RÉSUMÉ DIGEST
ACT 434 (SB 130) 2021 Regular Session Jackson
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 health care 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 health care 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.
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 health care provider in which the only
acceptable method for healthcare 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.
Requires a health insurance issuer initiating or changing payments to a healthcare 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 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.
Provides that violations of new law are deemed unfair methods of competition and subject
to provisions regarding unfair or deceptive acts or practices according to prior law and such
violations of new law cannot be waived by contract.
Provides that new 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)