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 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.
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 155 requires Louisiana health insurers to cover medically necessary dental procedures directly related to cancer treatment, such as infection prevention/treatment or addressing tooth decay caused by chemotherapy, radiation, or biological therapy. It specifically covers procedures within 30 days before treatment, during treatment, or as a result of treatment (including obturators for oral cavity defects), but excludes routine preventive care like cleanings. The law applies to all new health insurance plans issued on or after January 1, 2027, with existing plans required to comply by January 1, 2028. It does not apply to short-term policies, limited-benefit plans, or excepted benefits.
SB 250 requires Louisiana's Office of Group Benefits to contract with healthcare providers to offer comprehensive weight management services to plan participants. These services include FDA-approved medications, medically appropriate compounded treatments, medical evaluations, prescribing oversight, and follow-up care. The bill directly affects individuals enrolled in group health benefit plans covered under Louisiana's state programs. It establishes a formal mechanism for the Office of Group Benefits to provide these specific health services through qualified external partners. The bill is currently under review by the Finance Committee after being prefilled on February 26, 2026.
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 430, known as the "MJ 911 Act," mandates that Lafayette Parish employers provide lifelong health insurance coverage for surviving spouses and children (including step- or adopted children) of law enforcement officers or firefighters killed in the line of duty. Specifically, it requires employers to pay for health insurance for surviving spouses for life and for children until age 18 (or until 23 if enrolled in school or disabled). The law applies retroactively to January 1, 2017, for all qualifying families and ensures coverage matches what active members receive. It does not require families to accept the coverage, allowing them to decline it if desired.
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.
