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 824 Reengrossed 2018 Regular Session Talbot
Abstract: Requires a healthcare facility to provide a notice to a patient of the potential use of out-
of-network providers when the federally required privacy notice is given.
Present law requires a healthcare facility, at the first registration contact with a patient, to provide
a written notice to the patient regarding the possibility of services being rendered to the patient by
facility-based providers who are out-of-network providers. Present law further requires that the
patient be informed in the written notice that the patient may be responsible for all or part of the fees
for out-of-network services.
Proposed law requires the healthcare facility to provide the notice at the same time the facility
provides the federally required notice of privacy practices for protected health information to a
patient for whom the healthcare facility has knowledge that a contract with a health insurance issuer
is effective or upon the request of the patient.
Present law requires a facility that meets the definition of a provider-based entity, as defined in
federal regulation, and is located off of the main hospital campus to publicly post a notice to every
patient disclosing the following:
(1)That the enrollee or insured is receiving services in a hospital-based outpatient facility where
the facility provides the use of the facility, medical, or technical equipment, supplies, staff,
and services.
(2)That depending on the enrollee's or insured's health insurance benefit plan and the actual
services furnished by the facility, the patient may receive a facility charge billed separately
from the physician that covers the fees for the use of the facility, medical, or technical
equipment, supplies, staff, and services.
Proposed law retains present law but relocates present law to a new statutory cite.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Amends R.S. 22:1880(C)(intro. para.) and (1)(intro. para.); Adds R.S. 22:1880.1; Repeals R.S.
22:1880(C)(4))
Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Insurance to the original bill:
1. Require the facility disclosure to be provided when the federally required privacy notice
is given to the patient or upon request of the patient.
2. Relocate provisions of present law relative to facility fee disclosures.
3. Make technical changes.
The House Floor Amendments to the engrossed bill:
1. Add an effective date.
2. Make technical changes.