Louisiana House Bill HB233

Louisiana 2013 Regular Session

• Introduced: 4/8/13
• Refer: 4/8/13
• Report Pass: 5/8/13

Caption

Creates the La. Health Care Independence Program (EG DECREASE GF EX See Note)

Impact

The introduction of HB 233 is meant to address significant gaps in Medicaid coverage within Louisiana, where many low-income families are currently uninsured or severely underinsured. By enabling broader access to health insurance, the program is anticipated to enhance overall health outcomes among participants and reduce the incidence of uncompensated care for healthcare providers. The move to use independence accounts modeled after health savings accounts is designed to encourage personal responsibility and cost-effective healthcare spending among beneficiaries.

Summary

House Bill 233, known as the Louisiana Health Care Independence Program, seeks to expand access to healthcare for low-income individuals in Louisiana by leveraging the Affordable Care Act (ACA). The bill aims to create a program that will provide premium assistance for eligible individuals to enroll in qualified health plans through the federal health insurance marketplace. It requires the Department of Health and Hospitals (DHH) to apply for federal waivers to facilitate the program's implementation, ensuring that the state can offer assistance without incurring penalties related to employer health coverage responsibilities.

Sentiment

General sentiment regarding the bill had mixed reviews among lawmakers, with proponents lauding it as a necessary step toward comprehensive healthcare reform in line with the ACA. Supporters argue that it would help many families achieve better health and financial stability. Conversely, critics raise concerns about the program's sustainability, especially in light of its dependency on federal funding and the potential for future legislative challenges in maintaining these programs beyond their initial implementation phase.

Contention

Notable points of contention include concerns regarding the program's termination provisions, which stipulate that it could end if federal medical assistance percentages are reduced. Opponents also highlight the implications of the program not being a guaranteed entitlement, posing risks to those relying on its benefits. These factors have raised debates about whether state-level reforms will adequately address the needs of vulnerable populations without over-reliance on fluctuating federal support.