SLS 14RS-1712 ENGROSSED
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
Regular Session, 2014
SENATE BILL NO. 645
BY SENATOR WARD
HEALTH/ACC INSURANCE. Relative to certain health maintenance organization
disclosures. (8/1/14)
AN ACT1
To amend and reenact R.S. 22:260(C), relative to health maintenance organizations; to2
provide with respect to certain disclosures; and to provide for related matters.3
Be it enacted by the Legislature of Louisiana:4
Section 1. R.S. 22:260(C) is hereby amended and reenacted to read as follows:5
ยง260. Statutory construction; relationship to other laws6
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C. Every health maintenance organization shall make available in writing to8
its potential enrollees a reasonable explanation of the services to be provided or9
arranged for as well as a listing, either in writing or by reference to a website, of10
all health care providers with whom the health maintenance organization has11
a contract at the time. Nothing herein shall be interpreted to require a health12
maintenance organization to update the information in the listing or on its13
website more than once per month and such information shall be considered as14
timely under this Section. This explanation shall also identify those services15
excluded from coverage and shall set forth the methods of access to all forms of16
treatment or class of providers included in the plan.17 SB NO. 645
SLS 14RS-1712 ENGROSSED
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
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The original instrument and the following digest, which constitutes no part
of the legislative instrument, were prepared by Cheryl Horne.
DIGEST
Ward (SB 645)
Present law requires every health maintenance organization to make available in writing to
its potential enrollees a reasonable explanation of the services to be provided or arranged for.
Also requires identification of those services excluded from coverage as well as the methods
of access to all forms of treatment or class of providers included in the plan.
Proposed law retains present law and also requires disclosure of a listing, either in writing
or by reference to a website, of all health care providers with whom the health maintenance
organization has a contract at the time of potential enrollment.
Proposed law requires a health maintenance organization to update the information in the
listing or on its website only once per month to be considered timely.
Effective August 1, 2014.
(Amends R.S. 22:260(C))
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the original
bill
1. Changes "service providers" to "health care providers".
2. Requires a health maintenance organization to update the information in the
listing or on its website only once per month to be considered as timely.