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LouisianaHB 9712026 Regular SessionHouseWALLET

MEDICAID: Provides relative to Medicaid reimbursement for rural health clinics (EN +$2,655,159 GF EX See Note)

Sponsored By: Joe Stagni

Signed by Governor

Health and Welfare

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Bill Overview

Analyzed Economic Effects

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

Higher Medicaid payments for independent rural clinics

Louisiana must equalize Medicaid payment rates between independent rural clinics (type one) and provider-based clinics (types two and three). Independent clinics get $41.50 more per encounter than the prior year's rate in each fiscal year, 2026–2027 and 2027–2028. The annual Medicare Economic Index inflation adjustment also applies. These requirements need federal approval and begin when a state act with specific implementation funding takes effect. Within 90 days of that effective date, the health department must take necessary implementation steps, including state plan changes or rules as needed. It must report each independent clinic's monthly encounter count and total monthly spending to the Legislature.

New review requirements for rural clinic expansion

Louisiana adds type one and type two rural health clinics to its facility need review process. The review determines the need for a new or added facility, provider, program, service, or bed. This requirement begins when a state act with specific implementation funding takes effect. The health department must take necessary implementation steps within 90 days of that effective date.

Sponsors & Cosponsors

Sponsor

  • Joe Stagni

    Affiliation unavailable

Cosponsors

  • Stephanie H. Berault

    Republican • House

  • Tehmi Jahi Chassion

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 246 • No: 6

House vote • 5/29/2026

Read by title, roll called, yeas 95, nays 0, Senate amendments concurred in.

Yes: 95 • No: 0

Senate vote • 5/26/2026

Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

Yes: 37 • No: 0

House vote • 5/5/2026

Read third time by title, roll called on final passage, yeas 91, nays 6. Finally passed, title adopted, ordered to the Senate.

Yes: 91 • No: 6

House vote • 4/27/2026

Reported with amendments

Yes: 14 • No: 0

House vote • 4/1/2026

Reported favorably

Yes: 9 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 859.

    6/8/2026House

  2. Effective date: 06/08/2026.

    6/8/2026House

  3. Signed by the President of the Senate.

    6/1/2026Senate

  4. Sent to the Governor for executive approval.

    6/1/2026House

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

    5/31/2026House

  6. Read by title, roll called, yeas 95, nays 0, Senate amendments concurred in.

    5/29/2026House

  7. Scheduled for concurrence on 05/29/2026.

    5/27/2026House

  8. Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

    5/26/2026Senate

  9. Received from the Senate with amendments.

    5/26/2026House

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

    5/21/2026Senate

  11. Rules suspended. Recalled from Committee.

    5/20/2026Senate

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

    5/20/2026Senate

  13. Read by title. Recommitted to the Committee on Finance.

    5/14/2026Senate

  14. Reported favorably.

    5/13/2026Senate

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

    5/6/2026Senate

  16. Read third time by title, roll called on final passage, yeas 91, nays 6. Finally passed, title adopted, ordered to the Senate.

    5/5/2026House

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

    5/5/2026Senate

  18. Scheduled for floor debate on 05/05/2026.

    4/29/2026House

  19. Read by title, amended, ordered reengrossed, passed to 3rd reading.

    4/28/2026House

  20. Reported with amendments (14-0).

    4/27/2026House

  21. Read by title, ordered engrossed, recommitted to the Committee on Appropriations.

    4/7/2026House

  22. Reported favorably (9-0).

    4/1/2026House

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

    3/17/2026House

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

    3/16/2026House

Bill Text

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