Louisiana House Bill HB817

Louisiana 2020 Regular Session

• Introduced: 3/31/20
• Refer: 5/4/20
• Report Pass: 5/13/20
• Engrossed: 5/25/20

Caption

Provides relative to nonemergency medical transportation services in Medicaid managed care

Impact

The impact of HB 817 on state laws includes significant changes to how NEMT services are integrated into Medicaid claims processing. With the explicit recognition of NEMT providers as healthcare providers, the bill enhances their standing within state regulations. The bill also imposes new reporting requirements on claims payment timeliness, which are expected to be included in the Healthy Louisiana Claims Report. By making NEMT services a focus of audit and review, the legislation aims to increase transparency and accountability in the Medicaid claims process.

Summary

House Bill 817 pertains to the provisions and recognition of nonemergency, non-ambulance medical transportation (NEMT) services within the framework of Medicaid managed care in Louisiana. This bill expands the definition of healthcare providers to include NEMT service providers, thereby recognizing their essential role in the Medicaid system. It mandates the Louisiana Department of Health (LDH) to review the contracts and operations of NEMT brokers to ensure they do not favor out-of-state providers over local businesses. Such measures are aimed at enhancing local economic involvement and accountability within the Medicaid framework.

Sentiment

The sentiment around HB 817 appears to be largely positive among those advocating for better access to medical transportation services for Medicaid recipients. Supporters argue that clear recognition of NEMT services as part of healthcare will improve the overall quality of care for patients needing these critical transportation solutions. However, there are underlying concerns from some stakeholders regarding the administrative burdens that the new reporting requirements may impose on healthcare providers and transportation brokers.

Contention

Notably, there have been discussions regarding the implications of prioritizing local over out-of-state providers in the context of NEMT services. While the intent is to bolster local business involvement, critics may argue that it could limit competition and availability of services. Moreover, the balance between regulatory oversight and operational flexibility for NEMT brokers can invoke debate, particularly as it pertains to service delivery in diverse regions of Louisiana. These points have been a focal point in discussions surrounding the bill and its potential effects on Medicaid managed care.