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LouisianaSB 422025 Regular SessionSenateWALLET

HEALTH CARE: Provides relative to perinatal behavioral health treatment. (8/1/25) (EN INCREASE GF EX See Note)

Sponsored By: Larry Selders

Signed by Governor

Insurance

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Bill Overview

Analyzed Economic Effects

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

Medicaid expands pregnancy-related inpatient mental health coverage

Louisiana Medicaid managed care plans must cover voluntary inpatient treatment for qualifying mental health conditions. The condition must require inpatient care during pregnancy or through one year after birth or pregnancy loss. Coverage includes hospital admissions, overnight stays, treatment-related medicines, infusions, prescriptions, and counseling. Treatment decisions belong solely to an attending physician, physician assistant, psychiatrist, psychologist, medical psychologist, or nurse practitioner, consulting with the patient. Admissions must follow state voluntary-admission rules. Medicaid retains authority to set payment rules, including whether care is medically necessary. The requirement applies to new plans issued starting January 1, 2026. Existing plans must comply by renewal, no later than January 1, 2027. Implementation depends on legislative funding.

Private plans expand pregnancy-related mental health coverage

Louisiana-regulated health plans offering mental health benefits for perinatal psychiatric diagnoses must cover voluntary inpatient treatment for those conditions. The condition must require inpatient care during pregnancy or through one year after birth or pregnancy loss. Coverage includes hospital admissions, overnight stays, treatment-related medicines, infusions, prescriptions, and counseling. Treatment decisions belong solely to an attending physician, physician assistant, psychiatrist, psychologist, medical psychologist, or nurse practitioner, consulting with the patient. Admissions must follow state voluntary-admission rules. All levels of covered maternal mental health inpatient treatment count as medically necessary. Providers must consider InterQual or Milliman Care Guidelines; insurers cannot deny voluntary inpatient treatment consistent with these standards. Plan deductibles, coinsurance, and copayments may still apply. Excepted-benefit plans, limited-benefit plans, and short-term policies lasting less than 12 months are excluded. New plans issued starting January 1, 2026, must comply; existing plans must comply by renewal, no later than January 1, 2027. Implementation depends on legislative funding.

Sponsors & Cosponsors

Sponsor

  • Larry Selders

    Affiliation unavailable

Cosponsors

  • Aimee Adatto Freeman

    Democratic • House

  • Barbara Reich Freiberg

    Republican • House

  • Beth Anne Billings

    Republican • House

  • Daryl Andrew Deshotel

    Republican • House

  • Franklin J. Foil

    Republican • Senate

  • Jessica Domangue

    Republican • House

  • Josh Carlson

    Republican • House

  • Kirk Talbot

    Republican • Senate

  • Michael Robert Bayham Jr.

    Republican • House

  • Paula Davis

    Affiliation unavailable

  • Phillip DeVillier

    Republican • House

  • R. Dewith Carrier

    Republican • House

  • Regina Barrow

    Democratic • Senate

  • Royce Duplessis

    Democratic • Senate

  • Stephanie H. Berault

    Republican • House

  • Tehmi Jahi Chassion

    Democratic • House

  • Troy Jude Hebert

    Republican • House

  • Wilford Carter Sr.

    Democratic • House

  • William "Bill" Wheat Jr.

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 252 • No: 24

House vote • 6/12/2025

Conference Committee Report read, roll called, yeas 81, nays 17. The Conference Committee Report was adopted.

Yes: 81 • No: 17

Senate vote • 6/12/2025

Conference Committee Report read; adopted by a vote of 35 yeas and 0 nays.

Yes: 35 • No: 0

House vote • 6/4/2025

Read third time by title, amended, roll called on final passage, yeas 89, nays 7. Finally passed, ordered to the Senate.

Yes: 89 • No: 7

House vote • 5/28/2025

Reported with amendments

Yes: 11 • No: 0

Senate vote • 5/14/2025

Read by title, passed by a vote of 36 yeas and 0 nays, and sent to the House. Motion to reconsider tabled.

Yes: 36 • No: 0

Actions Timeline

  1. Signed by the Governor. Becomes Act No. 410.

    6/20/2025Senate

  2. Effective date 8/1/2025.

    6/20/2025Senate

  3. Conference Committee Report read; adopted by a vote of 35 yeas and 0 nays.

    6/12/2025Senate

  4. Conference Committee Report read, roll called, yeas 81, nays 17. The Conference Committee Report was adopted.

    6/12/2025House

  5. Notice House adopted the Conference Committee Report.

    6/12/2025Senate

  6. Notice of Senate adoption of Conference Committee Report.

    6/12/2025House

  7. Enrolled. Signed by the President of the Senate on 6/13/2025.

    6/12/2025Senate

  8. Signed by the Speaker of the House.

    6/12/2025House

  9. Sent to the Governor by the Secretary of the Senate on 6/13/2025.

    6/12/2025Senate

  10. House conferees appointed: Miller, Firment, and Fisher.

    6/11/2025House

  11. Conference Committee report received. Lies over under the rules.

    6/11/2025House

  12. Senate conference committee members appointed: Selders, Cloud, and Womack.

    6/11/2025Senate

  13. Notice House Conference Committee members appointed.

    6/11/2025Senate

  14. Notice of Senate conferees appointed.

    6/11/2025House

  15. Scheduled for floor debate on 06/12/2025.

    6/11/2025House

  16. Notice of Senate rejecting House amendments.

    6/9/2025House

  17. Read third time by title, amended, roll called on final passage, yeas 89, nays 7. Finally passed, ordered to the Senate.

    6/4/2025House

  18. Received from the House with amendments.

    6/4/2025Senate

  19. Discharged from the Committee on Appropriations.

    6/3/2025House

  20. Read by title, passed to 3rd reading.

    6/3/2025House

  21. Scheduled for floor debate on 06/04/2025.

    6/3/2025House

  22. Read by title, amended, recommitted to the Committee on Appropriations.

    5/29/2025House

  23. Reported with amendments (11-0). To be recommitted to the Committee on Appropriations.

    5/28/2025House

  24. Read by title, under the rules, referred to the Committee on Insurance.

    5/19/2025House

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

    5/15/2025House

Bill Text

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