Louisiana § RS 22:1060.14 - Requirement to cover services consistent with nationally recognized clinical practice guidelines or consensus statements
Full text of Louisiana Louisiana Civil Code § RS 22:1060.14 — Requirement to cover services consistent with nationally recognized clinical practice guidelines or consensus statements, with citation guidance and answers to common questions.
§ RS 22:1060.14. Requirement to cover services consistent with nationally recognized clinical practice guidelines or consensus statements
A. No health coverage plan that is renewed, delivered, or issued for delivery in this state that provides coverage for cancer in accordance with this Title shall deny a request for prior authorization or the payment of a claim for any procedure, pharmaceutical, or diagnostic test typically covered under the plan to be provided or performed for the diagnosis and treatment of cancer if the procedure, pharmaceutical, or diagnostic test is recommended by nationally recognized clinical practice guidelines or consensus statements for use in the diagnosis or treatment for the insured's particular type of cancer and clinical state.
B. The provisions of this Section shall not prohibit a health insurance issuer from requiring utilization review to assess the effectiveness of the procedure, pharmaceutical, or test for the insured's condition, but if the procedure, pharmaceutical, or test is what is recommended by nationally recognized clinical practice guidelines or consensus statements for use in the diagnosis or treatment for the insured's particular type of cancer and clinical state, then any associated prior authorization shall be approved within the time limit specified in R.S. 22:1060.13.
Acts 2023, No. 254, §1; Acts 2024, No. 162, §1, eff. May 23, 2024.
Source: official Louisiana text · Last verified 2026-08-27
Frequently Asked Questions About Louisiana § RS 22:1060.14
What does Louisiana Civil Code § RS 22:1060.14 cover?
Section RS 22:1060.14 ("Requirement to cover services consistent with nationally recognized clinical practice guidelines or consensus statements") is part of the Louisiana Civil Code, the codified statutory law of Louisiana. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Louisiana § RS 22:1060.14?
A common citation format is "Louisiana Civil Code § RS 22:1060.14" (Louisiana). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Louisiana law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Louisiana official source linked on this page or consult a licensed Louisiana attorney.
How does Louisiana § RS 22:1060.14 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Louisiana can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Louisiana.