MEDICAID: Provides relative to Medicaid prior authorization during a declared emergency. (8/1/25) (EN NO IMPACT See Note)

Prior authorization suspension is now limited exclusively to oncology health care (diagnostics, treatments, medications, and supportive services essential for cancer management) instead of all medically necessary healthcare services.

Added specific eligibility criteria requiring that the prior authorization suspension applies only to Medicaid recipients undergoing cancer treatment who reside within the designated emergency area.

Added a requirement for Medicaid managed care organizations to notify oncology patients specifically about prior authorization suspensions and their rights during emergencies.

Added a requirement for reimbursement of out-of-state providers who provide essential oncologic care (including chemotherapy, radiation therapy, and diagnostic imaging) to Louisiana Medicaid recipients who evacuated out of state during an emergency.

Established an effective date of August 1, 2025, for the new provisions.

Updated the document header from 'REENGROSSED' to 'ENROLLED' and adjusted page counts to reflect the final version.

Added names of Representatives (Berault, Billings, Wilford Carter, Chassion, Egan, Fisher, Knox, Mandie Landry, and Wyble) to the list of bill sponsors, confirming the bill has been approved by the House of Representatives.

Removed the 'Summary of Amendments Adopted by Senate' section, which is no longer needed in the final enrolled version.

Adjusted the footer and coding instructions to match the standard format for an enrolled bill.

Replaced specific references to 'oncology' and 'cancer treatment' with the broader term 'medically necessary healthcare services' to apply to all emergency care needs.

Removed the requirement that out-of-state reimbursement apply only to 'oncologic care' such as chemotherapy and radiation, expanding it to 'essential medical care'.

Changed the notification requirement from specifically informing 'oncologic patients' to notifying all 'Medicaid recipients' about suspension provisions.

Updated eligibility criteria to apply to all Medicaid recipients in the emergency area rather than restricting it only to those undergoing cancer treatment.