LOU LEG Menopausal Care Coverage


On Jun. 4, LOU LEG passed bill re perimenopausal, menopausal care.


  • LOU LEG passed bill HB 392 to add new Louisiana Revised Statutes LOU INS 22:988, LOU LEG 40:1259.1-40:1259.3 re coverage for perimenopausal and menopausal care.
  • Insurance Coverage
  • Health insurance issuer must provide coverage for medically necessary care/treatment for menopause and perimenopause and not require prior authorization for medication.
  • Department of Health will make coverage benefits available for women experiencing aforementioned conditions, if eligible for Medicaid benefits per 42 USC 1396 et seq.
  • Bill also lists the symptoms for which coverage is available, and defines related terms.
  • State Medicaid program will cover inpatient or outpatient coverage for perimenopausal or menopausal treatment for medically accepted indication by a licensed professional.
  • Eligibility of a prospective enrollee to be determined by healthcare facility appropriately providing perimenopausal or menopausal treatment under certain qualifications.
  • Legislative History
  • On Mar. 11, 2024, bill introduced in House; on Apr. 15, bill introduced in Senate.
  • On May 16, 2024, bill passed in Senate; on May 20, 2024, amended bill sent to House.
  • On May 29, 2024, bill was passed in House; on Jun. 4, 2024, bill delivered to governor.
  • Effectiveness
  • If approved, bill becomes effective on Aug. 1, 2024.
  • Jun. 25, 2024 LOU LEG Bill Approval
  • On Jun. 25, 2024, LOU LEG reported bill became Act 784 without governor's signature.

Regulators LOU LEG
Entity Types Ins
Reference Act 784, 6/25/2024; Bill HB392, 6/4/2024; Citation: LOU INS 22:988; LOU LEG 40; 42 USC 1396;
Functions Claims/Accelerated Benefits; Compliance; Financial; Legal; Product Administration; Registration/Licensing
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/4/2024
Effective Date 8/1/2024
Rule Id 214515
Linked to N/A
Reg. Last Update 6/25/2024
Report Section US Insurance

Last substantive update on 06/30/2024