GREEN SHEET REDIGEST
HB 278 2022 Regular Session Echols
INSURANCE/HEALTH: Provides requirements for the Psychiatric Collaborative
Care Model.
DIGEST
Proposed law (R.S. 22:1066.2) requires a health coverage plan delivered or issued for
delivery in this state that provides mental health and substance abuse benefits to provide
coverage for mental health and substance abuse services that are delivered through
evidence-based, integrated behavioral healthcare models, such as the Psychiatric
Collaborative Care Model.
Proposed law (R.S. 40:2163) further requires the La. Dept. of Health to require Medicaid
coverage for mental health and substance abuse benefits delivered through the Psychiatric
Collaborative Care Model.
Proposed law requires any medical necessity determinations made by a health coverage plan
to be made in compliance with certain federal and state law (R.S. 22:2391 et seq.). Further
requires any medical necessity determinations made by a Medicaid managed care
organization to be made in accordance with certain federal and state law (R.S. 46:460.81 et
seq.).
Proposed law defines "health coverage plan", "mental health or substance abuse benefits",
"Psychiatric Collaborative Care Model", "managed care organization", and "Medicaid".
Proposed law applies to any new health coverage plan issued on or after Jan.1, 2023. Any
health coverage plan in effect prior to Jan. 1, 2023, shall convert to conform to the provisions
of this proposed law on or before the renewal date, but no later than Jan.1, 2024.
(Adds R.S. 22:1066.2 and R.S. 40:2163)
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Insurance to the original
bill:
1. Add Medicaid state plans for applicability within proposed law.
2. Delete certain CPT billing codes from specific application in proposed law.
3. Delete language relative to the commissioner of insurance updating CPT billing
codes and denial of reimbursement of CPT billing codes.
4. Make technical changes.
The House Floor Amendments to the engrossed bill:
1. Clarify with respect to terminology and applicable present law (R.S. 46:460.81
et seq.) relative to Medicaid coverage.
2. Define "managed care organization" and "Medicaid".
3. Make technical changes.
Page 1 of 2
Prepared by Brandi Cannon. Summary of Amendments Adopted by Senate
Committee Amendments Proposed by Senate Committee on Health and Welfare to the
reengrossed bill
1. Provides for health insurance coverage of mental health and substance abuse
services that are delivered through evidence-based, integrated behavioral
healthcare models.
2. Changes the definition of Psychiatric Collaborative Care Model relative to health
coverage plans.
3. Provides for applicability to health plans newly issued or renewed after Jan. 1,
2023.
4. Makes technical changes.
Page 2 of 2
Prepared by Brandi Cannon.