Requests the La. Department of Health to issue regular reports of data on Medicaid enrollees with private insurance or offers of employer-sponsored health coverage
Impact
The passing of HCR57 aims to enhance transparency regarding Medicaid enrollees' healthcare coverage status and its implications for state funds. The resolution mandates that the Louisiana Department of Health collect relevant data at two key moments: when individuals apply for Medicaid and during their eligibility redetermination. By doing so, the state hopes to gather quantifiable evidence regarding the extent of 'crowd-out' and the fiscal implications it has on the Medicaid program. This data will be reported quarterly to legislative committees, which could inform future policy adjustments and budgeting processes.
Summary
House Concurrent Resolution No. 57 (HCR57) requests the Louisiana Department of Health to collect and report data on Medicaid enrollees who have private insurance or employer-sponsored health coverage. The resolution focuses on the concept of 'crowd-out,' where individuals may switch from private health coverage to Medicaid enrollment, potentially leading to unnecessary costs for the state. It emphasizes the need to understand the impact of Medicaid on private insurance dynamics since Medicaid expansion in Louisiana began in 2016.
Sentiment
Overall, the sentiment surrounding HCR57 appears to be constructive and focused on improving understanding of the Medicaid system. Supporters of the resolution believe that collecting this data will shine a light on the costs associated with the Medicaid expansion and possibly lead to better management of healthcare resources. There may, however, be discussions around the sensitivity of the information collected and how it could be used in future legislative efforts—particularly as it pertains to safeguarding private insurance.
Contention
Notable points of contention may arise regarding the handling of the data and its implications for healthcare policy. Some critics might argue that the focus on the crowd-out phenomenon could lead towards a push for limiting Medicaid access or altering funding structures that favor private insurance over public coverage. Another potential area of contention could revolve around the need for ongoing evaluations of how changes in enrollment impact broader health outcomes and financial stability for both the Medicaid program and private insurers in Louisiana.
Requests the Department of Insurance to study and issue a report relative to the impact of health insurance coverage mandates on the cost of health insurance
Requests a report on actions by the La. Dept. of Health and Medicaid managed care organizations to comply with federal rules on interoperability of health records and patient access to health information
Requests the Department of Insurance to study and report on the status of health insurance benefits relative to postpartum diastasis recti, pelvic floor dysfunction, and breast reduction
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.