ENROLLED
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
ACT No. 1
Regular Session, 2010
HOUSE BILL NO. 1219
BY REPRESENTATIVE KLECKLEY
AN ACT1
To enact R.S. 22:1016, relative to prepaid entities participating in the Louisiana Medicaid2
Program; to provide for licensure, financial solvency, and regulation of such prepaid3
entities; and to provide for related matters.4
Be it enacted by the Legislature of Louisiana:5
Section 1. R.S. 22:1016 is hereby enacted to read as follows: 6
§1016. Regulation by the Department of Insurance and the Department of Health7
and Hospitals of prepaid entities participating in the Louisiana Medicaid8
Program9
A. Notwithstanding any law to the contrary, any prepaid entity that10
participates in the Louisiana Medicaid Program is required to obtain an insurer11
license or certificate of authority from the Louisiana Department of Insurance. Such12
a prepaid entity participating in the Louisiana Medicaid Program shall be regulated13
by the Louisiana Department of Insurance with respect to licensure and financial14
solvency but shall, solely with respect to its products and services offered pursuant15
to the Louisiana Medicaid Program, be regulated by the Louisiana Department of16
Health and Hospitals, subject to 42 USCA §1396 et seq., and all applicable federal17
and state laws, rules, and regulations relating to the Louisiana Medicaid Program.18
The Louisiana Department of Health and Hospitals shall have the authority to adopt19
and promulgate such rules and regulations, including certification, relating to the20
Louisiana Medicaid Program. Except for licensure and financial solvency21
requirements, no other provisions of this Title shall apply to a prepaid entity with22
respect to the participation of the prepaid entity in the Louisiana Medicaid Program.23 ENROLLEDHB NO. 1219
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are additions.
B. As used in this Section, "prepaid entity" shall mean any organization paid1
on a per-person per-month basis for the provision of services to Medicaid eligible2
beneficiaries, when such organization has entered into a contract with the3
Department of Health and Hospitals assuming the financial obligation to pay for such4
services.5
Section 2. This Act shall become effective upon signature by the governor or, if not6
signed by the governor, upon expiration of the time for bills to become law without signature7
by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If8
vetoed by the governor and subsequently approved by the legislature, this Act shall become9
effective on the day following such approval.10
SPEAKER OF THE HOUSE OF REPRESENTATI VES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED: