{"id":"LA-056","kind":"order","level":"sector-regulator","jurisdiction":"Louisiana","state":"LA","metro":"","industry":"","agency":"","eco":"","issuer":"Louisiana Department of Insurance, Office of the Commissioner (James J. Donelon)","authority":"La. R.S. 22:11(A), 22:1019.2; La. R.S. 49:950 et seq.","instrument":"Emergency Rule 46 - Medical Surge-Related Patient Transfers in Louisiana during the Outbreak of Coronavirus Disease (COVID-19)","title":"Emergency Rule 46","dateIssued":"2021-08-12","effective":"2021-08-09 12:01 a.m.","end":"Emergency rule term (120 days) unless earlier rescinded","startDate":"2021-08-09","endDate":"2021-09-30","quarters":["2021Q3"],"types":["HC","OTHER"],"addressees":["every HMO, MCO, PPO, PBM and TPA acting for a health insurance issuer in Louisiana","acute care hospitals and step-down facilities"],"clause":"The benefits, entitlements and protections of Emergency Rule 46 shall be applicable to insureds... who, as of 12:01 a.m. on August 9, 2021 have a policy... § 5507. Limited Waiver A. In any parish or municipality in which daily inpatient bed occupancy at any acute care hospital exceeds 85 percent... [health insurance issuers must cover post-transfer care at step-down facilities]... Louisiana remains No. 1 nationwide for the numbers of new COVID-19 cases per capita... Six out of nine LDH regions have over 85% of their ICU beds full","enforcement":"La. R.S. 22:11; Commissioner of Insurance","functions":["IP inpatient surge and transfers","IN insurers\u0027 network and coverage obligations","CB patients and payers"],"notes":"Q3 2021 instrument documenting the Delta surge: 7-day average cases from about 300 to over 6,000 per day; hospitalizations 319 to 2,350.","sourceUrl":"http://ldi.la.gov/docs/default-source/documents/legaldocs/rules/rule46-cur-medicalsurge-related.pdf","snapshot":"http://web.archive.org/web/20210812165825/https://www.ldi.la.gov/docs/default-source/documents/legaldocs/rules/rule46-cur-medicalsurge-related.pdf","fileExists":true,"fileBytes":110023,"grade":"primary","character":"","description":"","collection":"LA","url":"/library/LA-056","exhibitUrl":"/exhibit/LA-056","citation":"Louisiana Department of Insurance, Office of the Commissioner (James J. Donelon), Emergency Rule 46 - Medical Surge-Related Patient Transfers in Louisiana during the Outbreak of Coronavirus Disease (COVID-19) (Aug. 12, 2021) (Ex. LA-056)","stateName":"Louisiana","related":["LA-058"]}