House Bill No. [insert number] establishes the Medicaid Trust Fund for Addiction Recovery in Louisiana, as outlined in Chapter 54-A of Title 46 of the Louisiana Revised Statutes. The fund will be a permanent trust established in the state treasury, receiving deposits from various sources, including intergovernmental transfers. The bill mandates that the treasurer invest the fund's money similarly to the state general fund, ensuring that unexpended and unencumbered funds at the end of the fiscal year remain intact. The funds can be utilized as state matching funds for Medicaid, with specific provisions for their use, including re-basing reimbursement rates for addiction providers and enhancing payments to local government-owned healthcare facilities.

Additionally, the Louisiana Department of Health is authorized to impose fees on addiction recovery providers for healthcare services, with the fees capped at the total cost of providing those services. The bill stipulates that these fees will be considered allowable costs for insurance reimbursements and will be deposited into the Medicaid Trust Fund for Addiction Recovery. The principal from various sources, including opioid settlement proceeds, will require a two-thirds legislative approval for appropriation, ensuring that funds are allocated for specific purposes related to addiction recovery services. The bill is set to take effect upon the governor's signature or after the lapse of the time for gubernatorial action.