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LouisianaSB 1822025 Regular SessionSenateWALLET

MEDICAID: Provides relative to Medicaid prior authorization during a declared emergency. (8/1/25) (EN NO IMPACT See Note)

Sponsored By: Kirk Talbot (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.

Easier Medicaid care during declared emergencies

Beginning August 1, 2025, Louisiana's health department can pause Medicaid approval rules during a governor-declared emergency. These pauses cover advance approvals and reviews during treatment, and apply only to recipients living in the designated emergency area. Medicaid managed care plans, pharmacy benefit managers, and fee-for-service claims processors must pay providers without advance approval for medically necessary drugs, services, equipment, supplies, and therapies provided during the emergency. They must also pay out-of-state providers for essential care when Louisiana Medicaid recipients evacuate out of state, by choice or not. Managed care plans must explain approval pauses, continued access to care, and members' rights through healthcare providers, community outreach, and online platforms, including efforts to reach vulnerable or displaced members.

Sponsors & Cosponsors

Sponsor

  • Kirk Talbot

    Republican • Senate

Cosponsors

  • Cameron Henry

    Republican • Senate

  • Edward J. Price

    Democratic • Senate

  • Gary Carter

    Democratic • Senate

  • Gerald Boudreaux

    Democratic • Senate

  • Glen Womack

    Republican • Senate

  • Gregory A. Miller

    Republican • Senate

  • Jay Luneau

    Democratic • Senate

  • Jeremy Stine

    Republican • Senate

  • Jimmy Harris

    Democratic • Senate

  • Katrina R. Jackson-Andrews

    Democratic • Senate

  • Larry Selders

    Affiliation unavailable

  • Michael "Big Mike" Fesi

    Republican • Senate

  • Patrick McMath

    Republican • Senate

  • Regina Barrow

    Democratic • Senate

  • Rick Edmonds

    Republican • Senate

  • Robert "Bob" Owen

    Republican • Senate

  • Royce Duplessis

    Democratic • Senate

  • Sam Jenkins

    Democratic • Senate

  • Stephanie H. Berault

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 145 • No: 0

House vote • 6/9/2025

Read third time by title, roll called on final passage, yeas 96, nays 0. Finally passed, ordered to the Senate.

Yes: 96 • No: 0

House vote • 6/3/2025

Reported favorably

Yes: 10 • No: 0

Senate vote • 4/29/2025

Senate floor amendments read and adopted. Read by title and passed by a vote of 39 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

Yes: 39 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 440.

    6/20/2025Senate

  2. Effective date 8/1/2025.

    6/20/2025Senate

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

    6/11/2025Senate

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

    6/10/2025Senate

  5. Signed by the Speaker of the House.

    6/10/2025House

  6. Read third time by title, roll called on final passage, yeas 96, nays 0. Finally passed, ordered to the Senate.

    6/9/2025House

  7. Received from the House without amendments.

    6/9/2025Senate

  8. Read by title, 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 favorably (10-0). Referred to the Legislative Bureau.

    6/3/2025House

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

    5/5/2025House

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

    4/30/2025House

  14. Senate floor amendments read and adopted. Read by title and passed by a vote of 39 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.

    4/29/2025Senate

  15. Read by title. Ordered engrossed and passed to third reading and final passage.

    4/28/2025Senate

  16. Reported favorably.

    4/23/2025Senate

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

    4/14/2025Senate

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

    4/4/2025Senate

Bill Text

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