HB 181 — MEDICAID: Provides for Medicaid fraud detection and prevention (EN SEE FISC NOTE SG EX See Note)
Last action — Signed by the Governor. Becomes Act No. 624.
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✓Introduced
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✓In Committee
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✓Passed House
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✓Passed Senate
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced February 18, 2026. Enacted.
Signed by Governor Jeff Landry (Republican) on June 02, 2026.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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1 sponsor
1 primary, 0 co-sponsors signed on.
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Single-party support
Sponsorship is currently within one party (1 R).
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Cleared a recorded vote
Passed 3 recorded votes so far.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
In plain language
This bill enhances measures to detect and prevent Medicaid fraud.
The legislation aims to improve the processes used for identifying and stopping fraud within the Medicaid system. This includes updating detection methods and implementing new prevention strategies.
What this means for you
- Consumers: This means more robust protections against fraud, helping to ensure funds are properly allocated to those in need.
Bill Text
What changed in the latest version
41 added · 82 removedPlain-language change summary
In the new version of Bill HB 181, a reference to "ACT No. 624" has been removed. This change simplifies the bill by eliminating an outdated or unnecessary citation, which can make it easier for legislators and the public to understand. Removing such references helps ensure that the bill focuses on the current laws and issues at hand.
HLSENROLLED 26RS-229 REENGROSSED Regular Session HOUSE BILL NO.
181 BY REPRESENTATIVE BACALA MEDICAID:AN ACT To enact R.S.
Provides for Medicaid fraud detection and prevention AN ACT To enact R.S.
47:1508(B)(44) for the limited purposes of ensuring accuracy of Medicaid and Supplemental Nutrition Assistance Program eligibility determinations, detecting and preventing fraud in the Medicaid program and SupplementalPage Nutrition1 Assistance Program, and fulfilling all other applicable requirements of the3 MedicalCODING: Assistance Programs Integrity Law, R.S.
46:437.1 et seq.
Page 1 of 4 CODING:
HLS 26RS-229 REENGROSSED HB NO.
181 SectionENROLLED 2.Supplemental Nutrition Assistance Program, and fulfilling all other applicable requirements of the Medical Assistance Programs Integrity Law, R.S.
46:437.1 et seq.
Section 2.
* * * (44)(a) Thesecretaryfromdisclosingindividual-levelstateincometaxreturn datadatato tothelegislative theauditor,uponrequestofthelegislativeauditor,exclusivelyfor legislative auditor exclusively for the purposes specified in this Paragraph.
(c) The secretary mayshall enter into any memorandum of understanding, cooperative endeavor, or other type of agreement as may be necessary to facilitate the sharing of data with the legislative auditor for the purposes set forth in this Paragraph.
(d) Any disclosure authorized pursuant to this Paragraph shall comply with applicable federal law, including 26 U.S.C.
6103.
If vetoedPage bythe2 governorandof subsequentlyapprovedbythe3 legislature,CODING: this Act shall become effective on the dayfollowing such approval.
Page 2 of 4 CODING:
HLS 26RS-229 REENGROSSED HB NO.
181 DIGESTENROLLED ThedigestprintedbelowwaspreparedbyHouseLegislativevetoed Services.bythe governorand subsequentlyapproved bythe legislature, this Act shall become effective on the dayfollowing such approval.
ItSPEAKER constitutesOF nopartTHE ofHOUSE theOF legislativeREPRESENTATIVES instrument.PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
ThePage keyword,3 one-liner, abstract, and digest do not constitute part of the3 lawCODING: or proof or indicia of legislative intent.
[R.S.
1:13(B) and 24:177(E)] HB 181 Reengrossed 2026 Regular Session Bacala Abstract:
AuthorizestheDept.ofRevenuetoshareindividual-levelstateincometaxreturn data with the legislative auditor for purposes of Medicaid and Supplemental Nutrition Assistance Program (SNAP) fraud detection and prevention.
Presentlaw,R.S.47:1508(A),providesthattherecordsandfilesofthesecretaryoftheDept.
of Revenue are confidential and privileged and that no person shall divulge or disclose any information obtained from such records and files except as authorized by present law.
Proposed law authorizes the secretaryof the Dept.
of Revenue to disclose individual-level stateincometaxreturndatatothelegislativeauditorforthefollowingpurposesexclusively:
(1) Ensuring accuracyof Medicaid and SNAP eligibility determinations.
(2) Detecting and preventing fraud in the Medicaid and SNAP programs.
(3) Fulfilling the requirements of present law relative to Medicaid program integrity, R.S.
46:437.1 et seq.
Proposed law authorizes the secretary of the Dept.
of Revenue to enter into any memorandum of understanding, cooperative endeavor, or other type of agreement as may be necessaryto facilitate the sharing of data with the legislative auditor for the purposes set forth in proposed law.
Present law, R.S.
24:513, provides for the powers and duties of the legislative auditor.
Proposed law retains present law and authorizes the legislative auditor to access individual-level state income tax return data, in accordance with proposed law, for the following purposes:
(1) Ensuring accuracyof Medicaid and SNAP eligibility determinations.
(2) Detecting and preventing fraud in the Medicaid and SNAP programs.
(3) Fulfilling all other applicable requirements of present law relative to Medicaid program integrity, R.S.
46:437.1 et seq.
Show all 53 changed lines (13 more)
Present law, R.S.
24:513(G)(1), provides that an audit report prepared by the legislative auditor is public record, but confidential materials disclosed to the legislative auditor used to prepare an audit report are not public record.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S.
24:513(Q) and R.S.
47:1508(B)(44)) Page 3 of 4 CODING:
Wordsinstruckthroughtypearedeletionsfromexistinglaw;wordsunderscored are additions.
HLS 26RS-229 REENGROSSED HB NO.
181 Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on House and Governmental Affairs to the original bill:
1.
Add authorization for the Dept.
of Revenue to disclose, and for the legislative auditor to use, individual-level state income tax return data for purposes of SNAP program eligibility determinations and the detection and prevention of SNAP program fraud.
Page 4 of 4 CODING:
Show all 53 changed rows (13 more)
View plain text versions (5)
- Enrolled HB181 Enrolled Current pdf
- Engrossed HB181 Reengrossed pdf
- Engrossed HB181 Engrossed pdf
- HB181 Act 624 View text pdf
- HB181 Original View text pdf
Amendments
4 amendments- Senate Floor Amendment, #4470, Kleinpeter, Adopted Adopted Show changes
- House Floor Amendment, #3605, Bacala, Adopted Adopted Show changes
- House Committee Amendment, #3323, H&G, Adopted Adopted Show changes
- House Committee Amendment, #2633, H&G, Draft Show changes
Click Show changes on an amendment above to see how it modifies the bill.
Action History
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Signed by the Governor. Becomes Act No. 624.
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Effective date: 06/02/2026.
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Signed by the President of the Senate.
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Sent to the Governor for executive approval.
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Enrolled and signed by the Speaker of the House.
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Scheduled for concurrence on 05/29/2026.
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Read by title, roll called, yeas 73, nays 25, Senate amendments concurred in.
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Called from the Calendar.
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Senate floor amendments read and adopted. Read by title, passed by a vote of 26 yeas and 8 nays, and ordered returned to the House. Motion to reconsider tabled.
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Received from the Senate with amendments.
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Rules suspended.
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Read by title and returned to the Calendar, subject to call.
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Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
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Read by title and referred to the Legislative Bureau.
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Reported favorably.
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Read second time by title and referred to the Committee on Senate and Governmental Affairs.
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Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
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Called from the calendar.
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Read third time by title, amended, roll called on final passage, yeas 87, nays 2. Finally passed, title adopted, ordered to the Senate.
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Called from the calendar.
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Read by title, returned to the calendar.
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Notice given.
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Scheduled for floor debate on 04/28/2026.
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Read by title, returned to the calendar.
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Notice given.
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Scheduled for floor debate on 04/21/2026.
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Scheduled for floor debate on 04/14/2026.
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Read by title, amended, ordered engrossed, passed to 3rd reading.
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Reported with amendments (10-6).
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Read by title, under the rules, referred to the Committee on House and Governmental Affairs.
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First appeared in the Interim Calendar on 2/20/2026.
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Prefiled.
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Under the rules, provisionally referred to the Committee on House and Governmental Affairs.
Sponsors
- Tony Bacala · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 146 not signed on · 33 voted No
Sponsors (1)
- Tony Bacala Republican
Co-sponsors (0)
None.
Not signed on (146)
146 members have not signed on to this bill.
Show all 146 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democrat | 4 | 23 | 0 | 3 |
| Republican | 65 | 0 | 0 | 3 |
| Unaffiliated | 4 | 2 | 0 | 1 |
| Total | 73 | 25 | 0 | 7 |
| % of votes cast | 70% | 24% | 0% | 7% |
How each member voted (105)
| Member | Party | Vote |
|---|---|---|
| Amedee | — | Yea |
| Galle | — | Yea |
| Stagni | — | Yea |
| Mr. Speaker | — | Not Voting |
| Johnson, T. | — | Nay |
| Landry, T. | — | Nay |
| St. Blanc | — | Yea |
| Adrian Fisher | Democrat | Not Voting |
| Aimee Adatto Freeman | Democrat | Nay |
| Alonzo L. Knox | Democrat | Nay |
| Barbara Carpenter | Democrat | Not Voting |
| C. Denise Marcelle | Democrat | Nay |
| Candace N. Newell | Democrat | Nay |
| Chasity Martinez | Democrat | Yea |
| Dana Henry | Democrat | Nay |
| Delisha Boyd | Democrat | Nay |
| Ed Murray | Democrat | Nay |
| Edmond Jordan | Democrat | Nay |
| Gerald Boudreaux | Democrat | Yea |
| III, Ed Larvadain | Democrat | Nay |
| Joy Walters | Democrat | Nay |
| Jr., Kyle M. Green | Democrat | Nay |
| Ken Brass | Democrat | Yea |
| Mandie Landry | Democrat | Nay |
| Marcus Anthony Bryant | Democrat | Nay |
| Pat Moore | Democrat | Nay |
| Rashid Armand Young | Democrat | Nay |
| Robby Carter | Democrat | Nay |
| Rodney Lyons | Democrat | Nay |
| Roy Daryl Adams | Democrat | Yea |
| Shaun Raphael Mena | Democrat | Nay |
| Sr., Wilford Carter | Democrat | Nay |
| Steven Jackson | Democrat | Not Voting |
| Sylvia Elaine Taylor | Democrat | Nay |
| Tammy T. Phelps | Democrat | Nay |
| Tehmi Jahi Chassion | Democrat | Nay |
| Vanessa Caston LaFleur | Democrat | Nay |
| Annie Spell | Republican | Yea |
| Barbara Reich Freiberg | Republican | Yea |
| Beth Anne Billings | Republican | Yea |
| Brett F. Geymann | Republican | Yea |
| Brian Leonard Glorioso | Republican | Yea |
| Bryan Fontenot | Republican | Yea |
| Chad Michael Boyer | Republican | Yea |
| Chance Keith Henry | Republican | Yea |
| Christopher Turner | Republican | Yea |
| Danny McCormick | Republican | Yea |
| Daryl Andrew Deshotel | Republican | Yea |
| Debbie Villio | Republican | Yea |
| Dixon Wallace McMakin | Republican | Yea |
| Dodie Horton | Republican | Yea |
| Emily Chenevert | Republican | Yea |
| Foy Bryan Gadberry | Republican | Yea |
| Francis C. Thompson | Republican | Yea |
| Gregory A. Miller | Republican | Yea |
| III, Roger William Wilder | Republican | Yea |
| III, Vincent E. Cox | Republican | Yea |
| IV, Gerald "Beau" Beaullieu | Republican | Yea |
| Jack McFarland | Republican | Yea |
| Jacob Braud | Republican | Yea |
| Jacob Jules Landry | Republican | Yea |
| Jason Brian DeWitt | Republican | Yea |
| Jeffrey "Jeff" Fons Wiley | Republican | Yea |
| Jeremy LaCombe | Republican | Yea |
| Jerome Zeringue | Republican | Yea |
| Jessica Domangue | Republican | Yea |
| John E. Wyble | Republican | Yea |
| Joseph A. Orgeron | Republican | Yea |
| Josh Carlson | Republican | Yea |
| Jr., Dennis Bamburg | Republican | Yea |
| Jr., John R. Illg | Republican | Yea |
| Jr., Michael Robert Bayham | Republican | Not Voting |
| Kathy Edmonston | Republican | Yea |
| Kellee Hennessy Dickerson | Republican | Yea |
| Kim Carver | Republican | Yea |
| Kimberly Landry Coates | Republican | Yea |
| Larry A. Bagley | Republican | Not Voting |
| Lauren Ventrella | Republican | Yea |
| Laurie Schlegel | Republican | Yea |
| Les Farnum | Republican | Yea |
| Mark Wright | Republican | Yea |
| Michael "Gabe" Firment | Republican | Yea |
| Michael Charles Echols | Republican | Yea |
| Michael Melerine | Republican | Yea |
| Mike Johnson | Republican | Not Voting |
| Neil Riser | Republican | Yea |
| Nicholas Muscarello | Republican | Yea |
| Paul Sawyer | Republican | Yea |
| Phillip Eric Tarver | Republican | Yea |
| Polly Thomas | Republican | Yea |
| R. Dewith Carrier | Republican | Yea |
| Raymond J. Crews | Republican | Yea |
| Reese "Skip" Broussard | Republican | Yea |
| Rhonda Gaye Butler | Republican | Yea |
| Robert "Bob" Owen | Republican | Yea |
| Rodney Schamerhorn | Republican | Yea |
| Ryan Bourriaque | Republican | Yea |
| Shane Mack | Republican | Yea |
| Sr., Peter F. Egan | Republican | Yea |
| Stephanie H. Berault | Republican | Yea |
| Stephanie Hilferty | Republican | Yea |
| Timothy P. Kerner | Republican | Yea |
| Tony Bacala | Republican | Yea |
| Troy Jude Hebert | Republican | Yea |
| Wayne McMahen | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 1 | 0 | 0 | 0 |
| Republican | 25 | 0 | 0 | 2 |
| Democrat | 0 | 8 | 0 | 3 |
| Total | 26 | 8 | 0 | 5 |
| % of votes cast | 67% | 21% | 0% | 13% |
How each member voted (39)
| Member | Party | Vote |
|---|---|---|
| Mr. President | — | Yea |
| Edward J. Price | Democrat | Nay |
| Gary Carter | Democrat | Nay |
| Gerald Boudreaux | Democrat | Nay |
| Jay Luneau | Democrat | Not Voting |
| Jimmy Harris | Democrat | Nay |
| Katrina R. Jackson-Andrews | Democrat | Nay |
| Larry Selders | Democrat | Not Voting |
| Regina Barrow | Democrat | Nay |
| Royce Duplessis | Democrat | Nay |
| Sam Jenkins | Democrat | Nay |
| Sidney Barthelemy II | Democrat | Not Voting |
| Adam Bass | Republican | Yea |
| Alan Seabaugh | Republican | Yea |
| Beth Mizell | Republican | Yea |
| Blake Miguez | Republican | Yea |
| Bob Hensgens | Republican | Yea |
| Brach Jerad Myers | Republican | Yea |
| Caleb Kleinpeter | Republican | Yea |
| Eddie J. Lambert | Republican | Yea |
| Franklin J. Foil | Republican | Yea |
| Glen Womack | Republican | Yea |
| Gregory A. Miller | Republican | Yea |
| Heather Cloud | Republican | Yea |
| Jeremy Stine | Republican | Not Voting |
| John C. "Jay" Morris | Republican | Yea |
| Jr., William "Bill" Wheat | Republican | Yea |
| Kirk Talbot | Republican | Yea |
| Mark Abraham | Republican | Yea |
| Michael "Big Mike" Fesi | Republican | Yea |
| Mike Reese | Republican | Yea |
| Patrick Connick | Republican | Yea |
| Patrick McMath | Republican | Yea |
| Rick Edmonds | Republican | Not Voting |
| Robert "Bob" Owen | Republican | Yea |
| Robert Allain | Republican | Yea |
| Stewart Jr. Cathey | Republican | Yea |
| Thomas A. Pressly | Republican | Yea |
| Valarie Hodges | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 7 | 0 | 0 | 0 |
| Republican | 64 | 0 | 0 | 4 |
| Democrat | 16 | 2 | 0 | 12 |
| Total | 87 | 2 | 0 | 16 |
| % of votes cast | 83% | 2% | 0% | 15% |
How each member voted (105)
| Member | Party | Vote |
|---|---|---|
| Mr. Speaker | — | Yea |
| Amedee | — | Yea |
| Galle | — | Yea |
| Stagni | — | Yea |
| Johnson, T. | — | Yea |
| Landry, T. | — | Yea |
| St. Blanc | — | Yea |
| Adrian Fisher | Democrat | Yea |
| Aimee Adatto Freeman | Democrat | Not Voting |
| Alonzo L. Knox | Democrat | Not Voting |
| Barbara Carpenter | Democrat | Yea |
| C. Denise Marcelle | Democrat | Not Voting |
| Candace N. Newell | Democrat | Not Voting |
| Chasity Martinez | Democrat | Yea |
| Dana Henry | Democrat | Yea |
| Delisha Boyd | Democrat | Not Voting |
| Ed Murray | Democrat | Not Voting |
| Edmond Jordan | Democrat | Yea |
| Gerald Boudreaux | Democrat | Yea |
| III, Ed Larvadain | Democrat | Not Voting |
| Joy Walters | Democrat | Nay |
| Jr., Kyle M. Green | Democrat | Yea |
| Ken Brass | Democrat | Not Voting |
| Mandie Landry | Democrat | Yea |
| Marcus Anthony Bryant | Democrat | Yea |
| Pat Moore | Democrat | Yea |
| Rashid Armand Young | Democrat | Not Voting |
| Robby Carter | Democrat | Yea |
| Rodney Lyons | Democrat | Yea |
| Roy Daryl Adams | Democrat | Yea |
| Shaun Raphael Mena | Democrat | Yea |
| Sr., Wilford Carter | Democrat | Not Voting |
| Steven Jackson | Democrat | Yea |
| Sylvia Elaine Taylor | Democrat | Not Voting |
| Tammy T. Phelps | Democrat | Not Voting |
| Tehmi Jahi Chassion | Democrat | Nay |
| Vanessa Caston LaFleur | Democrat | Yea |
| Annie Spell | Republican | Yea |
| Barbara Reich Freiberg | Republican | Yea |
| Beth Anne Billings | Republican | Yea |
| Brett F. Geymann | Republican | Yea |
| Brian Leonard Glorioso | Republican | Yea |
| Bryan Fontenot | Republican | Yea |
| Chad Michael Boyer | Republican | Yea |
| Chance Keith Henry | Republican | Yea |
| Christopher Turner | Republican | Yea |
| Danny McCormick | Republican | Yea |
| Daryl Andrew Deshotel | Republican | Yea |
| Debbie Villio | Republican | Yea |
| Dixon Wallace McMakin | Republican | Yea |
| Dodie Horton | Republican | Yea |
| Emily Chenevert | Republican | Yea |
| Foy Bryan Gadberry | Republican | Yea |
| Francis C. Thompson | Republican | Yea |
| Gregory A. Miller | Republican | Yea |
| III, Roger William Wilder | Republican | Yea |
| III, Vincent E. Cox | Republican | Yea |
| IV, Gerald "Beau" Beaullieu | Republican | Yea |
| Jack McFarland | Republican | Yea |
| Jacob Braud | Republican | Yea |
| Jacob Jules Landry | Republican | Yea |
| Jason Brian DeWitt | Republican | Yea |
| Jeffrey "Jeff" Fons Wiley | Republican | Yea |
| Jeremy LaCombe | Republican | Yea |
| Jerome Zeringue | Republican | Yea |
| Jessica Domangue | Republican | Yea |
| John E. Wyble | Republican | Yea |
| Joseph A. Orgeron | Republican | Yea |
| Josh Carlson | Republican | Yea |
| Jr., Dennis Bamburg | Republican | Yea |
| Jr., John R. Illg | Republican | Yea |
| Jr., Michael Robert Bayham | Republican | Not Voting |
| Kathy Edmonston | Republican | Yea |
| Kellee Hennessy Dickerson | Republican | Yea |
| Kim Carver | Republican | Yea |
| Kimberly Landry Coates | Republican | Yea |
| Larry A. Bagley | Republican | Yea |
| Lauren Ventrella | Republican | Not Voting |
| Laurie Schlegel | Republican | Yea |
| Les Farnum | Republican | Yea |
| Mark Wright | Republican | Yea |
| Michael "Gabe" Firment | Republican | Yea |
| Michael Charles Echols | Republican | Yea |
| Michael Melerine | Republican | Yea |
| Mike Johnson | Republican | Yea |
| Neil Riser | Republican | Yea |
| Nicholas Muscarello | Republican | Yea |
| Paul Sawyer | Republican | Not Voting |
| Phillip Eric Tarver | Republican | Not Voting |
| Polly Thomas | Republican | Yea |
| R. Dewith Carrier | Republican | Yea |
| Raymond J. Crews | Republican | Yea |
| Reese "Skip" Broussard | Republican | Yea |
| Rhonda Gaye Butler | Republican | Yea |
| Robert "Bob" Owen | Republican | Yea |
| Rodney Schamerhorn | Republican | Yea |
| Ryan Bourriaque | Republican | Yea |
| Shane Mack | Republican | Yea |
| Sr., Peter F. Egan | Republican | Yea |
| Stephanie H. Berault | Republican | Yea |
| Stephanie Hilferty | Republican | Yea |
| Timothy P. Kerner | Republican | Yea |
| Tony Bacala | Republican | Yea |
| Troy Jude Hebert | Republican | Yea |
| Wayne McMahen | Republican | Yea |
Subjects
Frequently asked questions
- Who sponsors HB 181?
- HB 181 is sponsored by Tony Bacala (Republican).
- What is the current status of HB 181?
- This bill has been enacted into law. Introduced February 18, 2026. Enacted.
- Where can I track HB 181?
- Track HB 181 free on One Click Politics — get push/email alerts when it moves.
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