Kelvin Hudson was dying of terminal colon cancer. The 61-year-old former roofer, carpenter and “Jack of all trades” knew he wanted to die at home, instead of in a hospital or nursing home.

But there was a problem.

Doctors refused to discharge the dying man from the hospital unless Medicaid would provide both “personal care” and “hospice care” for his end-of-life needs at home. Under the rules, Medicaid would only pay for one service or the other, but not both.

Hudson’s plight convinced the Jindal administration to make an exception. Hudson died at home in October.

Now, the administration is changing the rules for other patients in a similar predicament. About 200 terminally ill Medicaid patients annually can continue to receive services at home, so that they can die at home surrounded by family and friends.

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