RÉSUMÉ DIGEST
HCR 2 2020 First Extraordinary Session Schexnayder
Provides for a hospital stabilization formula pursuant to Art. VII, §10.13 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.
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
reimbursement rates in effect for dates of service on or after Jan. 1, 2020, with the
exception of certain exclusions.
(3)For dates of service on or after Jan. 1, 2020, inpatient hospital services and outpatient
hospital surgery services reimbursement rates increased by an amount equal to the
"Four-quarter Moving Average Percent Change" of the CMS Market Basket Index
for Inpatient Hospital for the second quarter of the Federal FY 2021 as published by
CMS on December 9, 2019.
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.