HLS 22RS-185 ORIGINAL
2022 Regular Session
HOUSE BILL NO. 94
BY REPRESENTATIVE FRIEMAN
WORKERS COMPENSATION: Provides relative to reimbursement for implants
1 AN ACT
2To enact R.S. 23:1034.2(G), relative to workers' compensation; to provide for surgical
3 procedures for implants; to provide for a reimbursement schedule; to provide for
4 reimbursement costs; to provide for definitions; and to provide for related matters.
5Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 23:1034.2(G) is hereby enacted to read as follows:
7 ยง1034.2. Reimbursement schedule
8 * * *
9 G.(1) When an injured worker requires and is entitled to a surgical procedure
10 that requires the use of an implant, only the hospital or ambulatory surgery center
11 where the procedure is to be performed shall order and purchase the implant based
12 on the specifications of the surgeon.
13 (2)(a) The hospital or ambulatory surgery center shall submit to the payor
14 the original manufacturer's invoice detailing the amount paid by the hospital or
15 ambulatory surgery center for the implant. If the implant requested by the surgeon
16 is available only through a distributor authorized by the manufacturer and the
17 hospital or ambulatory surgery center is unable to purchase the implant directly from
18 a manufacturer then the hospital or ambulatory surgery center shall instead submit
19 to the payor the distributor's invoice detailing the amount paid by the hospital or
20 ambulatory surgery center.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions. HLS 22RS-185 ORIGINAL
HB NO. 94
1 (b) Reimbursement for the implant shall be the total of the original
2 manufacturer's invoice or the authorized distributor's invoice amount paid by the
3 hospital or ambulatory surgical center plus twenty percent.
4 (3) For the purposes of this Subsection, "implant" means plastic and metallic
5 implants or non-autogenous graft materials.
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))
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.