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0 chapters · 1,747 sections in this title.
La. Rev. Stat. § 22:1028.5 Required coverage for biomarker testing
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§1028.5. Required coverage for biomarker testing A. The legislature hereby finds that medical advances in genomic testing for diseases and other medical conditions including but not limited to biomarker testing can identify characteristics of disease or any other medical conditio…
La. Rev. Stat. § 22:1028.6 Required coverage for pediatric acute-onset neuropsychiatric syndrome (PANS);
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§1028.6. Required coverage for pediatric acute-onset neuropsychiatric syndrome (PANS); pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS); types of autoimmune encephalitis (AE) A. Every health coverage plan renewed, delivered, or iss…
La. Rev. Stat. § 22:1029 Requirement for coverage of colorectal cancer screening
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§1029. Requirement for coverage of colorectal cancer screening A. Any health coverage plan specified in Subsection C of this Section which is issued for delivery, delivered, renewed, or otherwise contracted for in this state on or after January 1, 2006, shall provide coverage for…
La. Rev. Stat. § 22:1030 Immunizations; coverage
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§1030. Immunizations; coverage A. Any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, including a group insurance plan a…
La. Rev. Stat. § 22:1031 Attention deficit/hyperactivity disorder; coverage; diagnosis
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§1031. Attention deficit/hyperactivity disorder; coverage; diagnosis A. Any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this ty…
La. Rev. Stat. § 22:1032 Osteoporosis; bone mass measurement; mandatory coverage
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§1032. Osteoporosis; bone mass measurement; mandatory coverage A. Any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, in…
La. Rev. Stat. § 22:1033 Obstetrician or gynecological examination; coverage
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§1033. Obstetrician or gynecological examination; coverage A.(1) Every hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, i…
La. Rev. Stat. § 22:1034 Health insurance coverage for diabetes
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§1034. Health insurance coverage for diabetes A. Any hospital, health, or medical expense insurance policy, hospital or medical service contract, health and accident insurance policy, or any other contract of this type providing comprehensive major medical benefits, including a g…
La. Rev. Stat. § 22:1034.1 Health insurance coverage for insulin; limit on cost-sharing requirement
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§1034.1. Health insurance coverage for insulin; limit on cost-sharing requirement A. As used in this Section, the following terms apply: (1) "Formulary" has the same meaning as the term is defined in R.S. 22:1060.1. (2) "Health coverage plan" means any hospital, health, or medica…
La. Rev. Stat. § 22:1035 Inherited metabolic diseases; coverage for food products
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§1035. Inherited metabolic diseases; coverage for food products A. Any health, hospital, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any other insurance contract of this type, i…
La. Rev. Stat. § 22:1036 Prohibited exclusion of coverage of correctable medical conditions on basis of infertility
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§1036. Prohibited exclusion of coverage of correctable medical conditions on basis of infertility A.(1) Any health insurance policy, contract, or plan specified in Subsection B of this Section which is issued for delivery, delivered, renewed, or otherwise contracted for in this s…
La. Rev. Stat. § 22:1036.1 Required coverage for standard fertility preservation services; conditions
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§1036.1. Required coverage for standard fertility preservation services; conditions applicable to coverage; storage limitations; exemptions; definitions A.(1) A health insurance issuer offering health coverage plans in this state that provide hospital, medical, or surgical benefi…
La. Rev. Stat. § 22:1037 Health insurance coverage for activities performed by a registered nurse first assistant
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§1037. Health insurance coverage for activities performed by a registered nurse first assistant A. Any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health maintenance organization subscriber agreement,…
La. Rev. Stat. § 22:1038 Hearing aid coverage
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§1038. Hearing aid coverage A. As used in this Section, "hearing aid" shall mean a nondisposable device that is of a design and circuitry to optimize audibility and listening skills. B. This Section shall apply to the following entities: (1) Insurers and nonprofit health service …
La. Rev. Stat. § 22:1039 Surgical services; place of service
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§1039. Surgical services; place of service Any insurer of any policy of health and accident insurance issued or having effect in this state, shall pay any claim up to the limit of the policy for any service performed in a licensed ambulatory surgical center as defined in R.S. 40:…
La. Rev. Stat. § 22:1040 Coverage for dental procedures; anesthesia and hospitalization
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§1040. Coverage for dental procedures; anesthesia and hospitalization A. Every hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, or any policy of group, family group, b…
La. Rev. Stat. § 22:1041 Discrimination against recovered or rehabilitated alcoholics; prohibited
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§1041. Discrimination against recovered or rehabilitated alcoholics; prohibited No insurer doing business in the state that issues an individual or group policy of hospitalization or major medical coverage shall discriminate against any person solely on the basis that he is a rec…
La. Rev. Stat. § 22:1041.1 Smoking cessation benefits; coverage
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§1041.1. Smoking cessation benefits; coverage A.(1) Any health coverage plan delivered or issued for delivery in this state shall include coverage for smoking cessation benefits for a minimum period of six months if a licensed physician recommends and certifies that the smoking c…
La. Rev. Stat. § 22:1042 Coverage for rehabilitative physical therapy, occupational therapy, and speech and language pathology therapy; optional coverage
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§1042. Coverage for rehabilitative physical therapy, occupational therapy, and speech and language pathology therapy; optional coverage A. Each group, family group, blanket, or association health and accident insurance policy including any insurance program, except the Office of …
La. Rev. Stat. § 22:1043 Severe mental illness and other mental disorders; policy provisions; minimum
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§1043. Severe mental illness and other mental disorders; policy provisions; minimum requirements; group, blanket, and association policies A.(1)(a) Any hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, cont…
La. Rev. Stat. § 22:1044 Health coverage; participants in clinical trials
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§1044. Health coverage; participants in clinical trials A. As used in this Section, the following terms and phrases shall have the following meanings unless the context clearly indicates otherwise: (1) "Cooperative group" means a formal network of facilities that collaborate on r…
La. Rev. Stat. § 22:1045 Group, blanket, and association health and accident insurance; continuation of coverage
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§1045. Group, blanket, and association health and accident insurance; continuation of coverage A. Each group, blanket, or association insurance policy containing provisions for payment by the insurer of benefits for expenses incurred for hospital, nursing, medical, or surgical se…
La. Rev. Stat. § 22:1046 Group health insurance continuation
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§1046. Group health insurance continuation A. As used in this Section the following terms shall have the following meanings: (1) "Group policy" means a group accident and health insurance policy or group certificate delivered or issued for delivery in this state by an insurer, a …
La. Rev. Stat. § 22:1047 Required coverage for severe obesity treatment
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§1047. Required coverage for severe obesity treatment A. A health insurance issuer offering health coverage plans in this state that provides hospital, medical, or surgical benefits for individuals covered under a respective plan shall provide coverage for medically necessary exp…
La. Rev. Stat. § 22:1048 Flexible health benefit policies, contracts, and agreements
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§1048. Flexible health benefit policies, contracts, and agreements A. For purposes of this Section, notwithstanding any law to the contrary, the following terms shall be defined as follows: (1) "Flexible health benefits policy, contract, or agreement" means a health insurance pol…
La. Rev. Stat. § 22:1049 Requirement for coverage of prosthetic devices and prosthetic services
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§1049. Requirement for coverage of prosthetic devices and prosthetic services A. Notwithstanding the provisions of R.S. 22:1047 to the contrary, any health coverage plan specified in Subsection H of this Section which is issued for delivery, delivered, renewed, or otherwise contr…
La. Rev. Stat. § 22:1050 Requirement for coverage of diagnosis and treatment of autism spectrum disorders in individuals less than twenty-one years of age
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§1050. Requirement for coverage of diagnosis and treatment of autism spectrum disorders in individuals less than twenty-one years of age A.(1) Except as otherwise provided in Subsection H of this Section, any health coverage plan specified in Paragraph (G)(6) of this Section whic…
La. Rev. Stat. § 22:1051 Benefits for certain services provided by a licensed marriage and family therapist
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§1051. Benefits for certain services provided by a licensed marriage and family therapist A. Notwithstanding any contrary provision of a health coverage plan specified in Subsection C of this Section which is issued for delivery, delivered, renewed, or otherwise contracted for in…
La. Rev. Stat. § 22:1052 Exemption from health insurance mandates
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§1052. Exemption from health insurance mandates Notwithstanding any other provision of this Title to the contrary and not unless otherwise specifically provided in an act of the legislature, the provisions of this Subpart shall not apply to limited benefit health insurance polici…
La. Rev. Stat. § 22:1053 Requirement for coverage of step therapy or fail first protocols; prohibitions;
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§1053. Requirement for coverage of step therapy or fail first protocols; prohibitions; definitions A.(1) Any health coverage plan specified in Subsection M of this Section which includes prescription benefits as part of its policy or contract, which utilizes step therapy or fail …
La. Rev. Stat. § 22:1054 Requirement for access to coverage for individuals diagnosed with a terminal condition
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§1054. Requirement for access to coverage for individuals diagnosed with a terminal condition A. Notwithstanding any other provision of the law to the contrary and particularly the provisions of R.S. 22:1047, no health care coverage plan shall deny coverage for medically necessar…
La. Rev. Stat. § 22:1054.1 Requirement for coverage of cancer treatment targeting a specific genetic mutation
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§1054.1. Requirement for coverage of cancer treatment targeting a specific genetic mutation A. No health coverage plan delivered or issued for delivery in this state shall deny coverage for the treatment of metastatic or unresectable tumors or other advanced cancers with a medica…
La. Rev. Stat. § 22:1055 Requirement for coverage of diagnosis and treatment for temporomandibular joint
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§1055. Requirement for coverage of diagnosis and treatment for temporomandibular joint and associated musculature and neurology A. Every hospital, health, or medical expense insurance policy in the large group market as defined in R.S. 22:1091(B), delivered or issued for delivery…
La. Rev. Stat. § 22:1056 Health insurance coverage for incarcerated individuals
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§1056. Health insurance coverage for incarcerated individuals A. Beginning January 1, 2019, every hospital, health, or medical expense insurance policy, hospital or medical service contract, employee welfare benefit plan, health and accident insurance policy, every policy of grou…
La. Rev. Stat. § 22:1057 Coverage for COVID-19 tests and treatments
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§1057. Coverage for COVID-19 tests and treatments A. No health coverage plan delivered or issued for delivery in this state shall deny coverage for COVID-19 diagnostic tests, antibody tests, and antiviral drugs when ordered by a physician for the purpose of making clinical decisi…
La. Rev. Stat. § 22:1058 Acupuncture; reimbursement
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§1058. Acupuncture; reimbursement A.(1)(a) Any health coverage plan delivered or issued for delivery in this state in the large group market, as defined in R.S. 22:1091(B), shall provide coverage for any acupuncture performed by an individual licensed pursuant to R.S. 37:1356 et …
La. Rev. Stat. § 22:1059 Required coverage for services provided by midwives; reimbursement
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§1059. Required coverage for services provided by midwives; reimbursement discrimination prohibited; definitions A. The legislature hereby finds and affirms all of the following: (1) Midwives are community-based practitioners who provide comprehensive, holistic, individualized ma…
La. Rev. Stat. § 22:1059.1 Louisiana Doula Registry Board; purpose; composition; duties of the board;
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§1059.1. Louisiana Doula Registry Board; purpose; composition; duties of the board; administrative staff; rulemaking authority A.(1)(a) The legislature hereby creates within the Louisiana Department of Health the Louisiana Doula Registry Board, hereafter referred to in this Secti…
La. Rev. Stat. § 22:1059.2 Required coverage for maternity support services provided by doulas; legislative
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§1059.2. Required coverage for maternity support services provided by doulas; legislative findings; definitions A. The legislature hereby finds and affirms all of the following: (1) A doula is an individual who has been trained to provide physical, emotional, and educational supp…
La. Rev. Stat. § 22:1059.3 Required coverage for prescribed donor human milk
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§1059.3. Required coverage for prescribed donor human milk A health coverage plan issued for delivery, delivered, renewed, or otherwise contracted for in this state shall provide inpatient and outpatient coverage benefits for up to two months for medically necessary pasteurized d…
La. Rev. Stat. § 22:1059.4 Required coverage for pregnancy-related nutrition counseling services;
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§1059.4. Required coverage for pregnancy-related nutrition counseling services; reimbursement discrimination prohibited; definitions A. The legislature hereby finds and affirms all of the following: (1) Louisiana has one of the highest maternal and infant mortality rates in the U…
La. Rev. Stat. § 22:1059.5 Required coverage for lactation support services; reimbursement discrimination
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§1059.5. Required coverage for lactation support services; reimbursement discrimination prohibited; definitions A. The legislature hereby finds and affirms all of the following: (1) Louisiana has one of the highest maternal and infant mortality rates in the United States and has …
La. Rev. Stat. § 22:1059.6 Required coverage for home visiting services; newborns and young children;
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§1059.6. Required coverage for home visiting services; newborns and young children; legislative findings; reimbursement methods; definitions A. The legislature hereby finds and affirms all of the following: (1) Home visiting services are evidence-based deliveries of services to f…
La. Rev. Stat. § 22:1059.7 Required coverage for amino acid-based elemental formulas
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§1059.7. Required coverage for amino acid-based elemental formulas A. A health insurance issuer offering health coverage plans in this state that provides benefits for maternity services shall provide coverage for amino acid-based elemental formulas, regardless of the formula del…
La. Rev. Stat. § 22:1060.1 Definitions
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§1060.1. Definitions As used in this Subpart, the following definitions shall apply: (1) "Authorized prescriber" means a person licensed, registered, or otherwise authorized by the appropriate licensing board to prescribe prescription drugs in the course of professional practice.…
La. Rev. Stat. § 22:1060.11 Short title
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§1060.11. Short title This Subpart shall be known and may be cited as the "Cancer Patient's Right to Prompt Coverage Act". Acts 2023, No. 254, §1.
La. Rev. Stat. § 22:1060.12 Definitions
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§1060.12. Definitions As used in this Subpart, the following definitions apply unless the context indicates otherwise: (1) "Consensus statements" means statements developed by an independent, multidisciplinary panel of experts utilizing a transparent methodology and reporting str…
La. Rev. Stat. § 22:1060.13 Prior authorization; time periods
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§1060.13. Prior authorization; time periods A. For any services typically covered under the plan and related to the diagnosis or treatment of cancer for which prior authorization is required under a health coverage plan, the health insurance issuer shall offer an expedited review…
La. Rev. Stat. § 22:1060.14 Requirement to cover services consistent with nationally recognized clinical
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§1060.14. Requirement to cover services consistent with nationally recognized clinical practice guidelines or consensus statements A. No health coverage plan that is renewed, delivered, or issued for delivery in this state that provides coverage for cancer in accordance with this…
La. Rev. Stat. § 22:1060.15 Required coverage for positron emission tomography or other recommended
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§1060.15. Required coverage for positron emission tomography or other recommended imaging for cancer A. No health insurance issuer shall deny coverage of a positron emission tomography or other recommended imaging for the purpose of diagnosis, treatment, appropriate management, r…
