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)]
Abramson HB No. 601
Abstract: Prohibits healthcare providers from refusing to submit a claim to a health insurance
issuer under certain circumstances.
Proposed law prohibits a provider of healthcare services from requiring an insured, as a condition
for the submission of a claim for payment by a health insurance issuer, to consent to full payment
for such healthcare services in the event that the insured's health insurance issuer denies such
claim.
Proposed law provides that it shall not preclude a provider of healthcare services from requiring
an insured to pay for healthcare services directly to the provider if the claim is denied after
submission to the health insurance issuer but before the services are provided if still requested by
the insured.
Proposed law defines terms "healthcare services", "health insurance coverage", and "health
insurance issuer".
Proposed law provides that any provision in an agreement between a provider of healthcare
services and a health insurance issuer that conflicts with proposed law shall be deemed null and
void.
(Adds R.S. 22:1827)
Summary of Amendments Adopted by House
Committee Amendments Proposed by House Committee on Insurance to the original bill.
1. Deletes provision prohibiting a provider of healthcare services from requiring an
insured, as a condition for furnishing such services, to consent to full payment for
such services in the event that the insured's health insurance issuer denies a claim for
such services.
2. Adds provision making any provision in an agreement between a provider of
healthcare services and a health insurance issuer that conflicts with proposed law null
and void.