Healthcare

This bill strengthens oversight of pharmacy benefit managers in Louisiana by establishing a $1 million civil penalty for violations of the law. It creates a new state fund to finance a transparency portal that publishes manager data, a restitution system for harmed individuals, and grants to support independent and rural pharmacies. The legislation also authorizes money from this fund to help consumers navigate prescription drug benefits and aims to lower drug costs for residents.

HB 897 protects patient healthcare data for participants in Louisiana's Pregnancy and Baby Care Initiative. It requires healthcare providers (general contractors and subcontractors) to obtain written consent before sharing any identifiable health information, provide clear privacy notices explaining what data will be shared and with whom, and offer an easy way for patients to revoke consent. Providers must also give patients free access to their records within 10 business days. Violations could lead to contract termination by the Department of Children and Family Services, following standard state procedures.

This bill, known as the Louisiana Medical Freedom Act, prohibits businesses, schools, and government entities from denying services, employment, or access to individuals based on their refusal to undergo medical interventions such as vaccines or testing. It also bans employers from requiring medical interventions as a condition of employment and prevents schools from mandating such interventions beyond existing immunization laws. The legislation allows for reasonable accommodations and existing legal exemptions while repealing previous requirements related to immunization and school attendance. Violations of the act can be prosecuted by state or local prosecutors, with potential awards of attorney fees and court costs.

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 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.