HLS 17RS-1138 ORIGINAL
2017 Regular Session
HOUSE BILL NO. 306
BY REPRESENTATIVE JOHNSON
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
MEDICAID: Provides relative to pharmacy reimbursement by managed care organizations
1 AN ACT
2To amend and reenact R.S. 46:460.36(D), relative to Medicaid managed care pharmacy
3 reimbursements; to provide for the base of reimbursement for prescription drugs; and
4 to provide for related matters.
5Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 46:460.36(D) is hereby amended and reenacted to read as follows:
7 ยง460.36. Pharmacy reimbursement by managed care organizations
8 * * *
9 D. After June 15, 2016, July 1, 2017, no managed care organization shall pay
10 a local pharmacy a per-prescription reimbursement at a rate less than the legacy
11 Medicaid rate. unless its contract with the department provides for a reimbursement
12 dispute process as described in Subsection C of this Section.
13 * * *
14 Section 2. This Act shall become effective upon signature by the governor or, if not
15signed by the governor, upon expiration of the time for bills to become law without signature
16by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
17vetoed by the governor and subsequently approved by the legislature, this Act shall become
18effective on the day following such approval.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 17RS-1138 ORIGINAL
HB NO. 306
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 306 Original 2017 Regular Session Johnson
Abstract: Requires the base of reimbursement by managed care organizations for
prescription drugs to be at least equal to the legacy Medicaid rate.
Present law prohibits a managed care organization from paying a local pharmacy a
per-prescription reimbursement at a rate less than the legacy Medicaid rate unless its contract
with the La. Dept. of Health provides for a reimbursement dispute process.
Proposed law removes the requirement for a reimbursement dispute process.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Amends R.S. 46:460.36(D))
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.