Provides for a rural health clinic look-alike. (8/1/17) (EG INCREASE GF EX See Note)
Impact
The implementation of SB 88 is expected to have significant implications for state laws regarding Medicaid and healthcare delivery. By establishing a new category of healthcare provider, the bill specifically addresses the needs of rural communities with populations between 39,000 and 41,000. This targeted approach aims to improve the financial viability of healthcare providers in these areas by ensuring they receive appropriate Medicaid reimbursements, which could help attract more healthcare professionals to practice in outlying regions and thereby aid in reducing healthcare disparities.
Summary
Senate Bill 88, enacted on August 1, 2017, aims to enhance healthcare access in specific rural areas of Louisiana by creating 'rural health clinic look-alike' entities. This new designation allows certain healthcare providers, such as physicians, advanced practice registered nurses, and physician assistants who do not meet the federal criteria of a rural health clinic but are within two miles of a qualifying location, to receive Medicaid reimbursements equivalent to those of certified rural health clinics. The bill's intention is to tackle the unique healthcare challenges faced by underserved populations in smaller parishes.
Sentiment
The sentiment surrounding SB 88 appears to be generally positive, particularly among stakeholders who advocate for improved healthcare access in rural areas. Proponents argue that the bill fills a critical gap in healthcare provision by allowing more providers to offer essential services to local communities. This sentiment is rooted in the understanding that enhanced reimbursement mechanisms can lead to better availability of care for vulnerable populations. However, there are concerns regarding the sustainability of funding for these enhancements and the potential for administrative complexities in managing these new provider designations.
Contention
While SB 88 has received support for its intent to boost healthcare access, some critics raise points of contention regarding its feasibility and the potential impact on existing rural health clinics. Questions have been raised about the regulatory burdens that may accompany the creation of look-alike entities and whether these entities will adequately meet the healthcare needs of local populations. Furthermore, ensuring that the reimbursement mechanisms can be reliably funded through federal matching funds remains a crucial factor in the bill's long-term success.
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.