RÉSUMÉ DIGEST
HCR 2 2021 Regular 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 costs associated with Full Medicaid Pricing, supplemental payments
and quality programs.
(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.
Exempts hospitals with 32 or fewer beds from the assessment, subject to the approval of the
Centers of Medicare and Medicaid Services (CMS).
Requires LDH to submit a Medicaid assessment report to the Joint Legislative Committee
on the Budget prior to the levy of the assessment.
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.
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, 2021, with the
exception of certain exclusions.
Requires LDH to submit any necessary state plan amendment that may be required to
implement this Resolution no later than 120 days following the adoption of this Resolution.
Requires LDH to model various Medicaid financing options to finance the Louisiana
Medicaid hospital reimbursement system. Further provides for certain requirements of such
options. Requires LDH to report to the Joint Legislative Committee on the Budget and to
work with the Joint Medicaid Oversight Committee.
Authorizes the legislative auditor to collect information to complete a detailed analysis of
the Medicaid hospital reimbursement methodology and supplemental payment programs and
to provide such information to the legislature for review.