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 392 Original 2024 Regular Session Freeman
Abstract: Provides for Medicaid and private insurance coverage for perimenopausal and
menopausal care.
Proposed law requires LDH to make available to persons who are eligible for Medicaid benefits
under present law coverage benefits for hormonal menopausal care for any woman who is
experiencing menopausal or perimenopausal symptoms.
Proposed law defines "perimenopausal" and "menopause".
Proposed law provides that symptoms for which such funding shall be made available include but
are not limited to the following:
(1) Irregular menstrual periods.
(2) Hot flashes.
(3) Vaginal or bladder problems.
(4) Decrease in fertility.
(5) Loss of bone.
(6) Increase in low-density lipoprotein cholesterol levels.
(7) Sleep disruption, which includes night sweats.
Proposed law provides that LDH may seek approval of a federal Medicaid waiver and state plan
amendments as may be necessary to implement the provisions of this proposed law.
Proposed law requires the Medicaid program in this state to cover inpatient and, if deemed
appropriate, outpatient coverage for perimenopausal or menopausal treatment or care when such care
or treatment, is used for a medically accepted indication, and administered in any healthcare facility
by any healthcare professional appropriately licensed in this state to provide such medical treatment
or care in accordance with state and federal provisions.
Proposed law provides that the eligibility of a prospective enrollee shall be determined by the healthcare facility appropriately providing perimenopausal or menopausal treatment or care as
provided in proposed law.
Proposed law establishes certain requirements for the secretary of LDH in compliance with proposed
law.
Proposed law provides that any health insurance issuer offering health coverage plans in this state
that provides hospital, medical, or surgical benefits for individuals shall provide coverage for
expenses incurred for medically necessary perimenopausal and menopausal care or treatment.
(Adds R.S. 40:1259.1-1259.3)