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)]
HB 440 Original 2015 Regular Session LeBas
Abstract: Prohibits certain fees relative to adjudication of pharmacy benefit claims.
Proposed law provides that, notwithstanding any other provision of present law relative to pharmacy
and pharmacist claims, a health insurance issuer or a pharmacy benefit manager shall not directly
or indirectly charge or hold a pharmacist or pharmacy responsible for a fee for any step of or
component or mechanism related to the claim adjudication process, including the following:
(1)The adjudication of a pharmacy benefit claim.
(2) The processing or transmission of a pharmacy benefit claim.
(3) The development or management of a claim processing or adjudication network.
(4)Participation in a claim processing or adjudication network.
Specifies that proposed law shall not apply to any contract entered into or renewed before September
1, 2015, but shall apply to any contract renewed on or after September 1, 2015.
Effective on September 1, 2015.
(Adds R.S. 22:1852(13) and (14) and 1856.2)