House Bill No. 1176, introduced by Representative Freeman, mandates that Medicare Advantage plans in Louisiana provide coverage for integrative care services, as defined by nationally recognized clinical practice guidelines. The bill outlines that these services must be recommended in connection with the diagnosis, treatment, or management of a covered medical condition. It also specifies that coverage may involve annual deductibles, coinsurance, copayments, and prior authorization requirements consistent with the Medicare Advantage plan. The bill defines "integrative care services" and "Medicare Advantage plan," and clarifies that the provisions will only apply to the extent permitted under federal law.
Additionally, the bill empowers the commissioner of insurance to take necessary actions for implementation, including submitting required materials to the Centers for Medicare and Medicaid Services and promulgating rules and regulations. The provisions of this act will apply to any new policy, contract, or health coverage plan issued on or after January 1, 2026, with existing plans required to conform by their renewal date, but no later than January 1, 2027. The act is set to become effective on January 1, 2027.