Louisiana House Bill HB280

Louisiana 2018 Regular Session

• Introduced: 2/28/18
• Refer: 2/28/18
• Refer: 3/12/18

Caption

Institutes premium payment requirements in the Medicaid program

Impact

The enactment of HB 280 would lead to significant changes in Medicaid eligibility criteria. For individuals with incomes between 100% and 138% of the federal poverty level, failure to pay premiums could result in the termination of their Medicaid eligibility after 60 days. Additionally, the bill introduces a tiered benefits structure where enrollees who pay premiums receive expanded health care services, while those who do not will receive limited benefits. This dynamic could lead to increased patient responsibility in managing their health care finances.

Summary

House Bill 280 aims to amend the Medicaid program in Louisiana by instituting premium payment requirements for certain enrollees. This legislation is designed to promote a consumer-driven health initiative that emphasizes personal health responsibility and seeks to enhance access to health services while ensuring fiscal responsibility within the state's Medicaid program. The bill specifically targets newly eligible adults, those whose eligibility stems from Medicaid expansion, and sets income thresholds for premium contributions based on federal poverty levels.

Sentiment

The sentiment surrounding the bill appears mixed, reflecting a division of opinion among lawmakers and interest groups. Proponents argue that the bill encourages personal responsibility and aligns Medicaid with private health insurance models, which could alleviate some financial pressures on the state's Medicaid budget. Conversely, opponents express concern that these premium requirements may discourage low-income individuals from seeking necessary care or could disproportionately impact vulnerable populations who struggle to meet payment obligations.

Contention

Notable points of contention include the potential for disenfranchisement of low-income enrollees due to premium payments as a condition of eligibility. Some critics warn that the policy may create barriers to access for those who cannot afford additional out-of-pocket costs, potentially leaving them uninsured. The bill also raises questions about the operational feasibility of enforcing premium payments and the mechanisms that will be established for the collection of overdue premiums, such as seizing tax refunds for unpaid amounts.