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LA SB42
Bill
AI Summary
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Requires commercial health insurance plans and Medicaid managed care organizations to cover voluntary inpatient treatment for perinatal psychiatric diagnoses, including overnight stays, medications, infusions, prescriptions, and counseling
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Defines "perinatal psychiatric diagnosis" as a psychiatric disorder requiring inpatient treatment during pregnancy through one year postpartum, including one year after a pregnancy loss
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Treatment decisions must be made solely by the attending healthcare provider (physician, psychiatrist, psychologist, or nurse practitioner) in consultation with the patient, and coverage cannot be denied if consistent with InterQual or Milliman Care Guidelines
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Applies to new policies issued on or after January 1, 2026, with existing policies required to conform by their renewal date or no later than January 1, 2027
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Implementation is subject to legislative appropriation of funds; Medicaid may still establish medical necessity criteria for payment
Legislative Description
Provides relative to perinatal behavioral health treatment. (8/1/25) (EN INCREASE GF EX See Note)
HEALTH CARE
Last Action
Effective date 8/1/2025.
6/20/2025