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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)]
Mills SB No. 545
Present law provides for provider contracts.
Proposed law provides any contract or agreement between a managed care organization and
a health care provider shall include provisions that provide for the reimbursement of a health
care provider in any instance in which the managed care organization requests or requires
substitution of a medication for an enrollee.
Proposed law does not apply to generic substitution or step therapy programs utilized by the
managed care organization that promote generic drugs as a first-line therapy.
Effective January 1, 2015.
(Amends R.S. 22:1007(I); adds R.S. 22:1007(J))
Summary of Amendments Adopted by House
Committee Amendments Proposed by House Committee on Insurance to the engrossed
bill.
1. Clarified that the provisions of proposed law shall not apply to generic
substitution or step therapy programs utilized by the managed care organization
that promote generic drugs as a first-line therapy.
2. Provided an effective date of January 1, 2015.
3. Made technical changes.