Provides for actuarial review of certain state-mandated health insurance benefits. (8/1/24) (RE INCREASE SG EX See Note)
Impact
If enacted, SB 368 will amend existing laws governing the evaluation of health insurance mandates in Louisiana, abolishing the current Louisiana Mandated Health Benefits Commission. Instead, actuarial reviews will now be executed by independent contractors chosen by the LDI on a proposal basis, potentially leading to a more rigorous scrutiny of the financial implications of such mandates. The bill specifies that the contractors should remain free from conflicts of interest, enhancing the integrity of the assessment process. Moreover, the reviews are intended to provide estimates on numerous factors, including premiums and healthcare access, thereby influencing legislative decision-making regarding health insurance mandates.
Summary
Senate Bill 368 seeks to reform the process surrounding the actuarial review of legislative proposals that may impose or modify mandated health benefits in Louisiana. The bill tasks the Department of Insurance (LDI) with contracting actuaries or relatives with a background in healthcare policy by December 1, 2024, to conduct these reviews. Critics laud the intent for more fiscal transparency in health insurance mandates, while supporters express concern over potential costs and implications on state budget allocations. This reform aims to mitigate unexpected financial burdens when new health mandates are proposed.
Sentiment
The discourse surrounding SB 368 has been largely positive, with many stakeholders recognizing the need for systematic actuarial evaluations. However, there are concerns regarding the bill's potential impact on future health policies and budgetary constraints. Proponents argue that ensuring thorough financial assessments can safeguard the state against future fiscal liabilities associated with mandated health benefits. Simultaneously, there are apprehensions about whether these changes could delay the introduction of necessary healthcare mandates by imposing additional requirements.
Contention
One of the notable points of contention within SB 368 is the confidentiality requirement for records and reports associated with the actuarial reviews. While privacy for sensitive financial information aligns with common practices in healthcare sectors, some legislators and advocacy groups worry that it might limit transparency and availability of critical data to inform public discourse. Furthermore, the repeal of the Louisiana Mandated Health Benefits Commission raises questions about whether this shift could lead to less representation of diverse stakeholder views in the evaluation process.
Provides relative to utilization review standards and approval procedures for healthcare service claims submitted by healthcare providers (EN NO IMPACT See Note)
Provides for balance billing by and reimbursement of covered health services provided by out-of-network emergency ambulance services. (8/1/23) (EN INCREASE SG EX See Note)
Provides for benefit increases for retirees, beneficiaries, and survivors of state retirement systems and the funding therefor. (2/3-CA10s(29)(F)) (gov sig) (EN INCREASE FC SG RE)
Authorizes and directs the Louisiana State Licensing Board for Contractors to provide recommendations with respect to whether contractors' insurance policies should insure claims against contractors' workmanship
Reforms the state systems for regulating the production of marijuana for therapeutic use and for the dispensing of such product (EN INCREASE SG EX See Note)