Louisiana map
 

Louisiana*

 

F


*The program in Louisiana is called the “Facility Need Review”

1. CRITERIA FOR TRIGGERING FNR REVIEW: F

  • New hospital construction, capital expenditure development, or addition of beds to an existing hospital
  • FNR review is not triggered when there is a hospital sale/purchase/lease
  • FNR review is not triggered when there is a loss of health care service(s)
  • FNR review is not triggered when there is a hospital closure
  • FNR review is not triggered when there is a hospital transfer of control
  • FNR review is not triggered when there is a relocation of health care service(s)

2. ORGANIZATIONAL STRUCTURE OF REVIEW BOARD & TRANSPARENCY: F

  • Louisiana does not have an appointed board to review FNR applications
  • The Department of Health and Hospitals performs the FNR review

3. REVIEW STANDARDS: C

  • Review guidelines vary depending on type of facility
  • FNR review does not look at whether the project is financially feasible
  • FNR review does not look at whether the project is compatible with state health planning goals
  • FNR review does not look at whether the project has an impact on health care access within a geographic region
  • FNR review does not look at whether the project has an impact on underserved populations

4. COMMUNICATIONS WITH THE PUBLIC: C

  • There is a website containing details about the FNR process, including summaries of regulations/statues and other relevant information
  • The website does not contain information about each FNR application, including dates of public hearings and information about submitting comments
  • It is difficult for the consumer to find info about the FNR process on the website
  • The public is not notified about FNR applications via newspaper or another widely circulated platform

5. ACCOUNTABILITY AND PUBLIC ENGAGEMENT: F

  • Louisiana does not provide opportunities for the public to participate in the review process

6. POST-APPROVAL REVIEW AND ENFORCEMENT: B

  • After a FNR is denied, there is a post-approval challenge process
  • There is not a mechanism in place for enforcing compliance with FNR requirements and restrictions after a FNR is approved