SLS 25RS-361 ORIGINAL 2025 Regular Session SENATE BILL NO. 102 BY SENATOR ALLAIN Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. HEALTH CARE. Provides relative to obstetric care. (gov sig) 1 AN ACT 2 To enact R.S. 40:1124.3, relative to obstetric care; to provide for legislative intent; to 3 provide for access to obstetric care; to provide for duties of the Louisiana 4 Department of Health; to provide for an effective date; and to provide for related 5 matters. 6 Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 40:1124.3 is hereby enacted to read as follows: 8 ยง1124.3. Access to obstetric care 9 A. The legislature finds and declares the following: 10 (1) According to the March of Dimes, nearly one-third of parishes in 11 Louisiana are defined as maternity care deserts, which means there are no 12 obstetric providers and no hospitals or birth centers offering obstetric care. 13 (2) Although pregnant women may have health insurance coverage 14 through either private insurance or Medicaid, that coverage is meaningless if 15 there are no obstetric providers in the area to take care of the pregnant woman. 16 (3) Pregnant women in some rural areas of the state have to travel up to 17 an hour to reach an obstetric provider. In emergency situations, the travel time Page 1 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 102 SLS 25RS-361 ORIGINAL 1 can be the difference between life and death for the pregnant woman and her 2 unborn child. 3 (4) Louisiana has one of the highest maternal and infant mortality rates 4 in the United States, and as hospitals continue to close their obstetric units, the 5 number and severity of these maternal care deserts will continue to increase as 6 will the maternal and infant mortality rates. 7 (5) Medicaid spending increases significantly each year, with the 8 proposed Medicaid budget for Fiscal Year 2025-2026 at approximately nineteen 9 billion dollars. However, access to care and health outcomes continue to 10 decrease. 11 (6) With the amount of Medicaid funding at the Louisiana Department 12 of Health's disposal and an entire program office dedicated to women's health, 13 the department has the financial means and policy acumen to prioritize 14 maternal and fetal health in Louisiana and ensure that women throughout the 15 state have access to obstetric services. 16 B. The Louisiana Department of Health shall ensure that obstetric 17 services are available throughout the state and that no more than thirty miles 18 shall exist between each obstetric provider. The department shall utilize 19 Medicaid funds to provide funding for hospitals to provide obstetric services at 20 hospitals or satellite clinics. 21 Section 2. This Act shall become effective upon signature by the governor or, if not 22 signed by the governor, upon expiration of the time for bills to become law without signature 23 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 24 vetoed by the governor and subsequently approved by the legislature, this Act shall become 25 effective on the day following such approval. Page 2 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 102 SLS 25RS-361 ORIGINAL The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Senate Legislative Services. The keyword, summary, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] DIGEST SB 102 Original 2025 Regular Session Allain Proposed law provides for legislative intent regarding maternal care deserts and the role of the La. Dept. of Health in ensuring access to obstetric care. Proposed law requires the La. Dept. of Health to ensure that obstetric services are available throughout the state and that no more than 30 miles exists between each obstetric provider. Proposed law requires the La. Dept. of Health to utilize Medicaid funds to provide funding for hospitals to provide obstetric services at hospitals or satellite clinics. Effective upon signature of the governor or lapse of time for gubernatorial action. (Adds R.S. 40:1124.3) Page 3 of 3 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.