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5 11, 2024

HB495

This bill amends and enacts provisions related to facility need review for certain healthcare providers in Louisiana. The key provisions are: 1. It exempts behavioral health service providers that were licensed by the Louisiana Department of Health on or before January 1, 2024, from the facility need review requirement when they are seeking to add psychosocial rehabilitation services or community psychiatric support and treatment services in their licensed service area, as long as they meet certain criteria such as not having any license issues or sanctions in the past two years. 2. It requires [...]

HB495
5 11, 2024

HB509

This bill amends existing Louisiana law to prohibit pharmacy benefit managers (PBMs) from restricting pharmacies or pharmacists from informing patients about all relevant options when acquiring prescription medication, including more affordable alternatives and the ability to pay cash if that is less than the insurance copayment or deductible. The bill also prohibits PBMs, insurers, or third-party administrators from setting, altering, or conditioning the terms of a health benefit plan based on information about financial or product assistance available for a prescription drug.

HB509
5 11, 2024

HB615

This bill amends the existing law to change the focus of the Health Care Employment Reinvestment Opportunity (H.E.R.O.) Fund. The key provisions are: 1. The fund's purpose is expanded to support the training and recruitment of doctors of medicine, doctors of osteopathy, physician assistants, and advanced practice registered nurses, particularly in designated health professional shortage areas (HPSAs) and medically underserved areas of Louisiana. 2. The fund can be used to increase the number of clinical preceptors in schools of medicine and nursing, provide financial incentives for students to practice in Louisiana, and incentivize these [...]

HB615
5 11, 2024

HB704

This bill creates the pharmacy benefit managers quality incentive program in Louisiana. The program aims to improve the health outcomes of Louisiana residents by providing incentive payments to eligible independent network pharmacies for meeting certain benchmarks or strategies. The bill requires each licensed pharmacy benefit manager to develop the program in consultation with plan sponsors, and to report annually to the commissioner on the program's details and results. The program is voluntary for participating pharmacies, and a pharmacy's participation or non-participation cannot result in penalties. The bill also prohibits pharmacy benefit managers from using [...]

HB704
5 11, 2024

HB916

This bill establishes procedures for the use of artificial intelligence (AI) by healthcare entities and professionals in Louisiana. The key provisions are: 1. Healthcare entities are prohibited from making patient care decisions solely based on the results derived from the use of AI. 2. Healthcare professionals must review any healthcare decision made by or with the use of AI and can override such decisions. 3. The boards responsible for licensing healthcare professionals must promulgate rules to establish standards for implementing these provisions. 4. The bill defines "artificial intelligence" as an artificial system developed in [...]

HB916
5 11, 2024

SB219

This bill amends and reenacts several sections of Louisiana's insurance laws to provide additional requirements for the reorganization and conversion of mutual insurance companies. The key provisions include: 1. Requiring mutual insurance companies seeking to reorganize to disclose whether the reorganization is being pursued in conjunction with a proposed acquisition. 2. Authorizing the Insurance Commissioner to conduct financial and market analysis reviews of the terms, conditions, and price of a proposed acquisition, and publish the findings prior to a public hearing on the reorganization plan. 3. Prohibiting the distribution or acceptance of special ballots [...]

SB219
15 08, 2024

Updates on Corporate Practice of Medicine, PBM, and Non-Compete Litigation

No Decision in AAEM-PG v. Envision Case: A Potential Precedent-Setting Corporate Practice of Medicine and Private Equity Case is Avoided  A decision in the long-anticipated case, the American Academy of Emergency Medicine Physician Group (AAEM-PG) v. Envision Healthcare, will not come to pass, as Envision, a private equity-backed emergency physician staffing company, choose to exit the California market.  In a press release, AAEM-PG stated a concern about whether a California court could retain jurisdiction over the case after Envision exited, and noted that a confidential settlement had been made.   Experts, including The Source staff, [...]

Updates on Corporate Practice of Medicine, PBM, and Non-Compete Litigation
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