Healthcare

This bill allows mental health institutions in Louisiana to provide nonemergency medical transportation for their Medicaid patients using their own vehicles or contracted providers. It establishes that these transportation services will be reimbursed through Medicaid at the same rates as standard nonemergency medical transportation, with managed care organizations required to pay at least those rates directly to the institutions. The law specifically limits transportation to trips related to psychiatric services, such as admission, discharge, or travel between the institution and a patient's home, while excluding other medical services like dental or pharmacy visits. Institutions must still follow all existing state and federal safety and operational requirements for vehicles and drivers. The bill takes effect on July 1, 2026.

HB 780 strengthens protections for Louisiana workers by imposing penalties on employers or insurers who delay or deny workers' compensation payments or medical treatment. It sets daily penalties of up to $50 (capped at $2,000 per claim) or 12% of unpaid benefits, plus attorney fees, unless the delay was reasonable. Employers must send specific written notices within 3 business days when modifying benefits and respond to employee payment demands within 7 business days to avoid penalties. Total penalties at a hearing are capped at $8,000, and attorney fees from penalty cases are exempt from standard fee limits.

HB 919 requires pharmacy benefit managers (PBMs) in Louisiana to reimburse pharmacies at least the National Average Drug Acquisition Cost (NADAC) plus the state's professional dispensing fee per prescription, with a minimum $12 per prescription. It prohibits PBMs from owning or contracting with pharmacies (including subsidiaries) and mandates annual transparency reports detailing foreign subsidiaries and financial arrangements with drug manufacturers. PBMs violating these rules face fines up to $100,000 per violation for executives, with unlimited liability for large PBMs ($500M+ revenue). The law applies retroactively to prescriptions filled between January 1, 2025, and December 1, 2025, and becomes fully effective for new requirements in 2027. These provisions directly affect pharmacies, pharmacists, and PBMs operating in Louisiana.

HB 469 establishes a $100 annual optional "pharmacy education support fee" for pharmacists and pharmacies renewing licenses or permits in Louisiana. Pharmacists and pharmacies can choose whether to pay the fee or select a specific public university pharmacy school (like Xavier University) to receive it, with the option to opt out entirely. Funds collected must supplement, not replace, existing university funding for pharmacy education programs. The Louisiana Board of Pharmacy will distribute payments to chosen schools by April 1 each year, ensuring the money directly supports pharmacy education initiatives at public universities.

HB 182 requires all licensed hospitals and healthcare providers in Louisiana to ensure a qualified healthcare professional (such as a physician or sexual assault nurse examiner) is available during operating hours to provide forensic examinations and treatment to sexual assault survivors. It mandates that facilities offer survivors information about these services and maintain personnel trained to conduct forensic medical exams. The bill directly affects hospitals, clinics, and healthcare providers statewide by setting new standards for their response to sexual assault cases. It defines key terms like "qualified healthcare professional" to clarify who can perform these examinations, aiming to improve access to specialized care for survivors.