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 571 Original 2019 Regular Session Seabaugh
Abstract: Allows healthcare providers who purchase plastic and metallic implant's or non-
autogenous graft's to be reimbursed for reasonable cost of the implants.
Present law provides that the assistant secretary of the office of workers' compensation shall establish
and promulgate a reimbursement schedule for drugs, supplies, hospital care and services, medical
and surgical treatment, and any non-medical treatment recognized by present law, the Workers'
Compensation Act.
Proposed law retains present law to add that the facility, hospital or ambulatory surgery center, must
order and pay for the implant or non-autogenous graft and upon receipt of the original manufacturer's
invoice, shall be reimbursed by the payor.
Proposed law provides that the reimbursed amount shall be at the manufacturer's original invoice
amount, exclusive of rebates and discounts, plus 20%.
Proposed law provides that the costs associated with the purchasing of an implant or non-autogenous
graft shall not exceed what a prudent buyer pays for an item or service of its kind.
Proposed law provides that if costs of the implant or non-autogenous graft should exceed the level
of a prudent buyer then the amount in excess shall not be reimbursed.
(Adds R.S. 23:1203.1.2)