ENROLLED
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
ACT No. 555
Regular Session, 2014
HOUSE BILL NO. 601
BY REPRESENTATIVES ABRAMSON, HUNTER, HUVAL, PIERRE, RITCHIE, AND
THIBAUT
AN ACT1
To enact R.S. 22:1827, relative to health insurance coverage; to prohibit a provider of2
healthcare services from refusing to submit a claim to a health insurance issuer under3
certain circumstances; to define certain terms; to provide that certain conflicting4
provisions in agreements between a provider of healthcare services and a health5
insurance issuer shall be deemed null and void; and to provide for related matters.6
Be it enacted by the Legislature of Louisiana:7
Section 1. R.S. 22:1827 is hereby enacted to read as follows:8
ยง1827. Submission of health insurance claims9
A. No healthcare provider that accepts a patient's health insurance coverage10
shall require an enrollee or insured to consent to payment for healthcare services as11
a condition for verification of health insurance coverage for such healthcare services.12
B. For purposes of this Section:13
(1) "Healthcare services" means services, items, supplies, or drugs for the14
diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury,15
or disease.16
(2) "Health insurance coverage" means benefits consisting of medical care17
provided or arranged for directly, through insurance or reimbursement, or otherwise,18
and includes healthcare services paid for under any plan, policy, or certificate of19
insurance.20
(3) "Health insurance issuer" means any entity that offers health insurance21
coverage through a policy or certificate of insurance subject to state law that22
regulates the business of insurance. For purposes of this Subpart, a "health insurance23
issuer" shall include a health maintenance organization, as defined and licensed24
pursuant to Subpart I of Part I of Chapter 2 of this Title, nonfederal government25 ENROLLEDHB NO. 601
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
plans subject to the provisions of Subpart B of this Part, and the Office of Group1
Benefits.2
C. Any provision in an agreement between a provider of healthcare services3
and a health insurance issuer that conflicts with the provisions of this Section shall4
be deemed null and void.5
SPEAKER OF THE HOUSE OF REPRESENTATI VES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED: