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HB 786 Louisiana House · 2026 Regular Session

MEDICAID MANAGED CARE: Prohibits certain processes used in healthcare provider claim payments

HB 786 prohibits Louisiana's Medicaid managed care organizations from using "extrapolation" (mathematical estimation of unreviewed claims) when auditing healthcare providers. It requires that any payment adjustments for overpayments or underpayments be based solely on actual reviewed claims, not estimated totals. The bill directly affects healthcare providers receiving Medicaid payments and the private managed care organizations that administer those payments. Violations by managed care organizations can trigger penalties without prior notice, and contractual clauses attempting to waive these rules are void. This policy change ensures audits are based on verified data rather than estimates.
Issues: ✓ HealthcareSupports HealthcareProhibits Medicaid managed care from using extrapolation in audits, requiring actual reviewed claims for payments. Protects healthcare providers from unfair underpayment, strengthening Medicaid provider participation and access to care.85% confidence
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
May 2026
House Passage
Apr 2026
Senate Passage
May 2026
Signed into Law
May 2026
Introduced Feb 27, 2026 Signed May 29, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

HB786 Original → HB786 Act 569 · 3 edits
MINOR
This bill updates the official title and session information for HB 786, changing it from an 'Original' draft to an 'Enrolled' Act No. 569. It adds a specific legal provision clarifying that the ban on using extrapolation for audits does not prevent state or federal agencies from using that same method to complete their own audits of healthcare providers. The bill also includes standard formatting updates to reflect its final approval by the Governor.
Scope change
The bill's substantive scope regarding healthcare provider audits remains unchanged; the addition clarifies that the prohibition on extrapolation applies only to the providers being audited, not to the auditors themselves.
DEFINITION

Added a clause explicitly stating that the department and the Louisiana Department of Justice may still use extrapolation to complete audits of healthcare providers, ensuring the audit ban does not hinder regulatory oversight.

TECHNICAL

Updated document headers and titles to reflect the bill's final status as Act No. 569 from the 2026 Regular Session.

Removed the original digest summary and legislative services notes, replacing them with official signatures from the Speaker of the House, President of the Senate, and the Governor.

Floor votes · Senate May 21, 2026 · House Apr 22, 2026

How they voted

36–0
Passed · 4 other
Total votes 40
May 21, 2026
D Democratic12
11 Yea 1
91% Yea
R Republican28
25 Yea 3
89% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
4
Committee
5
May 21, 2026
Upper · Passed
Rules suspended. Read by title, passed by a vote of 35 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
May 14, 2026
Committee
Read by title and referred to the Legislative Bureau.
upper
May 13, 2026
Upper · Passed
Reported favorably.
upper
Apr 22, 2026
Lower · Passed
Read third time by title, amended, roll called on final passage, yeas 95, nays 0. Finally passed, title adopted, ordered to the Senate.
lower
Apr 15, 2026
Lower · Passed
Reported with amendments (13-0).
lower
Mar 9, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
Feb 27, 2026
Committee
Under the rules, provisionally referred to the Committee on Health and Welfare.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Peter Egan
Peter Egan
RRepublican
LA
74