RÉSUMÉ DIGEST
ACT 658 (HB 603) 2024 Regular Session Firment
Existing law defines "health insurance issuer".
New law further defines "health insurance issuer" to include a pharmacy benefit manager and
any person acting on behalf of a pharmacy benefit manager.
Existing law provides for audits of pharmacy records.
Existing law does not prohibit the review of a claim filed by a pharmacy to determine if the
claim is payable or paid correctly. Provides that the review may require the pharmacy's
submission of prescription copies and other documentation related to the specific claims
under review.
New law makes technical changes and otherwise retains existing law.
New law requires the commissioner of insurance to promulgate and adopt rules relative to
pharmacy record audits, claim reviews, quality assurance reviews, and fraud or willful
misrepresentation audits.
Effective August 1, 2024.
(Amends R.S. 22:1852(intro. para.) and (7) and 1856.1(B)(2)(b); Adds R.S. 22:1856.1(H))


Statutes affected:
HB603 Enrolled: 22:1852, 22:1(B)(2)
HB603 Act 658: 22:1852, 22:1(B)(2)