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LouisianaSB 1302025 Regular SessionSenateWALLET

MEDICAID: Provides relative to Medicaid. (gov sig) (EN DECREASE GF EX See Note)

Sponsored By: Heather Cloud (Republican)

Signed by Governor

Health and Welfare

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Bill Overview

Analyzed Economic Effects

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

Tighter checks for Louisiana Medicaid eligibility

Louisiana must make its own Medicaid eligibility decisions, though it can use assessments from the federally run health insurance exchange. State Medicaid agencies cannot rely only on automatic renewals unless federal law expressly requires it. The health department must withdraw federal waivers allowing automatic eligibility decisions or renewals by January 1, 2026. For applications and renewals, the department cannot accept a person's statement alone as proof of Louisiana residency, unless federal law requires it.

More Medicaid data checks and safeguards

Louisiana must arrange regular Medicaid data checks, as allowed by law, and cannot seek permission to skip periodic income checks. Monthly reviews cover vital records, including deaths, and Social Security disability status. Quarterly reviews cover workforce wage and job records and motor vehicle residency records. Tax records are reviewed twice yearly for income, wages, or residency changes; an incarceration-checking system must provide reviews at least yearly. The department can use technology and shared government data to check income, residency, household members, and other coverage. It can also buy an income-checking system that detects missing income in real time and prevents counting overlapping records twice. At least quarterly, the department must post public reports without confidential or personally identifying details. Reports must count fraud or intentional-violation investigations and prosecution referrals to the attorney general, and report improper payments, spending, and recovered money. They must also show improper payments and ineligible recipients as percentages of cases investigated and reviewed.

Sponsors & Cosponsors

Sponsor

  • Heather Cloud

    Republican • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 147 • No: 0

House vote • 6/9/2025

Read third time by title, roll called on final passage, yeas 97, nays 0. Finally passed, ordered to the Senate.

Yes: 97 • No: 0

House vote • 6/3/2025

Reported with amendments

Yes: 13 • No: 0

Senate vote • 5/20/2025

Senate floor amendments read and adopted. Read by title and passed by a vote of 37 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

Yes: 37 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 427.

    6/20/2025Senate

  2. Effective date 6/20/2025.

    6/20/2025Senate

  3. Enrolled. Signed by the President of the Senate.

    6/11/2025Senate

  4. Signed by the Speaker of the House.

    6/11/2025House

  5. Sent to the Governor by the Secretary of the Senate.

    6/11/2025Senate

  6. Read third time by title, roll called on final passage, yeas 97, nays 0. Finally passed, ordered to the Senate.

    6/9/2025House

  7. Received from the House with amendments.

    6/9/2025Senate

  8. Read by title, amended, passed to 3rd reading.

    6/8/2025House

  9. Scheduled for floor debate on 06/09/2025.

    6/8/2025House

  10. Reported without Legislative Bureau amendments.

    6/4/2025House

  11. Reported with amendments (13-0). Referred to the Legislative Bureau.

    6/3/2025House

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

    5/22/2025House

  13. Received in the House from the Senate, read by title, lies over under the rules.

    5/21/2025House

  14. Senate floor amendments read and adopted. Read by title and passed by a vote of 37 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

    5/20/2025Senate

  15. Rules suspended. Recalled from Committee.

    5/19/2025Senate

  16. Read by title and passed to third reading and final passage.

    5/19/2025Senate

  17. Read by title. Committee amendments read and adopted; ordered engrossed and recommitted to the Committee on Finance.

    5/8/2025Senate

  18. Reported with amendments.

    5/7/2025Senate

  19. Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Health and Welfare.

    4/14/2025Senate

  20. Prefiled and under the rules provisionally referred to the Committee on Health and Welfare.

    4/4/2025Senate

Bill Text

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