Prohibits elective surgical, medical, and dental procedures for prison inmates. (8/1/20)
Impact
The legislation directly impacts the delivery of healthcare within the prison system, shifting focus solely to medically necessary treatments. This means that services classified as elective, which may have previously been available, will no longer be funded. Furthermore, the bill specifies that no Medicaid funds can be allocated for treatments undermining federal Medicaid regulations, indicating a cautious approach toward managing taxpayer resources. The legislative auditor is also required to produce a report on medical service delivery within specified fiscal years, providing oversight and transparency regarding inmate healthcare costs.
Summary
Senate Bill 361, effective August 1, 2020, imposes significant restrictions on the healthcare services that can be provided to inmates in Louisiana correctional facilities. It specifically prohibits the provision of elective surgical, medical, and dental procedures for prisoners. The bill aims to streamline the medical services offered to inmates by ensuring that only those that are deemed medically necessary are administered, thereby controlling costs while adhering to Medicaid regulations. It also mandates that all medical treatments provided must comply with lists established by the Louisiana Department of Health, restricting options to those officially recognized for Medicaid participants.
Sentiment
The sentiment surrounding SB 361 appears mixed. Supporters argue that the bill is a necessary measure to reduce unnecessary costs associated with inmate healthcare, while emphasizing the provision of essential medical services. Conversely, critics voice concerns about the limitation on medical procedures and the overall quality of care that inmates may receive, fearing that not providing elective procedures could lead to deteriorating health outcomes for inmates who may require them. This dichotomy illustrates the broader conflict between fiscal responsibility and healthcare adequacy within the correctional system.
Contention
Notable points of contention include the potential consequences of limiting healthcare to only medically necessary services, as critics argue that such restrictions can adversely impact inmate health, especially in situations where elective treatments could prevent long-term issues. Additionally, questions are raised about the adequacy of the approved services list and whether it sufficiently meets the health needs of a diverse inmate population. The balance between managing state expenditure and ensuring adequate healthcare for inmates is a central theme in the ongoing discussions surrounding SB 361.
Increases Medicaid reimbursement for in-person partial care and intensive outpatient behavioral health and substance use disorder treatment services, and associated transportation services, for adults.