Healthcare

SB 162 modifies Louisiana's workers' compensation system by changing how disputes over medical treatment decisions are handled. It allows any party disagreeing with a medical director's decision to appeal within 45 days using LWC Form 1008. To overturn a decision, the appealing party must present "clear and convincing evidence" showing the decision violated the law, and only evidence previously reviewed by the medical director can be used in the appeal. This directly affects workers and employers in Louisiana workers' compensation cases involving medical treatment disputes. The bill focuses on streamlining the appeals process for medical treatment decisions under the existing workers' compensation framework.

HB 689 requires Louisiana's Department of Children and Family Services (DCFS) to report within 72 hours when a child enters or leaves foster care custody to the Louisiana Department of Health. This ensures the health department can immediately adjust public assistance benefits for parents if a child is no longer living in their household - such as SNAP (food stamps), WIC, or FITAP benefits - and update Medicaid coverage for the child. The bill directly affects parents receiving benefits and children in foster care by streamlining benefit adjustments based on custody changes. It also mandates fraud investigations if individuals fail to report such changes, ensuring benefits align with current household circumstances.

This bill makes minor formatting and punctuation adjustments to a larger legislative text regarding a trauma-informed training program. The changes include capitalizing the word "Domestic," adding a comma after "teachers," and inserting the word "or" at the end of a line. These amendments do not alter the substantive policy content but instead correct the text for consistency and clarity. The bill directly affects the administrative drafting of the legislation rather than introducing new operational requirements.

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.