This bill amends R.S. 46:977.24(A)(6) to enhance Medicaid coverage for children under the TEFRA option, specifically addressing eligibility criteria related to severe health conditions. The amendment clarifies 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 provision 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. By expanding the criteria for eligibility, the bill seeks to provide better access to necessary medical services for affected children, thereby improving their overall health outcomes.

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