the Joint Legislative Committee on the
Budget.
Provides for reimbursement enhancements as follows:
(1)Payment for healthcare services through the implementation of Medicaid expansion.
(2)Payment of hospital reimbursement rates in an amount no less than the greater of the
following:
(a)The reimbursement rates in effect for dates of service on or after Jan. 1, 2018.
(b)For dates of service on or after Jan. 1, 2019, outpatient reimbursement rates which were in effect on June 30, 2009, or Sept. 30, 2009.
Requires LDH to quarterly publish a report that includes total Medicaid enrollment, average monthly
Medicaid managed care premium rates, aggregate claims by provider, and the total amount of
hospital claims by hospital.
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Appropriations to the original
bill:
1. Relative to hospital reimbursement rates payable by the Dept. of Health and Hospitals,
for dates of service on or after Jan. 1, 2019, change the payable rate from the outpatient
reimbursement rates which were in effect on June 30, 2009 to those rates in effect on
June 30, or Sept. 30, 2009.
The House Floor Amendments to the engrossed bill:
1. Exempt certain facilities from the assessment, subject to the approval of the Centers for
Medicare and Medicaid Services (CMS) and LDH.