{
  "urn": "urn:us-la:rs:40:2243",
  "title_number": "40",
  "section_number": "2243",
  "citation": "R.S. 40:2243",
  "heading": "Limitations on implementation",
  "text": "The secretary shall not implement the provisions of this Part unless a federal Medicaid waiver submitted to the United States Department of Health and Human Services, Health Care Financing Administration, or its successor, on or after December 31, 1994, authorizing the state to utilize health insurance organizations, health maintenance organizations, or managed care organizations for Medicaid recipients is received. However, the secretary may take actions necessary to implement this Part upon such federal waiver approval.",
  "status": "active",
  "hierarchy_path": [
    {
      "level": "title",
      "number": "40",
      "name": "PUBLIC HEALTH AND SAFETY"
    },
    {
      "level": "chapter",
      "number": "12",
      "name": "HEALTH CARE COST CONTROL"
    },
    {
      "level": "part",
      "number": "V",
      "name": "UTILIZATION OF ESSENTIAL COMMUNITY PROVIDERS"
    }
  ],
  "breadcrumb": "Title 40 › Chapter 12 › Part V",
  "acts_citations": [
    {
      "act_year": 1995,
      "act_number": 1187,
      "section": 1,
      "effective_date": "1995-06-29",
      "effective_date_raw": "June 29, 1995",
      "role": "enactment"
    },
    {
      "act_year": 2018,
      "act_number": 206,
      "section": 4,
      "effective_date": null,
      "effective_date_raw": null,
      "role": "amendment"
    }
  ],
  "acts_citations_raw": "Acts 1995, No. 1187, §1, eff. June 29, 1995; Acts 2018, No. 206, §4.",
  "source_url": "https://legis.la.gov/legis/Law.aspx?d=98181",
  "website_law_id": 98181,
  "scrape_timestamp": "2026-05-22T23:24:53Z",
  "source_html_hash": "sha256:d7926eb544e48bc281273fbda0ec63de2ac03bd66a2fa7edc442da2ef0199279",
  "schema_version": "1.0.0"
}