Louisiana 2026 Regular Session

Louisiana House Bill HCR3

Introduced
2/24/26  
Refer
2/24/26  
Refer
3/9/26  
Report Pass
4/13/26  
Engrossed
4/20/26  

Caption

Provides for a hospital stabilization formula (EG1 +$659,764,552 SD RV See Note)

Impact

The bill proposes a structured approach to hospital funding that integrates assessments tied to hospitals' net patient revenues. The intent is to generate a consistent revenue stream that addresses the challenges faced by hospitals, particularly in rural areas, by creating a stabilization program that can adapt to the healthcare market's needs. Furthermore, it seeks to provide financial stability to healthcare providers by ensuring they are compensated fairly for services rendered, thereby enhancing healthcare access and quality throughout Louisiana.

Summary

HCR3, introduced by Representative McFarland, establishes a hospital stabilization formula as part of Louisiana's healthcare system, particularly focusing on inpatient and outpatient services. This resolution enables the Louisiana Department of Health (LDH) to impose assessments on certain hospitals, with rates varying based on the type of hospital and its revenue levels. The funding generated through these assessments aims to maintain the availability and quality of hospital services across the state while mitigating the financial impacts on uninsured patients by enhancing overall hospital funding without relying heavily on state general funds.

Sentiment

Overall, sentiment around HCR3 is mixed, reflecting the diverse perspectives on healthcare funding in the state. Proponents advocate that the formula will provide necessary support to struggling hospitals and protect vital healthcare services for communities, especially in underfunded rural areas. Critics, however, may express concern regarding the financial burden placed on hospitals through assessments, questioning the long-term sustainability of such a funding model and its potential implications on patient care costs.

Contention

Notable points of contention revolve around the proposed assessments and their applicability to various types of hospitals. The exemption of certain facilities from these assessments, including small urban hospitals and freestanding psychiatric facilities, has raised questions about equity in funding and the overall efficacy of the strategy. Additionally, the requirement for CMS approval for the directed payment arrangement adds an element of uncertainty regarding the implementation timeline and real-time adaptability of the bill's provisions.

Companion Bills

No companion bills found.

Previously Filed As

LA HCR2

Provides for a hospital stabilization formula (EN +$648,232,241 SD RV See Note)

LA HB683

Provides relative to the disposition of certain state revenues through repeal of the Revenue Stabilization Trust Fund and dedication of certain revenues to the Budget Stabilization Fund. (EG SEE FISC NOTE GF RV See Note)

LA SCR2

Provides for legislative approval of the MFP formula for the 2025-2026 school year. (7/1/25) (OR +$49,880,040 GF EX See Note)

LA HB467

Requires health insurance coverage for amino acid-based elemental formulas (EN INCREASE GF EX See Note)

LA HB540

Provides relative to video poker (EN INCREASE SD RV See Note)

LA HB678

(Constitutional Amendment) Modifies disposition of certain state revenues through repeal of the Revenue Stabilization Trust Fund and deposits of certain revenue streams into the Budget Stabilization Fund (RRF INCREASE GF RV See Note)

LA HB185

Provides for the methodology the State Board of Elementary and Secondary Education uses to count students for purposes of the minimum foundation program (MFP) formula (OR +$100,000 GF EX See Note)

LA HB555

Provides relative to medical intervention (EG INCREASE SD RV See Note)

LA HB403

Provides for the imposition of fines for driving offenses (EN INCREASE SD RV See Note)

LA HB144

Provides for the creation of a hospital service district

Similar Bills

No similar bills found.