RÉSUMÉ DIGEST
ACT 105 (HB 242) 2019 Regular Session LeBas
Prior law provided 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.
New law retains prior 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 (June 4, 2019).
(Amends R.S. 22:1860.2(A))