Louisiana § RS 22:1260.43 - Single utilization review per episode of care

Full text of Louisiana Louisiana Civil Code § RS 22:1260.43 — Single utilization review per episode of care, with citation guidance and answers to common questions.

§ RS 22:1260.43. Single utilization review per episode of care

            A health insurance issuer shall not impose any additional utilization review requirement with respect to any surgical procedure or otherwise invasive procedure, nor any item furnished as part of the surgical or invasive procedure, if the procedure or item is furnished during the perioperative period of a procedure and either of the following conditions is met:

            (1) Prior authorization was received by the healthcare provider from the health insurance issuer before the surgical procedure or item, as part of the surgical or otherwise invasive procedure, was furnished.

            (2) Prior authorization was not required by the health insurance issuer.

            Acts 2023, No. 312, §1, eff. Jan. 1, 2024.

Source: official Louisiana text · Last verified 2026-08-27

Frequently Asked Questions About Louisiana § RS 22:1260.43

What does Louisiana Civil Code § RS 22:1260.43 cover?

Section RS 22:1260.43 ("Single utilization review per episode of care") 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 22:1260.43?

A common citation format is "Louisiana Civil Code § RS 22:1260.43" (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 22:1260.43 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.