RDCSB130 3264 3208
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)]
SB 130 Reengrossed 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 and a healthcare
provider submits a request either orally or in writing to a health insurance issuer, the health
insurance issuer shall provide a copy of all documentation transmitted between the
healthcare provider and the health insurance issuer at no cost to the healthcare provider,
within two business days of the request. Allows electronic access to the documentation.
Proposed law provides that any health insurance plan, except the La. Medicaid Program, that
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 healthcare provider in which
the only acceptable method for healthcare services rendered requires the healthcare 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
healthcare provider using electronic funds transfer payments to notify a healthcare 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 healthcare 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 and such violations of proposed law cannot be waived by contract.
Proposed law provides that proposed law also applies to the Medicaid managed care
organizations.
Effective August 1, 2021.
(Adds R.S. 22:1828 and 1964(30) and R.S. 46:460.75)
Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Insurance to the original
bill
1. Makes technical changes.
Senate Floor Amendments to engrossed bill
1. Removes the La. Medicaid Program.
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the
reengrossed bill:
1. Make technical changes.