House Bill No. [insert number] seeks to amend the Medical Assistance Programs Integrity Law in Louisiana by enhancing the prosecution and investigation of fraud within medical assistance programs. The bill introduces new definitions, including "managed care organization," and clarifies that proof of specific intent to defraud is not necessary for certain violations. It establishes procedures for qui tam actions, allowing private individuals to file civil actions on behalf of the state, while also emphasizing the rights of these plaintiffs and detailing the responsibilities of the attorney general and secretary in pursuing claims.

The legislation removes several existing provisions, including specific definitions and the previous requirement that alleged damages must exceed one thousand dollars for an action to be initiated. It also introduces new prohibitions against various forms of fraud, such as submitting false claims and misrepresenting healthcare services. Additionally, the bill modifies the procedures surrounding qui tam actions, ensuring that complaints remain confidential until judicial service is made and allowing only the state to intervene in such actions. It outlines the rights of qui tam plaintiffs regarding settlements and recovery, while also streamlining the legal framework by repealing outdated provisions related to these actions. Overall, the bill aims to strengthen the integrity of medical assistance programs in Louisiana.

Statutes affected:
HB560 Original: 46:3, 46:5(B), 46:1(A), 46:6(D)(3), 46:7(3), 46:2(A)(1), 46:4(A)(1), 46:3(7), 46:6(A)(2), 46:8(D)(2), 46:1(F), 46:2(F)
HB560 Engrossed: 46:3, 46:5(B), 46:1(A), 46:6(D)(3), 46:7(3), 46:2(A)(1), 46:4(A)(1), 46:3(7), 46:6(A)(2), 46:8(D)(2), 46:1(F), 46:2(F)
HB560 Reengrossed: 46:3, 46:5(B), 46:1(A), 46:6(D)(3), 46:7(3), 46:2(A)(1), 46:4(A)(1), 46:3(7), 46:6(A)(2), 46:8(D)(2), 46:1(F), 46:2(F)
HB560 Enrolled: 46:3, 46:5(B), 46:1(A), 46:6(D)(3), 46:7(3), 46:2(A)(1), 46:4(A)(1), 46:3(7), 46:6(A)(2), 46:8(D)(2), 46:1(F), 46:2(F)
HB560 Act : 46:3, 46:5(B), 46:1(A), 46:6(D)(3), 46:7(3), 46:2(A)(1), 46:4(A)(1), 46:3(7), 46:6(A)(2), 46:8(D)(2), 46:1(F), 46:2(F)