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HB1176 • 2026

INSURANCE/HEALTH: Requires that Medicare Advantage plans provide insurance coverage for integrative care services (EN SEE FISC NOTE See Note)

INSURANCE/HEALTH: Requires that Medicare Advantage plans provide insurance coverage for integrative care services (EN SEE FISC NOTE See Note)

Healthcare
Enacted

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

Sponsor
Aimee Adatto Freeman
Last action
2026-06-02
Official status
Signed by the Governor - Act 711
Effective date
Not listed

Plain English Breakdown

The candidate explanation includes specific details about applicability starting January 1, 2027, which aligns with the effective date mentioned in the official bill summary and text.

Medicare Advantage Plans Must Cover Integrative Care Services

This act requires Medicare Advantage plans to provide coverage for integrative care services recommended by nationally recognized clinical practice guidelines, starting January 1, 2027.

What This Bill Does

  • Requires Medicare Advantage plans in Louisiana to cover integrative care services if they are recommended by nationally recognized clinical practice guidelines.
  • Defines 'integrative care services' as evidence-based treatments used alongside conventional medical treatments and includes specific examples like acupuncture and cryotherapy.
  • Allows Medicare Advantage plans to set annual deductibles, coinsurance, copayments, and prior authorization requirements for these services.
  • Requires the Louisiana Insurance Commissioner to submit necessary notifications or materials to CMS (Centers for Medicare and Medicaid Services) and promulgate rules as needed.

Who It Names or Affects

  • People enrolled in Medicare Advantage plans in Louisiana starting January 1, 2027.
  • Medicare Advantage organizations offering plans in Louisiana.

Terms To Know

Integrative care services
Evidence-based treatments used alongside conventional medical treatments and recommended by national guidelines. Examples include acupuncture and cryotherapy.
Medicare Advantage plan
A type of Medicare health plan offered by private companies approved by the Centers for Medicare and Medicaid Services (CMS).

Limits and Unknowns

  • The act only applies to plans issued or renewed on or after January 1, 2027.
  • Coverage requirements must comply with federal law and regulations governing Medicare Advantage.

Amendments

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

Plain English: The amendment changes the date when Medicare Advantage plans in Louisiana must start covering integrative care services from January 1, 2027 to January 1, 2028.

  • Changes the effective date for requiring Medicare Advantage plans to cover integrative care services from policies issued or renewed on or after January 1, 2027 to those issued or renewed on or after January 1, 2028.
  • The amendment includes technical changes that are not detailed in the provided text.
  • Other specific details about integrative care services and their coverage requirements remain unchanged but are referenced as part of federal law compliance.

Plain English: The amendment to HB1176 requires Medicare Advantage plans to cover integrative care services.

  • Medicare Advantage plans must provide coverage for integrative care services.
  • The official text does not specify details about what constitutes 'integrative care services' or the extent of required coverage, which limits a full explanation of the amendment's impact.

Plain English: SCAHB1176 3275 3317 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Insurance to Engrossed House Bill No.

  • SCAHB1176 3275 3317 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Insurance to Engrossed House Bill No.
  • 1176 by Representative Freeman 1 AMENDMENT NO.
  • 1 2 On page 3, line 2, change "January 1, 2026" to "January 1, 2027" 3 AMENDMENT NO.
  • 2 4 On page 3, line 3, change "January 1, 2026" to "January 1, 2027" 5 AMENDMENT NO.

Plain English: SCAHB1176 3275 3191 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Insurance to Engrossed House Bill No.

  • SCAHB1176 3275 3191 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Insurance to Engrossed House Bill No.
  • 1176 by Representative Freeman 1 AMENDMENT NO.
  • 1 2 On page 3, line 2, change "January 1, 2026" to "January 1, 2027" 3 AMENDMENT NO.
  • 2 4 On page 3, line 3, change "January 1, 2026" to "January 1, 2027" 5 AMENDMENT NO.

Bill History

  1. 2026-06-02 H

    Effective date: 01/01/2027.

  2. 2026-06-02 H

    Signed by the Governor. Becomes Act No. 711.

  3. 2026-05-28 H

    Sent to the Governor for executive approval.

  4. 2026-05-27 S

    Signed by the President of the Senate.

  5. 2026-05-27 H

    Enrolled and signed by the Speaker of the House.

  6. 2026-05-26 H

    Read by title, roll called, yeas 96, nays 3, Senate amendments concurred in.

  7. 2026-05-25 H

    Scheduled for concurrence on 05/26/2026.

  8. 2026-05-19 H

    Received from the Senate with amendments.

  9. 2026-05-18 S

    Rules suspended. The amended bill was read by title, passed by a vote of 32 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

  10. 2026-05-11 S

    Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.

  11. 2026-05-07 S

    Committee amendments read and adopted. Read by title and referred to the Legislative Bureau.

  12. 2026-05-06 S

    Reported with amendments.

  13. 2026-04-27 S

    Read second time by title and referred to the Committee on Insurance.

  14. 2026-04-22 S

    Received in the Senate. Read first time by title and placed on the Calendar for a second reading.

  15. 2026-04-22 H

    Read third time by title, roll called on final passage, yeas 75, nays 21. Finally passed, title adopted, ordered to the Senate.

  16. 2026-04-22 H

    Called from the calendar.

  17. 2026-04-22 H

    Read by title, returned to the calendar.

  18. 2026-04-21 H

    Scheduled for floor debate on 04/22/2026.

  19. 2026-04-16 H

    Read by title, ordered engrossed, passed to 3rd reading.

  20. 2026-04-15 H

    Reported favorably (12-0).

  21. 2026-04-01 H

    Read by title, under the rules, referred to the Committee on Insurance.

  22. 2026-03-31 H

    Read by title. Lies over under the rules.

Official Summary Text

INSURANCE/HEALTH: Requires that Medicare Advantage plans provide insurance coverage for integrative care services (EN SEE FISC NOTE See Note)

Current Bill Text

Read the full stored bill text
ENROLLED
ACT No. 7112026 Regular Session
HOUSE BILL NO. 1176
BY REPRESENTATIVE FREEMAN
1 AN ACT
2 To enact R.S. 22:1077.6, relative to integrative care services; to require Medicare Advantage
3 coverage for integrative care services; to provide for definitions; to outline
4 applicability and effectiveness; and to provide for related matters.
5 Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 22:1077.6 is hereby enacted to read as follows:
7 §1077.6. Required coverage for integrative cancer treatments; Medicare Advantage
8 A. A Medicare Advantage plan offered in this state shall provide coverage
9 for integrative care services when such services are recommended by nationally
10 recognized clinical practice guidelines and are rendered in conjunction with the
11 diagnosis, treatment, or management of a covered medical condition. Coverage
12 pursuant to this Section may be contingent upon annual deductibles, coinsurance,
13 copayments, and prior authorization requirements consistent with those established
14 by the Medicare Advantage plan.
15 B. For the purposes of this Section, the following terms have the following
16 meanings:
Page 1 of 3
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HB NO. 1176 ENROLLED
1 (1) "Integrative care services" means evidence-based therapeutic modalities
2 employed alongside conventional medical treatments and endorsed by nationally
3 recognized clinical practice guidelines. These modalities include but are not limited
4 to acupuncture, cryotherapy, and scalp cooling systems that are specifically designed
5 for repeated use and that serve a medical purpose.
6 (2) "Medicare Advantage plan" means any Medicare Part C coordinated care
7 plan, private fee-for-service plan, or other plan type approved by the Centers for
8 Medicare and Medicaid Services and offered by a Medicare Advantage organization
9 licensed pursuant to this Title.
10 C. Nothing in this Section shall be construed to prohibit a Medicare
11 Advantage plan from establishing utilization management protocols consistent with
12 federal law and the terms of the plan, if such protocols do not conflict with the
13 coverage requirements established in this Section.
14 D. Nothing in this Section shall be construed to mandate coverage by a
15 Medicare Advantage plan in a manner that conflicts with federal law or regulations
16 governing Medicare Advantage. The provisions of this Section shall apply only to
17 the extent permitted under federal law and shall be interpreted consistent with all
18 applicable federal requirements.
19 E. A Medicare Advantage organization offering a Medicare Advantage plan
20 in this state shall, to the extent allowed under federal law, provide coverage for
21 integrative care services in accordance with nationally recognized clinical practice
22 guidelines when such services are recommended for the diagnosis, treatment, or
23 management of a covered medical condition.
24 F. Pursuant to this Section, the commissioner of insurance shall do all of the
25 following:
26 (1) Submit to the Centers for Medicare and Medicaid Services any
27 notifications or materials required to implement the provisions of this Section, if
28 applicable.
29 (2) Promulgate rules and regulations in accordance with the Administrative
30 Procedure Act as necessary to implement the provisions of this Section.
Page 2 of 3
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HB NO. 1176 ENROLLED
1 (3) Take any other actions necessary to implement the provisions of this
2 Section to the extent permitted under federal law.
3 Section 2. The provisions of this Act apply to any new policy, contract, or health
4 coverage plan issued on and after January 1, 2027. Any policy, contract, or health coverage
5 plan in effect prior to January 1, 2027, shall convert to conform to the provisions of this Act
6 on or before the renewal date, but no later than January 1, 2028.
7 Section 3. This Act shall become effective on January 1, 2027.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
Page 3 of 3
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.