Senate Bill No. 130 aims to enhance the integrity of the Medicaid program in Louisiana by enacting new measures to verify ongoing eligibility for recipients. The bill establishes a new Subpart F under the Louisiana Revised Statutes, which outlines the responsibilities of the Louisiana Department of Health (LDH) in ensuring that Medicaid benefits are provided only to those who are truly eligible. Key provisions include the prohibition of accepting eligibility determinations from certain federal exchanges, the discontinuation of ex parte renewals unless mandated by federal law, and the requirement for the LDH to independently verify eligibility through enhanced data matching and verification platforms.

Additionally, the bill mandates that the LDH regularly cross-checks Medicaid recipients' information with various state and federal agencies to identify any changes in circumstances that may affect eligibility. It also requires the department to publicly disclose aggregate data related to noncompliance and fraud investigations. Furthermore, the bill defines what constitutes income for Medicaid eligibility, encompassing various sources such as wages, unemployment benefits, and rental income. The proposed measures are intended to prevent fraud and ensure that Medicaid resources are allocated to those in genuine need. The bill will take effect upon the governor's signature or after the designated time for gubernatorial action.