The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christine Arbo Peck. DIGEST SB 144 Reengrossed 2018 Regular Session Mills Present law provides major teaching hospitals with an opportunity for Medicaid reimbursement based on a hospital prospective reimbursement methodology in which Medicaid payment is made based on a predetermined fixed amount if the hospital has an affiliation with a Louisiana medical school accredited by the Liaison Committee on Medical Education and participates in at least four approved medical residency programs of which two are in medicine, surgery, obstetrics, pediatrics, family practice, emergency medicine, or psychiatry, or maintains an intern and resident full-time equivalency of at least 20 filled positions. Proposed law repeals present law. Effective upon implementation of a diagnosis-related group hospital payment methodology approved by CMS. (Repeals R.S. 40:1241) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Health and Welfare to the original bill 1. Provides that the provisions of the Act shall only become effective upon implementation of a diagnosis-related group hospital payment methodology approved by CMS.