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Louisiana bill would create medical claims database, revise fee schedule - Business Insurance Skip to content Register for free Search Search Log In Risk Management Cyber Risks Pricing Trends Mergers & Acquisitions Technology Sponsored Content WSIA RISKWORLD Workers Comp & Safety Workers Comp Cost Control Pain Management Workplace Safety International EMEA Asia-Pacific Latin America People Events BI Intelligence Top 100 Agents & Brokers Best Places to Work 2025 Lists Directories Insurance Pricing BI Stock Index Magazine Current Issue Past Issues Subscribe Women to Watch ALL INsurance Resources Risk Perspectives Sponsored Content Webinars White Papers Risk Management Cyber Risks Pricing Trends Mergers & Acquisitions Technology Sponsored Content WSIA RISKWORLD Workers Comp & Safety Workers Comp Cost Control Pain Management Workplace Safety International EMEA Asia-Pacific Latin America People Events BI Intelligence Top 100 Agents & Brokers Best Places to Work 2025 Lists Directories Insurance Pricing BI Stock Index Magazine Current Issue Past Issues Subscribe Women to Watch ALL INsurance Resources Risk Perspectives Sponsored Content Webinars White Papers Risk Management Cyber Risks Pricing Trends Mergers & Acquisitions Technology Sponsored Content WSIA RISKWORLD Workers Comp & Safety Workers Comp Cost Control Pain Management Workplace Safety International EMEA Asia-Pacific Latin America People Events BI Intelligence Top 100 Agents & Brokers Best Places to Work 2025 Lists Directories Insurance Pricing BI Stock Index Magazine Current Issue Past Issues Subscribe Women to Watch ALL INsurance Resources Risk Perspectives Sponsored Content Webinars White Papers Risk Management Cyber Risks Pricing Trends Mergers & Acquisitions Technology Sponsored Content WSIA RISKWORLD Workers Comp & Safety Workers Comp Cost Control Pain Management Workplace Safety International EMEA Asia-Pacific Latin America People Events BI Intelligence Top 100 Agents & Brokers Best Places to Work 2025 Lists Directories Insurance Pricing BI Stock Index Magazine Current Issue Past Issues Subscribe Women to Watch ALL INsurance Resources Risk Perspectives Sponsored Content Webinars White Papers Louisiana bill would create medical claims database, revise fee schedule by Louise Esola Workers Comp Coverage Mar 18, 2026 A Louisiana bill introduced Tuesday would establish a statewide workers compensation medical claims database and overhaul how provider reimbursements are calculated. S.B. 408 would require Louisiana Works, the state’s workers compensation administration, to create and maintain an “All Workers’ Compensation Medical Claims Database” containing medical and pharmacy claims submitted by all payors in the state. The database is intended to improve transparency in reimbursement trends, monitor utilization and outcomes, and help detect fraud and system inefficiencies. Beginning Jan. 1, 2027, insurers and other payors would be required to submit detailed claims data, including billing amounts, payments, procedure codes and utilization review actions, on a quarterly basis. The information would be confidential and exempt from public records laws, with penalties for unauthorized disclosure. The measure also revises the state’s medical fee schedule, setting most professional service reimbursements at the 75th percentile of a national medical fee directory and prohibiting “by report” billing for services without established rates. Hospital and surgical reimbursements would be tied to data drawn from the new database. Annual changes to reimbursement categories would generally be capped at 5% unless certain conditions are met, including evidence of access-to-care issues and legislative approval. The bill further imposes stricter timelines and penalties on payors. Medical bills submitted electronically would have to be paid within 30 days, with fines of up to $5,000 per violation — and higher penalties for willful noncompliance — for late payments. In addition, the proposal would require electronic submission of all medical bills beginning Oct. 1, 2026, and establish deadlines for prior authorization decisions, with missed deadlines deemed approvals. The legislation directs regulators to use database data to develop an updated fee schedule and a medical quality and outcomes program aimed at improving return-to-work results and treatment effectiveness. The bill would take effect upon the governor’s signature. 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