Louisiana 2016 Regular Session

Louisiana House Bill HB596

Introduced
3/4/16  
Refer
3/4/16  
Refer
3/14/16  
Refer
3/14/16  
Report Pass
3/30/16  
Engrossed
4/11/16  
Engrossed
4/11/16  
Refer
4/12/16  
Refer
4/12/16  
Report Pass
4/27/16  
Report Pass
4/27/16  
Enrolled
5/4/16  
Enrolled
5/4/16  
Chaptered
5/10/16  
Chaptered
5/10/16  
Passed
5/10/16  

Caption

Provides for notification and effectiveness of a material change in a contract between a health insurance issuer and a producer

Impact

The passage of HB 596 will have a notable impact on the relationship dynamics between health insurance issuers and producers. By instituting a required notification period of ninety days for material changes, the bill establishes a regulatory framework that promotes stability and predictability in these contracts. Producers will have the opportunity to prepare or adjust their business practices in light of any contract modifications, mitigating potential disruptions in their operations. Furthermore, the bill delineates clear definitions for terms such as 'health benefit plan' and 'health insurance issuer', which could streamline future discussions and enforcement regarding these types of contractual agreements.

Summary

House Bill 596 aims to regulate the processes surrounding contracts between health insurance issuers and producers by mandating that any material changes in such contracts must be communicated with a minimum of ninety days notice. This is an important provision designed to enhance transparency in contractual relationships, ensuring that producers—who are often the intermediaries in selling insurance—are adequately informed of any significant changes in terms or conditions. By requiring this advance notice, the bill seeks to protect the rights and interests of producers while maintaining a clear line of communication in the often complex environment of health insurance.

Sentiment

The general sentiment surrounding HB 596 appears to be supportive, particularly from stakeholders representing health insurance producers. Supporters view this bill as a necessary step towards ensuring fairness and accountability in the industry, providing producers with protections that could safeguard their business interests against potential abrupt changes that issuers might unilaterally impose. Although there may be some reservations from insurance issuers who prefer flexibility in their contractual terms, the overwhelming legislative support suggests a consensus on the importance of the proposed changes.

Contention

There may be some contention regarding how the bill defines 'material change' and whether such definitions could be interpreted in various ways, potentially leading to disputes about compliance and enforcement. Additionally, while the requirement for advance notice is largely viewed as beneficial, some insurance issuers may argue that it could hinder their ability to respond quickly to market demands or regulatory changes. This potential tension underscores the balancing act lawmakers must strike between protecting producer interests and allowing for responsive agility within the insurance market.

Companion Bills

No companion bills found.

Previously Filed As

LA HB705

Prohibits certain contractual provisions in provider contracts with health insurance issuers

LA HB1140

Prohibits certain contractual provisions in provider contracts with health insurance issuers

LA SB193

Provides relative to the adequacy of networks utilized by health insurance issuers for the provision of health care services. (8/1/16)

LA HB695

Provides for health and accident insurance producers and consultants and modifies terminology relative to health and accident insurance

LA HB592

Provides for the adequacy, accessibility, and quality of health care services offered by a health insurance issuer in its health benefit plan networks

LA HB352

Provides for the retention of certain insurance records by producers and adjusters

LA HB464

Provides for technical recodification of certain provisions of the La. Insurance Code relative to health and accident insurance

LA SB108

Provides for the collection of co-insurance and deductibles by health insurance issuers. (8/1/15)

LA HB408

Provides for the change of insurance producer on record

LA HB754

Provides for the time of modification of drug coverage by health insurance issuers

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