The House Resolution urges the Louisiana Department of Health to conduct a study on the feasibility of updating its Medicaid coverage policy and fee schedule to improve access to healthcare services for individuals at risk for gestational diabetes mellitus (GDM) and those already diagnosed. The resolution highlights the increasing prevalence of GDM among the Louisiana Medicaid population, which has risen from 10.2% to 14.8% in recent years. It emphasizes the importance of continuous glucose monitoring (CGM) services, which have been shown to reduce complications associated with GDM, yet current Medicaid policies only cover CGM for insulin-dependent patients, leaving many at-risk individuals without necessary support.
The resolution calls for the Department of Health to analyze potential updates to the coverage policy, assess the associated costs of expanding CGM coverage, and evaluate the long-term savings for the healthcare system. It mandates that the Department provide a written report of its findings, including a coverage policy analysis, to the House Committee on Health and Welfare by January 1, 2026. The resolution also notes that existing incentive-based reimbursement mechanisms could facilitate the expansion of coverage without requiring additional resources.