This bill updates Louisiana laws governing the Addictive Disorder Regulatory Authority to establish a formal regulatory framework for addiction counseling professionals. It creates new categories of credentials including peer support specialists and peer support specialist associates, defining their roles, training requirements, and supervision needs. The legislation also introduces criminal background checks, renewal procedures, and fee structures for the board, while expanding definitions to include gambling addiction and co-occurring disorders. These changes aim to standardize how addiction counseling services are licensed and supervised in the state.
This bill prohibits health insurance companies and Medicaid managed care organizations from requiring prior authorization for certain generic medications when prescribed by board-certified physicians. The law defines a board-certified physician as a doctor certified by a recognized medical specialty board and a generic medication as a drug chemically equivalent to a brand-name drug approved by the FDA. Under this legislation, insurers must cover these specific generic prescriptions without needing additional approval from the insurance company before dispensing or reimbursing them. The restrictions apply to new insurance policies and contracts starting January 1, 2027, with existing plans required to comply by January 1, 2028.
HB 222 requires Louisiana Medicaid to cover dental procedures when they are medically necessary for a patient to safely receive another Medicaid-covered medical treatment. This directly affects Medicaid enrollees who need dental care as a prerequisite for other covered medical procedures, such as surgeries or chronic condition management. The bill mandates the Louisiana Department of Health to update the state’s federal Medicaid plan, create necessary administrative rules, and submit required amendments to the Centers for Medicare and Medicaid Services. It does not expand general dental coverage but targets specific cases where dental treatment is a medical necessity for other covered care.
HB 218 requires Louisiana public schools to screen all students in grades K-12 for food insecurity at enrollment and once per semester, plus during school health clinic visits. The bill mandates using a free, age-appropriate screening tool selected by the state Department of Education and Health, with results kept confidential except for parents/guardians or authorized school staff. Schools must refer identified students to resources like meal programs, food pantries, and public assistance. Charter schools are exempt from this requirement under Section 3996(B)(24), but the bill applies directly to public school students and their families.
HB 198 requires Louisiana's Medicaid program to reimburse ambulatory surgical centers at least 100% of the Medicare rate for gastroenterology procedures. This directly affects outpatient surgical centers providing these specific medical services and ensures they receive consistent, updated payments. The bill mandates annual reimbursement adjustments to match Medicare rate changes and requires the Louisiana Department of Health to implement these changes by October 1, 2026. It also authorizes the Department to create necessary rules under state administrative procedures. This policy change standardizes payments for a defined set of procedures, aiming to maintain provider access to Medicaid coverage.
HCR 3 establishes a quarterly assessment on Louisiana hospitals to stabilize funding without using state general funds. It requires hospitals to pay a percentage of their inpatient and outpatient revenue (ranging from 1.38% to 6.74%, with exemptions for rural hospitals and small facilities under 40 beds). The collected funds support Medicaid reimbursement enhancements for hospitals, ensuring payments meet or exceed 2026 rates while aligning with federal CMS guidelines. This directly affects most acute care hospitals in Louisiana, excluding rural and small facilities, and aims to preserve hospital services for all residents.
SB 295 requires all health insurance plans sold in Louisiana to cover medically necessary treatments for people with acquired brain injuries (ABIs), such as stroke or trauma survivors. It prohibits lifetime or unreasonable annual limits on treatment days/sessions, ensures ABI care isn’t subject to higher deductibles/copays than other benefits, and bans coverage denials based solely on treatment location (e.g., home vs. facility) if clinically appropriate. The bill defines covered services to include cognitive rehabilitation, neurobehavioral therapy, and community reintegration support, and mandates peer-reviewed appeals for denied claims. The bill is pending in the Insurance Committee after being prefilled in February 2026.
HB 833 creates the Sexual Assault Survivor Empowerment Task Force in Louisiana to study and recommend improvements to services for sexual assault survivors. The task force, composed of members from the attorney general's office, sheriffs' association, state legislators, and district attorneys, will evaluate needs like counseling, school/work accommodations, and mandatory training for schools/hospitals/law enforcement. It must submit a report with specific recommendations to the governor and legislature by February 1, 2027, after which the task force will terminate. This bill does not change existing laws but sets up a process to inform future legislation.
HB 656 establishes a pilot program to provide structured programming to specific inmates in Louisiana. It directly affects juvenile offenders and inmates held in parish jails or prisons under the Department of Public Safety and Corrections (DPS&C). The program must include rehabilitation services (education/vocational training), mental health support, and suicide prevention initiatives. Programming will be delivered in-person or via video for accessibility, with DPS&C required to create implementing rules. This bill focuses on expanding access to support services within correctional facilities.
HB 475 requires healthcare providers in Louisiana to obtain a patient's verbal consent before using artificial intelligence to transcribe medical appointments or treatments. If a patient declines consent, providers must conduct the appointment without AI transcription. This bill directly affects licensed healthcare professionals and their patients by establishing a clear consent process for AI-assisted documentation. The key provision mandates that providers cannot use AI transcription tools without explicit patient agreement, with an opt-out option ensuring no forced use of the technology. The legislation focuses solely on the consent requirement for AI transcription, not general recording practices.
