This bill amends R.S. 46:977.24(A)(6) to enhance Medicaid coverage under the TEFRA option for children with disabilities. The amendment specifies that a child may qualify for Medicaid coverage if they require a level of care typically provided in a hospital, skilled nursing facility, or intermediate care facility. Additionally, it introduces a new criterion stating that a child can meet the level of care requirement if they have presented for emergency care in a hospital more than once per month within the last twelve months, specifically for the medically necessary stabilization of sickle cell anemia.

The changes aim to ensure that children with severe health conditions, particularly those with sickle cell anemia, receive appropriate Medicaid coverage and care. The bill reflects a commitment to addressing the healthcare needs of vulnerable children by recognizing the necessity of frequent hospital visits as a valid criterion for eligibility under the TEFRA option.

Statutes affected:
HB595 Engrossed: 46:24(A)(6)
HB595 Enrolled: 46:24(A)(6)
HB595 Act 294: 46:24(A)(6)