Budget & Taxes

This bill requires Louisiana Medicaid to cover FDA-approved weight loss medications for eligible adults over eighteen. To qualify, patients must have a BMI of 30 or higher with at least one related health condition like diabetes or hypertension, or a BMI of 35 or higher without additional conditions. Coverage will require prior authorization limited to verifying these eligibility criteria, with initial approval for six months and continued coverage depending on documented clinical improvement. The bill also prohibits step therapy requirements for these medications and mandates that the Department of Health implement the coverage while maintaining fiscal sustainability.

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.

HB 187 repeals Louisiana's existing law (R.S. 13:981) that established a dedicated pool of 30 court reporters employed by the Louisiana Supreme Court. The bill removes provisions requiring the Supreme Court to maintain this pool, including rules for geographical assignment, $15,000 annual salaries for pool reporters, and travel expense limits. It directly affects the Supreme Court's administrative structure for court reporting services, eliminating the specific pool system. The repeal does not create new requirements but removes the current statutory framework for this employment model. This is a procedural repeal of an existing administrative mechanism, not a new policy.