All Roll Calls
Yes: 223 • No: 15
LouisianaHB 4542025 Regular SessionHouseWALLET
MEDICAID: Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)
Sponsored By: Dustin Miller (Democratic)
Signed by Governor
Health and Welfare
Personalized for You
How does this bill affect your finances?
Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Louisiana Medicaid adds covered doula care
Louisiana Medicaid plans with maternity benefits must cover doula support before, during, and after birth—not medical or midwifery care. Members must have a licensed healthcare provider certify their pregnancy or postpartum status and must request or agree to services. Coverage includes at least five prenatal visits and three postpartum visits, each lasting up to 90 minutes. It also includes labor and birth support, including cesarean births, breastfeeding help, parenting education, and support after pregnancy loss. The law covers inpatient care and, when appropriate, outpatient care for a medically accepted reason. That care must occur in a state-registered facility and come from a properly registered professional under applicable guidelines or certifications. The Louisiana Department of Health sets coverage details and payment rates using market benchmarks and rates in similar states. Doulas need Louisiana Doula Registry Board approval for managed-care payment; all Medicaid plans must accept approved doulas under Medicaid rules. Doulas remain free to practice without reimbursement, and discriminatory terms in Medicaid plans or contracts are void. New managed-care plans issued on or after August 1, 2025, must comply. Earlier plans must comply at renewal, no later than January 1, 2026.
Sponsors & Cosponsors
Sponsor
Dustin Miller
Democratic • House
Cosponsors
Adrian Fisher
Democratic • House
Alonzo L. Knox
Democratic • House
Annie Spell
Republican • House
C. Denise Marcelle
Democratic • House
Delisha Boyd
Democratic • House
Jason Hughes
Affiliation unavailable
Joe Stagni
Affiliation unavailable
Joy Walters
Democratic • House
Ken Brass
Democratic • House
Mandie Landry
Democratic • House
Pat Moore
Democratic • House
Rodney Lyons
Democratic • House
Shaun Raphael Mena
Democratic • House
Steven Jackson
Democratic • House
Sylvia Elaine Taylor
Democratic • House
Tehmi Jahi Chassion
Democratic • House
Terry Landry Jr.
Democratic • House
Vanessa Caston LaFleur
Democratic • House
Wilford Carter Sr.
Democratic • House
Roll Call Votes
House vote • 6/4/2025
Read by title, roll called, yeas 93, nays 0, Senate amendments concurred in.
Yes: 93 • No: 0
Senate vote • 6/2/2025
The amended bill was read by title, passed by a vote of 34 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
Yes: 34 • No: 2
House vote • 5/19/2025
Read third time by title, roll called on final passage, yeas 83, nays 13. Finally passed, title adopted, ordered to the Senate.
Yes: 83 • No: 13
House vote • 4/23/2025
Reported favorably
Yes: 13 • No: 0
Actions Timeline
Signed by the Governor. Becomes Act No. 228.
6/10/2025HouseEffective date: 08/01/2025.
6/10/2025HouseSent to the Governor for executive approval.
6/9/2025HouseEnrolled and signed by the Speaker of the House.
6/8/2025HouseSigned by the President of the Senate.
6/8/2025SenateRead by title, roll called, yeas 93, nays 0, Senate amendments concurred in.
6/4/2025HouseReceived from the Senate with amendments.
6/3/2025HouseScheduled for concurrence on 06/04/2025.
6/3/2025HouseThe amended bill was read by title, passed by a vote of 34 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
6/2/2025SenateReported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
6/1/2025SenateSenate Committee amendments read and adopted.
5/29/2025SenateRead by title. Recommitted to the Committee on Finance.
5/29/2025SenateRules suspended. Recalled from Committee.
5/29/2025SenateRead by title and referred to the Legislative Bureau.
5/29/2025SenateReported with amendments.
5/28/2025SenateRead second time by title and referred to the Committee on Health and Welfare.
5/20/2025SenateCalled from the calendar.
5/19/2025HouseRead third time by title, roll called on final passage, yeas 83, nays 13. Finally passed, title adopted, ordered to the Senate.
5/19/2025HouseReceived in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading.
5/19/2025SenateRead by title, returned to the calendar.
5/14/2025HouseNotice given.
5/14/2025HouseScheduled for floor debate on 05/19/2025.
5/14/2025HouseScheduled for floor debate on 05/14/2025.
5/13/2025HouseDischarged from the Committee on Appropriations.
5/12/2025HouseRead by title, passed to 3rd reading.
5/12/2025House
Bill Text
Engrossed
Enrolled
Introduced
Related Bills
HB 356, INSURANCE/PROPERTY: Creates the Stated Value Homeowner's Policy Act
HB 365, TAX/AD VALOREM TAX: Provides for an optional exemption of business inventory from ad valorem taxes and to authorize the reduction of the fair market value percentage of business inventory under certain circumstances (EN SEE FISC NOTE GF EX See Note)
HB 408, INSURANCE/HEALTH: Requires health insurance coverage relative to pediatric acute-onset neuropsychiatric syndrome and related conditions (EN INCREASE GF EX See Note)
HB 423, HEALTH CARE/PROVIDERS: Provides relative to healthcare providers displaying evidence of proper licensure in advertising (EN NO IMPACT See Note)
HB 378, TOPS: Lowers the ACT score required for initial qualification for a Taylor Opportunity Program for Students award for students who complete approved home study programs (EN +$172,184 SG EX See Note)
HB 326, COSMETOLOGY/BOARD: Provides relative to the Louisiana Cosmetology Act (EN INCREASE SG RV See Note)