House Resolution No. by Representative Bacala urges the Louisiana Department of Health to enhance the Monthly Medicaid Forecast Report submitted to the Joint Legislative Committee on the Budget. The resolution highlights the importance of transparency and detailed reporting in the state's Medicaid program, which is projected to expend over $21.5 billion in the fiscal year 2026. Currently, significant expenditures are reported in aggregated categories, limiting the ability of the legislature and external reviewers to assess accountability and reconcile reported expenditures with federally approved payment authorities.

The resolution requests the Department of Health to include specific disaggregated data in the report, such as detailed expenditures for managed care directed payments, fee-for-service supplemental payments, and Managed Care Incentive Payment program expenditures. It also calls for transparency regarding interagency transfers, pharmacy expenditures, and total payments received by major Medicaid provider categories. The Department is expected to implement these changes starting January 1, 2027, with a phased approach for any elements requiring additional development time.