LouisianaSB 162025 Regular SessionSenateWALLET

HEALTH/ACC INSURANCE: Provides relative to health stop-loss insurance. (8/1/25) (EN NO IMPACT See Note)

Sponsored By: Patrick McMath (Republican)

Signed by Governor

Insurance

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

New stop-loss protections for small employers

Beginning January 1, 2026, new standards govern small-employer health stop-loss insurance, applying to policies issued after that date. Policies already in effect before that date are exempt. Renewal increases generally cannot exceed the prior plan year's medical-care index change plus 50%; increases over 50% need actuarial justification. Contracts must last at least 12 months with guaranteed rates. Rates can change during the contract only if plan benefits change or covered worker numbers change by more than 15%. Policies must include an individual claim threshold, an overall claims threshold, or both, before stop-loss coverage pays. Coverage limits and exclusions, including annual limits, must match the employer's health plan unless other employer insurance covers the difference. Policies must pay eligible claims incurred during the contract and paid within 24 months after it expires. Eligible claims remain covered if the employer ends the health plan early, subject to the contract's minimum claim thresholds. For employers with fewer than five workers, policies cannot allow member-specific deductible or claim-threshold adjustments, including adjustments for specific diseases or conditions. Employers must sign a separate disclosure before buying coverage, explaining coverage limits, employer risks, and how claims affect renewals. Louisiana's insurance commissioner must develop the standard disclosure form by January 1, 2026.

Sponsors & Cosponsors

Sponsor

  • Patrick McMath

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 280 • No: 0

House vote • 6/12/2025

Conference Committee Report read, roll called, yeas 100, nays 0. The Conference Committee Report was adopted.

Yes: 100 • No: 0

Senate vote • 6/12/2025

Conference Committee Report read; adopted by a vote of 35 yeas and 0 nays.

Yes: 35 • No: 0

House vote • 6/8/2025

Read third time by title, amended, roll called on final passage, yeas 99, nays 0. Finally passed, ordered to the Senate.

Yes: 99 • No: 0

House vote • 5/28/2025

Reported with amendments

Yes: 10 • No: 0

Senate vote • 5/14/2025

Senate floor amendments read and adopted. Read by title and passed by a vote of 36 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

Yes: 36 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 400.

    6/20/2025Senate
  2. Effective date 8/1/2025.

    6/20/2025Senate
  3. Conference Committee report received. Lies over under the rules.

    6/12/2025House
  4. Conference Committee Report read; adopted by a vote of 35 yeas and 0 nays.

    6/12/2025Senate
  5. Rules suspended.

    6/12/2025House
  6. Conference Committee Report read, roll called, yeas 100, nays 0. The Conference Committee Report was adopted.

    6/12/2025House
  7. Notice of Senate adoption of Conference Committee Report.

    6/12/2025House
  8. Notice House adopted the Conference Committee Report.

    6/12/2025Senate
  9. Signed by the Speaker of the House.

    6/12/2025House
  10. Enrolled. Signed by the President of the Senate on 6/13/2025.

    6/12/2025Senate
  11. Sent to the Governor by the Secretary of the Senate on 6/13/2025.

    6/12/2025Senate
  12. House conferees appointed: Beaullieu, Firment, and Echols.

    6/11/2025House
  13. Senate conference committee members appointed: McMath, Allain, and Talbot.

    6/11/2025Senate
  14. Notice House Conference Committee members appointed.

    6/11/2025Senate
  15. Notice of Senate conferees appointed.

    6/11/2025House
  16. Called from the calendar.

    6/8/2025House
  17. Read by title, returned to the calendar.

    6/8/2025House
  18. Called from the calendar.

    6/8/2025House
  19. Read third time by title, amended, roll called on final passage, yeas 99, nays 0. Finally passed, ordered to the Senate.

    6/8/2025House
  20. Received from the House with amendments.

    6/8/2025Senate
  21. Read by title, returned to the calendar.

    6/3/2025House
  22. Notice given.

    6/3/2025House
  23. Scheduled for floor debate on 06/08/2025.

    6/3/2025House
  24. Read by title, amended, passed to 3rd reading.

    6/2/2025House
  25. Scheduled for floor debate on 06/03/2025.

    6/2/2025House

Bill Text

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