The bill amends various sections of Louisiana law related to healthcare provider payments, specifically focusing on the recoupment of claims for dental and health services. Key provisions include a prohibition on retroactive denial or recoupment of claims for dental services after eighteen months from the initial payment date, and similar restrictions for health insurance claims, which cannot be retroactively denied after twelve months. The bill also establishes standards for the timely processing of both electronic and nonelectronic claims, requiring health insurance issuers to pay claims within specified timeframes and to provide late payment adjustments if these deadlines are not met. Additionally, it prohibits any waivers of these provisions by contract.

Furthermore, the bill introduces new provisions for municipalities with fewer than two employees, allowing them to contract for individual insurance policies and reimburse employees for their insurance payments. The amendments aim to enhance the protection of healthcare providers and ensure timely payments for services rendered, while also clarifying the rights and responsibilities of health insurance issuers. The act is set to take effect on January 1, 2027.

Statutes affected:
SB465 Original: 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C)
SB465 Engrossed: 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C)
SB465 Reengrossed: 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C)
SB465 Re-Reengrossed: 22:1155(C), 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C)
SB465 Enrolled: 22:1155(C), 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C), 33:5151(A)
SB465 Act : 22:1155(C), 22:1832(A), 22:1833(B), 22:1838(F), 22:1853(A), 22:1853(B)(1), 22:1853(C), 22:1854(A), 22:1854(B), 22:1854(C), 33:5151(A)