Louisiana House Bill HB463

Louisiana 2021 Regular Session

• Introduced: 4/2/21
• Refer: 4/2/21
• Refer: 4/12/21

Caption

Authorizes the establishment of a state-based health insurance exchange and assessments thereto (OR INCREASE SG RV See Note)

Impact

The bill modifies existing statutes related to health insurance regulation. It requires insurers to report their premium income and subsequently pay an annual assessment that will be used to fund the state's health insurance exchange. By facilitating a state exchange, the legislation aims to enhance the state's ability to manage its health insurance market, providing a mechanism for better coverage options for consumers. The establishment of the exchange may also position Louisiana to apply for federal innovation waivers that could lead to further improvements in health insurance access.

Summary

House Bill 463 seeks to establish a state-based health insurance exchange in Louisiana. This bill empowers the state's insurance commissioner to create and implement the exchange and allows for the assessment of fees from insurers offering coverage through this exchange. The proposed assessment will not exceed 2% of the total premiums received by these insurers during the preceding calendar year. This measure aims to ensure sustainable funding for the operational costs associated with the exchange while potentially improving access to health insurance for Louisiana residents.

Sentiment

The sentiment around HB 463 is generally favorable among proponents who view the establishment of a state health insurance exchange as a necessary step to improve insurance market dynamics and consumer access to healthcare. Supporters believe that a state-run exchange can better address the specific needs of Louisiana residents compared to a federal system. However, there may be concerns regarding the new fees imposed on insurers, with some stakeholders wary about the potential impact on insurance premiums and overall healthcare costs for consumers.

Contention

Notable points of contention include discussions about the financial implications for insurers and the potential for increased premiums on policyholders. Some critics are concerned that the fee assessments could create financial strain on smaller insurance providers, potentially limiting competition within the marketplace. Additionally, questions remain regarding the effectiveness of the state exchange compared to existing federal frameworks. The requirement for insurers to file detailed reports and pay the assessments adds a layer of regulatory burden that some in the industry are contesting.