HB 622 Louisiana House · 2025 Regular Session

INSURANCE/HEALTH: Requires health insurance coverage for histotripsy procedures (EN NO IMPACT See Note)

HB 622 creates an advisory board within Louisiana's Department of Insurance to review and recommend approval for new treatments for rare cancers, replacing the original focus on histotripsy coverage. The bill establishes a 14-member board including the insurance commissioner, health department officials, cancer research center directors, and two oncologists specializing in rare cancers. Key provisions require the board to hold quarterly public meetings, submit annual reports to the legislature, and allow the insurance commissioner to create implementing rules. This affects health insurers by mandating their review of new rare cancer treatments through this board, rather than directly requiring coverage for specific procedures. The bill is currently pending in committee after recent amendments.
Bill status signed all 5 stages cleared
Introduction
Apr 2025
Committee Review
Jun 2025
House Passage
Jun 2025
Senate Passage
Jun 2025
Signed into Law
Jun 2025
Introduced Apr 4, 2025 Signed Jun 20, 2025
Maddy AI version diff · 3 comparisons

What changed between versions

HB622 Original HB622 Act · 6 edits
MODERATE
The bill was expanded from a single provision requiring insurance coverage for histotripsy (a liver cancer treatment) to a comprehensive advisory board framework for approving new treatments for rare cancers. The scope broadened significantly to address rare cancers generally rather than just liver cancer, and the bill now establishes a specific board with 14 members to review and recommend new medical treatments. This change shifts the focus from mandating coverage for one specific procedure to creating a structured process for evaluating and approving emerging therapies for rare conditions.
Scope change
The bill's scope expanded from requiring coverage for a specific liver cancer treatment (histotripsy) to creating a permanent advisory board that reviews and recommends new treatments for any rare cancers.
REQUIREMENT

Created a new advisory board within the Department of Insurance composed of 14 specific members, including state officials, medical leaders, and representatives from cancer research organizations.

Established a mandate for the advisory board to hold quarterly public meetings and submit formal written reports to the legislature within 30 days of each meeting.

Removed the specific mandate requiring health insurance coverage for histotripsy procedures, as the focus shifted to the advisory board's role in approving new treatments.

SCOPE

Broadened the subject matter from solely histotripsy for liver cancer to a general framework for approving new treatments for rare cancers.

DEFINITION

Replaced the specific definition of 'histotripsy' with a broader mandate for the board to provide medical recommendations for new rare cancer treatments.

ENFORCEMENT

Authorized the Insurance Commissioner to promulgate administrative rules and regulations necessary to implement the new advisory board provisions.

Floor votes · Senate Jun 9, 2025 · House May 21, 2025

How they voted

360
Passed · 1 other
Total votes 37
Jun 9, 2025
D Democratic11
11 Yea
100% Yea
R Republican26
25 Yea 1
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
24
Key actions
7
Committee
8
Jun 10, 2025
Lower · Passed
Read by title, roll called, yeas 92, nays 0, Senate amendments concurred in.
lower
Jun 9, 2025
Upper · Passed
Rules suspended. The amended bill was read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
Jun 8, 2025
Committee
Read by title and referred to the Legislative Bureau.
upper
Jun 8, 2025
Upper · Passed
Rules suspended. Recalled from Committee.
upper
Jun 4, 2025
Upper · Passed
Reported with amendments. Rules suspended. Committee amendments read and adopted. Read by title; recommitted to the Committee on Finance.
upper
May 21, 2025
Lower · Passed
Read third time by title, roll called on final passage, yeas 99, nays 1. Finally passed, title adopted, ordered to the Senate.
lower
May 19, 2025
Lower · Passed
Reported favorably (14-0).
lower
Apr 30, 2025
Committee
Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
lower
Apr 29, 2025
Lower · Passed
Reported with amendments (15-0).
lower
Apr 14, 2025
Committee
Read by title, under the rules, referred to the Committee on Insurance.
lower
Apr 4, 2025
Committee
Under the rules, provisionally referred to the Committee on Insurance.
lower
1 primary · 16 co-sponsors

Sponsors