HCR 105 — HEALTH: Urges the Louisiana Department of Health and health insurers to increase reimbursement for Behavioral Health Crisis Centers

HLSENROLLED 26RS-3633 ENGROSSED Regular Session HOUSE CONCURRENT RESOLUTION NO.

105 BY REPRESENTATIVE FREIBERG HEALTH:A CONCURRENT RESOLUTION To urge and request the Louisiana Department of Health and Louisiana commercial health insurance payors to increase reimbursement rates for Behavioral Health Crisis Centers (BHCCs) operating under a Crisis Receiving Center (CRC) license.

UrgesWHEREAS, the Louisiana DepartmentCrisis ofResponse HealthSystem and(LA-CRS) healthwas insurersestablished toin increaseas reimbursementa forstatewide Behavioralmental Healthhealth Crisiscrisis Centersresponse Asystem CONCURRENTaligned RESOLUTIONwith To urge and request the LouisianaSubstance DepartmentAbuse of Health and LouisianaMental commercial health insurance payors to increase reimbursement rates for Behavioral Health CrisisServices CentersAdministration (BHCCs)(SAMHSA) operatingguidelines; under a Crisis Receiving Center (CRC) license.

and WHEREAS, the Louisianagoals Crisisof Responsethe SystemLA-CRS (LA-CRS)areto wassupportindividuals establishedwith inmental 2022illness aswho ahave statewidebeen mentalliving healthin crisisnursing responsefacilities systemtransition alignedback withinto the Substancecommunity; Abuse and Mental Health Services Administration (SAMHSA) guidelines;

and WHEREAS, the goals of the LA-CRS areto support individuals with mental illness who have been living in nursing facilities transition back into the community;

and WHEREAS, facilities licensed as Crisis Receiving Centers are the only facilities authorizedandstaffedtoofferbothshort-term,twenty-three-hourcrisisstabilizationservices Page 1 of 3 HLS 26RS-3633 ENGROSSED HCR NO.

105 WHEREAS,ENROLLED facilities licensed as Crisis Receiving Centers are the only facilities authorizedandstaffedtoofferbothshort-term,twenty-three-hourcrisisstabilizationservices (BehavioralHealthCrisisCenters)andlonger-term,threethroughseven-daycrisiscare(CS) at the same location for individuals requiring further stabilization;

and WHEREAS, Medicaid reimbursement rates for Behavioral Health Crisis Centers providersoperatingunderaCrisis ReceivingCenterlicenseareinadequateto coverthecost oftheof the twenty-four-hourstaffingmodel requiredbytherequiredbytheLouisiana Louisiana Departmentof HealthandHealth and the additional staffing required to care for higher-acuity patients served by BHCC-CRCs;

and WHEREAS, an independent, third-partythird-partyrate rate analysis shows the total per diem cost for a Crisis Receiving Center -licensed Behavioral Health Crisis Center to provide the first twenty-three hours of care in compliance with state and federal regulatory staffing requirements is one thousand one hundred sixty-three dollars, which includes costs for clinicians, nurses, licensed prescribers, peer support specialists, and behavioral health technicians;

and WHEREAS,WHEREAS,otherCrisisReceivingCentershaveattemptedtoopeninotherregions otherCrisis ReceivingCentershaveattemptedtoopeninotherregions of the state but have been unable to open or remain viable due to inadequate Medicaid reimbursement rates.

THEREFORE, BE IT RESOLVED that the Legislature of Louisiana does hereby urge and request the Louisiana Department of Health and Louisiana commercial health Pageinsurance 2payors to increase reimbursement rates to more accurately reflect the cost of 3providing HLScrisis 26RS-3633stabilization ENGROSSEDservices HCRat NO.Behavioral Health Crisis Centers operating under a Crisis Receiving Center license.

105Page insurance2 payors to increase reimbursement rates to more accurately reflect the cost of providing3 crisisHCR stabilizationNO. services at Behavioral Health Crisis Centers operating under a Crisis Receiving Center license.

105 ENROLLED BE IT FURTHER RESOLVED that a copy of this Resolution be transmitted to the secretary of the Louisiana Department of Health and the president of the Louisiana Association of Health Plans.

DIGESTSPEAKER ThedigestprintedbelowwaspreparedbyHouseLegislativeOF Services.THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE Page 3 of 3

It constitutes nopart of the legislative instrument.

The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent.

[R.S.

1:13(B) and 24:177(E)] HCR 105 Engrossed 2026 Regular Session Freiberg Requests the La.

Dept.

of Health and commercial health insurance payors to increase payments for crisis centers so that the centers can operate more sustainably and expand access to mental health care.

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