The bill enacts Subpart F of Part VI-A of Chapter 3 of Title 46 of the Louisiana Revised Statutes, specifically R.S. 46:440.21, which establishes Medicaid program integrity measures. It emphasizes the state's commitment to protecting public benefits for those truly in need while preventing waste and fraud. The Louisiana Department of Health is tasked with implementing a comprehensive system of interagency data cross-checks to verify ongoing Medicaid eligibility and limit the use of ex parte renewals. The bill outlines specific measures, including the prohibition of accepting eligibility determinations from certain exchanges without independent verification, and mandates the use of technology and data sharing to confirm residency and income.

Additionally, the Louisiana Department of Health is required to enter into data matching agreements with various state agencies to monitor changes in circumstances that may affect Medicaid eligibility, such as employment status and residency. The department must also publish quarterly reports on its website detailing findings related to noncompliance and fraud investigations, including the number of cases investigated, improper payments, and funds recovered. The bill is set to take effect upon the governor's signature or after the designated period for bills to become law without a signature.