HB 658: MEDICAID: Establishes the Medicaid Trust Fund for Addiction Recovery (EN INCREASE RV See Note) - Louisiana

HB658 Original → HB658 Act · 8 edits

MODERATE

The bill was finalized as Act No. 392, changing the document title from a draft to an enrolled act. The text was cleaned up to remove redundant headers and formatting artifacts. Substantively, the bill establishes a Medicaid Trust Fund for Addiction Recovery, defining eligible providers and specifying how funds can be used for wage enhancements, reimbursement systems, and federal overpayment recoveries.

Scope change

The bill's scope remains focused on establishing a specific trust fund for addiction recovery services, with no expansion or contraction of the program's applicability.

TECHNICAL

The document header was updated from 'HB 658 Original' to 'ENROLLED' and 'ACT No. 392', indicating the bill has passed all legislative stages and is now law.

Page numbering was adjusted from 'Page 1 of 5' to 'Page 1 of 4' and subsequent pages were renumbered to reflect the final version.

Redundant headers and the specific title 'MEDICAID: Establishes the Medicaid Trust Fund for Addiction Recovery' were removed as they were part of the original draft markup.

Minor grammatical adjustments were made, such as changing 'intergovernmental transfer program' to 'intergovernmental transfers' and 'self-assessed fees' to 'self- assessed fees'.

DEFINITION

A specific definition for 'addiction provider' was added, clarifying that it includes licensed healthcare providers offering inpatient/residential treatment, intensive outpatient treatment, or withdrawal management.

FISCAL

New provisions were added detailing that monies in the fund can be used as state matching funds for enhanced payments to addiction providers.

New authority was granted to impose fees on addiction providers for healthcare services, with proceeds directed to the Bond Security and Redemption Fund.

REQUIREMENT

New requirements were established for the Louisiana Department of Health to adopt a plan for wage enhancements for direct care personnel in addiction provider settings.

HB658 Enrolled → HB658 Original · 8 edits

MODERATE

The bill was renumbered from 'Enrolled' to 'Original' and expanded to include a new title establishing a Medicaid Trust Fund for Addiction Recovery. The scope was broadened to allow funds to support local government-owned healthcare facilities, while the funding rules were tightened to restrict the use of principal for re-basing rates and limit appropriations to investment earnings.

Scope change

The bill's scope expanded to include local government-owned health care facilities and programs as eligible recipients of enhanced payments, in addition to private addiction providers.

TECHNICAL

The bill header was changed from 'HB658 Enrolled' to 'HLS 25RS-1146 ORIGINAL', indicating a status change in the legislative process.

SCOPE

A new title was added to explicitly establish the 'Medicaid Trust Fund for Addiction Recovery'.

Eligibility for enhanced payments was expanded to include local government-owned health care facilities and programs, alongside existing addiction providers.

FISCAL

The definition of 'addiction provider' was updated to include local government-owned facilities, and the list of allowable fund uses was expanded to cover costs for these new entities.

Rules regarding the use of the fund's principal were clarified to limit re-basing of reimbursement rates to the approved state Medicaid plan, preventing principal depletion for this purpose.

Appropriation rules were modified to ensure that only earnings on investment can be used for state matching funds, protecting the fund's principal for future needs.

New provisions were added to allow fees collected from addiction recovery providers to be used for federal matching requirements, increasing the fund's potential revenue.

REQUIREMENT

Reporting requirements were updated to include the Intergovernmental Transfer Subcommittee, reflecting the new focus on local government participation.

HB658 Engrossed → HB658 Enrolled · 5 edits · Jun 20, 2025

MODERATE

The bill was finalized as an Enrolled version, removing the specific title 'Medicaid: Establishes the Medicaid Trust Fund for Addiction Recovery' and updating page counts from 5 to 4. Substantive text changes include clarifying that monies in the fund can be used for state matching funds to pay addiction providers, redefining 'addiction provider' to include specific treatment services, and establishing a new fee structure where the Department of Health can charge addiction providers for services, with those fees credited to the Bond Security and Redemption Fund.

Scope change

The scope of the bill remains focused on addiction recovery funding, but the definition of eligible providers was expanded to explicitly include inpatient/residential treatment, intensive outpatient treatment, and withdrawal management.

DEFINITION

The definition of 'addiction provider' was updated to explicitly list inpatient/residential substance use treatment, substance use intensive outpatient treatment, and withdrawal management as eligible services.

FISCAL

The fund's usage rules were clarified to allow monies to serve as state matching funds for enhanced payments to addiction providers.

Fees collected from providers under the new authority are now directed to the Bond Security and Redemption Fund rather than the Medicaid Trust Fund.

REQUIREMENT

A new provision authorizes the Department of Health to impose fees on addiction providers for healthcare services, provided the fees do not exceed the state's cost of providing those services.

TECHNICAL

Minor formatting changes were made, including updating the page count from 5 to 4 and adjusting line breaks and spacing.

MEDICAID: Establishes the Medicaid Trust Fund for Addiction Recovery (EN INCREASE RV See Note)

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