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HB 595

MEDICAID: Provides relative to Medicaid coverage through the TEFRA option program (EN SEE FISC NOTE GF EX)

2025 Regular Session Introduced by Tammy Phelps

Louisiana modifies Medicaid TEFRA option coverage for disabled and elderly individuals, effective August 2025, with unspecified fiscal implications for state healthcare spending.

Signed by the Governor. Becomes Act No. 294.
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Bill Summary · HB 595

Legislative bill overview

HB 595 modifies Louisiana's Medicaid coverage through the TEFRA (Tax Equity and Fiscal Responsibility Act) option program. The bill, now Act No. 294, became effective August 1, 2025, after receiving gubernatorial approval. The fiscal note references indicate changes to state spending or revenue related to this Medicaid expansion mechanism.

Why is this important

The TEFRA option allows states to cover individuals with disabilities and elderly persons whose income or resources exceed normal Medicaid limits, typically through cost-sharing arrangements. Changes to this program affect eligibility for vulnerable populations and state budget allocations for healthcare coverage, potentially expanding or restricting access depending on the specific provisions.

Potential points of contention

  • Fiscal impact clarity: The bill's specific budgetary effects are not detailed in the available legislative summary, making it unclear whether this expands coverage (increasing costs) or implements restrictions (reducing expenditures)
  • Eligibility standards: TEFRA modifications could affect which disabled and elderly individuals qualify, potentially leaving some groups with reduced access to Medicaid
  • State funding burden: Changes may shift costs between state and federal budgets or require additional state appropriations during a fiscal year

Compiled from official sources — confirm details with the bill’s official record.

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