ENROLLED
ACT No. 148
2016 Regular Session
HOUSE BILL NO. 864
BY REPRESENTATIVE LEBAS
1 AN ACT
2 To enact R.S. 22:1860.2, relative to pharmacy claims fees; to prohibit health insurance
3 issuers and pharmacy benefit managers from assessing certain such fees; and to
4 provide for related matters.
5 Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 22:1860.2 is hereby enacted to read as follows:
7 ยง1860.2. Certain pharmacy claims fees prohibited
8 A. A health insurance issuer or a pharmacy benefit manager may not directly
9 or indirectly charge or hold a pharmacist or pharmacy responsible for any fee related
10 to a claim:
11 (1) That is not apparent at the time of claim processing.
12 (2) That is not reported on the remittance advice of an adjudicated claim.
13 (3) After the initial claim is adjudicated.
14 B. For purposes of this Section, "pharmacy benefit manager" means a
15 person, other than a pharmacy or pharmacist, who acts as an administrator in
connection with pharmacy benefits.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
Page 1 of 1
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.