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 602 Original 2015 Regular Session Robert Johnson
Abstract: Provides for collection by the health insurance issuer of applicable coinsurance or
deductible amounts owed by an insured under any contract providing for a high deductible.
Proposed law provides for definitions, including defining a "high deductible" as one set at $1,000
or greater.
Proposed law prohibits a health insurance issuer from executing, amending, or renewing any contract
with a healthcare provider which requires that provider to collect any applicable coinsurance or
deductible amount which may be the responsibility of the insured pursuant to the insured's contract
for health insurance coverage when such contract includes a high deductible. Further requires a
health insurance issuer to recover all coinsurance and deductible amounts due from insureds for
covered services as required pursuant to such a contract. Also provides that payment of claims
submitted by healthcare providers shall not be dependent on the health insurance issuer recovering
any applicable coinsurance and deductible amounts pursuant to such a contract, nor shall collection
of any applicable coinsurance, deductible, and copayment amounts be required to be completed prior
to processing and paying a claim made by a healthcare provider pursuant to such a contact.
Proposed law provides that its provisions shall not have any effect as to the collection of
copayments.
(Adds R.S. 22:1839)