LEGISLATIVE FISCAL OFFICE
Fiscal Note
Fiscal Note On: SB 90 SLS 22RS 318
Bill Text Version: ENROLLED
Opp. Chamb. Action:
Proposed Amd.:
Sub. Bill For.:
Date: June 7, 2022 10:19 AM Author: MILLS, ROBERT
Dept./Agy.: Insurance
Subject: Network Adequacy for Health Insurance Plans Analyst: Patrice Thomas
HEALTH/ACC INSURANCE EN NO IMPACT See Note Page 1 of 1
Provides relative to network adequacy for health insurer benefit plans. (1/1/23)
Under present law, health insurance plans must file annual access plans with the LA Department of Insurance (LDI) for each
health plans that insurer offers in the state. Present law provided for an exception to filing annual access plans if the health
insurance issuer had proof of accreditation. Proposed law eliminates that accreditation exception to filing annual access
plans. Proposed law effective January 1, 2023.
EXPENDITURES 2022-23 2023-24 2024-25 2025-26 2026-27 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
REVENUES 2022-23 2023-24 2024-25 2025-26 2026-27 5 -YEAR TOTAL
State Gen. Fd. $0 $0 $0 $0 $0 $0
Agy. Self-Gen. $0 $0 $0 $0 $0 $0
Ded./Other $0 $0 $0 $0 $0 $0
Federal Funds $0 $0 $0 $0 $0 $0
Local Funds $0 $0 $0 $0 $0 $0
Annual Total $0 $0 $0 $0 $0 $0
EXPENDITURE EXPLANATION
There is no anticipated direct material effect on governmental expenditures as a result of this measure. Under present law,
some health plans are exempted from filing annual network access plans with the LA Department of Insurance (LDI). The
proposed law eliminates that exemption; thereby requiring all health plans to file annual network access plans with LDI. LDI
reports that it is capable of handling any workload arising from increased filing of annual plans with existing budgetary and
personnel resources.
REVENUE EXPLANATION
There is no anticipated direct material effect on governmental revenues as a result of this measure.
Senate Dual Referral Rules House
13.5.1 >= $100,000 Annual Fiscal Cost {S & H} 6.8(F)(1) >= $100,000 SGF Fiscal Cost {H & S}
Evan Brasseaux
13.5.2 >= $500,000 Annual Tax or Fee 6.8(G) >= $500,000 Tax or Fee Increase
Change {S & H} or a Net Fee Decrease {S} Interim Deputy Fiscal Officer


Statutes affected:
SB90 Engrossed: 22:2(A), 22:2(C), 22:2(D)
SB90 Reengrossed: 22:2(A), 22:2(C), 22:2(D)
SB90 Enrolled: 22:2(A)
SB90 Act 589: 22:2(A)