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 94 Original 2022 Regular Session Frieman
Abstract: Provides relative to reimbursement for implants.
Proposed law provides that when an injured worker requires and is entitled to a surgical procedure
that requires the use of an implant, only the hospital or ambulatory surgery center where the
procedure is to be performed shall order and purchase the implant based on the surgeon's
specifications.
Proposed law provides that the hospital or ambulatory surgery center shall submit to the payor the
original manufacturer's invoice detailing the amount paid by the hospital or ambulatory surgery
center for the implant.
Proposed law provides that if the implant requested by the surgeon is available only through a
distributor authorized by the manufacturer and the hospital or ambulatory surgery center is unable
to purchase the implant directly from a manufacturer then the hospital or ambulatory surgery center
shall instead submit to the payor the original manufacturer's invoice or authorized distributor's
invoice detailing the amount paid by the hospital or ambulatory surgery center.
Proposed law provides that the reimbursement for the implant shall be the total of the distributor's
original invoice amount paid by the hospital or ambulatory surgical center plus 20%.
Proposed law provides that for the purposes of proposed law, implant means plastic and metallic
implants or non-autogenous graft materials.
(Adds R.S. 23:1034.2(G))