HLS 10RS-1284 ENGROSSED
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
Regular Session, 2010
HOUSE BILL NO. 337
BY REPRESENTATIVE LEBAS
INSURANCE/HEALTH-ACCID: Prohibits health insurance issuers from unilaterally
determining fees on pharmacy claims
AN ACT1
To enact R.S. 22:1856(F), relative to pharmacy claims; to provide relative to determination2
of processing fees on such claims; and to provide for related matters.3
Be it enacted by the Legislature of Louisiana:4
Section 1. R.S. 22:1856(F) is hereby enacted to read as follows: 5
ยง1856. Thirty-day payment standard; limitations on claim filing and audits;6
remittance advice7
* * *8
F. No health insurance issuer or its agent shall unilaterally determine the9
amount of any processing fee on each claim but shall decide that amount in10
conjunction with the affected pharmacist or pharmacy.11
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
LeBas HB No. 337
Abstract: Provides relative to determination of fees on pharmacy claims.
Proposed law prohibits any health insurance issuer or its agent from unilaterally determining
the amount of any processing fee on each pharmacy claim. Specifically requires such
determination to be made in conjunction with the affected pharmacist or pharmacy.
(Adds R.S. 22:1856(F)) HLS 10RS-1284 ENGROSSED
HB NO. 337
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
Summary of Amendments Adopted by House
Committee Amendments Proposed by House Committee on Insurance to the original
bill.
1. Made technical changes.
2. Removed the prohibition against a health insurance issuer or its agent unilaterally
determining the amount of any fee identified and totaled for each pharmacy
claim listed in present law.
3. Prohibited a health insurance issuer or its agent from unilaterally determining the
amount of any "processing fee".