Louisiana 2016 Regular Session

Louisiana House Bill HB1140

Introduced
4/14/16  
Engrossed
4/28/16  
Refer
5/2/16  
Refer
5/2/16  
Report Pass
5/4/16  
Report Pass
5/4/16  
Enrolled
5/11/16  
Chaptered
5/26/16  

Caption

Prohibits certain contractual provisions in provider contracts with health insurance issuers

Impact

The implications of HB 1140 are significant for both healthcare providers and managed care organizations. By empowering providers with the option to participate selectively in health benefit plans, the bill offers a degree of protection against potential contract termination based on non-participation in all offerings by the insurer. This legislative change is expected to create a more balanced power dynamic between providers and managed care organizations, enhancing the ability of healthcare professionals to navigate their contractual relationships without undue pressure.

Summary

House Bill 1140 aims to amend existing state regulations concerning managed care organizations and their provider contracts. The bill specifically prohibits certain clauses that can be detrimental to healthcare providers. Specifically, it restricts managed care organizations from requiring healthcare providers to offer services under all health benefit plans they provide and prevents these organizations from terminating contracts with providers for declining to offer those additional services. This legislative move is aimed at ensuring that providers can operate with more autonomy in deciding which services to provide under their agreements with insurance issuers.

Sentiment

The sentiment surrounding HB 1140 appears to be largely favorable among healthcare providers and advocates for patient rights. Many view the bill as a necessary move to prevent overreach by managed care organizations into the provider's business decisions. Supporters argue that this legislation promotes a fairer healthcare system, where providers have the freedom to choose the services they wish to provide without facing undue penalties. The unanimous support shown in the voting points to a strong legislative consensus on the need for reform in this area.

Contention

While there seems to be broad support for HB 1140, the contention arises around the operational specifics and the logistics of enforcement. Critics may voice concerns regarding how such provisions would be monitored and the potential implications for patient care if providers opt out of certain health benefit plans. Additionally, managed care organizations might argue that the bill restricts their ability to structure networks effectively, thereby complicating their operations in delivering comprehensive care.

Companion Bills

LA HB705

Replaces Prohibits certain contractual provisions in provider contracts with health insurance issuers

Previously Filed As

LA HB705

Prohibits certain contractual provisions in provider contracts with health insurance issuers

LA S195

Allows physicians to jointly negotiate with carriers over contractual terms and conditions.

LA S523

Allows physicians to jointly negotiate with carriers over contractual terms and conditions.

LA SB181

Enacts provisions relating to contractual agreements

LA SB43

Health care providers; prohibit enforcement of contractual terms that restrict sharing cost information to patients and consumers

LA HB172

Provides relative to disclosure and remittance of revenues in excess of certain contractual amounts in certain circumstances for certain contractors with the state's Office of Group Benefits (EN SEE FISC NOTE SG RV)

LA HB2817

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

LA HB1869

Relating to contractual subrogation and other recovery rights of certain insurers and benefit plan issuers.

LA LD1713

An Act to Prohibit Certain Provisions in Health Care Provider Contracts with Insurance Carriers

LA HB1763

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

Similar Bills

No similar bills found.