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Senate adopts hospital provider‑fee resolution authorizing assessment structure for CMS review

Louisiana State Senate · May 26, 2026

Summary

The Senate passed House Concurrent Resolution 3 to establish a hospital assessment and direct related methodology to the Centers for Medicare & Medicaid Services; sponsors said the assessment ranges and exclusions were designed to target net patient revenue categories and protect certain small or rural hospitals.

Senators considered House Concurrent Resolution 3, the annual hospital provider fee resolution required under the state constitution to set assessment structures that support inpatient and outpatient reimbursement enhancements. The bill carrier summarized assessment ranges (approximately 1.38% to 6.474% of net patient revenue depending on service type), noted exclusions for certain rural and small hospitals, and said the resolution authorized the Department to develop a direct‑payment methodology for CMS consideration. The floor recorded unanimous passage (38–0).

Senators emphasized the need to protect rural hospitals and excluded certain facilities to reduce disproportionate impact. The resolution includes a deadline for submission of the payment methodology to the Centers for Medicare & Medicaid Services and authorizes the department to make adjustments if CMS requires changes.

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