All Roll Calls
Yes: 242 • No: 8
LouisianaHB 6582025 Regular SessionHouseWALLET
MEDICAID: Establishes the Medicaid Trust Fund for Addiction Recovery (EN INCREASE RV See Note)
Sponsored By: Christopher Turner (Republican)
Signed by Governor
Health and Welfare
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 0 costs, 2 mixed.
Addiction care workers get wage funding priority
Annual spending for Medicaid services from the addiction recovery trust is limited to investment earnings. First priority is wage increases for direct-care workers in Medicaid-certified addiction-provider settings. The health department and industry representatives must create a plan that passes the full wage increase through provider payment rates. Next come Medicaid services eligible for federal matching funds, followed by refunds of federal overpayments deposited in the fund. The law sets no individual raise amount.
Addiction fund spending faces limits and protections
After July 1, 2025, spending self-assessed fees, federal grants, or other fund sources requires a joint resolution. Approval requires two-thirds of the elected members of each legislative house. Authorized uses are provider-rate updates, a Medicaid addiction-provider payment system, and refunds of federal overpayments deposited in the fund. Provider rates must be updated under the approved Medicaid plan after the first intergovernmental transfer; later updates are limited to investment earnings. Trust money generally cannot replace state general-fund Medicaid funding below its fiscal year 2025–2026 level. The law allows an exception when official recurring revenue forecasts show the next year's budget can be funded at the same level.
New addiction care fund allows provider fees
Louisiana creates a permanent Medicaid Trust Fund for Addiction Recovery to help fund higher payments to licensed addiction-treatment providers. Covered care includes inpatient and residential treatment, intensive outpatient treatment, and withdrawal management. The fund accepts transfers and other money after required state bond payments; investment earnings and unused year-end money stay in the fund. The health department can charge providers fees that qualify for federal matching funds, capped at the state's service cost. These fees count toward insurance and other third-party reimbursement rates, and collections flow to the trust after required bond payments. The department must set fee collection, payment, and recordkeeping rules.
Sponsors & Cosponsors
Sponsor
Christopher Turner
Republican • House
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
House vote • 6/10/2025
Read by title, roll called, yeas 85, nays 0. The Senate amendments, having received two-thirds vote of the elected members, were concurred in.
Yes: 85 • No: 0
Senate vote • 6/9/2025
Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
Yes: 37 • No: 2
House vote • 5/29/2025
Read third time by title, roll called on final passage, yeas 91, nays 6. The bill, having received two-thirds vote of the elected members, was finally passed, title adopted, ordered to the Senate.
Yes: 91 • No: 6
House vote • 5/27/2025
Reported favorably
Yes: 16 • No: 0
House vote • 5/8/2025
Reported with amendments
Yes: 13 • No: 0
Actions Timeline
Signed by the Governor. Becomes Act No. 392.
6/20/2025HouseEffective date: 06/20/2025.
6/20/2025HouseSigned by the President of the Senate.
6/12/2025SenateSent to the Governor for executive approval.
6/12/2025HouseEnrolled and signed by the Speaker of the House.
6/11/2025HouseRead by title, roll called, yeas 85, nays 0. The Senate amendments, having received two-thirds vote of the elected members, were concurred in.
6/10/2025HouseRules suspended.
6/9/2025SenateRead by title and returned to the Calendar, subject to call.
6/9/2025SenateRules suspended. Called from the Calendar.
6/9/2025SenateRules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
6/9/2025SenateReceived from the Senate with amendments.
6/9/2025HouseScheduled for concurrence on 06/10/2025.
6/9/2025HouseRules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
6/8/2025SenateReported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
6/8/2025SenateRead second time by title and referred to the Committee on Health and Welfare.
6/1/2025SenateRead third time by title, roll called on final passage, yeas 91, nays 6. The bill, having received two-thirds vote of the elected members, was finally passed, title adopted, ordered to the Senate.
5/29/2025HouseReceived in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading.
5/29/2025SenateRead by title, ordered engrossed, passed to 3rd reading.
5/28/2025HouseScheduled for floor debate on 05/29/2025.
5/28/2025HouseReported favorably (16-0).
5/27/2025HouseRead by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
5/12/2025HouseReported with amendments (13-0). To be recommitted to the Committee on Appropriations.
5/8/2025HouseRead by title, under the rules, referred to the Committee on Health and Welfare.
4/24/2025HouseRead by title. Lies over under the rules.
4/23/2025House
Bill Text
Engrossed
Enrolled
Introduced
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