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)]
Seabaugh HB No. 822
Abstract: Provides that noncontracted healthcare providers of emergency services may not seek
payment for the balance of any sum in excess of the amount paid directly to the
noncontracted provider by the health insurance issuer for claims resulting emergency
services rendered or from an emergency medical condition. Further provides that the
healthcare privilege provided in present law does not apply to healthcare providers that
have received direct payment from a health insurance issuer for a covered service or
claim.
Present law provides a healthcare provider privilege for the fees charged for services or supplies
furnished to an injured person out of any recovery the injured person receives by judgment,
settlement, or compromise.
Proposed law provides that the healthcare provider privilege does not apply to a healthcare
provider who receives direct payment from a health insurance issuer for emergency services
provided or for an emergency medical condition.
Present law provides that a health insurance issuer directly pays a claim from a noncontracted
healthcare provider rendering emergency services.
Proposed law retains present law but also requires a health insurance issuer directly pay a claim
from a noncontracted healthcare provider treating an emergency medical condition.
Proposed law provides that a healthcare provider of emergency services may not obtain a judicial
order for the balance of any sum in excess of the amount directly paid to a noncontracted
provider by a health insurance issuer for emergency services rendered or for treatment of an
emergency medical condition.
(Amends R.S. 9:4752 and R.S. 22:1826)