HB 181 Louisiana House · 2026 Regular Session

MEDICAID: Provides for Medicaid fraud detection and prevention (EN SEE FISC NOTE SG EX See Note)

HB 181 authorizes the Louisiana Department of Revenue to share state income tax return data with the legislative auditor exclusively to improve Medicaid program integrity. It specifically permits this data sharing to verify Medicaid eligibility accuracy, detect fraud, and comply with existing Medicaid fraud laws. The bill restricts the use of this data to these three purposes only and requires formal agreements between agencies for data sharing. This affects Medicaid program participants and administrators by enabling targeted fraud prevention through cross-agency data access.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Feb 18, 2026 Signed Jun 2, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

HB181 Original HB181 Act 624 · 5 edits
MODERATE
This bill was amended to expand its scope from solely addressing Medicaid fraud detection to also include the Supplemental Nutrition Assistance Program (SNAP). The changes update the legal text to ensure both programs are equally protected under the new fraud detection and prevention measures.
Scope change
The bill's scope was expanded to cover both Medicaid and SNAP, whereas the original version only covered Medicaid.
SCOPE

Updated the bill title and purpose statements to explicitly include the Supplemental Nutrition Assistance Program alongside Medicaid.

ELIGIBILITY

Revised the specific legal authority granted to the Legislative Auditor to allow access to tax data for verifying eligibility determinations for both Medicaid and SNAP.

ENFORCEMENT

Amended the fraud detection and prevention clauses to apply to both Medicaid and SNAP programs.

REQUIREMENT

Updated the requirements for interagency agreements and data sharing to facilitate fraud detection for both programs.

DEFINITION

Adjusted the definition of applicable laws referenced in the bill to include integrity requirements for both Medicaid and SNAP.

Floor votes · Senate May 28, 2026 · House Apr 28, 2026

How they voted

269
Passed · 5 other
Total votes 40
May 28, 2026
D Democratic12
1 Yea 8 Nay 3
66% Nay
R Republican28
25 Yea 1 Nay 2
89% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
33
Key actions
5
Committee
5
May 29, 2026
Lower · Passed
Read by title, roll called, yeas 73, nays 25, Senate amendments concurred in.
lower
May 28, 2026
Upper · Passed
Senate floor amendments read and adopted. Read by title, passed by a vote of 26 yeas and 8 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
May 21, 2026
Committee
Read by title and referred to the Legislative Bureau.
upper
May 20, 2026
Upper · Passed
Reported favorably.
upper
Apr 28, 2026
Lower · Passed
Read third time by title, amended, roll called on final passage, yeas 87, nays 2. Finally passed, title adopted, ordered to the Senate.
lower
Apr 8, 2026
Lower · Passed
Reported with amendments (10-6).
lower
Mar 9, 2026
Committee
Read by title, under the rules, referred to the Committee on House and Governmental Affairs.
lower
Feb 18, 2026
Committee
Under the rules, provisionally referred to the Committee on House and Governmental Affairs.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Tony Bacala
Tony Bacala
RRepublican
LA
59