Louisiana 2026 Regular Session Status: Enacted 3 R cosponsors

SB 387 — HEALTH/ACC INSURANCE: Provides relative to pharmacy benefit managers. (1/1/27) (EN INCREASE SG EX See Note)

Last action — Signed by the Governor. Becomes Act No. 914.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 27, 2026. Enacted.

Signed by Governor Jeff Landry (Republican) on June 12, 2026.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 76% · moderate confidence
  • Enacted

    Current position in the legislative process.

  • 3 sponsors

    1 primary, 2 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (3 R).

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill regulates pharmacy benefit managers in health insurance.

This legislation outlines new regulations for pharmacy benefit managers, aiming to impact how medications are managed within health insurance plans. It addresses the role and responsibilities of these managers in the healthcare system.

What this means for you
  • Consumers: Consumers may see changes in how their medications are managed and potentially improve access to affordable drugs.
  • Healthcare: This means that healthcare providers will have more structured guidelines to follow when working with pharmacy benefit managers.

Bill Text

What changed in the latest version

586 added · 558 removed

Plain-language change summary

The changes to SB 387 include the addition of new sections that establish stronger regulations for pharmacy benefit managers, including guidelines on audits, appeals, and compensation related to pharmacy practices. Notably, the revised bill ensures that audits on a pharmacy's records cannot occur more than once a year and are limited to claims submitted within the past year. These adjustments are crucial as they aim to protect pharmacies from excessive scrutiny and enhance transparency, ultimately benefiting patients by ensuring better management of their health plans.

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SLS 26RS-518 REENGROSSED Regular Session SENATE BILL NO.
Regular Session ENROLLED SENATE BILL NO.
387 BY SENATORS BASS AND TALBOT HEALTH/ACC INSURANCE.
387 BY SENATORS BASS AND TALBOT AND REPRESENTATIVE TURNER AN ACT To amend and reenact R.S.
Provides relative to pharmacy benefit managers.
22:1856.1(B)(2)(a), 1863, 1865(A), and the introductory paragraph of 1865(G), R.S.
(1/1/27) AN ACT To amend and reenactR.S.
39:1600.1(A), the introductoryparagraphof 1600.1(D), and 1600.1(D)(6), and R.S.
22:1856.1(B)(2)(a),1863, and 1865(A) and R.S.
22:1868.1, relative to pharmacy benefit managers;
22:1868.1 and Section 5 of Act 474 of the 2025 Regular Session, relative to pharmacybenefit managers;
to provide for the costs of implementation and enforcement;
to provide for data sharing;
22:1856.1(B)(2)(a), 1863, and 1865(A) are hereby amended and reenacted and R.S.
22:1856.1(B)(2)(a), 1863, 1865(A), and the introductory paragraph of 1865(G) are hereby amended and reenacted and R.S.
22:1867.1 and 1868.2 are herebyenacted to read as follows:
22:1867.1 and 1868.2 are hereby enacted to read as follows:
Page 1 of 18 Coding:
* * * (2)(a)Noentityshallconductanauditataparticularpharmacymorethanone time annually.
The audit shall be limited to claims submitted not more than twelve months prior to date the audit begins.
However, the provisions of this Paragraph shall not apply when an entity must return to a pharmacyto complete an audit already in progress, or there is an identified history of errors, an identified Page 1 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 * * * (2)(a)Noentityshallconductanauditataparticularpharmacymorethanone time annually.
387 ENROLLED activitywhichareasonablemanpersonwouldbelievetobeinappropriate,orillegal activity that the entity has brought to the attention of the pharmacy owner or corporate headquarters of the pharmacy.
The audit shall be limited to claims submitted not more than twelve months prior to date the audit begins.
However, the provisions of this Paragraph shall not apply when an entity must return to a pharmacyto complete an audit already in progress, or there is an identified history of errors, an identified activitywhichareasonablemanpersonwouldbelieveto beinappropriate,orillegal activity that the entity has brought to the attention of the pharmacy owner or corporate headquarters of the pharmacy.
(3) "Enrollee" means any individual entitled to coverage of healthcare services from a health insurance issuer under a health plan.
(3) "Enrollee" means any individual entitled to coverage of healthcare services under the terms of a health benefit plan.
(3)(4) "Health benefit plan", "health plan", "plan", "benefit", or "health insurance coverage" means services consisting of medical care provided directly throughinsurance,reimbursement,orothermeans,andincludingitemsandservices paid for as medical care under any hospital or medical service policy or certificate, hospital or medical service plan contract, preferred provider organization contract, or health maintenance organization contract offered by a health insurance issuer.
(3)(4) "Health benefit plan", "health plan", "plan", "benefit", or "health insurance coverage" means services consisting of medical care provided directly throughinsurance,reimbursement,orothermeans,andincludingitemsandservices paid for as medical care under anyhospital or medical service policyor certificate, hospital or medical service plan contract, preferred provider organization contract, or health maintenance organization contract offered by a health insurance issuer.
(5) "Healthcare service" means an item or service furnished to any individual for the purpose of preventing, diagnosing, alleviating, curing, or Page 2 of 18 Coding:
(5) "Healthcare service" means an item or service furnished to any individual for the purpose of preventing, diagnosing, alleviating, curing, or healing human illness, injury, or physical disability.
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 healing human illness, injury, or physical disability.
(5)(7)"Localpharmacy"meansapharmacyasdefinedintheNorthAmerican Industry Classsification Classification System (NAICS) Code 456110, which is domiciled in Louisiana and has fewer than ten retail outlets under its corporate umbrella.
(5)(7)"Localpharmacy"meansapharmacyasdefinedintheNorthAmerican Page 2 of 19 Coding:
(6)(8)"Maximum AllowableCostList"meansalistingoftheNationalDrug Code used by a pharmacy benefit manager setting the maximum allowable cost on which reimbursement to a pharmacy or pharmacist may be based.
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED Industry Classsification Classification System (NAICS) Code 456110, which is domiciled in Louisiana and has fewer than ten retail outlets under its corporate umbrella, or which is owned and operated by a nonprofit health system, or any affiliated hospital, domiciled in Louisiana.
(6)(8)"MaximumAllowableCostList"meansalistingoftheNationalDrug Code used by a pharmacy benefit manager setting the maximum allowable cost on which reimbursement to a pharmacy or pharmacist may be based.
(14) "Pharmacy benefit management fee" means a fee that covers the costof providing one or more pharmacy benefit management servicesand that Page 3 of 18 Coding:
(14) "Pharmacy benefit management fee" means a fee that covers the cost of providing one or more pharmacy benefitmanagementservicesand that does not exceed the value of the service or services actually performed by the pharmacy benefit manager.
(15) "Pharmacy benefit management service" means any of the following:
(a)Negotiatingthepriceofprescriptiondrugs,includingnegotiatingand contractingfordirectorindirectrebates,discounts, orotherpriceconcessions.
(b)Managinganyaspectofaprescriptiondrugbenefitincludingbutnot Page 3 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 does not exceed the value of the service or services actually performed by the pharmacy benefit manager.
387 ENROLLED limited to the processing and payment of claims for prescription drugs, the performance of drug utilization review, the processing of drug prior authorization requests,theadjudication of appeals or grievances relatedtothe prescriptiondrugbenefit,contractingwithnetworkpharmacies,controllingthe cost of covered prescription drugs, managing or providing data relating to the prescription drug benefit, or the provision of services related thereto.
(15) "Pharmacy benefit management service" means any of the following:
(a)Negotiatingthepriceofprescriptiondrugs,includingnegotiatingand contractingfordirectorindirectrebates,discounts,orotherpriceconcessions.
(b)Managinganyaspectofaprescriptiondrugbenefitincludingbutnot limited to the processing and payment of claims for prescription drugs, the performance of drug utilization review, the processing of drug prior authorization requests, the adjudication of appeals orgrievancesrelatedto the prescriptiondrugbenefit,contractingwithnetworkpharmacies,controllingthe cost of covered prescription drugs, managing or providing data relating to the prescription drug benefit, or the provision of services related thereto.
22:1641 and includes any person, either directly or indirectly, that provides one or more pharmacy benefit management services on behalf of an insurer or health plan, and anyagent, contractor,intermediary, affiliate, subsidiary, or related entity of such person who facilitates, provides, directs, or oversees the provision of the pharmacybenefit management services.
22:1641 and includes any person, either directly or indirectly, that provides one or more pharmacy benefit management services on behalf of an insurer or health plan, and anyagent, contractor,intermediary, affiliate, subsidiary, or related entity of such person who facilitates, provides, directs, or overseesthe provision ofthe pharmacybenefit management servicesor entity, and any subsidiary, parent, or affiliate of such entity that directly or indirectly facilitates,provides,directs,manages,administers,oroverseestheprovisionof one or more pharmacy benefit management services.
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The administration or management of a prescription benefits plan includes direct or indirect participation at any stage in the negotiation or determination of prescription drugpricingultimatelyassessedtoaninsurer'sorpharmacybenefitmanager's client health benefit plan.
(13)(19)"Rebates"meanseitherofthefollowing:allrebates,discounts,and Page 4 of 18 Coding:
(13)(19)"Rebates"meanseitherofthefollowing:allrebates,discounts,and other price concessions, based on utilization of a prescription drug and paid by the Page 4 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 other price concessions, based on utilization of a prescription drug and paid by the manufacturer or other party other than an enrollee, directly or indirectly, to the pharmacy benefit manager after the claim has been adjudicated at the pharmacy.
387 ENROLLED manufacturer or other party other than an enrollee, directly or indirectly, to the pharmacy benefit manager after the claim has been adjudicated at the pharmacy.
(a) Negotiated price concessions including but not limited to base price concessions, whether described as a rebate or otherwise, and reasonable estimates of any price protection rebates and performance-based price concessionsthatmayaccruedirectlyorindirectlytothehealthinsuranceissuer orhealth plan, orotherpartyon behalf of the health insurance issuer orhealth plan, including a pharmacy benefit manager, during the coverage year from a manufacturer, dispensing pharmacy, or other party in connection with the dispensing or administration of a prescription drug.
(a) Drug manufacturer price concessions including but not limited to base price concessions, whether described as a rebate or otherwise, and any price protection rebates and performance-based price concessions that may accruedirectlyorindirectlytothepharmacybenefitmanager,healthinsurance issuer or health plan, or other party on behalf of the health insurance issuer or health plan, including a pharmacy benefit manager, from a manufacturer, dispensing pharmacy, or other party in connection with the dispensing or administration of a prescription drug.
(b) Reasonable estimates of any negotiated price concessions, fees, and other administrative costs that are passed through, or are reasonably anticipated to be passed through, to the health insurance issuer or health plan and serve to reduce the health insurance issuer or health plan's liabilities for a prescription drug.
(b) Reasonable estimates of any price concessions, fees, and other administrative costs that are passed through, or are reasonably anticipated to be passed through, to the health insurance issuer or health plan and serve to reduce the health insurance issuer or health plan's liabilities for a prescription drug.
(ii) A person or entity that is treated under the rules as affiliated with a Page 5 of 18 Coding:
(ii) A person or entity that is treated under the rules as affiliated with a pharmacy benefit manager in cases where the pharmacy benefit manager is a person other than a corporation.
Page 5 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 pharmacy benefit manager in cases where the pharmacy benefit manager is a person other than a corporation.
387 ENROLLED (14)(21) "Specialty drug" means a drug that meets all of the following criteria:
(14)(21) "Specialty drug" means a drug that meets all of the following criteria:
(23) "Net acquisition cost" means the amount paid to acquire a prescription drug after deducting all rebates, price concessions, fee payments, and any otherpaymentsoreconomic benefits receiveddirectly or indirectly by the pharmacy benefit manager or any related entity in connection with the selection,placement,ordispensingofthatdrug,calculatedfromtheperspective of the health benefit plan and not the pharmacy benefit manager.
maximum allowable costs A.(1) The pharmacy benefit manager shall provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs for a specificNDC or NDCs as not meetingthe requirementsof this SubpartorbeingbelowthecostatwhichthepharmacymayobtaintheNDC.Within fifteen business days after the applicable fill date, a pharmacymayfile an appeal by following the appeal process as provided for in this Subpart.
maximum allowable costs A.(1) The pharmacy benefit manager shall provide a reasonable administrative appeal procedure to allow pharmacies to challenge maximum allowable costs for a specificNDC or NDCs as not meetingthe requirementsof this Subpartorbeingbelowthecost atwhichthepharmacymayobtaintheNDC.Within fifteen business days after the applicable fill date, a pharmacymayfile an appeal by following the appeal process as provided for in this Subpart.
The pharmacybenefit managershall respondto achallengewithin fifteenbusiness days afterreceiptofthe challenge.
The pharmacy benefit managershall respondtoachallengewithin fifteenbusiness days afterreceiptofthe Page 6 of 19 Coding:
(2) The administrative appeal procedure shall allow a pharmacy or pharmacist the option to submit a consolidated appeal representing multiple Page 6 of 18 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 substantially similar claims.
387 ENROLLED challenge.
(2) The administrative appeal procedure shall allow a pharmacy or pharmacist the option to submit a consolidated appeal representing multiple substantially similar claims.
* * * G.
The commissioner may impose a reasonable fee upon pharmacy benefit managers, in accordance with the Administrative Procedure Act, in addition to a license fee and annual report fee, in order tocover the costs of implementation and enforcementofthisSectionandR.S.22:1641through1657,1851through1864,and 1961 through 1995 any portion of this Title pertaining to pharmacy benefit management, including fees to cover the cost of all of the following:
PBM Duty (1) A pharmacy benefit manager shall owe the pharmacy benefit manager duty to any enrollee, health plan, or provider that receives pharmacy benefit management services from the pharmacy benefit manager or that furnishes, covers, receives, or is administered a unit of a prescription drug for which the pharmacy benefit manager has provided pharmacy benefit management services.
PBM Duty (1) Any pharmacy benefit manager doing business in this state shall act solely for the benefit of the health insurance issuers and health plans for which it provides pharmacy benefit management services and for the enrollees of the plans.
(a) Duty to enrollees.
(2)Nopharmacybenefitmanager,subsidiary,parent,oraffiliateofsuch pharmacy benefit manager, either directly or indirectly, shall engage in any activity which increases the cost of prescription drugs to health insurance issuers, health plans, or enrollees;
The pharmacy benefit manager fiduciary duty owed to enrollees shall include duties of care and good faith and fair dealing.
restricts or impairs access to prescription drugs exceptas directly required by the design of the health plan;
The commissioner shall adopt rules and regulations defining the scope of the dutiesowedtoenrollees,includingbyobligatingpharmacybenefitmanagersto provideallpharmacybenefitmanagementservicesrelatedtoformularydesign, utilization management, and grievances and appeals in a transparent manner to enrollees that is consistent with the best interest of enrollees and to disclose all conflicts of interest to enrollees.
or otherwise interfereswiththeobligationofthepharmacybenefitmanagertoactinthebest interest of health insurance issuers, health plans, and enrollees.
(b) Duty to health plans.
(3) A pharmacy benefit manager shall not:
The pharmacy benefit manager duty owed to health plans shall include duties of care and good faith and fair dealing.
(a) Obtain a rebate,or any other incentive or inducement including but not limited to discounts, on a name brand drug in exchange for not placing other name brand drugs, biosimilars, generic drugs, or any other drug in the same class of drugs on the PBM formulary, unless returned to the health Page 7 of 19 Coding:
The commissioner shall adopt rules and regulations defining thescopeof theduties owed to health plans, including by obligating pharmacy benefit managers to providetransparencytohealthplans aboutamountschargedorclaimedbythe pharmacybenefitmanagerinamannerthatisadequatetoidentifyallinstances of spread pricing and to disclose all conflicts of interest to health plans.
(c) Duty to providers.
The pharmacy benefit manager duty owed to providers shall include duties of care and good faith and fair dealing.
The commissioner shall adopt rulesand regulations defining the scope of the duties owed to providers, including by obligating pharmacy benefit managers to Page 7 of 18 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 provide transparency to providers about amounts charged or claimed by the pharmacybenefitmanagerinamannerthatisadequatetoidentifyallinstances of spread pricing and to disclose all conflicts of interest to providers.
387 ENROLLED insurance issuer or plan sponsor.
(2) Where there is a conflict between the pharmacy benefit manager duties owed in accordance with this Section, the pharmacy benefit manager fiduciary duty owed to an enrollee shall be primary over the duty owed to any other party.
(b) Design a prescription drug formulary to favor a certain branded pharmaceutical or biologic over a therapeutically equivalent generic or biosimilar, unless the branded pharmaceutical or biologic has a lower net acquisitioncostandthatlowercostisreflectedinalowerout-of-pocketexpense for consumers or lower premiums for enrollees.
(3) A pharmacy benefit manager shall not:
(c) Use its formulary to effectively ban the use of certain pharmacies by an insured.
(a) Obtain a rebate, or any other incentive or inducement including but not limited to discounts, on a name brand drug in exchange for not placing other name brand drugs, biosimilars, generic drugs, or any other drug in the same class of drugs on the PBM formulary.
(4) Notwithstanding any other provision of law to the contrary, upon a determinationthatapharmacybenefitmanagerhasviolatedaprovisionofthis Subsection, the commissioner may impose a fine in the amount of the greater of the cost to the health insurance issuer, health plan, or enrollees or the enrichment to the pharmacy benefit manager and any subsidiaries, parent, or affiliatesthereof,plusanadditionalfineoftwenty-fivethousanddollarsforeach and every act or violation, with no aggregate penalty maximum.
(b) Design a prescription drug formulary to favor a certain branded pharmaceutical or biologic over a therapeutically equivalent generic or biosimilar, unless the branded pharmaceutical or biologic has a lower net acquisitioncostandthatlowercostisreflectedinalowerout-of-pocketexpense for consumers.
(c) Charge an out-of-pocket cost share that is based on a prescription drug pricegreaterthan thepharmacybenefitmanager'snetacquisition costof the prescription drug.
(d) Use its formulary to effectivelyban the use of certain pharmacies by an insured.
(4) A person who is aggrieved by a violation of this Section may bring a civil action before a state court of competent jurisdiction against a pharmacy benefit manager.
All manufacturer rebates, whetheraccruedtoapharmacybenefitmanager,apharmacybenefitmanager's Page 8 of 18 Coding:
All manufacturer rebates, whetheraccruedtoapharmacybenefitmanager,apharmacybenefitmanager's affiliated group purchasing organization, or any other pharmacy benefit manager owned or affiliated entity shall be passed through to the pharmacy benefit manager's healthcare plan sponsor client as described in this Section.
(2) A pharmacy benefit manager may earn income only from the following sources:
(a) The assessment of a flat dollar service fee charged on a per-person per-month or a per-prescription or per-event basis which shall cover all of the pharmacy benefit manager's administrative, clinical, print, electronic, and related costs for the provision of prescription benefit management services to a client health benefit plan.
The flat dollar service fee may vary among a pharmacybenefitmanager'sclientsbasedonthenumberofhealthbenefitplan Page 8 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 affiliated group purchasing organization, or any other pharmacy benefit manager owned or affiliated entity shall be passed through to the pharmacy benefit manager's healthcare plan sponsor client as described in this Section.
387 ENROLLED participants and clinical and administrative servicesprovided, and shall be set forth in a written agreement between the parties.
(2) A pharmacy benefit manager may earn income only from the following sources:
(a) The assessment of a flat dollar service fee charged on either a per- person per-month or a per-prescription basis which shall cover all of the pharmacy benefit manager's administrative, clinical, print, electronic, and related costs for the provision of prescription benefit management services to a client health benefit plan.
The flat dollar service fee may vary among a pharmacybenefitmanager'sclientsbasedonthenumberofhealthbenefitplan participants and clinical and administrative servicesprovided, and shall be set forth in a written agreement between the parties.
(4)(a) A pharmacy benefit manager or group purchasing organization Page 9 of 18 Coding:
(4)(a) A pharmacy benefit manager shall not earn any income based directlyonprescriptiondruglistprices,acquisitioncost,averagewholesalecost, or any other metric for prescription drug pricing or fulfillment at any stage in thedrugsupply chain,including butnot limitedtoprescriptiondrugmarkups, up-charging,spreadpricingofanykind,manufacturer-derivedrevenuesofany sort, which shall include but not be limited to price protection, group purchasingorganizationretainedrebatesorfeesofanykind,rebateaggregator administrativeoranyotherfeeschargedorcollected,couponcompensationand patientassistancecompensationfees,retaineddiscountsandrebates,andother manufacturer payments, and any other arrangements on price of prescription drugs.
(b) Any prohibited pharmacy benefitmanager income that a pharmacy manager may receive during the course of a pharmacy benefit manager's Page 9 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 shall not earn any income based directly on prescription drug list prices, acquisition cost, average wholesale cost, or any other metric for prescription drug pricing or fulfillment at any stage in the drug supply chain, including but not limited to prescription drug markups, up-charging, spread pricing of any kind, manufacturer-derived revenues of any sort, which shall include but not be limited to price protection, group purchasing organization retained rebates orfeesof any kind, rebateaggregatoradministrative or any otherfeescharged or collected, coupon compensation and patient assistance compensation fees, retained discounts and rebates, and other manufacturer payments, and any other arrangements on price of prescription drugs.
387 ENROLLED operations in service of its Louisiana client health plans shall be considered prohibited incomethatthe pharmacy benefit managershall pass through in its entiretytothepharmacybenefitmanager'sLouisianahealthbenefitplanclients on a quarterly basis.
(b) Any prohibited pharmacy benefit managerincome that a pharmacy manager may receive during the course of a pharmacy benefit manager's operations in service of its Louisiana client health plans shall be considered prohibited income that thepharmacybenefitmanagershall pass through in its entiretytothepharmacybenefitmanager'sLouisianahealthbenefitplanclients on a quarterly basis.
This audit right is in addition to, and shall not be construed to limit, any other auditrightsauthorizedbylaworcontract.Thecommissionermayalsoexamine the books or records of any entity in a pharmacy benefit manager's corporate vertical structure, including but not limited to the insurer, group purchasing Page 10 of 18 Coding:
This audit right is in addition to, and shall not be construed to limit, any other auditrightsauthorizedbylaworcontract.Thecommissionermayalsoexamine the books or records of any entity in a pharmacy benefit manager's corporate vertical structure, including but not limited to the insurer, group purchasing organization, manufacturer, wholesale distributor, special or mail order pharmacy, retail or long-term care pharmacy, and provider.
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 organization, manufacturer, wholesale distributor, special or mail order pharmacy, retail or long-term care pharmacy, and provider.
(a) All reimbursement paid to retailpharmacies,on aclaimlevel,forall customersofthepharmacybenefitmanagerinthestate,includingdrug-specific reimbursement, dispensing fees, all rebates, other fees, ancillary charges, clawbacks, or adjustments to reimbursement.
(a) All reimbursementpaid toretailpharmacies,on aclaim level, for all customersofthepharmacybenefitmanagerinthestate,includingdrug-specific reimbursement, dispensing fees, all rebates, other fees, ancillary charges, clawbacks, or adjustments to reimbursement.
(c)Historicalclaimsdataincludingingredientcost,quantity,dispensing fee, sales tax, usual and customary price, channel such as mail or retail, health insurance issuer or health plan paid amount, days' supply, the amount paid by thecoveredindividual,formularytier,acquisitioncost,andanyadministrative fee associated with the claim, as applicable.
(c)Historicalclaimsdataincludingingredientcost,quantity,dispensing fee, sales tax, usual and customary price, channel such as mail or retail, health Page 10 of 19 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED insurance issuer or health plan paid amount, days' supply, the amount paid by thecoveredindividual, formularytier,acquisition cost,andanyadministrative fee associated with the claim, as applicable.
(4) The pharmacy benefit manager shall certify that all information submitted to the commissioner or any health insurance issuer or health plan in Page 11 of 18 Coding:
(4) The pharmacy benefit manager shall certify that all information submitted to the commissioner or any health insurance issuer or health plan in accordance with this Subsection is accurate and complete in all material respects.
The certification shall be signed by the chief executiveofficer or chief financial officer of the pharmacy benefit manager.
(5)(a)The commissioner and any health insurance issuer or health plan contracted with a pharmacy benefit manager holding a license issued by the commissioner shall not directly or indirectly publish or otherwise disclose any confidential, proprietary information, including but not limited to any information that would reveal the identity of a specific health plan or manufacturer, the price charged for a specific drug or class of drugs, the amount of any rebates provided for a specific drug or class of drugs, or that wouldotherwisehavethepotentialtocompromisethefinancial,competitive,or proprietarynatureoftheinformation.Anysuchinformationshallbeprotected as confidential and proprietary information, and is not a public record and is exempt fromdisclosure pursuant tothePublicRecordsLaw,R.S.44:4.1etseq.
Page 11 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 accordance with this Subsection is accurate and complete in all material respects.The certification shall be signed by the chief executive officer or chief financial officer of the pharmacy benefit manager.
387 ENROLLED The commissioner and any health insurance issuer or health plan contracted withapharmacybenefitmanagerholding alicenseissuedbythecommissioner shallimposetheconfidentialityprotectionsandrequirementsofthisParagraph on any agentor downstreamthird party that may receiveor have accesstothis information.
(5) The commissioner and any health insurance issuer or health plan contracted with a pharmacy benefit manager holding a license issued by the commissioner shall not directly or indirectly publish or otherwise disclose any confidential, proprietary information, including but not limited to any information that would reveal the identity of a specific health plan or manufacturer, the price charged for a specific drug or class of drugs, the amount of any rebates provided for a specific drug or class of drugs, or that wouldotherwisehavethepotentialtocompromisethefinancial,competitive,or proprietarynatureoftheinformation.Anysuchinformationshallbeprotected as confidential and proprietary information, and is not a public record and is exemptfromdisclosurepursuanttothePublic RecordsLaw,R.S.
(b) Nothing in this Paragraph shall be construed to prohibit the commissionerfromdisclosinginformationtoaPrescriptionDrugAffordability Board established pursuant to this Title if such information is subject to the confidentiality protections applicable to that board.
44:4.1etseq.
The commissioner and any health insurance issuer or health plan contracted with apharmacybenefitmanagerholding alicenseissued by thecommissioner shallimposetheconfidentialityprotectionsandrequirementsofthisParagraph on any agent or downstreamthird partythatmayreceiveor have access to this information.
E.(1)Inadditiontoanyothercivilorcriminalpenaltyauthorizedbylaw, Page 12 of 18 Coding:
E.(1) In addition to any other penalty authorized by law, a violation of this Section shall be punishable by the commissioner through a civil monetary penaltyoftwenty-fivethousanddollarsforeachandeveryactorviolation,with no aggregate penalty maximum.
Words which are struck through are deletions from existing law;
(2) If a violation for which the commissioner has imposed a fine in accordancewith this Subsection is not correctedwithin thirtydays afternotice oftheviolationisreceivedbythepharmacybenefitmanager,thecommissioner shall suspend or revoke the pharmacy benefit manager's license in accordance with R.S.
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 a violation of this Section shall be punishable by the commissioner through a civil monetary penalty of twenty-five thousand dollars for each and every act or violation, with no aggregate penalty maximum.
(2) If a violation for which the commissioner has imposed a fine in accordancewith this Subsection is not correctedwithin thirty days after notice oftheviolationisreceivedbythepharmacybenefitmanager,thecommissioner shall suspend or revoke the pharmacy benefit manager's license in accordance with R.S.
G.
Page 12 of 19 Coding:
The provisions of this Section shall not apply to health benefit plans that are established under and regulated by the Employee Retirement Income Security Act (ERISA) of 1974.
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED G.
The provisions of this Subpart shall apply only to the extent not preempted or otherwise prohibited by federal law.
To the extent such conflict exists,thevalidityoftheremainderofthisSubpartandtheapplicabilitythereof to any other entity, person, or circumstance shall not be affected.
H.
Pharmacy Technology and Third Party Data Sharing (1)Apharmacybenefitmanager,oranyaffiliate,subsidiary,oragentof apharmacybenefitmanager,shallnotdirectlyorindirectlyprohibitorrestrict a pharmacist or pharmacy from offering, directly or through a third party, services or products to increase transparency, access, and affordability of prescriptiondrugs forpatients.
Such servicesand products include butarenot limited to:
(a) Simplified payment processes, electronic payments, or payment plans.
(b) Adherence support services or communications.
(c) Information regarding patient out-of-pocket costs or alternative medication options.
(d) Electronic transactions that allow the pharmacist or pharmacy to provide patients with price and benefits transparency.
(e) Sharing claims data or other healthcare transaction data of patients with thepatient,thepatient's healthcareproviders,abusiness associate as that termis definedin45CFR160.103,orany third partyauthorizedby thepatient at the time the pharmacist or pharmacy runs the claim or other electronic transaction or at any time thereafter.
(f) Electronic transactions that allow the pharmacist or pharmacy to provide patients with prior authorization support to enable access to the patient's prescription drug.
(g) Any lawful copayment assistance or other out-of-pocket support to patients to lower the costs of their prescription drugs.
(2)Apharmacybenefitmanager,oranyaffiliate,subsidiary,oragentof a pharmacy benefit manager, shall not directly or indirectly:
Page 13 of 19 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED (a) Audit, investigate, terminate, or threaten to terminate a pharmacist or pharmacy from the pharmacy benefit manager's network as a result of the pharmacist or pharmacy engaging in any activity described in or allowed by Paragraph (1) of this Subsection.
(b)Reduce,rescind,orotherwiseclawbackanyreimbursementpayment in whole or in part to a pharmacist or pharmacy for a prescriptions drug's ingredient cost or dispensing fee as a result of the pharmacist or pharmacy engaging in any activity described in or allowed by Paragraph (1) of this Subsection.
(c) Discriminate against or otherwise penalize a pharmacist or pharmacy, including but not limited to decreasing any reimbursementratesor by reclassifying the pharmacist or pharmacy's class of trade as a result of the pharmacist or pharmacy engaging in any activity described in or allowed by Paragraph (1) of this Subsection.
(3) Nothing in this Subsection shall be construed to modify or limit the application of R.S.
40:2870(A)(3)to a pharmacy benefit manager'shandling of beneficiarypersonalhealthcareorcontactinformation.Apharmacy'ssharing ofclaimsdataorotherhealthcaretransactiondatawithabusiness associate,as that term is defined in 45 CFR 160.103, in compliance with the Health Insurance Portability and Accountability Act of 1996 and its implementing regulations, shall not constitute a pharmacy benefit manager buying, selling, transferring, or providing personal health care or contact information within the meaning of R.S.
40:2870(A)(3).
(4) Any contract provision between a pharmacy benefit manager and a pharmacist or pharmacy that conflicts with this Subsection shall be severable from the contract and considered void and unenforceable in this state.
(5) A violation of this Subsection is subject to the penalties provided in this Section.
Pharmacy benefit manager formularies A.
Pharmacy benefit manager formularies Page 14 of 19 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED A.
(a)Has an investmentorownership interestgreaterthan fivepercentin a pharmacy benefit manager.
(a)Has an investment orownership interestgreaterthan fivepercentin a pharmacy benefit manager.
(3) "Biosimilar" has the same meaning as in the Public Health Service Page 13 of 18 Coding:
(3) "Biosimilar" has the same meaning as in the Public Health Service Act, 42 U.S.C.
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 Act, 42 U.S.C.
B.(1) A pharmacy benefit manager revising the formulary of covered prescription drugs at the beginning of a plan year shall provide a sixty day continuity-of-care period in which the covered prescription drug that is being revised from the formulary continues to be provided at the same cost for the insured for a period of sixty days.
B.(1) A pharmacy benefit manager revising the formulary of covered prescription drugs at the beginning of a plan year shall provide a sixty-day continuity-of-care period in which the covered prescription drug that is being revisedfromtheformularycontinuestobeprovidedinthesameformularytier and cost-sharing structure for the period of sixty days.
(2)Thesixtydaycontinuity-of-careperiodcommencesuponnotification to the insured by the insurer.
(2)Thesixty-daycontinuity-of-careperiodcommencesuponnotification to the insured by the insurer.
(c) The prescription drug is subject to an involuntary recall by state or federal authorities and is no longer available on the commercial market.
Page 15 of 19 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED (c) The prescription drug is subject to an involuntary recall by state or federal authorities and is no longer available on the commercial market.
E.Otherthanatthetimeofcoveragerenewal,whileaninsuredistaking Page 14 of 18 Coding:
E.Otherthanatthetimeofcoveragerenewal,whileaninsuredistaking a prescription drug a pharmacy benefit manager shall not do any of the following:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 a prescription drug a pharmacy benefit manager shall not do any of the following:
(c)The drug has been approved and madeavailableoverthecounterby the United States Food and Drug Administration and entered the commercial market as such.
(c)The drug has beenapproved andmadeavailableoverthecounterby the United States Food and Drug Administration and entered the commercial market as such.
F.ThisSectiondoesnotprohibittheadditionofprescriptiondrugstothe formulary during the policy year.
Page 16 of 19 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SB NO.
387 ENROLLED F.ThisSectiondoesnotprohibittheadditionofprescriptiondrugstothe formulary during the policy year.
The provisions of this Section shall not apply to health benefit plans that are established under and regulated by the Employee Retirement Income Security Act (ERISA) of 1974.
The provisions of this Subpart shall apply only to the extent not preempted or otherwise prohibited by federal law.
To the extent such conflict exists,thevalidityoftheremainderofthisSubpartandtheapplicabilitythereof to any other entity, person, or circumstance shall not be affected.
44:4.1(B)(11) is hereby amended and reenacted to read as follows:
39:1600.1(A), the introductory paragraph of 1600.1(D), and 1600.1(D)(6) are herebyamended and reenacted to read as follows:
§4.1.
§1600.1.
Exceptions * * * B.Thelegislaturefurtherrecognizesthatthereexistexceptions,exemptions, and limitations to the laws pertaining to public records throughout the revised statutesandcodesofthisstate.Therefore,thefollowingexceptions,exemptions,and Page 15 of 18 Coding:
Procurement of pharmacybenefit manager services by reverse auction A.(1) This section shall be known and may be cited as the "Louisiana Competitive Pharmacy Benefit Managers Act".
(2)ItisrecommendedtoconducttheinitialPBMreverseauctionnolater thanJuly1,2028.Termsofanycontractforpharmacybenefitservicesawarded through the initial reverse auction process may become effective at commencement of the new plan year beginning January 1, 2029.
(3) It is recommended that PBM reverse auctions be conducted in accordance with the provisions of this Chapter at a frequency of no less than once every five years.
* * * D.
Contracts It is recommended that contracts for pharmacy benefit managerservicesobtainedthroughreverseauctionshall complywith thefollowing:
* * * (6)(a) With technical assistance and support provided by the technology platform provider, the division of administration shall specify the terms of the participantbiddingagreementwhichshallnotbemodifiedexceptbyspecificconsent of the division of administration.
(b) It is recommended that the participant bidding agreement require qualified bidders in the PBM reverse auction process, both full service PBMs and carve-out service providers, to comply with the terms and provisions of all PBM regulations in Title 22 of the Louisiana Revised Statutes of 1950.
Page 17 of 19 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 limitations are hereby continued in effect by incorporation into this Chapter by citation:
387 ENROLLED (c) It is recommended that qualified specialty carve-out prescription drugserviceproviderscompetewithfullservicePBMsonthebasisofpriceand any other appropriate criteria for award of a specialty drug contract over multiple rounds of dynamically competitive reverse auction bidding.
(d)Itisrecommendedthatqualifiedgenericcarve-outprescriptiondrug service providers compete with full service PBMs on the basis of price and any other appropriate criteria for award of a generic drug contract over multiple rounds of dynamically competitive reverse auction bidding.
(e)The PBMreverseauction processmayresultin award of multiple or hybrid contracts to full service and carve-out prescription service providers if such award is determined to be of higher value to the state.
* * * Section 3.
R.S.
44:4.1(B)(11) is hereby amended and reenacted to read as follows:
§4.1.
Exceptions * * * B.Thelegislaturefurtherrecognizesthatthereexistexceptions,exemptions, and limitations to the laws pertaining to public records throughout the revised statutesandcodesofthisstate.Therefore,thefollowingexceptions,exemptions,and limitations are hereby continued in effect by incorporation into this Chapter by citation:
22:2, 14, 31, 42.1, 88, 244, 263, 265, 461, 550.7, 550.22, 550.29, 550.30, 571, 572, 572.1, 572.2, 574, 601.3, 618, 639, 691.4, 691.5, 691.6, 691.7, 691.8,691.9,691.9.1,691.10,691.38,691.56,732,752,753,771,834,972(D),976, 1008, 1019.2, 1203, 1460, 1464, 1466, 1483.1, 1488, 1546, 1559, 1566(D), 1644, 1656, 1657.1, 1660.7, 1723, 1796, 1801, 1808.3, 1867.1, 1869, 1927, 1929, 1983, 1984, 2036, 2045, 2056, 2085, 2091, 2293, 2303, 2508 * * * Section 3.
22:2, 14, 31, 42.1, 88, 244, 263, 265, 461, 550.7, 550.22, 550.29, 550.30, 571, 572, 572.1, 572.2, 574, 601.3, 618, 639, 691.4, 691.5, 691.6, 691.7, 691.8,691.9,691.9.1,691.10,691.38,691.56,732,752,753,771,834,972(D),976, 1008, 1019.2, 1203, 1460, 1464, 1466, 1483.1, 1488, 1546, 1559, 1566(D), 1644, 1656, 1657.1, 1660.7, 1723, 1796, 1801, 1808.3, 1867.1, 1869, 1927, 1929, 1983, 1984, 2036, 2045, 2056, 2085, 2091, 2293, 2303, 2508 * * * Section 4.
22:1868.1 is hereby repealed.
22:1868.1 and Section 5 of Act 474 of the 2025 Regular Session are hereby repealed in their entirety.
Section4.ThisActshalltakeeffectandbecomeoperativeifandwhentheActwhich originated as Senate Bill No.
Page 18 of 19 Coding:
401 of this 2026 Regular Session of the Legislature is enacted and becomes effective.
If vetoed by the governor and subsequently approved by the legislature, this Act shall become effective on the date that Senate Bill No.
401 becomes effective.
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 387 Reengrossed 2026 Regular Session Bass Present law provides for definitions.
Proposed law retains present law and adds definitions for "enrollee", "healthcare service", "person", "pharmacy benefit management fee", "pharmacy benefit management service", "provider", and "related entity".
Proposed law also amends the definition for "rebates".
Proposed law provides for a PBM's fiduciarydutyof care and good faith and fair dealing to enrollees.
ProposedlawprovidesforPBMcompensationthroughpharmacybenefitmanagerflatdollar feesandflatdollarperformancebonus andprohibits aPBMfromretainingrebatesandfees.
Proposedlawallowsthecommissionerofinsuranceandanyhealthinsuranceissuerorhealth plan contracted with a PBM to audit the PBM once per calendar year.
Proposed law further provides for information that may be requested as part of the audit and provides for the protection of confidential and proprietaryinformation through a public records exemption, including the books and records from anyentity in the PBM's vertical corporate structure.
Page 16 of 18 Coding:
SLS 26RS-518 REENGROSSED SB NO.
SB NO.
387 ProposedlawrequiresPBMcontractstospecifyallformsofrevenuetobepaidbythehealth insurance issuer or health plan to the pharmacy benefit manager and to acknowledge that spread pricing is not permitted.
387 ENROLLED Section 5.
Proposed law provides that, in addition to anyother civil or criminal penalty authorized by law,aviolationofproposedlawispunishablebythecommissionerthroughacivilmonetary penaltyof$25,000foreachandeveryactorviolation, with noaggregatepenaltymaximum.
Sections 1 through 4 and 6 through 8 of this Act shall take effect and become enforceable only if Section 4 of the Act which originated as Senate Bill No.
Proposed law further provides that if a violation is not corrected within 30 days after notice of the violation is received by the PBM, the commissioner must suspend or revoke the pharmacy benefit manager's license.
401 of the 2026 Regular Session of the Legislature is enacted and becomes effective.
Proposed law is to be implemented to regulate a pharmacy benefit manager or health insurance issuer only to the extent permissible under applicable law.
Section 6.
Present law allows a PBM to audit pharmacy claims.
The provisions of this Act amending and reenacting R.S.
Proposed law limits to the audit to claims filed within the 12 months prior to the start of the audit.
22:1856.1 and 1865 and enacting 1867.1(C) and 1867.1(E) and (F), shall become effective upon signature of the governor or, if not signed by the governor, upon expiration of the time for bills to become law without signature bythe governor, as provided byArticle III, Section 18 of the Constitution of Louisiana.
Proposed law allows a pharmacyto submit a consolidated appeal to a PBM of substantially similar claims.
If vetoed by the governor and subsequently approved by the legislature, these provisions of this Act shall become effective on the day following such approval.
ProposedlawprohibitsaPBMfromusingitsformularytoobtaininducements,favorcertain drugs over substantially similar drugs with a lower cost, charge more that the PBM's net acquisition cost of a drug, or ban the use of certain pharmacies byan insured.
Section 7.
Proposed law provides for a 60-day continuity of care for an enrollee when a formulary is changed and removes a drug prescribed to an enrollee.
The provisions of this Act amending and reenacting R.S.
Proposed law provides that proposed law is not applicable to ERISA plans.
22:1863 and enacting 1867.1(A)(1), (2), and (4) and (D) shall become effective on January 1, 2027.
Effective January 1, 2027.
Section8.TheprovisionsofthisActamendingandreenactingR.S.39:1600.1(A)and the introductory paragraph of 1600.1(D) and 1600.1(D)(6) and enacting 1867.1(A)(3) and (B) and 1868.2 shall become effective on January 1, 2028.
(Amends R.S.
PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
22:1856.1(B)(2)(a), 1863, 1865(A), and R.S.
Page 19 of 19 Coding:
44:4.1(B)(11);
adds R.S.
22:1867.1 and 1868.2;
repeals R.S.22:1868.1) Summary of Amendments Adopted by Senate CommitteeAmendmentsProposedbySenateCommitteeonInsurancetotheoriginal bill 1.
Limits a PBM pharmacyaudit to claims submitted not more than 12 months prior to the audit.
2.
Allows for consolidated appeals.
3.
Provides that a PBM owes a fiduciary duty to enrollees, pharmacies, and plans.
4.
Prohibits a PBM from obtaining an inducement on a name brand drug in exchange for not placing other drugs of the same class on the PBM formulary.
5.
Prohibits a PBM from favoring certain drugs over others on a formulary.
6.
Prohibits a PBM from charging a cost greater than net acquisition cost.
7.
Prohibits a PBM from using its formulary to ban the use of certain pharmacies.
Page 17 of 18 Coding:
Words which are struck through are deletions from existing law;
words in boldface type and underscored are additions.
SLS 26RS-518 REENGROSSED SB NO.
387 8.
Prohibits a PBM or GPO from retaining rebates and fees, requiring them to be passed through to the plan.
9.
Allows a PBM to earn income only from a flat dollar fee.
10.
Allows a PBM to receive a flat dollar performance bonus.
11.
Allows the commissioner of insurance to examine the books or records of any entity in a PBM's corporate structure.
12.
Requires continuityof carefor enrollees when a PBM formularyis changed.
13.
Provides that proposed law becomes effective if SB 401 is enacted.
14.
Makes technical changes.
Senate Floor Amendments to engrossed bill 1.
Provides that PBMs do not owe a fiduciary duty to plans or pharmacies.
2.
Provides that the provisions of proposed law are not applicable to ERISA plans.
3.
Makes technical changes.
Page 18 of 18 Coding:
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Amendments

7 amendments

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Action History

  1. Signed by the Governor. Becomes Act No. 914.

  2. Effective date: See Act.

  3. Enrolled. Signed by the President of the Senate.

  4. Signed by the Speaker of the House.

  5. Sent to the Governor by the Secretary of the Senate on 6/2/2026.

  6. Conference Committee Report read, roll called, yeas 76, nays 13. The Conference Committee Report was adopted.

  7. Notice House adopted the Conference Committee Report.

  8. Conference committee report received.

  9. Rules suspended.

  10. Conference Committee Report read; adopted by a vote of 36 yeas and 0 nays.

  11. Conference Committee report received. Lies over under the rules.

  12. Notice of Senate adoption of Conference Committee Report.

  13. Scheduled for floor debate on 05/31/2026.

  14. Senate conference committee members appointed: Talbot, Bass, and Harris.

  15. Notice of Senate conferees appointed.

  16. Notice of Senate rejecting House amendments.

  17. House conferees appointed: Turner, Firment, and Miller.

  18. Notice House Conference Committee members appointed.

  19. Amendments proposed by the House read and rejected by a vote of 34 yeas and 0 nays.

  20. Read third time by title, roll called on final passage, yeas 82, nays 14. Finally passed, ordered to the Senate.

  21. Received from the House with amendments.

  22. Read by title, passed to 3rd reading.

  23. Scheduled for floor debate on 05/19/2026.

  24. Reported without Legislative Bureau amendments.

  25. Reported favorably (12-0). Referred to the Legislative Bureau.

  26. Read by title, amended, recommitted to the Committee on House and Governmental Affairs.

  27. Reported with amendments (10-4). To be recommitted to the Committee on House and Governmental Affairs.

  28. Read by title, under the rules, referred to the Committee on Insurance.

  29. Received in the House from the Senate, read by title, lies over under the rules.

  30. Called from the Calendar.

  31. Senate floor amendments read and adopted. Read by title and passed by a vote of 37 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

  32. Senate floor amendments read and adopted.

  33. Read by title and returned to the Calendar, subject to call.

  34. Read by title. Committee amendments read and adopted. Ordered engrossed and passed to third reading and final passage.

  35. Reported with amendments.

  36. Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Insurance.

  37. Prefiled and under the rules provisionally referred to the Committee on Insurance.

Sponsors

Sponsorship breakdown

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1 sponsors · 2 co-sponsors · 144 not signed on · 20 voted No

Sponsors (1)

Co-sponsors (2)

Not signed on (144)

144 members have not signed on to this bill.

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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 76 Yea · 13 Nay · 16 Other
Party YeaNayPresentNot Voting
Unaffiliated 5101
Republican 60008
Democrat 111207
Total 7613016
% of votes cast 72%12%0%15%
How each member voted (105)
Member Party Vote
Mr. Speaker — Yea
Amedee — Yea
Stagni — Yea
Galle — Not Voting
Johnson, T. — Yea
Landry, T. — Nay
St. Blanc — Yea
Adrian Fisher Democrat Nay
Aimee Adatto Freeman Democrat Nay
Alonzo L. Knox Democrat Not Voting
Barbara Carpenter Democrat Yea
C. Denise Marcelle Democrat Nay
Candace N. Newell Democrat Nay
Chasity Martinez Democrat Yea
Dana Henry Democrat Yea
Delisha Boyd Democrat Yea
Ed Murray Democrat Nay
Edmond Jordan Democrat Yea
Gerald Boudreaux Democrat Yea
III, Ed Larvadain Democrat Nay
Joy Walters Democrat Not Voting
Jr., Kyle M. Green Democrat Yea
Ken Brass Democrat Not Voting
Mandie Landry Democrat Nay
Marcus Anthony Bryant Democrat Yea
Pat Moore Democrat Nay
Rashid Armand Young Democrat Not Voting
Robby Carter Democrat Nay
Rodney Lyons Democrat Yea
Roy Daryl Adams Democrat Yea
Shaun Raphael Mena Democrat Nay
Sr., Wilford Carter Democrat Not Voting
Steven Jackson Democrat Nay
Sylvia Elaine Taylor Democrat Nay
Tammy T. Phelps Democrat Not Voting
Tehmi Jahi Chassion Democrat Not Voting
Vanessa Caston LaFleur Democrat Yea
Annie Spell Republican Yea
Barbara Reich Freiberg Republican Yea
Beth Anne Billings Republican Yea
Brett F. Geymann Republican Not Voting
Brian Leonard Glorioso Republican Yea
Bryan Fontenot Republican Yea
Chad Michael Boyer Republican Yea
Chance Keith Henry Republican Yea
Christopher Turner Republican Yea
Danny McCormick Republican Yea
Daryl Andrew Deshotel Republican Yea
Debbie Villio Republican Yea
Dixon Wallace McMakin Republican Yea
Dodie Horton Republican Yea
Emily Chenevert Republican Yea
Foy Bryan Gadberry Republican Yea
Francis C. Thompson Republican Yea
Gregory A. Miller Republican Yea
III, Roger William Wilder Republican Yea
III, Vincent E. Cox Republican Yea
IV, Gerald "Beau" Beaullieu Republican Yea
Jack McFarland Republican Yea
Jacob Braud Republican Yea
Jacob Jules Landry Republican Yea
Jason Brian DeWitt Republican Yea
Jeffrey "Jeff" Fons Wiley Republican Yea
Jeremy LaCombe Republican Yea
Jerome Zeringue Republican Yea
Jessica Domangue Republican Yea
John E. Wyble Republican Yea
Joseph A. Orgeron Republican Yea
Josh Carlson Republican Yea
Jr., Dennis Bamburg Republican Yea
Jr., John R. Illg Republican Yea
Jr., Michael Robert Bayham Republican Not Voting
Kathy Edmonston Republican Yea
Kellee Hennessy Dickerson Republican Yea
Kim Carver Republican Yea
Kimberly Landry Coates Republican Yea
Larry A. Bagley Republican Not Voting
Lauren Ventrella Republican Yea
Laurie Schlegel Republican Yea
Les Farnum Republican Not Voting
Mark Wright Republican Not Voting
Michael "Gabe" Firment Republican Yea
Michael Charles Echols Republican Yea
Michael Melerine Republican Yea
Mike Johnson Republican Yea
Neil Riser Republican Yea
Nicholas Muscarello Republican Yea
Paul Sawyer Republican Yea
Phillip Eric Tarver Republican Not Voting
Polly Thomas Republican Yea
R. Dewith Carrier Republican Yea
Raymond J. Crews Republican Yea
Reese "Skip" Broussard Republican Yea
Rhonda Gaye Butler Republican Yea
Robert "Bob" Owen Republican Yea
Rodney Schamerhorn Republican Yea
Ryan Bourriaque Republican Yea
Shane Mack Republican Yea
Sr., Peter F. Egan Republican Yea
Stephanie H. Berault Republican Yea
Stephanie Hilferty Republican Not Voting
Timothy P. Kerner Republican Yea
Tony Bacala Republican Not Voting
Troy Jude Hebert Republican Yea
Wayne McMahen Republican Yea

Official roll call →

ADOPT (#1575)

Passed 36 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 25002
Democrat 10001
Total 36003
% of votes cast 92%0%0%8%
How each member voted (39)
Member Party Vote
Mr. President — Yea
Edward J. Price Democrat Yea
Gary Carter Democrat Yea
Gerald Boudreaux Democrat Yea
Jay Luneau Democrat Yea
Jimmy Harris Democrat Yea
Katrina R. Jackson-Andrews Democrat Yea
Larry Selders Democrat Not Voting
Regina Barrow Democrat Yea
Royce Duplessis Democrat Yea
Sam Jenkins Democrat Yea
Sidney Barthelemy II Democrat Yea
Adam Bass Republican Yea
Alan Seabaugh Republican Yea
Beth Mizell Republican Yea
Blake Miguez Republican Yea
Bob Hensgens Republican Yea
Brach Jerad Myers Republican Yea
Caleb Kleinpeter Republican Yea
Eddie J. Lambert Republican Yea
Franklin J. Foil Republican Yea
Glen Womack Republican Not Voting
Gregory A. Miller Republican Yea
Heather Cloud Republican Not Voting
Jeremy Stine Republican Yea
John C. "Jay" Morris Republican Yea
Jr., William "Bill" Wheat Republican Yea
Kirk Talbot Republican Yea
Mark Abraham Republican Yea
Michael "Big Mike" Fesi Republican Yea
Mike Reese Republican Yea
Patrick Connick Republican Yea
Patrick McMath Republican Yea
Rick Edmonds Republican Yea
Robert "Bob" Owen Republican Yea
Robert Allain Republican Yea
Stewart Jr. Cathey Republican Yea
Thomas A. Pressly Republican Yea
Valarie Hodges Republican Yea

Official roll call →

REJECT (#1061)

Passed 34 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 26001
Democrat 7004
Total 34005
% of votes cast 87%0%0%13%
How each member voted (39)
Member Party Vote
Mr. President — Yea
Edward J. Price Democrat Yea
Gary Carter Democrat Yea
Gerald Boudreaux Democrat Yea
Jay Luneau Democrat Yea
Jimmy Harris Democrat Yea
Katrina R. Jackson-Andrews Democrat Not Voting
Larry Selders Democrat Not Voting
Regina Barrow Democrat Not Voting
Royce Duplessis Democrat Not Voting
Sam Jenkins Democrat Yea
Sidney Barthelemy II Democrat Yea
Adam Bass Republican Yea
Alan Seabaugh Republican Yea
Beth Mizell Republican Yea
Blake Miguez Republican Yea
Bob Hensgens Republican Yea
Brach Jerad Myers Republican Not Voting
Caleb Kleinpeter Republican Yea
Eddie J. Lambert Republican Yea
Franklin J. Foil Republican Yea
Glen Womack Republican Yea
Gregory A. Miller Republican Yea
Heather Cloud Republican Yea
Jeremy Stine Republican Yea
John C. "Jay" Morris Republican Yea
Jr., William "Bill" Wheat Republican Yea
Kirk Talbot Republican Yea
Mark Abraham Republican Yea
Michael "Big Mike" Fesi Republican Yea
Mike Reese Republican Yea
Patrick Connick Republican Yea
Patrick McMath Republican Yea
Rick Edmonds Republican Yea
Robert "Bob" Owen Republican Yea
Robert Allain Republican Yea
Stewart Jr. Cathey Republican Yea
Thomas A. Pressly Republican Yea
Valarie Hodges Republican Yea

Official roll call →

FINAL PASSAGE (#1380)

Passed 82 Yea · 14 Nay · 9 Other
Party YeaNayPresentNot Voting
Unaffiliated 6001
Republican 63104
Democrat 131304
Total 821409
% of votes cast 78%13%0%9%
How each member voted (105)
Member Party Vote
Mr. Speaker — Yea
Amedee — Yea
Galle — Yea
Stagni — Yea
Johnson, T. — Not Voting
Landry, T. — Yea
St. Blanc — Yea
Adrian Fisher Democrat Yea
Aimee Adatto Freeman Democrat Nay
Alonzo L. Knox Democrat Not Voting
Barbara Carpenter Democrat Yea
C. Denise Marcelle Democrat Nay
Candace N. Newell Democrat Nay
Chasity Martinez Democrat Nay
Dana Henry Democrat Yea
Delisha Boyd Democrat Nay
Ed Murray Democrat Nay
Edmond Jordan Democrat Nay
Gerald Boudreaux Democrat Yea
III, Ed Larvadain Democrat Yea
Joy Walters Democrat Nay
Jr., Kyle M. Green Democrat Nay
Ken Brass Democrat Yea
Mandie Landry Democrat Nay
Marcus Anthony Bryant Democrat Nay
Pat Moore Democrat Yea
Rashid Armand Young Democrat Not Voting
Robby Carter Democrat Yea
Rodney Lyons Democrat Yea
Roy Daryl Adams Democrat Yea
Shaun Raphael Mena Democrat Nay
Sr., Wilford Carter Democrat Yea
Steven Jackson Democrat Nay
Sylvia Elaine Taylor Democrat Yea
Tammy T. Phelps Democrat Not Voting
Tehmi Jahi Chassion Democrat Not Voting
Vanessa Caston LaFleur Democrat Yea
Annie Spell Republican Yea
Barbara Reich Freiberg Republican Yea
Beth Anne Billings Republican Yea
Brett F. Geymann Republican Yea
Brian Leonard Glorioso Republican Yea
Bryan Fontenot Republican Yea
Chad Michael Boyer Republican Yea
Chance Keith Henry Republican Yea
Christopher Turner Republican Yea
Danny McCormick Republican Yea
Daryl Andrew Deshotel Republican Yea
Debbie Villio Republican Yea
Dixon Wallace McMakin Republican Not Voting
Dodie Horton Republican Yea
Emily Chenevert Republican Yea
Foy Bryan Gadberry Republican Yea
Francis C. Thompson Republican Not Voting
Gregory A. Miller Republican Nay
III, Roger William Wilder Republican Yea
III, Vincent E. Cox Republican Yea
IV, Gerald "Beau" Beaullieu Republican Yea
Jack McFarland Republican Yea
Jacob Braud Republican Yea
Jacob Jules Landry Republican Yea
Jason Brian DeWitt Republican Yea
Jeffrey "Jeff" Fons Wiley Republican Yea
Jeremy LaCombe Republican Yea
Jerome Zeringue Republican Yea
Jessica Domangue Republican Yea
John E. Wyble Republican Yea
Joseph A. Orgeron Republican Yea
Josh Carlson Republican Yea
Jr., Dennis Bamburg Republican Yea
Jr., John R. Illg Republican Yea
Jr., Michael Robert Bayham Republican Yea
Kathy Edmonston Republican Yea
Kellee Hennessy Dickerson Republican Yea
Kim Carver Republican Yea
Kimberly Landry Coates Republican Yea
Larry A. Bagley Republican Not Voting
Lauren Ventrella Republican Yea
Laurie Schlegel Republican Yea
Les Farnum Republican Yea
Mark Wright Republican Yea
Michael "Gabe" Firment Republican Yea
Michael Charles Echols Republican Yea
Michael Melerine Republican Yea
Mike Johnson Republican Yea
Neil Riser Republican Yea
Nicholas Muscarello Republican Yea
Paul Sawyer Republican Yea
Phillip Eric Tarver Republican Yea
Polly Thomas Republican Yea
R. Dewith Carrier Republican Yea
Raymond J. Crews Republican Yea
Reese "Skip" Broussard Republican Yea
Rhonda Gaye Butler Republican Yea
Robert "Bob" Owen Republican Yea
Rodney Schamerhorn Republican Yea
Ryan Bourriaque Republican Yea
Shane Mack Republican Yea
Sr., Peter F. Egan Republican Yea
Stephanie H. Berault Republican Yea
Stephanie Hilferty Republican Not Voting
Timothy P. Kerner Republican Yea
Tony Bacala Republican Yea
Troy Jude Hebert Republican Yea
Wayne McMahen Republican Yea

Official roll call →

FINAL PASSAGE (#354)

Passed 37 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 26001
Democrat 10001
Total 37002
% of votes cast 95%0%0%5%
How each member voted (39)
Member Party Vote
Mr. President — Yea
Edward J. Price Democrat Yea
Gary Carter Democrat Yea
Gerald Boudreaux Democrat Yea
Jay Luneau Democrat Yea
Jimmy Harris Democrat Yea
Katrina R. Jackson-Andrews Democrat Yea
Larry Selders Democrat Yea
Regina Barrow Democrat Not Voting
Royce Duplessis Democrat Yea
Sam Jenkins Democrat Yea
Sidney Barthelemy II Democrat Yea
Adam Bass Republican Yea
Alan Seabaugh Republican Yea
Beth Mizell Republican Yea
Blake Miguez Republican Yea
Bob Hensgens Republican Yea
Brach Jerad Myers Republican Yea
Caleb Kleinpeter Republican Yea
Eddie J. Lambert Republican Yea
Franklin J. Foil Republican Yea
Glen Womack Republican Yea
Gregory A. Miller Republican Yea
Heather Cloud Republican Yea
Jeremy Stine Republican Yea
John C. "Jay" Morris Republican Yea
Jr., William "Bill" Wheat Republican Yea
Kirk Talbot Republican Yea
Mark Abraham Republican Yea
Michael "Big Mike" Fesi Republican Yea
Mike Reese Republican Yea
Patrick Connick Republican Yea
Patrick McMath Republican Yea
Rick Edmonds Republican Yea
Robert "Bob" Owen Republican Yea
Robert Allain Republican Yea
Stewart Jr. Cathey Republican Yea
Thomas A. Pressly Republican Yea
Valarie Hodges Republican Not Voting

Official roll call →

Subjects

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Frequently asked questions

Who sponsors SB 387?
SB 387 is sponsored by Christopher Turner (Republican), Kirk Talbot (Republican), and Adam Bass (Republican).
What is the current status of SB 387?
This bill has been enacted into law. Introduced February 27, 2026. Enacted.
Where can I track SB 387?
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