SB 155 — HEALTH/ACC INSURANCE: Provides for coverage of certain dental care when connected with cancer treatment. (gov sig) (EN INCREASE GF EX See Note)

SLS 26RS-340 REENGROSSED Regular Session ENROLLED SENATE BILL NO.

155 BY SENATOR TALBOT HEALTH/ACCINSURANCE.ProvidesforcoverageofcertaindentalcarewhenconnectedAND withREPRESENTATIVES cancerBERAULT, treatment.CARRIER, CHASSION, DEWITT, FISHER, FREEMAN, FREIBERG, HORTON, ILLG, KERNER, LAFLEUR, LYONS, MACK AND ZERINGUE AN ACT To enact R.S.

(gov sig) AN ACT To enact R.S.

Coverage for dental services for cancer patients A.ExceptasprovidedinSubsectionBofthisSection,aninsurerofferingA.(1) Except as provided in Subsections B and C of this Section, an insurer offering a health coverage plan in this state shall provide the following coverage for evaluation, imaging, clinical examination, and dental extractions that are medically necessary dentalto proceduresreduce the risk of infection, eliminate infection, or treat tooth loss or decay as part of a pre-cancer treatment screening for an insured who has been diagnosed with cancer:cancer.

(1)Evaluation,imaging,clinicalexamination,anddentalextractionsthat(2)Thedentalservicesshallbecoveredwhenperformedaspartofapre- aretreatmentmedicalclearanceprotocolforinsuredsscheduledtoundergocancer medicallytreatment. necessary to reduce the risk of infection, eliminate infection, or treat tooth loss or decay as part of a pre-cancer treatment screening.

(2)Thedentalservicesshallbecoveredwhenperformedaspartofapre- Page 1 of 3 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-340 REENGROSSED SB NO.

155 treatmentmedicalclearanceprotocolforinsuredsscheduledtoundergocancer treatment.

The provisions of this Section doshall not includeapply to a plan providing coverageforexceptedbenefitsasdefinedinR.S.22:1061,limitedbenefithealth insurance plans, and short-term policies that have a term of less than twelve months.

Any policy, contract, orPage plan1 in effect prior to January 1, 2027, shall convert to conform to the provisions of this2 ActCoding: on or before the renewal date thereof, but in no event later than January 1, 2028.

Section 3.

This Act shall become effective upon signature bythe governor or, if not signedbythegovernor,uponexpirationofthetimeforbillstobecomelawwithoutsignature by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana.

If vetoed bythe governorand subsequentlyapprovedbythe legislature, this Act shall become effective on the dayfollowing such approval.

The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared bySenate 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 155 Reengrossed 2026 Regular Session Talbot Presentlawrequireshealthcareinsuranceprovidecoveragefortreatmentsrelatedto cancer.

Proposed law retains present law.

Proposedlawrequireshealthcareinsuranceprovidecoverageformedicallynecessarydental procedures as part of a pre-treatment medical clearance protocol for an insured diagnosed with cancer.

Proposed law requires coverage for evaluation, imaging, clinical examination, and dental extractionsthataremedicallynecessarytoreduceoreliminateinfectionortotreattoothloss or decay as part of a pre-cancer treatment screening.

Proposed law requires the services to be coveredwhen performedas part of a pre-treatment medical clearance protocol for insureds scheduled to undergo cancer treatment.

Proposed law clarifies that a healthcare insurer is not required to provide coverage for Page 2 of 3 Coding:

SLS 26RS-340 REENGROSSED SB NO.

155 routineENROLLED dentalor care.plan in effect prior to January1, 2027, shall convert to conform to the provisions of this Act on or before the renewal date thereof, but in no event later than January 1, 2028.

ProposedSection law3. excludes certain plans providing coverage for excepted benefits, limited benefit health insurance plans, and short-term policies with a term of less than twelve months from the provisions of proposed law.

ApplicableThis toAct anynewshall policy,become contract,effective program,upon orsignature healthbythe coveragegovernor planor, issuedif onnot orsignedbythegovernor,uponexpirationofthetimeforbillstobecomelawwithoutsignature afterby Jan.the governor, as provided by Article III, Section 18 of the Constitution of Louisiana.

1,If 2027.vetoed bythe governorand subsequentlyapproved bythe legislature, this Act shall become effective on the dayfollowing such approval.

EffectivePRESIDENT uponOF signatureTHE ofSENATE theSPEAKER governorOF orTHE lapseHOUSE ofOF timeREPRESENTATIVES forGOVERNOR gubernatorialOF action.THE STATE OF LOUISIANA APPROVED:

(AddsPage R.S.2 of 2 Coding:

22:1077.6) Summary of Amendments Adopted by Senate CommitteeAmendmentsProposedbySenateCommitteeonInsurancetotheoriginal bill 1.

Limit coverage to dental services performed as part of a pre-treatment medical clearance protocol.

Committee Amendments Proposed by Senate Committee on Finance to the engrossed bill 1.

Removeprovisionrequiringcoverageforcertaindentalprocedurestoreduce the risk of infection or teeth loss as a result of cancer treatment.

2.

Remove provision requiring coverage for an obturator for treatment of an insured with a defective oral cavityas a result of cancer treatment.

3.

Remove provision requiring coverage for laboratory assessments, medications, and treatments.

4.