Healthcare

This bill makes minor formatting and punctuation adjustments to a larger legislative text regarding a trauma-informed training program. The changes include capitalizing the word "Domestic," adding a comma after "teachers," and inserting the word "or" at the end of a line. These amendments do not alter the substantive policy content but instead correct the text for consistency and clarity. The bill directly affects the administrative drafting of the legislation rather than introducing new operational requirements.

HB 780 strengthens protections for Louisiana workers by imposing penalties on employers or insurers who delay or deny workers' compensation payments or medical treatment. It sets daily penalties of up to $50 (capped at $2,000 per claim) or 12% of unpaid benefits, plus attorney fees, unless the delay was reasonable. Employers must send specific written notices within 3 business days when modifying benefits and respond to employee payment demands within 7 business days to avoid penalties. Total penalties at a hearing are capped at $8,000, and attorney fees from penalty cases are exempt from standard fee limits.

HB 919 requires pharmacy benefit managers (PBMs) in Louisiana to reimburse pharmacies at least the National Average Drug Acquisition Cost (NADAC) plus the state's professional dispensing fee per prescription, with a minimum $12 per prescription. It prohibits PBMs from owning or contracting with pharmacies (including subsidiaries) and mandates annual transparency reports detailing foreign subsidiaries and financial arrangements with drug manufacturers. PBMs violating these rules face fines up to $100,000 per violation for executives, with unlimited liability for large PBMs ($500M+ revenue). The law applies retroactively to prescriptions filled between January 1, 2025, and December 1, 2025, and becomes fully effective for new requirements in 2027. These provisions directly affect pharmacies, pharmacists, and PBMs operating in Louisiana.