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.