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HB740 • 2026

MEDICAID MANAGED CARE: Provides for independent claims review of Coordinated System of Care providers

MEDICAID MANAGED CARE: Provides for independent claims review of Coordinated System of Care providers

Children Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Emily Chenevert
Last action
2026-05-29
Official status
Adopted in House concurrence
Effective date
Not listed

Plain English Breakdown

The bill text does not provide specific details on how independent claims review will be conducted or its impact on current practices.

Medicaid Managed Care: Independent Claims Review for Coordinated System of Care Providers

This bill changes the rules to allow independent claims review for providers in the Coordinated System of Care and Medicaid managed care.

What This Bill Does

  • Adds a definition for 'Coordinated System of Care' or 'CSoC', which is a program that helps young people with behavioral health challenges and their families.
  • Changes the rules so that claims not related to an individual enrolled in CSoC or Medicaid can still get independent review.
  • Defines what a managed care organization means, including entities contracted by the state for the Coordinated System of Care.

Who It Names or Affects

  • Providers and individuals involved with the Coordinated System of Care program
  • People enrolled in Medicaid managed care

Terms To Know

Coordinated System of Care (CSoC)
A program that helps young people with behavioral health challenges and their families by working together with different departments.
Managed Care Organization
An entity contracted by the state to manage healthcare services for Medicaid enrollees, including those in CSoC.

Limits and Unknowns

  • The bill does not specify when or how independent claims review will be conducted.
  • It is unclear what changes this might bring to current practices and procedures.

Amendments

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

Filed

Plain English: The amendment changes the definition of Coordinated System of Care, prevents payment disputes from being forced into arbitration starting in January 2027, requires independent reviewers to use official rules and guidelines when deciding disputes, and makes technical adjustments.

  • Changes the definition of 'Coordinated System of Care'.
  • Prevents state-mandated arbitration for Coordinated System of Care payment disputes starting in January 2027.
  • Requires independent review organizations to use official rules and medical guidelines when deciding disputes.
  • The amendment includes technical changes that are not detailed, so their specific impact is unclear.
Adopted

Plain English: The amendment changes the definition of 'Coordinated System of Care' and adds the word 'state' after 'the' on page 2, line 7.

  • Changes the definition of 'Coordinated System of Care' or 'CSoC' to be a program focused on something (specific details are not provided in the amendment text).
  • Adds the word 'state' after 'the' on page 2, line 7.
  • The exact focus of the Coordinated System of Care program is unclear from the given amendment text.
  • There is no additional context provided about why these changes are being made or what impact they will have.
Draft

Plain English: The amendment changes the definition of 'Coordinated System of Care' and adds the word 'state' after a specific phrase on page 2.

  • Changes the definition of 'Coordinated System of Care' or 'CSoC' to be a program focused on something (the exact focus is not specified in this amendment).
  • Adds the word 'state' after 'the' on page 2, line 7.
  • The specific focus of the Coordinated System of Care program is not detailed in the provided amendment text.
  • There are no details about what changes or additions will be made to the existing law beyond these two modifications.
Filed

Plain English: The amendment to HB 740 allows for an independent review of claims made by providers in the Coordinated System of Care under Medicaid Managed Care.

  • Adds provisions for an independent claims review process for providers within the Coordinated System of Care.
  • The official amendment text does not provide specific details about how the independent claims review will operate, such as who will conduct the reviews or what criteria they will use.
Adopted

Plain English: The amendment removes certain lines from an existing Senate committee amendment and changes a reference in the bill's text.

  • Removes lines 17 through 24 on page 1 from an earlier Senate committee amendment.
  • Changes 'R.S. 46:460.81(C)' to 'R.S. 46:460.81(B) and (C)' on page 1, line 2.
  • The exact content of the lines removed in Amendment No. 2 is not provided.
  • It's unclear what specific changes these amendments will make to the bill without knowing the full context of the earlier Senate committee amendments.
Adopted

Plain English: The amendment adds provisions to ensure independent claims review for providers in the Coordinated System of Care (CSoC) and sets rules for when these provisions apply.

  • Defines new terms such as 'Coordinated System of Care', 'Family support organization', and 'Statewide management organization'.
  • Specifies that family support organizations providing services under CSoC can continue operations until a competitive procurement process is completed by the Louisiana Department of Health.
  • Establishes rules for when independent claims review applies, including exceptions based on claim filing dates.
  • The amendment text does not provide detailed procedures or timelines for the competitive procurement process mentioned in Amendment No. 5.
Draft

Plain English: The amendment adds a definition for 'Coordinated System of Care' (CSoC) to the bill.

  • Adds a new section defining 'Coordinated System of Care' or 'CSoC', which is described as a network of resources provided by various state departments and offices to help families with children who have complex behavioral health needs.
  • The amendment only provides the definition for CSoC and does not explain how this system will be implemented or what specific services it includes beyond mentioning 'intensive, individualized community based services'.
Draft

Plain English: The amendment adds definitions for 'family support organization' and 'statewide management organization', and ensures that the current family support organization can continue operating until a new statewide management organization is selected through a competitive process.

  • Adds definitions for 'family support organization' and 'statewide management organization'.
  • Ensures the existing family support organization continues to operate without interruption until a new statewide management organization is chosen.
  • The exact details of how the competitive procurement process will be conducted are not specified in this amendment text.
Draft

Plain English: The amendment changes certain references in the bill text, adds exceptions to when claims filed before specific dates will be reviewed independently rather than through arbitration, and specifies that disputes related to the Coordinated System of Care program after a certain date must go through an independent review process.

  • Changes references from 'R.S. 46:460.81(C)' to include both 'B' and 'C'
  • Adds exceptions for claims filed before January 1, 2018, which will not be subject to the bill's provisions
  • Specifies that disputes related to the Coordinated System of Care program after January 1, 2027, must go through an independent review process
  • The amendment text does not provide full details on how claims filed before January 1, 2027, under the Coordinated System of Care will be handled.

Bill History

  1. 2026-05-29 H

    Read by title, roll called, yeas 97, nays 0, Senate amendments concurred in.

  2. 2026-05-29 H

    Scheduled for concurrence on 05/29/2026.

  3. 2026-05-28 H

    Received from the Senate with amendments.

  4. 2026-05-27 S

    Senate floor amendments read and adopted. Read by title, passed by a vote of 36 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

  5. 2026-05-27 S

    Called from the Calendar.

  6. 2026-05-21 S

    Read by title and returned to the Calendar, subject to call.

  7. 2026-05-21 S

    Rules suspended.

  8. 2026-05-18 S

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

  9. 2026-05-14 S

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

  10. 2026-05-13 S

    Reported with amendments.

  11. 2026-04-15 S

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

  12. 2026-04-14 S

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

  13. 2026-04-14 H

    Read third time by title, roll called on final passage, yeas 100, nays 0. Finally passed, title adopted, ordered to the Senate.

  14. 2026-04-13 H

    Scheduled for floor debate on 04/14/2026.

  15. 2026-04-09 H

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

  16. 2026-04-08 H

    Reported with amendments (10-0).

  17. 2026-03-09 H

    Read by title, under the rules, referred to the Committee on Health and Welfare.

  18. 2026-02-27 H

    First appeared in the Interim Calendar on 2/27/2026.

  19. 2026-02-27 H

    Under the rules, provisionally referred to the Committee on Health and Welfare.

  20. 2026-02-27 H

    Prefiled.

Official Summary Text

MEDICAID MANAGED CARE: Provides for independent claims review of Coordinated System of Care providers

Current Bill Text

Read the full stored bill text 
HLS 26RS-801 ENGROSSED
2026 Regular Session
HOUSE BILL NO. 740
BY REPRESENTATIVE CHENEVERT
MEDICAID MANAGED CARE: Provides for independent claims review of Coordinated
System of Care providers
1 AN ACT
2 To amend and reenact R.S. 46:460.81(C) and to enact R.S. 46:460.51(18) and 460.81(E),
3 relative to Medicaid managed care; to provide for independent claim review process;
4 to provide for definitions; and to provide for related matters.
5 Be it enacted by the Legislature of Louisiana:
6 Section 1. R.S. 46:460.81(C) is hereby amended and reenacted and R.S.
7 46:460.51(18) and 460.81(E) are hereby enacted to read as follows:
8 §460.51. Definitions
9 As used in this Part, the following terms have the meaning ascribed in this
10 Section unless the context clearly indicates otherwise:
11 * * *
12 (18) "Coordinated System of Care" or "CSoC" means a program focused on
13 responding to the needs of young people who have significant behavioral health
14 challenges who are in or at imminent risk of out-of-home placement and their
15 families; a collaborative effort among families, youth, the Department of Children
16 and Family Services, the Louisiana Department of Education, the Louisiana
17 Department of Health, and the Office of Juvenile Justice.
18 * * *
19 §460.81. Right of providers to independent review; applicability
20 * * *
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HLS 26RS-801 ENGROSSED
HB NO. 740
1 C. An adverse determination involved in litigation or arbitration or not
2 associated with a Medicaid enrollee an individual enrolled in the Coordinated
3 System of Care or Medicaid shall not be eligible for independent review under the
4 provisions of this Subpart.
5 * * *
6 E. For purposes of this Subpart, "managed care organization" has the same
7 meaning as set forth in R.S. 46:460.51 and also means any entity contracted with the
8 state to administer the Coordinated System of Care program.
DIGEST
The digest printed below was prepared by House Legislative Services. It constitutes no part
of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
HB 740 Engrossed 2026 Regular Session Chenevert
Abstract: Provides for independent claims review of Coordinated System of Care providers
and their rights to independent claims review, defines new terms, and lists the
individuals affected by the changes.
Present law defines certain terms.
Proposed law adds a definition for Coordinated System of Care or CSoC and managed care
organization.
Present law provides that an adverse determination involving a litigation or arbitration or
that is not associated with a Medicaid enrollee shall not be eligible for independent review.
Proposed law changes not associated with a Medicaid enrollee to not associated with an
individual enrolled in a CSoC or Medicaid.
(Amends R.S. 46:460.81(C); Adds R.S. 46:460.51(18) and 460.81(E))
Summary of Amendments Adopted by House
The Committee Amendments Proposed by House Committee on Health and Welfare to
the original bill:
1. Make technical changes.
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.