MEDICAID: Provides relative to Medicaid reimbursement for rural health clinics (EN +$2,655,159 GF EX See Note)
This bill requires the Louisiana Department of Health to equalize Medicaid reimbursement rates between independent rural health clinics and provider-based rural health clinics. It mandates that independent clinics receive the same payment rates as provider-based clinics to ensure fair compensation for services provided in rural areas. The Department of Health must prepare necessary state plan amendments or adopt rules to implement this change, with implementation required by October 1, 2026. This policy directly affects rural health clinics in Louisiana that participate in the Medicaid program.
Bill status
signed
all 5 stages cleared
Introduction
Mar 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Signed into Law
Jun 2026
Introduced Mar 16, 2026
Signed Jun 8, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
HB971 Original
→
HB971 Act 859
·
5 edits
MODERATE
This bill updates Louisiana's Medicaid rules to ensure rural health clinics receive equal reimbursement rates. It specifically clarifies that both independent (Type 1) and provider-based (Type 2 and 3) clinics are eligible for this equalization. The law mandates a specific annual rate increase of $41.50 for independent clinics starting in fiscal year 2026-2027, with adjustments for inflation. It also establishes new reporting requirements for the Department of Health to track clinic encounters and expenditures.
Scope change
The bill expands the scope of facility need review to explicitly include Type 1 and Type 2 rural health clinics, whereas the original text focused primarily on equalizing rates between independent and provider-based clinics without this specific classification breakdown.
ELIGIBILITY
Explicitly includes 'Types one and two rural health clinics' in the facility need review process.
REQUIREMENT
Changed the legislative intent from a general equalization mandate to a specific requirement to increase the encounter rate for independent rural health clinics by $41.50 annually.
Requires the Department of Health to submit monthly reports to the legislature detailing encounters and expenditures for each clinic type.
TIMELINE
Updated the implementation timeline to require actions within ninety days of the Act's effective date, rather than a fixed October 1, 2026 deadline.
FISCAL
Establishes a specific funding mechanism requiring a state plan amendment to cover the mandated rate increases for independent clinics.
Floor votes · Senate May 26, 2026 · House May 5, 2026
How they voted
38–0
Passed · 2 other
Total votes 40
May 26, 2026
D
Democratic12
83% Yea
R
Republican28
100% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
24
Key actions
7
Committee
8
May 29, 2026
Lower · Passed
Read by title, roll called, yeas 95, nays 0, Senate amendments concurred in.
lower
May 26, 2026
Upper · Passed
Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.
upper
May 20, 2026
Committee
Read by title and referred to the Legislative Bureau.
upper
May 20, 2026
Upper · Passed
Rules suspended. Recalled from Committee.
upper
May 14, 2026
Committee
Read by title. Recommitted to the Committee on Finance.
upper
May 13, 2026
Upper · Passed
Reported favorably.
upper
May 5, 2026
Lower · Passed
Read third time by title, roll called on final passage, yeas 91, nays 6. Finally passed, title adopted, ordered to the Senate.
lower
Apr 27, 2026
Lower · Passed
Reported with amendments (14-0).
lower
Apr 7, 2026
Committee
Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
lower
Apr 1, 2026
Lower · Passed
Reported favorably (9-0).
lower
Mar 17, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Joe Stagni
RRepublican
Co
Stephanie Berault
RRepublican
Co
Tehmi Chassion
DDemocratic
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