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LouisianaHB 12142026 Regular SessionHouseWALLET

HEALTH/LDH: Establishes the office of state health care facilities within the La. Dept. of Health and provides for the administration of certain state healthcare facilities

Sponsored By: Dustin Miller (Democratic)

Signed by Governor

Health and Welfare

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 1 costs, 1 mixed.

Residential care residents assign property for costs

Beginning October 1, 2026, residents receiving care in qualifying facilities are treated as assigning property interests to Louisiana's health department. This applies to licensed, state-run, 24-hour residential facilities provided by or through the department. Property interests include shares in trusts and estates. The assignment cannot exceed the cost of services actually provided. Assets federal rules allow residents to keep while staying eligible for Medicaid are exempt.

New oversight and expanded state care options

Beginning October 1, 2026, Louisiana's health department has a new Office of State Health Care Facilities. It oversees Eastern Louisiana Mental Health System, Central Louisiana State Hospital, Feliciana Forensic Facility, Villa Feliciana Medical Complex, Pinecrest Supports and Services Center, and Central Louisiana Supports and Services Center. Facility leaders report directly to its executive director, who reports directly to the department secretary; the office must follow state and federal requirements. The office can obtain licenses and certifications and operate additional inpatient, residential, outpatient, or day programs with legislative funding. The department can transfer existing funding and staff positions to establish the office, but the law sets no funding amount.

More treatment options, less local approval

Beginning October 1, 2026, the new office can combine psychiatric hospital administration and add independent or satellite inpatient or residential facilities. These settings must use funds the Legislature allocates to the state psychiatric hospitals. The health department can also establish forensic treatment facilities in New Orleans, Baton Rouge, Shreveport, Alexandria, and surrounding areas with legislative funding. State psychiatric hospital sites no longer need local governing authority approval, but state and local building and zoning rules still apply. The law sets no facility count or funding amount and does not guarantee new facilities.

Sponsors & Cosponsors

Sponsor

  • Dustin Miller

    Democratic • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 231 • No: 0

House vote • 5/26/2026

Read by title, roll called, yeas 93, nays 0, Senate amendments concurred in.

Yes: 93 • No: 0

Senate vote • 5/18/2026

Rules suspended. The amended bill was read by title, passed by a vote of 33 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

Yes: 33 • No: 0

House vote • 4/22/2026

Read third time by title, amended, roll called on final passage, yeas 94, nays 0. Finally passed, title adopted, ordered to the Senate.

Yes: 94 • No: 0

House vote • 4/15/2026

Reported favorably

Yes: 11 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 715.

    6/2/2026House

  2. Effective date: 10/01/2026.

    6/2/2026House

  3. Sent to the Governor for executive approval.

    5/28/2026House

  4. Enrolled and signed by the Speaker of the House.

    5/27/2026House

  5. Signed by the President of the Senate.

    5/27/2026Senate

  6. Read by title, roll called, yeas 93, nays 0, Senate amendments concurred in.

    5/26/2026House

  7. Scheduled for concurrence on 05/26/2026.

    5/25/2026House

  8. Received from the Senate with amendments.

    5/19/2026House

  9. Rules suspended. The amended bill was read by title, passed by a vote of 33 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

    5/18/2026Senate

  10. Reported with Legislative Bureau amendments which were read and adopted. Read by title and passed to third reading and final passage.

    5/11/2026Senate

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

    5/7/2026Senate

  12. Reported with amendments.

    5/6/2026Senate

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

    4/28/2026Senate

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

    4/27/2026Senate

  15. Read third time by title, amended, roll called on final passage, yeas 94, nays 0. Finally passed, title adopted, ordered to the Senate.

    4/22/2026House

  16. Scheduled for floor debate on 04/22/2026.

    4/21/2026House

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

    4/16/2026House

  18. Reported favorably (11-0).

    4/15/2026House

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

    4/1/2026House

  20. Read by title. Lies over under the rules.

    3/31/2026House

Bill Text

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