RESOLUTION OF THE BOARD OF COMMISSIONERS OF
MADISON PARISH HOSPITAL SERVICE DISTRICT
WHEREAS, Madison Parish Hospital Service District, a political subdivision of the State of Louisiana (hereinafter “Hospital”), has been designated as a “rural hospital” pursuant to the Rural Hospital Preservation Act, LSA RS 40:1189.3, and participates in the Medicaid Program as a hospital provider; and
WHEREAS, Hospital has significantly benefitted historically from the receipt of enhanced Medicaid reimbursement due to the collaborative efforts of other rural hospitals led by the Rural Hospital Coalition, (“Coalition”), a Louisiana non-profit corporation designated as a 501(c)(6) trade organization by the IRS, that was established to represent the interest of and to serve as the advocate for Louisiana’s rural hospitals; and
WHEREAS, the Louisiana Department of Health recently elected to modify its Medicaid Supplemental Payment Program to implement a CMS approved Directed Payment Program (“DPP”) by filing a 42 CFR Section 438.6(c) pre-print (the “Pre-Print”) describing the terms and conditions of a new Medicaid Hospital supplemental payment program that will generate supplemental payments to selected hospitals in Louisiana including those designated as rural hospitals under state law; and
WHEREAS, during the development of the Pre-Print the Coalition and collaborating rural hospitals have been successful in both ensuring a substantial additional allocation of Medicaid funding to rural hospitals and in securing their exemption from a provider-fee assessment that is a component of the State’s financing to support this new payment methodology; and
WHEREAS, Hospital and other rural hospitals have participated in various successful Coalition led initiatives and have been asked to participate in a new collaboration by executing a Rural Hospital Coalition Cooperative Endeavor Grant Program Participation Agreement; and
WHEREAS, given the prior significant successes of the Coalition-led collaborations with rural hospitals, Hospital has concluded that its participation in this new initiative furthers Hospital’s purpose by making additional funding available to support rural access to essential health care services available to its service area and throughout the State, and thereby retain a vibrant and effective statewide rural hospital network, that in conjunction with the Coalition-led initiative, can annually advocate for a fair allocation of DPP funding and retention of the exemption from a provider-fee assessment; and
WHEREAS, Hospital is authorized by the State Constitution to participate in such Cooperative Endeavors and such participation will advance its public purpose and it will obtain a tangible benefit by enhancing prospects of continuing to receive adequate funding for hospital health services and ensuring rural access to care; and
WHEREAS, Hospital, upon the advice of counsel, has concluded that it has authority to enter into this agreement.
NOW, THEREFORE, BE IT RESOLVED, Madison Parish Hospital Service District CEO or Board Chairman, is hereby authorized, based upon the advice of counsel, to execute the attached Rural Hospital Cooperative Endeavor Grant Program Participation Agreement and amendments thereto and to take any further action to advance the purposes of this initiative.
The vote on the resolution was as follows:
YEAS: ___5_____ NAYS: ___0_____ ABSENT: ____0____
The resolution was thereby adopted this _25th__ day of _October__, 2022.
I hereby certify that this forgoing constitutes a true extract of the minutes of the minutes of the _October 25th____, 2022, minutes of the Board of Directors of the Madison Parish Hospital Service District__.
/s/ Donald R. Perry, MD
Secretary
