Louisiana 2013 Regular Session

Louisiana House Bill HCR122

Introduced
5/10/13  
Introduced
5/10/13  
Refer
5/13/13  
Refer
5/13/13  
Report Pass
5/14/13  
Report Pass
5/14/13  
Engrossed
5/16/13  
Engrossed
5/16/13  
Refer
5/20/13  
Refer
5/20/13  
Report Pass
5/22/13  
Report Pass
5/22/13  
Refer
5/27/13  
Refer
5/27/13  
Report Pass
5/30/13  
Report Pass
5/30/13  
Passed
6/2/13  

Caption

Directs DHH to submit a Section 1115 demonstration waiver application in order to utilize certain funding for the Medicaid program (EN INCREASE GF EX See Note)

Impact

If granted, the waiver would enable the state to draw down federal matching funds for healthcare services that are currently funded by state and local resources. This mechanism would allow Louisiana to reinvest unencumbered state funds into the Medicaid program, which is essential given the substantial decrease in the federal medical assistance percentage (FMAP) from approximately 72% to around 63%. The shift aims to secure better financial footing for the state's largest programmatic expenditure, thereby potentially improving access to healthcare services for residents.

Summary

HCR122 is a House Concurrent Resolution that directs the Department of Health and Hospitals in Louisiana to apply for a Section 1115 Medicaid demonstration waiver. This waiver would allow the state to utilize certain funding methods to receive federal matching funds for various health programs, ultimately supporting the Medicaid program amid a significant budget deficit projected at approximately $1.3 billion for the state fiscal year 2014. The bill aims to alleviate some of the financial pressure on Louisiana's healthcare system by seeking federal assistance that would help stabilize the Medicaid program's funding.

Sentiment

Sentiment surrounding HCR122 appears to be largely supportive, as it addresses critical fiscal challenges within the state's Medicaid program. Lawmakers recognize the importance of seeking additional funding sources to maintain and improve healthcare provision. However, the necessity of such a bill also reflects underlying tensions regarding state budgetary pressures and the dependency on federal funding, indicating a degree of urgency in the discussions and votes surrounding the resolution.

Contention

While there may not be significant points of contention highlighted in the discussions, some concerns could arise regarding the effectiveness of federal waivers in actually alleviating budgetary issues in the long term. Legislators could debate the implications of relying on federal matching funds and whether this might lead to potential future challenges in Medicaid management. The deadline specified in the resolution for the waiver application also adds a layer of accountability, requiring the Department to report any delays, which could be subject to scrutiny.

Companion Bills

No companion bills found.

Previously Filed As

LA SCR81

Authorizes and directs the secretary of the Department of Health and Hospitals to submit a Section 1115 Medicaid demonstration waiver to the Centers for Medicare and Medicaid Services.

LA SCR87

Directs the Department of Health and Hospitals to submit a Section 1115 Medicaid demonstration waiver to the Centers for Medicare and Medicaid Services designed to protect Medicaid and uninsured services being delivered and complement existing upper payment limit funding programs.

LA SCR108

Directs the Department of Health and Hospitals to submit a request to the Centers for Medicare and Medicaid Services to extend Louisiana's Section 1115a demonstration waiver for the Greater New Orleans Community Health Connection and authorizes the governor and the secretary of the department to identify a source or sources for matching of non-federal funds required under the extended waiver.

LA SCR160

Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.

LA SR186

Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.

LA H5792

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS -- RHODE ISLAND MEDICAID REFORM ACT OF 2008 (Joint resolution to approve an amendment to the Medicaid section 1115 demonstration waiver requests and renewals.)

LA S0412

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS -- RHODE ISLAND MEDICAID REFORM ACT OF 2008 (Joint resolution to approve an amendment to the Medicaid section 1115 demonstration waiver requests and renewals.)

LA HB1270

To Establish A Prescribed Pediatric Extended Care Pilot Program Through A Section 1115 Medicaid Demonstration Waiver; And To Declare An Emergency.

LA HB474

Provides for Medicaid expansion through a demonstration waiver program (OR SEE FISC NOTE GF EX)

LA HCR164

Urges and requests DHH to study the health impacts and fiscal benefits to La. of implementing a Medicaid 1115 demonstration waiver to expand services to people living with HIV and to report study results to certain legislative committees

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