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 480 Engrossed 2017 Regular Session Huval
Abstract: Provides that an independent review organization's license remains effective unless the
commissioner of insurance determines that the organization is no longer satisfying the
minimum qualifications required of independent review organizations or the organization
ceases to exist.
Present law requires that an independent review organization renew its license every two years.
Proposed law deletes the requirement to renew the license, and instead provides that license is valid
after it is initially issued until the commissioner determines that the organization is no longer
meeting the minimum requirements for the organization or the organization ceases to exist.
Proposed law requires an independent review organization to immediately notify the commissioner
of any loss, revocation, or other material change to any accreditation of the organization.
Present law requires independent review organizations to submit an annual report to the
commissioner that includes the total number of requests for external review and the number of
requests resolved. Present law also requires each organization to pay an annual filing fee when
submitting the report.
Proposed law repeals the requirement to submit the annual report, unless requested by the
commissioner, and repeals the report filing fee.
Present law requires the commissioner to maintain and periodically update a list of approved
independent review organizations. Proposed law repeals this requirement.
Present law requires a health insurance issuer annually certify to the commissioner that its utilization
review program complies with all applicable state and federal law establishing confidentiality and
reporting requirements. Proposed law repeals this requirement.
(Amends R.S. 22:821(B)(36) and (37), 2440(C), (D)(3), and (E), 2441(E)(1), and 2443; Repeals
22:2440(F) and 2451)