HCR 3 Louisiana House · 2026 Regular Session

HOSPITALS: Provides for a hospital stabilization formula (EN +$659,764,552 SD RV See Note)

HCR 3 establishes a quarterly assessment on Louisiana hospitals to stabilize funding without using state general funds. It requires hospitals to pay a percentage of their inpatient and outpatient revenue (ranging from 1.38% to 6.74%, with exemptions for rural hospitals and small facilities under 40 beds). The collected funds support Medicaid reimbursement enhancements for hospitals, ensuring payments meet or exceed 2026 rates while aligning with federal CMS guidelines. This directly affects most acute care hospitals in Louisiana, excluding rural and small facilities, and aims to preserve hospital services for all residents.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
May 2026
House Passage
May 2026
Senate Passage
May 2026
Governor
Introduced Feb 24, 2026 Last action Jun 2, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

HCR3 Engrossed HCR3 Enrolled · 3 edits · May 29, 2026
MINOR
The bill was finalized and formatted for official enactment, removing draft markings and adding the 'Enrolled' status. The substantive policy content regarding hospital assessments, reimbursement rates, and exemptions remains identical to the previous version.
Scope change
No change in the scope or applicability of the bill; it is now in its final enrolled form.
TECHNICAL

Removed draft headers, page numbers, and line number markers used during the legislative process.

Added the official 'ENROLLED' designation and the 2026 Regular Session header to indicate final passage.

Reordered the text to align with standard enrolled bill formatting conventions.

Floor votes · Senate May 26, 2026 · House Apr 16, 2026

How they voted

390
Passed · 1 other
Total votes 40
May 26, 2026
D Democratic12
11 Yea 1
91% Yea
R Republican28
28 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
20
Key actions
5
Committee
4
May 29, 2026
Lower · Passed
Read by title, roll called, yeas 97, nays 0, Senate amendments concurred in.
lower
May 26, 2026
Upper · Passed
Read by title and concurred in by a vote of 38 yeas and 0 nays. Ordered returned to the House.
upper
May 21, 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
Apr 16, 2026
Lower · Passed
Read by title, roll called on final consideration, yeas 104, nays 0. The resolution was adopted and ordered to the Senate.
lower
Apr 13, 2026
Lower · Passed
Reported favorably (20-0).
lower
Mar 9, 2026
Committee
Read by title, under the rules, referred to the Committee on Appropriations.
lower
Feb 24, 2026
Committee
Under the rules, provisionally referred to the Committee on Appropriations.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Jack McFarland
Jack McFarland
RRepublican
LA
13