LA SB230

Limits recovery of past health care service expenses to the lesser of the amount actually paid to a provider or the "usual and customary rate," defined as 120% of Medicare rates or 170% of Medicaid rates if no Medicare rate exists

Caps payment of claims for past health care expenses paid through health insurance coverage to the health issuer's liability

Defines "health insurance coverage" broadly to include private insurance, Office of Group Benefits, Medicare, Medicaid, workers' compensation, and equivalent state health plans

Exempts medical malpractice cases brought under R.S. 40:1231.1 et seq. and malpractice liability for state services under R.S. 40:1237.1 et seq.

Effective January 1, 2026, with prospective application only to causes of action filed on or after that date