SB 250 — HEALTH SERVICES: Provides relative to comprehensive weight management services. (8/1/26) (EN SEE FISC NOTE SG EX See Note)

SLS 26RS-508 REENGROSSED Regular Session ENROLLED SENATE BILL NO.

250 BY SENATOR MCMATH HEALTHAND SERVICES.REPRESENTATIVES BERAULT, CARVER, CHASSION,EGAN,FISHER,JACKSON,MIKEJOHNSON,LYONS, MARTINEZ AND WYBLE AN ACT To amend and reenact R.S.

Provides42:802(B)(9) relativeand to comprehensiveenact weightR.S. management services.

(8/1/26) AN ACT To amend and reenact R.S.

42:802(A)(9) and to enact R.S.

to provide for a comprehensive weight management plan;toprovideforcoveredservices;toproviderelativetopremiums;toprovideforplan;toprovideforcoveredservices;toproviderelativeto notificationpremiums; requirements;

toprovidefor notification requirements;

42:802(A)(9)is42:802(B)(9) herebyamendedandreenactedandR.S.is herebyamended and reenactedandR.S.

Office of Group Benefits A.* * * B.

In addition, the office shall have the following powers and duties:

The plan shall be developed, negotiated, and implemented bythe office subject to approval of the appropriate standing committees of the legislature having jurisdiction over review of agency rules of the Office of Group Benefits as Pagedesignated 1by ofR.S. 4 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-508 REENGROSSED SB NO.

250 designated by R.S.

Notwithstanding any provision of law to the contrary, any enrollee orPage dependent1 enrolledof in3 acomprehensiveweightCoding: management plan offered by theOfficeof Group Benefitsshall pay onehundred percentof thepremiumfor the weight management plan.

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SB NO.

250 ENROLLED ordependent enrolled in a comprehensive weight management plan offeredby theOfficeof Group Benefitsshall pay onehundred percentof thepremiumfor the weight management plan.

Nothing in this Section shall be construed to require any health benefit plan administered by the Office of Group Benefits to alter existing Pagemedical 2necessity ofstandards, 4utilization Coding:management protocols, or formulary requirements.

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-508 REENGROSSED SB NO.

250 medical necessity standards, utilization management protocols, or formulary requirements.

No later than October 1, 2026, the Office of Group Benefits shall notify all enrolleesenrolleesof of available options fordirectpurchasingfor direct purchasing of FDA-approved medications through pharmaceutical manufacturers.

C.Notwithstandinganyprovisionoflawtothecontrary,anyenrolleeor dependentPage in2 the Office of Group3 BenefitsCoding: plans who purchases a weight loss pharmaceuticalproductdirectlythroughapharmaceuticalmanufacturershall pay one hundred percent of the cost of the medications.

The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Senate Legislative Services.

The keyword, summary, 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)] DIGEST SB 250 Reengrossed 2026 Regular Session McMath Present law gives the Office of Group Benefits (OGB) the power to administer or provide for IRS qualified cafeteriaplans.Furthersubjects development and implementation of such plans to the approval of OGB's respective oversight committees or subcommittee on oversight.

ProposedlawspecifiesthatIRSqualifiedcafeteriaplansprovidedforinpresentlawinclude applicable weight management plans and otherwise retains present law.

PresentlawprovidesforratesofpayrolldeductionforpaymentofpremiumsforOGBplans.

Proposed law requires any enrollee or dependent enrolled in a comprehensive weight management plan offered by OGB pay 100% of the premium for the weight management plan.

Proposed law requires OGB to offer enrollment in a comprehensive weight management planforenrolleesanddependentsbeginningJanuary1,2027.Requiresanysuchplaninclude FDA-approvedmedications,certainmetabolic health therapies compounded in compliance withfederallaw,medicalevaluations,prescribingoversight,follow-upcare,relatedsupport services, and longitudinal metabolic health outcome measurements.

Proposed law provides that enrollment in the plan is voluntary and not a condition of enrollment in any health benefit plan.

Proposed law specifies that no provision of proposed law shall be construed to require any health benefit plan administered by OGB to alter existing medical necessity standards, Page 3 of 4 Coding:

SLS 26RS-508 REENGROSSED SB NO.

250 utilizationENROLLED managementdependent protocols,in orthe formularyOffice requirements.of Group Benefits plans who purchases a weight loss pharmaceuticalproductdirectlythroughapharmaceuticalmanufacturershall pay one hundred percent of the cost of the medications.

ProposedPRESIDENT lawOF requiresTHE OGBSENATE toSPEAKER notifyOF allTHE enrolleesHOUSE ofOF availableREPRESENTATIVES optionGOVERNOR forOF directTHE purchasingSTATE FDA-approvedmedicationsthroughapharmacymanufacturerbyelectronicdistributionandOF providingLOUISIANA informationAPPROVED: on its website no later than October 1, 2026.