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LouisianaHB 7862026 Regular SessionHouseWALLET

MEDICAID MANAGED CARE: Prohibits certain processes used in healthcare provider claim payments

Sponsored By: Peter F. Egan Sr. (Republican)

Signed by Governor

Health and Welfare

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

New audit payment protections for Medicaid providers

Louisiana Medicaid managed care plans cannot use reviewed claims to estimate audit findings for claims they have not reviewed. Extra provider payments, refunds, and repayments must reflect actual overpayments or underpayments, not these estimates. Louisiana’s health and justice departments can still use estimates in audits when existing state and federal rules allow. Contracts cannot waive these protections; any clause that does so is void. The health department must penalize plans for violations by the plan, its vendors, or agents under contract terms or agency rules. It can impose penalties without first issuing a corrective-action notice. The law also defines electronic funds transfers as transfers through the HIPAA-standard automated clearinghouse (ACH) network.

Sponsors & Cosponsors

Sponsor

  • Peter F. Egan Sr.

    Republican • House

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 143 • No: 0

Senate vote • 5/21/2026

Rules suspended. Read by title, passed by a vote of 35 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

Yes: 35 • No: 0

House vote • 4/22/2026

Read third time by title, amended, roll called on final passage, yeas 95, nays 0. Finally passed, title adopted, ordered to the Senate.

Yes: 95 • No: 0

House vote • 4/15/2026

Reported with amendments

Yes: 13 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 569.

    5/29/2026House

  2. Effective date: 08/01/2026.

    5/29/2026House

  3. Sent to the Governor for executive approval.

    5/26/2026House

  4. Received from the Senate without amendments.

    5/25/2026House

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

    5/25/2026House

  6. Signed by the President of the Senate.

    5/25/2026Senate

  7. Rules suspended. Read by title, passed by a vote of 35 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

    5/21/2026Senate

  8. Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.

    5/18/2026Senate

  9. Read by title and referred to the Legislative Bureau.

    5/14/2026Senate

  10. Reported favorably.

    5/13/2026Senate

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

    4/28/2026Senate

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

    4/27/2026Senate

  13. Read third time by title, amended, roll called on final passage, yeas 95, nays 0. Finally passed, title adopted, ordered to the Senate.

    4/22/2026House

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

    4/21/2026House

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

    4/16/2026House

  16. Reported with amendments (13-0).

    4/15/2026House

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

    3/9/2026House

  18. Prefiled.

    2/27/2026House

  19. Under the rules, provisionally referred to the Committee on Health and Welfare.

    2/27/2026House

  20. First appeared in the Interim Calendar on 2/27/2026.

    2/27/2026House

Bill Text

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