Louisiana House Bill HR224

Louisiana 2017 Regular Session

• Introduced: 6/7/17
• Passed: 6/8/17

Caption

Urges and requests the Louisiana Department of Health and the commissioner of administration to issue a Request for Proposals or Request for Applications for the purpose of providing managed long term services and supports

Impact

The bill aims to address significant financial challenges by promoting managed long term care, which proponents argue could lead to substantial cost savings for the state. Past reports suggest potential savings of around $70 million, while various fiscal notes indicate that implementing managed care could create additional tax revenues estimated at up to $100 million annually, primarily through a proposed 5.5% tax on existing long term care expenditures. The expectation is that by improving the efficiency and management of long term services, the Louisiana Department of Health could mitigate budget reductions while enhancing service delivery.

Summary

House Resolution 224, introduced by Representatives Edmonds and Bacala, urges the Louisiana Department of Health and the commissioner of administration to issue a Request for Proposals or Request for Applications for managed long term services and supports specifically for Medicaid-eligible recipients. This initiative is particularly aimed at those who also receive Medicare services, with the exception of the developmentally disabled Medicaid-eligible population. The resolution underscores the crucial need for a structured approach to managed long term care in light of extensive budget deficits faced by the state, projected to reach $1.5 billion in the following fiscal year.

Sentiment

Overall sentiment surrounding HR224 appears supportive among lawmakers who view it as a critical measure to stabilize the state’s finances and improve Medicaid services. The passing of the resolution with a vote of 64 to 31 indicates a substantial majority favoring the initiative. However, concern remains around the exclusion of developmentally disabled populations from this managed care approach, signifying potential dissent among advocates for the disabled community who may feel overlooked.

Contention

Noteworthy points of contention include the decision to exempt developmentally disabled Medicaid-eligible individuals from the managed care proposal, which some advocates argue could leave a vulnerable population without the necessary support. Critics of the bill fear that focusing solely on cost savings may undermine the quality of care provided. The tension between fiscal responsibility and comprehensive care for all eligible populations will continue to be a focal point in discussions surrounding this legislative initiative.