The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Christine Arbo Peck.
DIGEST
SB 29 Engrossed 2018 Regular Session Mills
Present law requires individual health insurance issuers licensed by the Department of Insurance to
use a standardized prescription drug prior authorization form. The form must be submitted to the
Department of Insurance and kept on file with their office.
Present law requires Medicaid managed care organizations that contract with the Louisiana
Department of Health to use a standard form, in addition to other forms, for prescription drug prior
authorization.
Proposed law requires the Louisiana Board of Pharmacy and the Louisiana State Board of Medical
Examiners to develop a single uniform prescription drug prior authorization form for all health
insurance issuers, Medicaid managed care organizations, and their respective pharmacy benefit
managers. Proposed law provides that the single uniform prescription drug prior authorization form
does not apply to specialty drugs or in cases where electronic prescriptions are utilized.
Proposed law provides that the Louisiana Board of Pharmacy and the Louisiana State Board of
Medical Examiners may consult with the health insurance issuers, Medicaid managed care
organizations, Louisiana Department of Health, and Department of Insurance as necessary in
developing the form.
Proposed law authorizes the Department of Insurance, under their regulatory authority in Title 22
and the Department of Health pursuant to its contracts with Medicaid managed care organizations
to impose sanctions for failure to comply with the requirement of using only the single uniform
prescription drug prior authorization form.
Proposed law implements use of the single uniform prescription drug prior authorization form on
and after January 1, 2019.
Effective January 1, 2019.
(Amends R.S. 22:1006.1(A)(4) and (B) and R.S. 46:460.33; adds R.S. 22:1006.1(C), (D), and (E))
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to the
original bill
1. Provides that the single uniform prescription drug prior authorization form does not apply to prior authorization of specialty drugs or in cases where electronic
prescriptions are utilized.
2. Provides that the Louisiana Board of Pharmacy and the Louisiana State Board of
Medical Examiners may consult with the health insurance issuers, Medicaid managed
care organizations, Louisiana Department of Health, and Department of Insurance as
necessary in developing the form.
3. Clarifies that the provisions of R.S. 46:460.33 apply to Medicaid managed care
organizations.