Mills (SB 545) Act No. 396
Prior law provided for certain health care provider contracts.
New 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.
New 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))