HB 915 sets strict deadlines for Louisiana Medicaid managed care organizations to approve or deny medical service requests. It requires decisions within 5 business days for standard requests (2 days for inpatient care, 72 hours for urgent cases), with clear denial notices including policy references. The bill directly affects healthcare providers and Medicaid managed care organizations by mandating timely reviews and prohibiting claim denials for late decisions. Key provisions include requiring written notice of denials within two business days, allowing limited extensions for additional clinical information, and banning retroactive claim denials after services are provided. This procedural bill focuses on streamlining authorization processes to reduce administrative delays for Medicaid enrollees.
HB 786 prohibits Louisiana's Medicaid managed care organizations from using "extrapolation" (mathematical estimation of unreviewed claims) when auditing healthcare providers. It requires that any payment adjustments for overpayments or underpayments be based solely on actual reviewed claims, not estimated totals. The bill directly affects healthcare providers receiving Medicaid payments and the private managed care organizations that administer those payments. Violations by managed care organizations can trigger penalties without prior notice, and contractual clauses attempting to waive these rules are void. This policy change ensures audits are based on verified data rather than estimates.
HB 392 requires all Louisiana public and nonpublic secondary schools to post suicide prevention hotline information on their websites and print it on student ID cards. Specifically, schools must display the National Suicide Prevention Lifeline number "988" (with instructions to call or text) and, if available, local and state suicide prevention hotline numbers. This bill updates existing requirements by broadening the scope to all secondary schools and standardizing the required information. The policy directly affects schools and students by ensuring immediate access to crisis resources through everyday school materials.
HB 405 amends Louisiana law to establish licensure requirements for acupuncturists. It requires practitioners to hold active certification from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) and pass its certification exam, including the Biomedicine portion. The bill updates the legal reference to the certifying organization's name to match its current official title. This directly affects individuals seeking to practice acupuncture in Louisiana by setting standardized certification criteria. The bill is currently in committee referral and has not yet been enacted.
HB 779 allows Louisiana doctors, nurses, and physician assistants to prescribe antibiotics to a patient’s sexual partner for certain sexually transmitted infections (STIs) like chlamydia, gonorrhea, or trichomoniasis - without requiring a direct exam or doctor-patient relationship with the partner. It requires providers to give the patient a written document to share with their partner, detailing the prescribed treatment. The bill also grants legal protection to healthcare providers who follow these guidelines in good faith. This policy directly affects patients diagnosed with eligible STIs and their partners, aiming to improve treatment access while reducing infection spread.
HB 77 requires the Lincoln Parish Clerk of Court to pay 100% of group insurance premiums (including life, health, dental, and medical expense coverage) for qualifying retirees. It directly affects former Lincoln Parish Clerk of Court employees who retire with at least 20 years of full-time service, are age 55 or older, and begin receiving retirement benefits immediately upon retirement. The bill specifically covers standard group insurance plans but excludes supplemental insurance options. This provision is limited to Lincoln Parish and applies only to retirees meeting these exact service and age requirements.
This bill updates Louisiana law to clarify the roles of nurses in administering medications within public health clinics. It allows registered nurses, nurse practitioners, and advanced practice registered nurses to insert subcutaneous medication implants and distribute certain medications for treating sexually transmitted diseases or preventing pregnancy under physician-approved protocols. Additionally, the bill permits these licensed nurses to administer reconstituted medications for intravenous therapy when used according to the medication's labeling, while explicitly stating that this process does not constitute compounding. The changes apply specifically to nurses employed by municipal, parochial, or state-operated public health clinics and require adherence to established procedures and protocols.
SB 30 prohibits Louisiana state agencies and licensing boards from banning telehealth services for evaluating, diagnosing, or treating obesity and related metabolic conditions. It directly affects licensed healthcare providers who use telehealth to deliver these services. The bill requires that providers may prescribe FDA-approved or compounded noncontrolled medications via telehealth while operating within their license scope and standard of care. This policy change removes regulatory barriers to telehealth for these specific conditions, without altering existing licensure requirements.
SB 32 establishes the Perinatal Bereavement Care Initiative within Louisiana's Department of Health to improve support for families experiencing pregnancy loss or infant death. The bill requires hospitals providing maternity care to receive staff training on supporting grieving parents, access to bereavement resources (like counseling referrals), and perinatal bereavement devices. It prioritizes hospitals serving high-risk patients, delivering many babies, or lacking current bereavement resources. The initiative can fund these services using voluntary monies, including federal grants and donations, without imposing new taxes.
SB 84 requires all health insurance plans sold in Louisiana to cover prostate cancer screening for men aged 40-49 (as medically appropriate) and men over 50, following National Comprehensive Cancer Network guidelines. It mandates that insurers cover these screenings without any out-of-pocket costs for enrollees, including deductibles, copays, or coinsurance. The law applies to new policies starting January 1, 2027, and existing policies must comply by January 1, 2028. This directly affects Louisiana health insurers and their policyholders by guaranteeing no-cost access to recommended prostate cancer screenings.