Monthly Archives: April 2017

Pharmacy Formulary Debate Pits Two Bills Against Each Other – ODG vs. Louisiana-specific

Two closed pharmacy formulary proposals have been filed so far in this year’s Regular Session, which began April 10th and concludes June 8th. One measure, HB 592 by Representatives Talbot, Barras, Davis and Lance Harris, requires the use of the Work Loss Data Institute’s Official Disability Guidelines (ODG) Appendix A. The other, HB 529 by Representative Broadwater, does not require the Louisiana Workforce Commission to implement any specific formulary, but rather, would more broadly ask the LWC and Office of Workers’ Compensation Administration (OWCA) to create one with input from a range of system stakeholders.

In local news:

An ex-NOPD officer who became an advocate for marijuana after a work injury left him in chronic pain and addicted to opioids was recently profiled by the Advocate.

In regulatory news:

Insurance Commissioner Jim Donelon has written about the opioid crisis and its effect on insurance markets in the April 2017 edition of IIABL’s “Louisiana Agent” online magazine.

In national news:

Property/Casualty 360 published a look at how construction companies sometimes illegally hide workers in shell companies in order to avoid paying for workers’ comp coverage.

In national news:

The California Insurance Commissioner and the Orange County District Attorney recently announced the shutdown of a $40 million fraudulent medical billing and kickback operation with the filing of charges against more than two dozen doctors, pharmacists and business owners.

In continuing news:

The Florida House approved a workers’ compensation bill intended to answer the Florida Supreme Court’s objections to the system.

In neighboring news:

Texas Mutual Insurance Co. announced that its board of directors voted unanimously to approve a company-record $260 million dividend distribution in 2017.