2016 Regular Session ENROLLED
SENATE BILL NO. 258
BY SENATOR LUNEAU
1 AN ACT
2 To enact R.S. 22:997.1, relative to the refilling of topical ophthalmic prescriptions; to
3 require coverage for refills under certain circumstances; and to provide for related
4 matters.
5 Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 22:997.1 is hereby enacted to read as follows:
7 ยง997.1. Topical ophthalmic prescriptions; coverage for refills
8 A. Any health, hospital, or medical expense insurance policy, hospital or
9 medical service contract, employee welfare benefit plan, health and accident
10 insurance policy, or any other insurance contract of this type, including a group
11 insurance plan, and a self-insurance plan that provides medical and surgical
12 benefits, which is delivered, issued for delivery, or renewed in this state on or
13 after January 1, 2017, that provides coverage for topical ophthalmic
14 prescriptions, shall not deny coverage for refills under the following
15 circumstances:
16 (1) The refill is requested by the insured for a thirty-day supply, between
17 twenty-three and thirty days from the later of either:
18 (a) The original date the prescription was distributed to the insured.
19 (b) The date the most recent refill was distributed to the insured.
20 (2) For a sixty-day supply, between forty-six and sixty days from the
21 later of either:
22 (a) The original date the prescription was distributed to the insured.
23 (b) The date the most recent refill was distributed to the insured.
24 (3) For a ninety-day supply, between sixty-nine and ninety days from the
25 later of either:
26 (a) The original date the prescription was distributed to the insured.
27 (b) The date the most recent refill was distributed to the insured.
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions. SB NO. 258 ENROLLED
1 B. The prescriber shall indicate on the original prescription that
2 additional quantities are necessary. However, the original prescription shall not
3 exceed the number of additional quantities necessary for treatment of the
4 medical condition for which the original prescription was issued.
5 C. The provisions of this Section shall, to the extent practicable, be
6 limited in quantity so as not to exceed the remaining dosage initially approved
7 for coverage, provided that such limited refilling shall not limit or restrict
8 coverage with regard to any previously or subsequently approved topical
9 ophthalmic prescription and shall be subject to the terms and conditions of the
10 insurance plan otherwise applicable to this coverage.
PRESIDENT OF THE SENATE
SPEAKER OF THE HOUSE OF REPRESENTATIVES
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
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Coding: Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.