§2175.14. Department responsibilities

A. The department shall investigate new health care delivery models as described in this Part and authorize as alternate health care models those models for which demonstration programs should be initiated using the following criteria:

(1) The feasibility of operating the model in Louisiana.

(2) The potential of the model to meet unmet health care needs.

(3) The potential of the model to reduce health care costs to consumers, third-party payors, and aggregate costs to the public.

(4) The potential of the model to improve the standards of health care delivery.

(5) The potential of the model to provide increased choices or access for patients.

B. The secretary of the department shall promulgate rules and regulations to carry out the provisions of this Part relative to the licensure of alternate health care models in accordance with the provisions of the Administrative Procedure Act.

C.(1) Upon determination that the alternate health care model is in compliance with the minimum requirements for licensure as established by the department and with other applicable state and local laws and regulations, the department shall issue a license for such period as provided in this Part.

(2) There shall be an annual license fee to be set by the department not to exceed six hundred dollars and an annual fee not to exceed five dollars per unit for any license issued in accordance with the provisions of this Part.

(3) No hospital or other facility currently licensed, certified, or allowed by existing law to operate shall be required to be licensed as an alternate health care model.

(4) Nothing herein shall be construed to allow an alternate health care model to provide long-term care services provided in a nursing facility without first complying with the provisions of R.S. 40:2116.

D. Once the alternate health care model is issued a license, the licensee shall be free to pursue reimbursement from whatever means possible for services to be provided.

E. The department shall report to the House and Senate committees on health and welfare within two years from the date of any licensure of an alternate health care model. The report shall include but not be limited to whether the alternate health care model improved access to health care, the quality of health care provided by the alternate health care model, and the cost and cost-effectiveness to the public, third-party payors, and government of the alternate health care model.

F. There shall be no more than a total of one alternate health care model as described in this Part in the demonstration program, which shall be located in either Jefferson Parish or Orleans Parish.

Acts 2003, No. 571, §1; Acts 2018, No. 206, §4.