Requests the Louisiana Department of Health to increase eligibility requirements for the Medicaid Purchase Plan.
Impact
The bill seeks to amend the restrictive income and asset limits imposed in 2014, which currently stand at $1,215 per month for individuals and $1,644 for families of two. Many working individuals with disabilities find themselves forced to choose between maintaining their employment and receiving critical support services due to these limitations. The resolution advocates for a return to original thresholds that would allow individuals to pursue employment while still benefiting from essential Medicaid services. This adjustment would significantly impact the lives of many Louisianans, enabling them to participate in the workforce and contribute to their communities.
Summary
Senate Concurrent Resolution No. 17 (SCR17) urges the Louisiana Department of Health to increase eligibility requirements for the Medicaid Purchase Plan (MPP) to the original countable income and asset limits. The MPP is designed for employed individuals with disabilities, providing essential healthcare coverage and personal assistance services. Initially, the program allowed individuals to earn up to 250% of the Federal Poverty Limit, but significant reductions in eligibility criteria in 2014 have made it increasingly difficult for individuals to remain employed without losing their vital health services.
Sentiment
Overall sentiment regarding SCR17 appears to be supportive among advocates for individuals with disabilities. The resolution received unanimous approval from the Louisiana Senate, highlighting a significant legislative consensus on the need to reassess and revise the current regulations governing the MPP. Advocates argue that increasing the income and asset thresholds would foster greater inclusivity and help individuals with disabilities live fulfilling, independent lives while maintaining their roles as active members of society. However, the proposal may also spark debates about Medicaid funding and resources, with potential concerns around budgetary implications for the state.
Contention
Notably, the primary contention surrounding SCR17 lies in the balance between ensuring proper support for employed individuals with disabilities and the fiscal responsibilities of the Louisiana Department of Health. While there is agreement on the need for adjusting the eligibility requirements, discussions may emerge regarding how such changes could impact state budgets and the allocation of resources. Legislators will need to weigh the economic benefits of increased employment among individuals with disabilities against the potential costs of providing expanded Medicaid services.
Requests the Louisiana Department of Health to study and report on gaps in acute healthcare access for individuals with intellectual and developmental disabilities
MEDICAID MANAGED CARE: Requests that the Louisiana Department of Health require the submission of Managed Care Incentive Payment (MCIP) transparency reports
Requests the Louisiana Department of Health and Louisiana commercial health insurance payors to increase reimbursement rates for behavioral health crisis centers operating under a crisis receiving center license.
Directing The Department Of Health And Social Services To Submit A State Plan Amendment Increasing Eligibility For Medicaid Long Term Services And Supports.
Relates to program eligibility for plans comparable to Medicare part D; provides for analysis of health plans by the department of health to determine whether such health plans meet or exceed the Medicare part D standard; requires the department of health, in consultation with the department of financial services, to notify prescription drug insurers of the provisions of this act.