MEDICAID: Provides for other rural hospital reimbursement payments and directed payments (EG +$6,691,832 GF EX See Note)
HB 1185 amends Louisiana state statutes to establish a funding mechanism for Medicaid reimbursements specifically designated for other rural hospitals. The bill requires the state department to make these payments by September 1, provided the hospitals are current on all assessment obligations and not in arrears. It includes strict provisions to ensure that these new funds are supplemental and cannot be used to offset or reduce any existing federal, state, or local funding streams for rural healthcare facilities. Additionally, the legislation mandates that the implementation of these payments must not result in any reduction of current Medicaid reimbursement rates for these hospitals.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 31, 2026
Last action Apr 27, 2026
Maddy AI version diff · 1 comparison
What changed between versions
HB1185 Original
→
HB1185 Engrossed
·
3 edits
MINOR
The bill was amended to reorganize the legislative findings and add a specific population threshold to the definition of an 'other rural hospital.' The changes clarify that these hospitals must be located in municipalities with fewer than 23,000 residents to qualify for the new payment methodologies, ensuring the program targets smaller, more vulnerable communities.
Scope change
The bill's scope was narrowed by adding a population limit to the eligibility criteria for 'other rural hospitals.' Previously, the definition relied only on bed count and location outside metropolitan areas; now, the municipality's population must be under 23,000.
ELIGIBILITY
Added a requirement that eligible 'other rural hospitals' must be located in a municipality with a population of less than twenty-three thousand residents.
DEFINITION
Updated the definition of 'other rural hospital' to include the new population threshold alongside existing bed count and emergency room requirements.
TECHNICAL
Reordered and renumbered the legislative findings to improve clarity and flow, shifting the focus on financial challenges and managed care to different positions in the list.
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
4
Key actions
1
Committee
3
Apr 27, 2026
Committee
Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
lower
Apr 23, 2026
Lower · Passed
Reported with amendments (13-0).
lower
Apr 1, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Dustin Miller
DDemocratic
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