{
  "urn": "urn:us-la:rs:40:2253",
  "title_number": "40",
  "section_number": "2253",
  "citation": "R.S. 40:2253",
  "heading": "Limitations on implementation",
  "text": "The department shall not implement this Part unless approval of 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.",
  "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": "VI",
      "name": "UTILIZATION OF ESSENTIAL COMMUNITY PROVIDERS"
    }
  ],
  "breadcrumb": "Title 40 › Chapter 12 › Part VI",
  "acts_citations": [
    {
      "act_year": 1995,
      "act_number": 1282,
      "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. 1282, §1, eff. June 29, 1995; Acts 2018, No. 206, §4.",
  "source_url": "https://legis.la.gov/legis/Law.aspx?d=98184",
  "website_law_id": 98184,
  "scrape_timestamp": "2026-05-22T23:24:53Z",
  "source_html_hash": "sha256:55ae62633b8740c64f6501c5ef40e442433611f17e321f92be41d098a0b15955",
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