HB 198 Louisiana House · 2026 Regular Session

HEALTH: Provides relative to Medicaid reimbursement of ambulatory surgical centers for certain procedures (EN +$400,228 GF EX See Note)

HB 198 requires Louisiana's Medicaid program to reimburse ambulatory surgical centers at least 100% of the Medicare rate for gastroenterology procedures. This directly affects outpatient surgical centers providing these specific medical services and ensures they receive consistent, updated payments. The bill mandates annual reimbursement adjustments to match Medicare rate changes and requires the Louisiana Department of Health to implement these changes by October 1, 2026. It also authorizes the Department to create necessary rules under state administrative procedures. This policy change standardizes payments for a defined set of procedures, aiming to maintain provider access to Medicaid coverage.
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

HB198 Original HB198 Act 626 · 4 edits
MODERATE
This bill was amended to expand its scope from covering only gastroenterology procedures to also include dental, ophthalmology, and otolaryngology procedures at ambulatory surgical centers. The amendment clarifies that reimbursement rates for these services must be the lesser of the outpatient hospital rate or 100% of the Medicare rate. Additionally, the bill now includes more specific sponsors and requires the Department of Health to submit the implementation plan to additional legislative committees.
Scope change
The bill's scope was expanded to include dental, ophthalmology, and otolaryngology procedures in addition to the original gastroenterology procedures.
SCOPE

Added dental, ophthalmology, and otolaryngology procedures to the list of services eligible for increased Medicaid reimbursement rates.

REQUIREMENT

Clarified that the reimbursement rate must be the lesser of the outpatient hospital rate or 100% of the Medicare rate for the specified procedures.

Added a requirement for the Department of Health to submit the implementation plan to the Senate and House Committees on Health and Welfare and Finance and Appropriations.

TECHNICAL

Updated the list of bill sponsors to include additional Senators and Representatives.

Floor votes · Senate May 28, 2026 · House May 5, 2026

How they voted

332
Passed · 5 other
Total votes 40
May 28, 2026
D Democratic12
10 Yea 2
83% Yea
R Republican28
23 Yea 2 Nay 3
82% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
27
Key actions
7
Committee
8
May 29, 2026
Lower · Passed
Read by title, roll called, yeas 87, nays 6. Senate amendments concurred in.
lower
May 28, 2026
Upper · Passed
Senate floor amendments read and adopted. Read by title, passed by a vote of 32 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
May 27, 2026
Upper · Passed
Rules suspended. Reported with amendments. Rules suspended. Committee amendments read and adopted. 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 20, 2026
Upper · Passed
Reported favorably.
upper
May 5, 2026
Lower · Passed
Read third time by title, roll called on final passage, yeas 88, nays 7. Finally passed, title adopted, ordered to the Senate.
lower
Apr 27, 2026
Lower · Passed
Reported with amendments (17-1).
lower
Mar 23, 2026
Committee
Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
lower
Mar 18, 2026
Lower · Passed
Reported with amendments (14-0).
lower
Mar 9, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
Feb 18, 2026
Committee
Under the rules, provisionally referred to the Committee on Health and Welfare.
lower
1 primary · 4 co-sponsors

Sponsors