Louisiana 2017 2017 Regular Session

Louisiana House Bill HB188 Comm Sub / Analysis

                    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 188 Engrossed	2017 Regular Session	Cromer
Abstract: Provides for the funding and appeal, if necessary, of the costs of an external review of
a health insurance issuer.
Present law requires that when a covered person requests an external review of his health insurance
issuer, the issuer pay the cost to conduct the review.
Proposed law retains present law and further requires that the costs of the external review charged
to the issuer must be reasonable and that the independent review organization provide documentation
outlining an explanation of costs.
Proposed law provides that when an issuer believes that the cost of the external review are
unreasonable, he can appeal to the commissioner of insurance, who may make an adjustment, if
appropriate.  Proposed law allows the commissioner to request additional information if   necessary
to assess the reasonableness of the costs.
(Amends R.S. 22:2444)