HLS 18RS-4740 ORIGINAL
2018 Regular Session
HOUSE RESOLUTION NO. 252
BY REPRESENTATIVE BACALA
MEDICAID: Requests the La. Department of Health to require all Medicaid managed care
plans to participate in the quality incentive program
1 A RESOLUTION
2To urge and request the Louisiana Department of Health to require all Medicaid managed
3 care plans to participate in the quality incentive program.
4 WHEREAS, the total funding appropriated for the Louisiana Medicaid program for
5State Fiscal Year 2017-2018 was over twelve billion dollars; and
6 WHEREAS, within this amount, the total funding appropriated for private providers
7was over ten billion dollars; and
8 WHEREAS, the Louisiana Department of Health, referred to hereafter as the
9"department", allocated nearly eight billion dollars of its 2017-2018 private provider funding
10to Medicaid managed care plans; and
11 WHEREAS, the department has indicated a need for an appropriation of at least
12twelve billion dollars to operate the Medicaid program in State Fiscal Year 2018-2019; and
13 WHEREAS, during the course of this 2018 Regular Session, department officials
14have testified that up to four hundred million dollars may be added to the managed care
15budget for a quality incentive program; and
16 WHEREAS, the department has provided few details on the quality incentive
17program and department officials have given little indication that input on the proposed
18program would be sought from hospitals or the public; and
19 WHEREAS, department officials have testified that the quality incentive program
20would be developed, implemented, and administered by the Medicaid managed care plans
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HR NO. 252
1through general instructions by the department to be contained in amendments to the state's
2contracts with the managed care plans; and
3 WHEREAS, the legislature intends that improving the quality of health care for
4Medicaid recipients should be an urgent priority of the Louisiana Medicaid program, and
5that Medicaid quality incentive program criteria should apply to all Medicaid managed care
6plans and incentive payments to all hospitals that meet the requisite performance criteria.
7 THEREFORE, BE IT RESOLVED that the House of Representatives of the
8Legislature of Louisiana does hereby urge and request the Louisiana Department of Health
9to require all Medicaid managed care plans to participate in the quality incentive program.
10 BE IT FURTHER RESOLVED that the House of Representatives hereby urges and
11requests that all hospitals have the opportunity to contract with Medicaid managed care plans
12to meet quality improvement standards applied uniformly to receive quality incentive
13payments.
14 BE IT FURTHER RESOLVED that the House of Representatives hereby urges and
15requests the Louisiana Department of Health to require the managed care plans to report to
16the department their quality incentive criteria, how those criteria will improve the quality of
17care for Medicaid recipients, how costs will be reduced, what efforts were made to allow all
18hospitals to participate, which hospitals the managed care plans have enrolled or plan to
19enroll in their quality incentive programs, and the amount of incentive payments expected
20to be made to each hospital.
21 BE IT FURTHER RESOLVED that the House of Representatives hereby urges and
22requests the Louisiana Department of Health to provide to the House Committee on
23Appropriations, on or before December 1, 2018, a copy of the managed care plans' reports
24to the department called for in this Resolution.
25 BE IT FURTHER RESOLVED that the House of Representatives hereby urges and
26requests the Louisiana Department of Health to require the managed care plans to provide
27testimony explaining their quality incentive programs at a meeting of the House Committee
28on Appropriations or the Joint Legislative Committee on the Budget prior to the
29implementation of any quality incentive program.
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HR NO. 252
1 BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the
2governor and to the secretary of the Louisiana Department of Health.
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 252 Original 2018 Regular Session Bacala
Urges and requests the La. Department of Health (LDH) to require all Medicaid managed
care plans to participate in the quality incentive program.
Requests further that LDH do all of the following in connection with the Quality Incentive
Program:
(1)Require the Medicaid managed care plans to report to LDH their quality incentive
criteria, how those criteria will improve the quality of care for Medicaid recipients,
how costs will be reduced, what efforts were made to allow all hospitals to
participate, which hospitals managed care plans have enrolled or plan to enroll in
their quality incentive programs, and the amount of incentive payments expected to
be made to each hospital.
(2)Provide to the House Committee on Appropriations, on or before Dec. 1, 2018, a
copy of the managed care plans' reports to LDH.
(3)Require managed care plans to provide testimony explaining their quality incentive
programs at a meeting of the House Committee on Appropriations or the Joint
Legislative Committee on the Budget prior to the implementation of any quality
incentive program.
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