This bill requires Medicare Advantage plans to cover integrative care services, directly affecting millions of Americans enrolled in these private insurance options. The legislation mandates that these plans include coverage for such services starting on January 1, 2027, with a later date adjustment to January 1, 2028, as specified in the text amendments. By establishing this new coverage requirement, the bill aims to expand the range of treatments available to Medicare beneficiaries under their existing private plans.
This Louisiana concurrent resolution requests that the United States Congress classify the Doctor of Physical Therapy degree as a professional degree eligible for enhanced federal student loan borrowing limits. The measure aims to allow physical therapy students to access higher levels of federal financial aid, similar to other professional degree programs, rather than being restricted by lower undergraduate loan caps. It specifically targets students pursuing physical therapy education in Louisiana to support workforce development and address healthcare needs in the state. As a memorial resolution, this document does not change state law directly but formally asks the federal government to adjust eligibility rules for student loans.
This bill updates Louisiana laws governing the Addictive Disorder Regulatory Authority to establish a formal regulatory framework for addiction counseling professionals. It creates new categories of credentials including peer support specialists and peer support specialist associates, defining their roles, training requirements, and supervision needs. The legislation also introduces criminal background checks, renewal procedures, and fee structures for the board, while expanding definitions to include gambling addiction and co-occurring disorders. These changes aim to standardize how addiction counseling services are licensed and supervised in the state.
This bill prohibits health insurance companies and Medicaid managed care organizations from requiring prior authorization for certain generic medications when prescribed by board-certified physicians. The law defines a board-certified physician as a doctor certified by a recognized medical specialty board and a generic medication as a drug chemically equivalent to a brand-name drug approved by the FDA. Under this legislation, insurers must cover these specific generic prescriptions without needing additional approval from the insurance company before dispensing or reimbursing them. The restrictions apply to new insurance policies and contracts starting January 1, 2027, with existing plans required to comply by January 1, 2028.
HB 222 requires Louisiana Medicaid to cover dental procedures when they are medically necessary for a patient to safely receive another Medicaid-covered medical treatment. This directly affects Medicaid enrollees who need dental care as a prerequisite for other covered medical procedures, such as surgeries or chronic condition management. The bill mandates the Louisiana Department of Health to update the state’s federal Medicaid plan, create necessary administrative rules, and submit required amendments to the Centers for Medicare and Medicaid Services. It does not expand general dental coverage but targets specific cases where dental treatment is a medical necessity for other covered care.
HB 218 requires Louisiana public schools to screen all students in grades K-12 for food insecurity at enrollment and once per semester, plus during school health clinic visits. The bill mandates using a free, age-appropriate screening tool selected by the state Department of Education and Health, with results kept confidential except for parents/guardians or authorized school staff. Schools must refer identified students to resources like meal programs, food pantries, and public assistance. Charter schools are exempt from this requirement under Section 3996(B)(24), but the bill applies directly to public school students and their families.
HB 198 requires Louisiana's Medicaid program to reimburse ambulatory surgical centers at least 100% of the Medicare rate for gastroenterology procedures. This directly affects outpatient surgical centers providing these specific medical services and ensures they receive consistent, updated payments. The bill mandates annual reimbursement adjustments to match Medicare rate changes and requires the Louisiana Department of Health to implement these changes by October 1, 2026. It also authorizes the Department to create necessary rules under state administrative procedures. This policy change standardizes payments for a defined set of procedures, aiming to maintain provider access to Medicaid coverage.
HB 181 authorizes the Louisiana Department of Revenue to share state income tax return data with the legislative auditor exclusively to improve Medicaid program integrity. It specifically permits this data sharing to verify Medicaid eligibility accuracy, detect fraud, and comply with existing Medicaid fraud laws. The bill restricts the use of this data to these three purposes only and requires formal agreements between agencies for data sharing. This affects Medicaid program participants and administrators by enabling targeted fraud prevention through cross-agency data access.
HCR 3 establishes a quarterly assessment on Louisiana hospitals to stabilize funding without using state general funds. It requires hospitals to pay a percentage of their inpatient and outpatient revenue (ranging from 1.38% to 6.74%, with exemptions for rural hospitals and small facilities under 40 beds). The collected funds support Medicaid reimbursement enhancements for hospitals, ensuring payments meet or exceed 2026 rates while aligning with federal CMS guidelines. This directly affects most acute care hospitals in Louisiana, excluding rural and small facilities, and aims to preserve hospital services for all residents.
SB 155 requires Louisiana health insurers to cover medically necessary dental procedures directly related to cancer treatment, such as infection prevention/treatment or addressing tooth decay caused by chemotherapy, radiation, or biological therapy. It specifically covers procedures within 30 days before treatment, during treatment, or as a result of treatment (including obturators for oral cavity defects), but excludes routine preventive care like cleanings. The law applies to all new health insurance plans issued on or after January 1, 2027, with existing plans required to comply by January 1, 2028. It does not apply to short-term policies, limited-benefit plans, or excepted benefits.
