HB 1176 — INSURANCE/HEALTH: Requires that Medicare Advantage plans provide insurance coverage for integrative care services (EN SEE FISC NOTE See Note)

HLSENROLLED 26RS-2472 ENGROSSED Regular Session HOUSE BILL NO.

1176 BY REPRESENTATIVE FREEMAN INSURANCE/HEALTH:AN ACT ToenactR.S.22:1077.6,relativetointegrativecareservices;torequireMedicareAdvantage coverage for integrative care services;

Requires that Medicare Advantage plans provide insurance coverage for integrative care services AN ACT ToenactR.S.22:1077.6,relativetointegrativecareservices;torequireMedicareAdvantage coverage for integrative care services;

(1)Page "Integrativecareservices"meansevidence-basedtherapeuticmodalities1 employedof alongside3 conventionalCODING: medical treatments and endorsed by nationally recognizedclinicalpracticeguidelines.

Thesemodalitiesincludebutarenotlimited Page 1 of 3 CODING:

HLS 26RS-2472 ENGROSSED HB NO.

1176 toacupuncture,cryotherapy,andscalpcoolingsystemsthatarespecificallydesignedENROLLED for(1) repeated"Integrativecareservices"meansevidence-basedtherapeuticmodalities useemployed andalongside thatconventional servemedical atreatments medicaland purpose.endorsed by nationally recognizedclinicalpracticeguidelines.

Thesemodalitiesincludebutarenotlimited toacupuncture,cryotherapy,andscalpcoolingsystemsthatarespecificallydesigned for repeated use and that serve a medical purpose.

(3) Take any other actions necessary to implement the provisions of this Section to the extent permitted under federal law.

HLS 26RS-2472 ENGROSSED HB NO.

1176 ENROLLED (3) Take any other actions necessary to implement the provisions of this Section 2.to the extent permitted under federal law.

TheSection provisions2. of this Act apply to any new policy, contract, or health coverage plan issued on and afterJanuary1, 2026.

Anypolicy,The contract,orprovisions healthof coveragethis planAct inapply effectprior to January1,any 2026,new shallpolicy, converttocontract, conformtoor theprovisionshealth ofcoverage thisplan Actissued on orand beforeafterJanuary1, the renewal date, but no later than January 1, 2027.

Anypolicy, contract,or health coverage plan in effectprior to January1, 2027, shall convert to conformto theprovisions ofthis Act on or before the renewal date, but no later than January 1, 2028.

DIGESTSPEAKER ThedigestprintedbelowwaspreparedbyHouseLegislativeOF Services.THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:

ItPage constitutes3 nopart of the3 legislativeCODING: instrument.

The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent.

[R.S.

1:13(B) and 24:177(E)] HB 1176 Engrossed 2026 Regular Session Freeman Abstract:

Mandates that Medicare Advantage plans provide coverage for integrative care services as delineated by nationally recognized clinical guidelines.

Establishes definitions, applicability, and criteriafor effectiveness.

Clarifiesthattheprovisions apply only to the extent permitted under federal law.

Authorizes the commissioner of insurance to take necessaryactions for implementation.

Present law requires commercial health insurance issuers to provide coverage for certain integrative cancer-related services when recommended by nationally recognized cancer treatment guidelines.

Proposed law requires, to the extent permitted under federal law, that Medicare Advantage plansofferedinLouisianaprovidecoverageforintegrativecareserviceswhensuchservices are recommended bynationally recognized clinical practice guidelines and are rendered in connection with the diagnosis, treatment, or management of a covered medical condition.

Proposed law defines "integrative care services" and "Medicare Advantage plan", and authorizescostsharingandutilizationmanagementprotocolsconsistentwithfederallawand the terms of the plan.

Proposed law outlines that nothing in the Section shall beconstruedtomandatecoveragein amannerthatconflictswithfederallaw,andthattheSectionbeinterpretedconsistentlywith all applicable federal requirements.

Proposed law directs the commissioner of insurance to promulgate rules, submit any requiredmaterialstotheCentersforMedicareandMedicaidServices,andtakeotheractions necessary to implement the Section to the extent allowed under federal law.

Effective January 1, 2027.

(Adds R.S.

22:1077.6) Page 3 of 3 CODING: