§ 22:1058 — Acupuncture; reimbursement

§1058. Acupuncture; reimbursement
A.(1)(a) Any health coverage plan delivered or issued for delivery in this state in the
large group market, as defined in R.S. 22:1091(B), shall provide coverage for any
acupuncture performed by an individual licensed pursuant to R.S. 37:1356 et seq. when such
services are medically necessary and not otherwise excluded from coverage.
(b) Terminology in a policy or contract deemed discriminatory against any person
or method of practice, including but not limited to the manner of payment or reimbursement
under the policy, shall be null and void.
(2) The coverage provided pursuant to this Section may be subject to annual
deductibles, coinsurance, and copayment provisions as are consistent with those established
under the health coverage plan.
(3) The coverage provided pursuant to this Section may be limited to twelve visits
for acupuncture treatment per policy or contract benefit period.
B. For purposes of this Section, "health coverage plan" means any hospital, health,
or medical expense insurance policy, hospital or medical service contract, employee welfare
benefit plan, contract, or other agreement with a health maintenance organization or a
preferred provider organization, health and accident insurance policy, or any other insurance
contract of this type in this state, including a group insurance plan, a self-insurance plan, and
the Office of Group Benefits programs. "Health coverage plan" shall not include a plan
providing coverage for excepted benefits as defined in R.S. 22:1061, limited benefit health
insurance plans, and short-term policies that have a term of less than twelve months.

Legislative History

Acts 2020, No. 250, §1, eff. Jan. 1, 2021.