ENROLLED
2019 Regular Session
HOUSE BILL NO. 242
BY REPRESENTATIVE LEBAS
1 AN ACT
2 To amend and reenact R.S. 22:1860.2(A), relative to pharmacy claims fees; to prohibit
3 health insurance issuers and pharmacy benefit managers from assessing certain
4 pharmacy claims fees; to provide for an effective date; and to provide for related
5 matters.
6 Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 22:1860.2(A) is hereby amended and reenacted to read as follows:
8 ยง1860.2. Certain pharmacy claims fees prohibited
9 A. A health insurance issuer or a pharmacy benefit manager may shall not
10 directly or indirectly charge or hold a pharmacist or pharmacy responsible for any
11 fee related to a claim that is any of the following:
12 (1) That is not Not apparent at the time of claim processing.
13 (2) That is not Not reported on the remittance advice of an adjudicated claim.
14 (3) After the initial claim is adjudicated.
15 * * *
16 Section 2. This Act shall become effective upon signature by the governor or, if not
17 signed by the governor, upon expiration of the time for bills to become law without signature
18 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
19 vetoed by the governor and subsequently approved by the legislature, this Act shall become
20 effective on the day following such approval.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.