HB1154 • 2026

INSURANCE: Prohibits prior authorizations requirements for certain generic medications prescribed by qualified physicians (EN NO IMPACT GF EX See Note)

Budget Healthcare

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: Brian Glorioso
Last action: 2026-06-02
Official status: Signed by the Governor - Act 706
Effective date: Not listed

Plain English Breakdown

The official source material does not provide additional details about the exact conditions under which prior authorization is prohibited beyond the specified cost limit and opioid exclusion.

Insurance Law Change for Generic Medications

This law stops insurance companies from requiring special approval before paying for certain generic medications prescribed by board-certified doctors in Louisiana.

What This Bill Does

Adds rules to stop health insurance companies from needing prior authorization for some generic drugs that are not opioids, if the prescription is issued by a board-certified physician or authorized provider whose specialty certification includes the medical indication for which the drug is prescribed and the wholesale acquisition cost is no more than $250 per prescription.
Defines 'board-certified physician' as a doctor licensed to practice medicine in Louisiana who is certified by a recognized medical board.
Explains what a 'generic medication' is, meaning it's chemically equivalent to a brand-name drug and approved by the FDA as interchangeable.

Who It Names or Affects

People with health insurance in Louisiana who need certain generic medications that are not opioids.
Insurance companies that offer health plans in Louisiana.

Terms To Know

Board-certified physician: A doctor licensed to practice medicine in Louisiana and certified by a recognized medical board.
Generic medication: A drug that is chemically equivalent to a brand-name drug and approved by the FDA as interchangeable.

Limits and Unknowns

The law only applies to generic medications that are not opioids.
Insurance companies must follow these rules starting January 1, 2027 for new policies and by January 1, 2028 for existing ones.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

House Floor Amendment #4959 Glorioso Adopted

Adopted

Plain English: HFAHB1154 4878 4959 FOR OFFICE USE ONLY HOUSE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Representative Glorioso to Reengrossed House Bill No.

HFAHB1154 4878 4959 FOR OFFICE USE ONLY HOUSE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Representative Glorioso to Reengrossed House Bill No.
1154 by Representative Glorioso AMENDMENT NO.
1 On page 1, line 4, after "physicians" and before the semi-colon ";" insert "or authorized providers" 1 AMENDMENT NO.
2 2 On page 2, line 11, after "physician" insert "or authorized provider" Page 1 of 1 CODING: Words in struck through type are deletions from existing law; words underscored are additions.

House Committee Amendment #4567 APP Adopted

Adopted

Plain English: HCAHB1154 4448 4567 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.

HCAHB1154 4448 4567 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.
1154 by Representative Glorioso 1 AMENDMENT NO.
1 2 On page 1, line 2, after "through (12)" and before "relative" delete "and 1060.9 and R.S.
3 46:153.3.3," and insert "and 1060.9," 4 AMENDMENT NO.

House Committee Amendment #4470 APP Draft

Draft

Plain English: HCAHB1154 4448 4470 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.

HCAHB1154 4448 4470 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.
1154 by Representative Glorioso 1 AMENDMENT NO.
1 2 On page 1, line 2, after "through (12)" and before "relative" delete "and 1060.9 and R.S.
3 46:153.3," and insert "and 1060.9," 4 AMENDMENT NO.

House Committee Amendment #3847 INS Adopted

Adopted

Plain English: HCAHB1154 4878 3847 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.

HCAHB1154 4878 3847 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.
1154 by Representative Glorioso 1 AMENDMENT NO.
1 2 On page 1, line 2, after "(12)" and before "1060.9" delete the comma "," and insert "and" 3 AMENDMENT NO.
2 4 On page 2, line 12, after "medication" and before "if" insert "that is not an opioid," 5 AMENDMENT NO.

House Committee Amendment #3699 INS Draft

Draft

Plain English: HCAHB1154 4878 3699 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.

HCAHB1154 4878 3699 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.
1154 by Representative Glorioso 1 AMENDMENT NO.
1 2 On page 2, line 12, after "medication" and before "if" insert "that is not an opioid," 3 AMENDMENT NO.
2 4 On page 2, line 14, after "prescribed" and before the period "." insert "and the wholesale 5 acquisition cost is no more than two hundred fifty dollars per prescription" 6 AMENDMENT NO.

House Committee Amendment #3722 INS Draft

Draft

Plain English: HCAHB1154 4878 3722 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.

HCAHB1154 4878 3722 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Insurance to Original House Bill No.
1154 by Representative Glorioso 1 AMENDMENT NO.
1 2 On page 1, line 2, after "(12)" and before "1060.9" delete the comma "," and insert "and" 3 AMENDMENT NO.
2 4 On page 2, line 22, change "Subsection" to "Section" Page 1 of 1 CODING: Words in struck through type are deletions from existing law; words underscored are additions.

Bill History

2026-06-02 H
Effective date: See Act.
2026-06-02 H
Signed by the Governor. Becomes Act No. 706.
2026-05-27 H
Sent to the Governor for executive approval.
2026-05-26 S
Signed by the President of the Senate.
2026-05-26 H
Enrolled and signed by the Speaker of the House.
2026-05-26 H
Received from the Senate without amendments.
2026-05-25 S
Rules suspended. Read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.
2026-05-18 S
Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
2026-05-14 S
Read by title and referred to the Legislative Bureau.
2026-05-13 S
Reported favorably.
2026-05-07 S
Read second time by title and referred to the Committee on Insurance.
2026-05-06 S
Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
2026-05-05 H
Read third time by title, amended, roll called on final passage, yeas 101, nays 0. Finally passed, title adopted, ordered to the Senate.
2026-04-29 H
Scheduled for floor debate on 05/05/2026.
2026-04-28 H
Read by title, amended, ordered reengrossed, passed to 3rd reading.
2026-04-27 H
Reported with amendments (13-0).
2026-04-16 H
Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
2026-04-15 H
Reported with amendments (13-0).
2026-04-01 H
Read by title, under the rules, referred to the Committee on Insurance.
2026-03-31 H
Read by title. Lies over under the rules.

Official Summary Text

INSURANCE: Prohibits prior authorizations requirements for certain generic medications prescribed by qualified physicians (EN NO IMPACT GF EX See Note)

Current Bill Text

Read the full stored bill text

ENROLLED
ACT No. 7062026 Regular Session
HOUSE BILL NO. 1154
BY REPRESENTATIVES GLORIOSO, AMEDEE, BAYHAM, BERAULT, WILFORD
CARTER, CHASSION, CHENEVERT, EGAN, FREIBERG, HORTON, MILLER,
OWEN, TAYLOR, AND WALTERS
1 AN ACT
2 To enact R.S. 22:1060.1(9) through (12) and 1060.9, relative to prior authorizations for
3 medications: to provide for requirements for certain generic medications prescribed
4 by qualified physicians or authorized providers; to provide for definitions; to require
5 health insurance coverage for medication; to provide for applicability; and to provide
6 for related matters.
7 Be it enacted by the Legislature of Louisiana:
8 Section 1. R.S. 22:1060.1 (9) through (12) and 1060.9 are hereby enacted to read as
9 follows:
10 §1060.1. Definitions
11 As used in this Subpart, the following definitions apply:
12 * * *
13 (9) "Board-certified physician" means a physician licensed to practice
14 medicine in this state who is certified by a member board of the American Board of
15 Medical Specialties or an equivalent certifying body recognized by the Louisiana
16 State Board of Medical Examiners.
17 (10) "Commercial insurer" means any health insurance issuer, health
18 maintenance organization, or other entity that offers a health benefit plan through a
19 policy, contract, or certificate of insurance that covers prescription drugs and is
20 authorized to provide health insurance coverage in this state, excluding federal, state,
21 or local governmental plans such as Medicaid.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HB NO. 1154 ENROLLED
1 (11) "Generic medication" means a drug that is chemically equivalent to a
2 brand-name drug and approved by the United States Food and Drug Administration
3 as interchangeable.
4 (12) "Prior authorization" means a utilization review process requiring
5 approval from the insurer before a prescribed medication can be dispensed or
6 reimbursed.
7 * * *
8 §1060.9. Prohibition on prior authorization for generic medications; conditions
9 A commercial insurer shall not require prior authorization for the dispensing
10 or reimbursement of a generic medication that is not an opioid, if the prescription for
11 the medication is issued by a board-certified physician or authorized provider whose
12 specialty certification includes the medical indication for which the drug is
13 prescribed and the wholesale acquisition cost is no more than two hundred fifty
14 dollars per prescription.
15 Section 2. The provisions of this Act shall apply to any new policy, contract, or
16 health coverage plan issued on and after January 1, 2027. Any policy, contract, or health
17 coverage plan in effect prior to January 1, 2027, shall convert to conform to the provisions
18 of this Act on or before the renewal date, but no later than January 1, 2028.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.