Budget & Taxes

This bill requires Louisiana Medicaid to cover FDA-approved weight loss medications for eligible adults over eighteen. To qualify, patients must have a BMI of 30 or higher with at least one related health condition like diabetes or hypertension, or a BMI of 35 or higher without additional conditions. Coverage will require prior authorization limited to verifying these eligibility criteria, with initial approval for six months and continued coverage depending on documented clinical improvement. The bill also prohibits step therapy requirements for these medications and mandates that the Department of Health implement the coverage while maintaining fiscal sustainability.

This resolution asks the Louisiana Economic Development agency to consider adding a rule that would disqualify companies from state job incentives if 20% or more of their employees qualify for SNAP benefits. The bill references a proposed law that would have implemented this restriction, noting that over one million Louisianans currently meet the poverty criteria for such assistance. However, the resolution itself is non-binding and was rejected by the House of Representatives, meaning it does not change any existing laws or program requirements. It serves as a formal request to agency leadership rather than a new policy mandate.

HB 296 repeals Louisiana’s Reentry Advisory Council and the Offender Rehabilitation Workforce Development Act (specifically R.S. 15:1199.1-1199.16 and R.S. 13:5401(B)(1)(a)). This bill removes legal requirements for the advisory council, data collection on inmate workforce programs, and references to the Reentry Advisory Council in statutes governing work release programs (e.g., R.S. 15:827, 1113) and the Louisiana Work Opportunity Tax Credit (R.S. 47:287.750). It directly affects correctional workforce development programs, state agencies managing inmate work programs, and businesses participating in work release initiatives. The repeal eliminates the council’s role and related administrative criteria, though work release programs themselves remain referenced under other statutes.

HB 646 is a proposed constitutional amendment that would establish a spending limit for Louisiana's state general fund. It requires the legislature to set an annual limit based on Louisiana's personal income growth rate, with a new "Government Growth Limit" starting in 2027-2028 restricting how much recurring revenue can fund ongoing expenses. The amendment must be approved by voters in the November 2026 election to take effect.

SB 294 establishes an annual $5 million deduction for promotional play wagers in Louisiana gaming operations. It allows licensed casinos and gaming operators to assign unused portions of this deduction to other licensed operators (under Chapters 4, 5, or 7), with written reporting to the Louisiana Gaming Control Board. The bill amends definitions in gaming statutes to clarify how this deduction affects net gaming proceeds, gross revenue, and net slot machine proceeds calculations. This policy change directly affects licensed gaming operators by modifying how promotional play costs are accounted for in financial reporting.

HB 824 establishes an annual spending cap for Louisiana's state general fund by calculating a "Government Growth Limit" based on population growth and inflation (using U.S. Census and Bureau of Labor Statistics data) from the previous five years. This limit restricts how much annual state funding can be allocated for ongoing expenses, requiring any amounts above the cap to fund one-time costs instead. Exceptions apply to funds from the Budget Stabilization Fund, federal funding replacements, or other designated sources. The bill affects all state budget decisions and requires the governor and legislature to adhere to this cap when proposing or approving spending.