LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: HB 80 HLS 24RS 242
Bill Text Version: ENROLLED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: June 2, 2024 5:38 PM Author: ECHOLS
Dept./Agy.: LDH/Medicaid
Subject: Non emergency medical transportation Analyst: Shawn Hotstream
MEDICAID EN GF EX See Note Page 1 of 1
Authorizes transportation network companies to provide nonemergency medical transportation services through the state
Medicaid program
Proposed law authorizes transportation network companies to provide non emergency medical transportation (NEMT)
services through the Louisiana Medicaid program. Proposed law authorizes LDH to promulgate rules setting requirements for
companies and drivers to act as Medicaid transportation providers, including requirements for enrollment and specifications
for the vehicles used and any requirements that may be necessary to conform to applicable federal Medicaid transportation
requirements. Proposed law requires drivers providing NEMT to Medicaid enrollees must complete a criminal background
check. Proposed law provides that LDH may require such transportation network companies to be under contract with a
transportation broker that is under contract with a managed care organization or the department. Proposed law provides
that no ambulance, emergency medical response vehicle, or EMS practitioner shall be used for the purpose of providing non
emergency medical transportation.
EXPENDITURES 2024-25 2025-26 2026-27 2027-28 2028-29 5 -YEAR TOTAL
State Gen. Fd. SEE BELOW SEE BELOW SEE BELOW SEE BELOW SEE BELOW
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds SEE BELOW SEE BELOW SEE BELOW SEE BELOW SEE BELOW
Local Funds $0 $0 $0 $0 $0 $0
Annual Total
REVENUES 2024-25 2025-26 2026-27 2027-28 2028-29 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
EXPENDITURE EXPLANATION
This measure authorizes transportation network companies to be reimbursed by Medicaid for providing non emergency
medical transportation services (NEMT) to Medicaid enrollees. Additional costs to the Medicaid program are indeterminable,
and will depend on trip pricing/reimbursement rates paid to the new providers and the potential for transportation trip
utilization increases. LDH does not anticipate an increase in overall program cost based on minimal projected increases in
utilization under this measure, and maintaining their current reimbursement rates paid to existing NEMT providers. Although
the number of providers that no shows and broker cancellations will likely be reduced, LDH indicates canceled trips represent
only 2% (approximately 14,000 annually) of total trips, and projects a minimum increase in trips, resulting in no impact to
Medicaid premium payments in the future.
REVENUE EXPLANATION
There is no anticipated direct material effect on governmental revenues as a result of this measure.
Senate Dual Referral Rules House
13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Patrice Thomas
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Deputy Fiscal Officer