Louisiana 2025 Regular Session

Louisiana House Bill HR312

Introduced
6/8/25  

Caption

Requests the Louisiana Department of Health to address oversight gaps in the managed care incentive payment program

Impact

The resolution emphasizes that between 2018 and 2023, Louisiana invested nearly $2.5 billion in Medicaid incentive payments aimed at improving health equity and addressing social drivers of health. However, the lack of rigorous performance tracking and outcome assessment has raised concerns regarding transparency and cost-effectiveness. By urging improvements in the MCIP program’s oversight, HR312 aims to better align these investments with tangible health outcomes for Louisiana's Medicaid beneficiaries.

Summary

House Resolution 312 urges the Louisiana Department of Health (LDH) to address oversight gaps in the managed care incentive payment program (MCIP). This resolution comes in response to recommendations made by the Louisiana legislative auditor, which highlighted the need for clearer outcome definitions, improved data reporting, and effective performance evaluation mechanisms. The resolution stresses the importance of ensuring that the state’s substantial investment in various Medicaid initiatives translates into measurable health benefits for vulnerable populations.

Sentiment

Overall sentiment around HR312 is positive, reflecting a consensus on the need for improved oversight and accountability within state health programs. Legislative support, demonstrated by a vote of 91 to 0 in favor of the resolution, indicates a united front in recognizing the importance of effectively utilizing Medicaid funds to serve the most marginalized communities. The willingness to enhance program metrics to assess the impact reinforces a collective commitment to health equity.

Contention

Despite its generally favorable reception, some concerns may arise regarding the practical implementation of enhanced oversight and the adjustments needed within the LDH to facilitate these changes. Stakeholders, including managed care organizations (MCOs) and community partners, may express varying opinions on how new performance metrics will impact existing operations and funding allocations. The resolution calls for collaboration to address these potential challenges while emphasizing the need for evidence-based practices aligned with Medicaid goals.

Companion Bills

No companion bills found.

Previously Filed As

LA HR246

Requests the Louisiana Department of Health, through its Medical Care Advisory Committee, or the creation of a subcommittee thereof, to study ways for Medicaid to invest in community-based social service organizations that address health-related social needs and determinants

LA HR248

Requests the Louisiana Department of Health to form a group to study alternative tools to inform reimbursement rates for outpatient behavioral health services

LA HR272

Requests the Louisiana Department of Health to study and promulgate additional rules for single broker NEMT services relative to compliance and oversight

LA HR275

Requests that the Louisiana Department of Health review sickle cell disease legislation

LA HCR92

Requests study by Louisiana Department of Health to consider Medicaid coverage of gene therapy

LA SR134

Requests the Louisiana Department of Health to conduct a comprehensive review of current sickle cell disease legislation.

LA HB704

Creates the pharmacy benefit managers quality incentive program (RE SEE FISC NOTE SG RV See Note)

LA SB171

Creates the pharmacy benefit managers quality incentive program. (gov sig) (RE1 SG EX See Note)

LA HCR123

Requests the Department of Insurance to report certain information regarding the Insure Louisiana Incentive Program

LA HR200

Requests the Louisiana Department of Health to form a group to study alternative tools to inform reimbursement rates for intermediate care facilities

Similar Bills

No similar bills found.