MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers (EN +$2,601,174 GF EX See Note)
This bill requires the Louisiana Department of Health to set minimum reimbursement rates for nonemergency medical transportation services used by Medicaid recipients. It establishes a minimum payment of $14.50 per trip plus $2.10 per mile for transportation providers. The Louisiana Department of Health must implement these changes by October 1, 2026, through a Medicaid state plan amendment. This policy change directly affects transportation providers serving Medicaid patients and the state's healthcare administration.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2026
Committee Review
Jun 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Mar 30, 2026
Signed Jun 25, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
HB1028 Original
→
HB1028 Act 969
·
5 edits
MODERATE
This bill expands the scope of nonemergency medical transportation (NEMT) rules to include wheelchair-accessible vehicles and new rate methodologies. It adds a requirement that transportation to covered services must occur within the patient's home parish or contiguous parishes unless medically necessary. The effective date is now tied to the receipt of specific state funding rather than a fixed calendar date.
Scope change
The bill expands the scope of NEMT regulations to explicitly cover wheelchair-accessible services and introduces a geographic limitation on where Medicaid patients can be transported for covered services.
REQUIREMENT
Added a geographic restriction requiring NEMT to occur within the patient's parish of residence or contiguous parishes unless medical necessity is determined by a managed care organization or the Department of Health.
Added a requirement for the department to establish a rate methodology that accounts for the number of passengers in a single trip.
DEFINITION
Explicitly included wheelchair-accessible NEMT services in the minimum reimbursement rate requirements.
TIMELINE
Changed the effective date from a fixed October 1, 2026 deadline to a date dependent on the enactment of a specific appropriation for the program.
SCOPE
Expanded the legislative scope to include Sections 1 through 5 of the statute, covering new rate methodologies and geographic restrictions.
Floor votes · Senate May 28, 2026 · House May 7, 2026
How they voted
30–2
Passed · 8 other
Total votes 40
May 28, 2026
D
Democratic12
75% Yea
R
Republican28
75% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
36
Key actions
15
Committee
16
Jun 1, 2026
Lower · Passed
Notice of Senate adoption of Conference Committee Report.
lower
Jun 1, 2026
Upper · Passed
Conference Committee Report read; adopted by a vote of 36 yeas and 0 nays.
upper
Jun 1, 2026
Upper · Passed
Notice House adopted the Conference Committee Report.
upper
Jun 1, 2026
Lower · Passed
Conference Committee Report read, roll called, yeas 74, nays 23. The Conference Committee Report was adopted.
lower
May 31, 2026
Lower · Passed
Conference Committee report received. Lies over under the rules.
lower
May 31, 2026
Upper · Passed
Conference committee report received.
upper
May 29, 2026
Upper · Passed
Notice House Conference Committee members appointed.
upper
May 29, 2026
Upper · Passed
Senate conference committee members appointed: Carter, Harris, and McMath.
upper
May 28, 2026
Upper · Passed
The amended bill was read by title, passed by a vote of 30 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
May 27, 2026
Upper · Passed
Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
upper
May 21, 2026
Committee
Read by title. Recommitted to the Committee on Finance.
upper
May 21, 2026
Upper · Passed
Senate Committee amendments read and adopted.
upper
May 20, 2026
Upper · Passed
Reported with amendments.
upper
May 7, 2026
Lower · Passed
Read third time by title, roll called on final passage, yeas 80, nays 16. Finally passed, title adopted, ordered to the Senate.
lower
May 5, 2026
Lower · Passed
Reported with amendments (19-0).
lower
Apr 27, 2026
Committee
Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
lower
Apr 23, 2026
Lower · Passed
Reported favorably (12-0).
lower
Mar 31, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
1 primary · 5 co-sponsors
Sponsors
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