Requests the La. Department of Health to ensure that Medicaid managed care organizations cover and pay for certain respiratory panels
Impact
If adopted, HR107 would have a significant impact on state healthcare policies by mandating that Medicaid managed care organizations do not impose unnecessary restrictions on coverage for respiratory panels. This would align with the growing need for comprehensive testing options to address the ongoing challenges posed by the COVID-19 pandemic and other respiratory diseases. The resolution underscores the importance of timely and effective diagnosis and treatment in limiting the spread of infections, which could lead to improvements in overall public health in Louisiana.
Summary
House Resolution 107 (HR107) requests the Louisiana Department of Health to ensure that Medicaid managed care organizations provide coverage and payment for certain respiratory panels. The resolution emphasizes the need for these panels, particularly in the context of the COVID-19 pandemic, highlighting their role in detecting and treating respiratory infections. The use of these tests has increased as they allow for the identification of various respiratory illnesses, thus improving patient outcomes and ultimately aiding in public health efforts.
Sentiment
The general sentiment surrounding HR107 appears to be positive, with strong support from legislators who recognize the value of expanding access to critical testing resources. The unanimous vote of 97-0 in the House further indicates broad bipartisan support for the bill. However, there may be underlying concerns about the operational implications for Medicaid managed care organizations and how they will implement these changes in coverage.
Contention
Despite the strong support, there may be potential contention regarding the logistics of expanding coverage for respiratory panels. Managed care organizations might raise concerns about reimbursement rates and the potential financial impact of covering additional tests. Though the resolution is aimed at enhancing healthcare access, there are practical challenges in ensuring that all stakeholders are aligned with the new requirements, particularly in terms of payment structures and provider compliance.
Requests the Louisiana Department of Health to update the Medicaid outpatient laboratory fee schedule to cover all CPT codes related to respiratory viral panels.
Requests the Louisiana Department of Health and its Medicaid program to update the outpatient laboratory fee schedule to reflect coverage of all related Current Procedural Terminology codes for respiratory viral panels
Requests the La. Department of Health to authorize coverage through the Medicaid managed care program for services delivered by chiropractic physicians
Provides relative to Medicaid and certain managed health care organizations providing health care services to Medicaid beneficiaries. (1/1/14) (RR1 See Note)
Relating to the use of epinephrine auto-injectors and medication designated for treatment of respiratory distress on public and private school campuses.