The original instrument was prepared by Cheryl Cooper. The following digest, which
does not constitute a part of the legislative instrument, was prepared by Leonore
Heavey.
DIGEST
SB 130 Engrossed 2021 Regular Session Jackson
Proposed law requires if, during the time a health insurance issuer conducts a review or audit for
purposes of reconsidering the validity of a claim filed with the issuer a health care provider submits
a request either orally or in writing to a health insurance issuer, the health insurance issuer shall
provide, within two business days of the request, a copy of all documentation transmitted between
the health care provider and the health insurance issuer at no cost to the health care provider. Allows
electronic access to the documentation.
Proposed law provides that any health insurance plan issued, amended, or renewed on or after
January 1, 2022, shall not restrict the method of payment from the health insurance issuer or its
vendor to the health care provider in which the only acceptable method for health care services
rendered requires the health care provider to pay a transaction fee, provider subscription fee, or any
other type of fee or cost in order to accept payment from the health insurance issuer.
Proposed law requires a health insurance issuer initiating or changing payments to a health care
provider using electronic funds transfer payments to notify a health care provider if any fees are
associated with a particular payment method and to advise the provider of the available methods of
payment and provide instructions to the health care provider as to how to select an alternative
payment method that does not require payment of a transaction fee, provider subscription fee, or any
other type of fee or cost to accept payment from the health insurance issuer.
Proposed law provides that violations of proposed law are deemed unfair methods of competition
and subject to provisions regarding unfair or deceptive acts or practices according to present law.
Effective August 1, 2021.
(Amends R.S. 22:1016(A); adds R.S. 22:1828 and 1964(30))
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the original bill
1. Makes technical changes.