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 816 Original 2020 Regular Session Garofalo
Abstract: Modifies definitions and exempts certain healthcare benefit programs from the
requirement of issuing written notice to providers to cease certain behavior.
Present law defines "knowingly and willfully" as continuing with a practice, after written notice to
cease such practice from a healthcare benefit program by certified mail, return receipt requested,
except when the healthcare provider reasonably believes that such practice materially complies with
coding or billing standards as issued by the American Medical Association, the U.S. Dept. of Health
and Human Services, the Centers for Medicare and Medicaid Services, or the La. Medicaid Program.
Proposed law retains present law, but adds that practices continued "knowingly and willfully" may
be established by conduct.
Proposed law further adds that a healthcare benefit program provided by a property and casualty
insurance policy is not required to send written notice requesting a provider to cease the activity of
healthcare fraud.
(Amends R.S. 22:1924(A)(3))