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 824 Original 2016 Regular Session LeBas
Abstract: Prohibits health insurance issuers or pharmacy benefit managers from assessing a fee
relating to the process for adjudication of health insurance claims on a healthcare
professional or facility.
Proposed law prohibits a health insurance issuer or a pharmacy benefit manager from directly or
indirectly charging or holding a healthcare professional or facility responsible for a fee for any step
of or component or mechanism related to the claim adjudication process, including:
(1)The adjudication of a claim.
(2)The processing or transmission of a claim.
(3) The development or management of a claim processing or adjudication network.
(4) Participation in a claim processing or adjudication network.
Proposed law also provides for definitions of terms.
(Adds R.S. 22:1019)