Louisiana legislation · 2026 Regular Session
Louisiana HB1235: INSURANCE/HEALTH: Modifies provisions of law regarding health insurance coverage of prosthetic and custom orthotic devices and services (EN INCREASE EX See Note)
Status: Signed into law, June 3, 2026
What the bill says
An act To amend and reenact R.S. 22:1049 and to enact Part IX of Chapter 5-E of Title 40 of the Louisiana Revised Statutes of 1950, to be comprised of R.S. 40:1259.11, relative to health insurance; to require coverage for prosthetic and orthotic devices and associated services; to establish criteria for medical necessity determinations; to delineate coverage standards, encompassing multiple devices, materials, components, repair, and replacement; to provide requirements for prior authorization and cost-sharing; to provide nondiscrimination provisions…
From the introduced text:
AN ACT To amend and reenact R.S. 22:1049 and to enact Part IX of Chapter 5-E of Title 40 of the Louisiana Revised Statutes of 1950, to be comprised of R.S. 40:1259.11, relative to health insurance; to require coverage for prosthetic and orthotic devices and associated services; to establish criteria for medical necessity determinations; to delineate coverage standards, encompassing multiple devices, materials, components, repair, and replacement; to provide requirements for prior authorization and cost-sharing; to provide nondiscrimination provisions; to provide for network adequacy standards; to set reporting requirements; to provide for definitions; and to provide for related matters. Be it enacted by the Legislature of Louisiana: Section 1. R.S. 22:1049 is hereby amended and reenacted to read as follows: §1049. Requirement for coverage of prosthetic and orthotic devices and prosthetic services A. Notwithstanding the provisions of R.S. 22:1047 to the contrary, any Any health coverage plan specified in Subsection H J of this Section which is issued for delivery, delivered, renewed, or otherwise contracted for in this state on or after January 1, 2009, shall provide coverage of prosthetic and orthotic devices and prosthetic and orthotic services as further provided in this Section. Page 1 of CODING: Words in struck through type are deletions from existing law; words underscored are additions. HLS 26RS-2376 ORIGINAL HB NO. 1235 B. Eligibility and …