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 594 Engrossed 2021 Regular Session Dustin Miller
Abstract: Prohibits insurers, managed care companies, or other payors from setting caps on
reimbursement for properly ordered non-invasive ventilation treatments.
Proposed law prohibits an insurer, managed care company, or other payor from setting a maximum
dollar amount of reimbursement for non-invasive ventilators or ventilation treatments properly
ordered and taking place in an appropriate care setting.
Proposed law provides that reimbursement to cover the actual cost of a non-invasive ventilator may
be based on the reasonable and customary allowable amount for a standard ventilator. Further
provides that if the actual cost of a non-invasive ventilator has been paid, such reimbursement for
the ventilator may be terminated.
Proposed law provides that subsequent to termination of payment, reasonable reimbursement is
required for medically necessary servicing of non-invasive ventilators and ventilation treatments
provided by a respiratory therapist.
(Adds R.S. 22:1821(G))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the original bill:
1. Add non-invasive ventilators for required reimbursement.
2. Provide that reimbursement to cover the actual cost of a non-invasive ventilator may be
based on the reasonable and customary allowable amount for a standard ventilator.
Provide that if the actual cost of a non-invasive ventilator has been paid, such
reimbursement for the ventilator may be terminated.
3. Require reasonable reimbursement for medically necessary servicing of non-invasive
ventilators and ventilation treatments provided by a respiratory therapist.