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 373 Original 2019 Regular Session Thomas
Abstract: Creates a four-bed peer group for intermediate care facilities for people with
developmental disabilities and provides for the calculation of Medicaid per diem rates for
those facilities.
Present law provides for licensure and regulation of intermediate care facilities for people with
developmental disabilities (ICF/DD) by the La. Department of Health (LDH).
Proposed law retains present law and adds a requirement that LDH establish, for per diem rate
calculation purposes, a four-bed peer group for ICF/DD facilities that were licensed to operate
four-bed homes on the effective date of proposed law.
Proposed law requires LDH to promulgate administrative rules providing for a four-bed home peer
group for per diem rate calculation and to file with the federal Medicaid agency any state plan
amendment necessary to provide for the rate calculation.
Proposed law requires that the rules and regulations promulgated pursuant thereto provide for
calculation of per diem rates for four-bed homes in ICF/DD facilities based on the approved
methodology contained in the approved Medicaid state plan.
Proposed law stipulates that four-bed ICF/DD facilities shall receive a fair allocation of the Medicaid
share of facility-specific costs directly incurred by such facilities as a result of their compliance with
licensing requirements of LDH for four-bed homes, and that the payment of such costs shall be made
retroactive to the earliest date allowed by law.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Amends R.S. 40:2180.2(intro. para.); Adds R.S. 40:2180.2(11) and 2180.6))