SLS 14RS-1712 REENGROSSED
Page 1 of 2
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
* * *7
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. The health maintenance organization shall update the12
information in the listing and on its website at least once per month and any13
information so updated shall be considered as timely under this Section. This14
explanation shall also identify those services excluded from coverage and shall set15
forth the methods of access to all forms of treatment or class of providers included16
in the plan.17 SB NO. 645
SLS 14RS-1712 REENGROSSED
Page 2 of 2
Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
* * *1
The original instrument was prepared by Cheryl Horne. The following digest,
which does not constitute a part of the legislative instrument, was prepared
by J. W. Wiley.
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.
Senate Floor Amendments to the engrossed bill
1. Makes technical changes.