All Roll Calls
Yes: 240 • No: 0
LouisianaHB 5652025 Regular SessionHouseWALLET
MEDICAID: Provides relative to third-party liability, claim adjudication, and timeliness of such within the state medical assistance program (EN SEE FISC NOTE GF EX)
Sponsored By: Annie Spell (Republican)
Signed by Governor
Health and Welfare
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 2 benefits, 0 costs, 0 mixed.
Medicaid claim protections involving other coverage
Beginning August 1, 2025, Louisiana Medicaid health plans cannot deny, delay, reject, or take back claims solely because other coverage exists unless all required coverage details appear in the state’s Medicaid Eligibility Verification System. Required details include insurer name, address and phone; policyholder name, policy and group numbers; coverage start date; and coverage limits. Louisiana must put known information about other legally responsible insurers or payers into that system. Plans must report missing coverage within two business days, including required coverage details and any extra information the state requires. The state must update the system within three business days after receiving notice. When plans receive payment from another responsible payer, they must notify the provider in writing or electronically within five business days. That notice must include the explanation of benefits, payer contacts, policyholder details, coverage start date and coverage limits. Louisiana must withhold at least $25,000 per violation, with a minimum of $100,000 for multiple violations or a pattern.
Limits on Medicaid provider claim changes
Louisiana Medicaid health plans cannot change a provider’s submitted claim or pay it at a lower service level. The health secretary can authorize exceptions through a statewide rule, but both legislative health and welfare committees must approve it. Required reviews and audits after payment, and actions based on them, remain allowed. Louisiana must withhold at least $25,000 from a health plan for each violation.
Sponsors & Cosponsors
Sponsor
Annie Spell
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 6/4/2025
Read by title, roll called, yeas 93, nays 0. The Senate amendments, having received two-thirds vote of the elected members, were concurred in.
Yes: 93 • No: 0
Senate vote • 6/2/2025
The amended bill was read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.
Yes: 38 • No: 0
House vote • 5/14/2025
Read third time by title, amended, roll called on final passage, yeas 97, nays 0. The bill, having received two-thirds vote of the elected members, was finally passed, title adopted, ordered to the Senate.
Yes: 97 • No: 0
House vote • 5/8/2025
Reported with amendments
Yes: 12 • No: 0
Actions Timeline
Signed by the Governor. Becomes Act No. 293.
6/11/2025HouseEffective date: 06/11/2025.
6/11/2025HouseSent 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. The Senate amendments, having received two-thirds vote of the elected members, were 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 38 yeas and 0 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.
6/1/2025SenateCommittee amendments read and adopted. Read 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.
5/20/2025SenateReceived in the Senate. Read first time by title and placed on the Calendar for a second reading.
5/19/2025SenateRead third time by title, amended, roll called on final passage, yeas 97, nays 0. The bill, having received two-thirds vote of the elected members, was finally passed, title adopted, ordered to the Senate.
5/14/2025HouseScheduled for floor debate on 05/14/2025.
5/13/2025HouseRead by title, amended, ordered engrossed, passed to 3rd reading.
5/12/2025HouseReported with amendments (12-0).
5/8/2025HouseRead by title, under the rules, referred to the Committee on Health and Welfare.
4/14/2025HousePrefiled.
4/4/2025HouseUnder the rules, provisionally referred to the Committee on Health and Welfare.
4/4/2025House
Bill Text
Enacted
Engrossed
Enrolled
Introduced
Reengrossed
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