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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Regular Session, 2010 ENROLLED
SENATE BILL NO. 683
BY SENATOR LAFLEUR
AN ACT1
To enact R.S. 22:1826, relative to noncontracted providers of emergency services; to require2
health insurance issuers to directly pay such providers pursuant to a plan or policy3
provisions for such services; and to provide for related matters.4
Be it enacted by the Legislature of Louisiana:5
Section 1. R.S. 22:1826 is hereby enacted to read as follows: 6
ยง1826. Payment of claims for emergency services provided by noncontracted7
health care providers8
A. If a health care provider that does not contract with a health9
insurance issuer files a claim with a health insurance issuer for emergency10
services rendered, the health insurance issuer shall directly pay such a claim by11
a noncontracted provider in the amount as determined pursuant to the plan or12
policy provisions between the enrollee or insured and the health insurance13
issuer, less any amount representing coinsurance, copayments, deductibles,14
noncovered services, or any other amounts identified by the health insurance15
issuer pursuant to the plan or policy provisions, as an amount for which the16
insured or enrollee is liable. Payment of such claim by the health insurance17
issuer shall in no circumstances be made directly to the patient, insured, or18
enrollee.19
B. For purposes of this Section,"health insurance issuer" means any20
entity that offers health insurance coverage through a policy or certificate of21
insurance subject to state law that regulates the business of insurance. The term22
shall also include a health maintenance organization, as defined and licensed23
pursuant to Subpart I of Part I of Chapter 2 of this Title, and nonfederal24
ACT No. 340 SB NO. 683 ENROLLED
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
government plans subject to the provisions of Subpart B of this Part and the1
office of group benefits.2
C. The provisions of this Section shall not apply to limited benefit health3
insurance policies or contracts.4
Section 2. This Act shall become effective on November 15, 2010.5
PRESIDENT OF THE SENATE
SPEAKER OF THE HOUSE OF REPRESENTATIVES
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED: