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 242 Engrossed 2019 Regular Session LeBas
Abstract: Prohibits health insurance issuers and pharmacy benefit managers from assessing certain
pharmacy claims fees.
Present law provides that a health insurance issuer or a pharmacy benefit manager may not directly
or indirectly charge or hold a pharmacist or pharmacy responsible for any fee related to a claim:
(1)That is not apparent at the time of claim processing.
(2)That is not reported on the remittance advice of an adjudicated claim.
(3)After the initial claim is adjudicated.
Proposed law retains present law but clarifies that health insurance issuers and pharmacy benefit
managers are prohibited from assessing any fee that meets any of the enumerated criteria.
Effective upon signature of the governor or lapse of time for gubernatorial action.
(Amends R.S. 22:1860.2(A))