Bill > HB595

This bill amends Louisiana's Medicaid TEFRA (Tax Equity and Fiscal Responsibility Act) option program to expand eligibility criteria for children with disabilities. Currently, children must require a level of care typically provided in a hospital, skilled nursing facility, or intermediate care facility to qualify for the program. The bill adds a new provision that allows children with sickle cell anemia to meet the eligibility requirements if they have frequent emergency hospital visits, specifically if they require emergency care more than once per month within a twelve-month period and these hospital visits are medically necessary to stabilize their condition. This modification aims to provide Medicaid coverage for children with sickle cell anemia who may not have previously qualified under the existing care level requirements, potentially improving access to healthcare for these vulnerable patients.

Budget and Finance, Health and Social Services

https://www.legis.la.gov/legis/BillInfo.aspx?s=25rs&b=HB595&sbi=y