HLS 24RS-2153 ENGROSSED 2024 Regular Session HOUSE BILL NO. 958 BY REPRESENTATIVE AMEDEE INSURANCE/HEALTH: Prohibits financial incentives or penalties to encourage healthcare providers to administer vaccinations 1 AN ACT 2To enact R.S. 22:1008.1, relative to prohibited health insurance incentives; to prohibit the 3 payment of a financial reward to a healthcare provider to encourage vaccination; to 4 prohibit the denial of a claim or other penalties to encourage vaccination; to provide 5 for definitions; and to provide for related matters. 6Be it enacted by the Legislature of Louisiana: 7 Section 1. R.S. 22:1008.1 is hereby enacted to read as follows: 8 ยง1008.1. Health coverage plans; vaccination; prohibited provider incentives 9 A. A health coverage plan shall not pay or offer to pay to any healthcare 10 provider an incentive, bonus, or other amount beyond the contracted reimbursement 11 rate for a covered healthcare service with the intent to, directly or indirectly, 12 influence, persuade, or encourage the healthcare provider to administer any 13 vaccination. 14 B. A health coverage plan shall not deny or otherwise refuse to reimburse 15 any claim for a covered healthcare service submitted by a healthcare provider or 16 impose any other penalty on a healthcare provider with the intent to, directly or 17 indirectly, influence, persuade, or encourage the healthcare provider to administer 18 any vaccination. 19 C. For purposes of this Section, "health coverage plan" means any hospital, 20 health, or medical expense insurance policy, hospital or medical service contract, Page 1 of 2 CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 24RS-2153 ENGROSSED HB NO. 958 1 employee welfare benefit plan, contract, or other agreement with a health 2 maintenance organization or a preferred provider organization, health and accident 3 insurance policy, or any other insurance contract of this type in this state, including 4 a group insurance plan, a self-insurance plan, and the Office of Group Benefits 5 programs. "Health coverage plan" does not include a plan providing coverage for 6 excepted benefits as defined in R.S. 22:1061, limited benefit health insurance plans, 7 and short-term policies that have a term of less than twelve months. 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 958 Engrossed 2024 Regular Session Amedee Abstract: Prohibits health insurers from offering financial incentives or imposing penalties to encourage healthcare providers to administer vaccinations. Proposed law prohibits a health coverage plan from paying or offering to pay to any healthcare provider an incentive, bonus, or other amount beyond the contracted reimbursement rate for a covered healthcare service with the intent to, directly or indirectly, influence, persuade, or encourage the healthcare provider to administer any vaccination. Proposed law prohibits a health coverage plan from denying or otherwise refusing to reimburse any claim for a covered healthcare service submitted by a healthcare provider or imposing any other penalty on a healthcare provider with the intent to, directly or indirectly, influence, persuade, or encourage the healthcare provider to administer any vaccination. Proposed law defines "health coverage plan". (Adds R.S. 22:1008.1) Page 2 of 2 CODING: Words in struck through type are deletions from existing law; words underscored are additions.