HB 456: MEDICAID: Provides relative to the Local Healthcare Provider Participation Program (EN SEE FISC NOTE SG RV) - Louisiana

Senate Floor Bureau Note, #2108, McMath, Adopted → HB456 Act · 3 edits

MINOR

The bill was reorganized from a Senate floor amendment format into the final enrolled legislative act, removing procedural headers and standardizing the text for official enactment. The substantive policy content regarding hospital assessments and multi-parish funding districts remains intact, though minor text corrections were made to fix a broken sentence in the collection section.

Scope change

The bill's scope remains focused on amending specific sections of the Louisiana Revised Statutes (R.S. 40:1248.3, 1248.5, 1248.8, and 1248.9) to regulate local healthcare provider participation and funding; no new scope or applicability was added.

TECHNICAL

Removed Senate Floor Bureau Note headers, amendment tracking numbers, and page markers that were specific to the legislative process but not part of the final law.

Corrected a broken sentence in Section 1248.9 regarding collection entities, changing 'The sheriff of a Unless' to 'Unless the parish engages an appropriate collection entity' to ensure the statute is readable and enforceable.

Added standard enrolled act formatting, including the session year, act number, and formal enactment language.

HB456 Original → Senate Floor Bureau Note, #2108, McMath, Adopted · 1 edit

MINOR

The primary change is a technical correction to a federal legal citation within the bill, updating the reference from '1396(w)(3)(E)' to '1396b(w)(3)(E)'. This ensures the legislation accurately cites the correct section of the Social Security Act regarding Medicaid provider exclusions. No substantive policy changes, funding adjustments, or new requirements were introduced in this amendment.

TECHNICAL

Corrected a federal statute citation in the text to ensure legal accuracy.

HB456 Enrolled → HB456 Original · 4 edits

MODERATE

This bill was transitioned from an enrolled final version to an original prefiling draft, resulting in the removal of the official legislative header and the addition of a disclaimer stating the digest is not part of the law. The substantive legal text regarding Medicaid funding and hospital assessments remains identical between the two versions.

TECHNICAL

Removed the 'ENROLLED' status header and replaced it with 'HLS 25RS-787 ORIGINAL' to indicate this is the initial draft version before final approval.

Added a prefiling notice citing the Louisiana Constitution to establish the bill's initial filing status.

Adjusted the page count reference from 'Page 1 of 4' to 'Page 1 of 5' to reflect the inclusion of the new digest disclaimer at the end of the document.

Appended a standard legal disclaimer at the end of the document clarifying that the printed digest does not constitute the law itself.

HB456 Reengrossed → HB456 Enrolled · 3 edits · Jun 8, 2025

MINOR

The bill was finalized as an Enrolled version, removing the 'Prefiled' status and reducing the page count from 5 to 4. The most significant substantive change is the addition of a new Section 2, which clarifies that the Act becomes effective upon the Governor's signature or, if vetoed, upon legislative approval. This adds necessary constitutional language regarding the bill's effective date and veto override process.

Scope change

The bill's scope regarding Medicaid provider participation remains unchanged, but the legal text now includes explicit provisions for the bill's effective date and veto procedures.

TIMELINE

Added Section 2 to specify that the Act becomes effective upon the Governor's signature or, if vetoed, upon approval by the legislature.

TECHNICAL

Removed the header indicating the bill was 'Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution' as it is no longer relevant to the final enrolled version.

Reduced the document from 5 pages to 4 pages by consolidating content and removing the prefiled status header.

HB456 Engrossed → HB456 Reengrossed · 6 edits · May 27, 2025

MODERATE

The reengrossed version of HB 456 refines the governance structure for multi-parish funding districts by clarifying that new parishes must amend existing resolutions before joining and by defining the district's governing body as being comprised solely of appointed parish representatives. It also updates the administrative lead designation process and clarifies how excluded providers are treated in assessments. Additionally, the bill modifies collection fee language to allow sheriffs to charge reasonable fees and adjusts the effective date clause.

Scope change

The bill's scope regarding multi-parish districts was narrowed and clarified to prevent retroactive joining of new parishes, while the scope of provider assessments was adjusted to explicitly exclude providers who have been excluded by a parish.

REQUIREMENT

Added a requirement that a resolution or ordinance must be amended before any new parish can join an existing multi-parish funding district, preventing retroactive inclusion.

Updated the requirement for designating an operational and administrative lead parish, allowing the governing body to change this designation at any time.

DEFINITION

Clarified that the governing body of a multi-parish funding district consists solely of individuals appointed by the parishes within the district boundaries.

Specified that if a parish excludes providers, the definition of 'institutional provider' for assessment purposes must exclude those specific providers to ensure compliance with federal law.

FISCAL

Modified the collection fee language to allow a sheriff serving as the collection entity to charge a 'reasonable and customary fee' rather than a fee determined solely by the parish.

TIMELINE

Adjusted the effective date clause to specify that the Act becomes effective upon signature or, if not signed, upon expiration of the time for bills to become law without signature.

MEDICAID: Provides relative to the Local Healthcare Provider Participation Program (EN SEE FISC NOTE SG RV)

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