GREEN SHEET REDIGEST
HB 352 2019 Regular Session DuBuisson
INSURANCE: Authorizes health insurance issuers to establish healthcare costs and
quality programs
DIGEST
Present law prohibits an insurer from making or permitting any unfair discrimination in favor
of particular individuals or persons, or between insureds or subjects of insurance having
substantially like insuring risk, and exposure factors, or expense elements, in the terms or
conditions of any insurance contract, or in the rate or amount of premium charged therefor,
or in the benefits payable or in any other rights or privileges accruing thereunder.
Proposed law retains present law but authorizes health insurance issuers and health
maintenance organizations to establish any of the following without regard to uniform
availability or applicability to all insureds or policyholders:
(1)Quality programs.
(2)Disease management programs.
(3)Population health management programs.
(4)Pharmaceutical management programs.
(5)Partnerships or other shared risk programs with healthcare providers or bona fide
associations.
(6)Other trial or pilot programs.
Proposed law requires a health insurance issuer or health maintenance organization
establishing a program to do both of the following:
(1)Provide written notice to the Dept. of Insurance no later than 30 days prior to the
effective date of the program.
(2)If the program includes chiropractic healthcare services, consult with the president
of the Chiropractic Association of Louisiana to consider any unfair discriminatory
effects the program may have on chiropractic physicians.
Proposed law provides that participation by an insured or healthcare provider in any program
shall be voluntary and prohibits the participation from negatively impacting the coverage
rights of the insured.
(Adds R.S. 22:1100)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the
original bill:
1. Make technical changes.
2. Limit the provisions of law over which proposed law would automatically
prevail in the event of a conflict.
3. Change the authorization for partnerships with professional organizations to
partnerships with bona fide associations.
Page 1 of 2
Prepared by Cheryl Cooper. 4. Delete proposed law relative to group purchasers and preferred provider
organizations.
5. Require written notice to the Dept. of Insurance of a program established
pursuant to proposed law.
6. Require participation by an insured to be voluntary and prohibit the
participation from negatively impacting the coverage rights of the insured.
The House Floor Amendments to the engrossed bill:
1. Require a consultation regarding the impact of a program on chiropractic
physicians.
2. Make technical changes.
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the
reengrossed bill
1. Make technical changes.
2. Make participation by healthcare providers voluntary.
Page 2 of 2
Prepared by Cheryl Cooper.