HLS 19RS-798 ORIGINAL
2019 Regular Session
HOUSE BILL NO. 557
BY REPRESENTATIVE LEBAS
Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana.
PHARMACISTS: Provides relative to pharmacy reimbursement
1 AN ACT
2To amend and reenact R.S. 22:1857, relative to reimbursement paid under certain contracts
3 to pharmacists and pharmacies; to provide relative to items for which reimbursement
4 is paid; and to provide for related matters.
5Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 22:1857 is hereby amended and reenacted to read as follows:
7 ยง1857. Prescription drugs, devices, products, and supplies; use of index
8 A. Reimbursement under a contract to a pharmacist or pharmacy for
9 prescription drugs, devices, and other products and supplies that is calculated
10 according to a formula that uses a nationally recognized reference in the pricing
11 calculation shall use the most current nationally recognized reference price or
12 amount in the actual or constructive possession of the health insurance issuer, its
13 agent, or any other party responsible for reimbursement for prescription drugs,
14 devices, and other products and supplies on the date of service shown on the claim.
15 B. Health insurance issuers, their agents, and other parties responsible for
16 reimbursement for prescription drugs, devices, and other products and supplies shall
17 be required to update the nationally recognized reference prices or amounts used for
18 calculation of reimbursement for prescription drugs, devices, and other products and
19 supplies no less than every three business days.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 19RS-798 ORIGINAL
HB NO. 557
1 C. Any health insurance issuer, agent, or other party responsible for
2 reimbursement for prescription drugs, devices, and other products and supplies that
3 does not comply with the requirements of Subsection A or B of this Section shall be
4 subject to the late payment adjustment provisions of R.S. 22:1854(C) to the extent
5 of any amount not paid in accordance with the requirements of this Section.
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 557 Original 2019 Regular Session LeBas
Abstract: Provides relative to reimbursement paid under certain contracts to pharmacists
and pharmacies.
Present law relative to reimbursement paid under certain contracts to pharmacists and
pharmacies.
Proposed law retains present law and specifies items for which reimbursement may be paid.
(Amends R.S. 22:1857)
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.