Requires the Department of Health to amend the Medicaid state plan to include certain additional pregnancy and postpartum coverage. (7/1/25) (EG +$7,769,540 GF EX See Note)
Impact
The bill seeks to amend existing laws regarding pregnancy and postpartum healthcare, making it a significant step in addressing maternal morbidity and mortality issues within the state. Currently, women enrolled in Medicaid experience various health issues after delivery, which indicates a pressing need for improved healthcare access. By expanding eligibility for postpartum Medicaid coverage to all pregnant women whose income is up to 185 percent of the federal poverty level, SB135 aims to minimize disruptions in care, ultimately ensuring better health for mothers and their infants.
Summary
Senate Bill No. 135, introduced by Senator Duplessis, aims to enhance Medicaid coverage for pregnant women in Louisiana by mandating that the Department of Health amend the state plan to provide for twelve months of postpartum coverage. This initiative is driven by legislative findings that highlight the state's high maternal death rates and the increased risk of complications for low-income women. The proposed changes intend to improve health outcomes through better access to outpatient care and ensure that women do not lose critical health coverage immediately following childbirth.
Sentiment
Support for SB135 is generally positive among public health advocates and stakeholders who recognize the necessity of continuous healthcare coverage for women after childbirth. They believe that access to postpartum care is crucial for reducing maternal mortality rates and improving overall public health outcomes. However, the bill may face scrutiny from budget-conscious lawmakers who may be concerned about the financial implications of extending Medicaid coverage. Legislative discussions would likely center on balancing financial feasibility with the urgent need for improved maternal healthcare services.
Contention
A notable point of contention surrounding SB135 may arise regarding the funding mechanisms needed to support the expansion of coverage. While the bill repeals a previous provision that mandated financing through self-generated revenues, there may still be debates over the fiscal impact on the state's budget. Additionally, stakeholders may argue about the adequacy of existing healthcare infrastructure to support the influx of women potentially utilizing these services, indicating a need for comprehensive planning and resource allocation to implement the bill successfully.
Urges and requests the Louisiana Department of Health to amend the state Medicaid plan to extend pregnancy coverage to individuals at or below 185% of the federal poverty level.
Provides relative to Medicaid reimbursement for services provided by a licensed midwife or certified nurse midwife. (8/1/23) (EN +$39,972 GF EX See Note)
Urges and requests the Louisiana Department of Health to assist in the development of a public service campaign to foster awareness and education on perinatal mental health care.
Requests the Louisiana Department of Health to authorize coverage through the Medicaid program for portable oxygen concentrators, when medically necessary.
To Amend The Medicaid Fraud Act And The Medicaid Fraud False Claims Act; And To Update Language And Definitions To Reflect Changes Within The Healthcare System;.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Requires Medicaid reimbursement for covered behavioral health services provided by local education agency to student who is eligible Medicaid beneficiary.
Provides for presumptive eligibility for home and community-based services and services provided through program of all-inclusive care for the elderly under Medicaid.