Louisiana 2026 Regular Session Status: Enacted 1 R cosponsors

HB 786 — MEDICAID MANAGED CARE: Prohibits certain processes used in healthcare provider claim payments

Last action — Signed by the Governor. Becomes Act No. 569.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 27, 2026. Enacted.

Signed by Governor Jeff Landry (Republican) on May 29, 2026.

Odds of enactment

High chance

Based 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

Likely to advance 72% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Cleared a recorded vote

    Passed 2 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

The bill prohibits certain claim payment processes in Medicaid managed care.

This legislation restricts specific processes used in the payment of healthcare provider claims under Medicaid managed care programs. It aims to improve the efficiency and fairness of claim payments.

What this means for you
  • Families: Families relying on Medicaid managed care might see improved access to healthcare services as provider payments become more efficient.
  • Consumers: Consumers could benefit from potentially better healthcare service availability as a result of improved provider payment processes.
  • Healthcare: Healthcare providers may experience faster and more straightforward claims payments due to new prohibitions on certain processes.

Bill Text

What changed in the latest version

25 added · 46 removed

Plain-language change summary

The amendment to Bill HB 786 removed the phrase "ACT No. 569." This change simplifies the bill by deleting outdated references, making it clearer and more relevant. Updating legislative language is important because it ensures that the bill reflects current laws and regulations, enhancing understanding for both lawmakers and the public.

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Latest
HLS 26RS-964 REENGROSSED Regular Session HOUSE BILL NO.
ENROLLED Regular Session HOUSE BILL NO.
786 BY REPRESENTATIVE EGAN MEDICAID MANAGED CARE:
786 BY REPRESENTATIVE EGAN AN ACT To amend and reenact R.S.
Prohibits certain processes used in healthcare provider claim payments AN ACT To amend and reenact R.S.
(2) A managed care organization shall be strictly prohibited from using extrapolation to completeanauditofahealthcareprovider.
(2) A managed care organization shall be strictly prohibited from using extrapolationto completeanauditofa healthcareprovider.
Page 1 of 3 CODING:
(3) Nothing in this Subsection shall beinterpretedorconstrued to prevent or otherwise prohibit the department or the Louisiana Department of Justice of using extrapolationto completeanauditofahealthcareproviderpursuanttoexistingstate and federal law and regulation.
Page 1 of 2 CODING:
HLS 26RS-964 REENGROSSED HB NO.
HB NO.
786 (3) Nothing in thisSubsection shall be interpretedor construed to prevent or otherwise prohibit the department or the Louisiana Department of Justice of using extrapolationto completeanauditofahealthcareproviderpursuantto existingstate and federal law and regulation.
786 ENROLLED C.D.
C.D.
AsusedinthisSection,"electronicfunds transfer"meansanelectronic funds transfer through the federal Health Insurance Portability and Accountability Act of 1996, P.L.
Asusedinthis Section,"electronicfundstransfer"meansanelectronic funds transfer through the federal Health Insurance Portability and Accountability Act of 1996, P.L.
DIGEST ThedigestprintedbelowwaspreparedbyHouseLegislative Services.
SPEAKER OF THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
It constitutes nopart of the legislative instrument.
Page 2 of 2 CODING:
The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent.
[R.S.
1:13(B) and 24:177(E)] HB 786 Reengrossed 2026 Regular Session Egan Abstract:
Provides for the prohibited use of certain processes for healthcare provider payment claims.
Present law provides that the provisions of the present law shall not be waived bycontract, and any contractual clause in conflict with the provisions of the present law or purports to waive any requirements of the present law is void.
Proposedlawamendspresentlaw,definesextrapolation,andstrictlyprohibitsextrapolation use by healthcare providers to complete audits and audit estimates.
Proposed law makes technical changes.
(Amends R.S.
46:460.75(C)-(E);
Adds R.S.
46:460.75(F)) Page 2 of 3 CODING:
Wordsinstruckthroughtypearedeletionsfromexistinglaw;wordsunderscored are additions.
HLS 26RS-964 REENGROSSED HB NO.
786 Summary of Amendments Adopted by House The Committee Amendments Proposed byHouse Committee on Health and Welfare to the original bill:
1.
Further clarifythe meaning of extrapolation as it relates to healthcare providers and existing state and federal law.
Page 3 of 3 CODING:
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Amendments

3 amendments

Click Show changes on an amendment above to see how it modifies the bill.

Action History

  1. Signed by the Governor. Becomes Act No. 569.

  2. Effective date: 08/01/2026.

  3. Sent to the Governor for executive approval.

  4. Received from the Senate without amendments.

  5. Enrolled and signed by the Speaker of the House.

  6. Signed by the President of the Senate.

  7. 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.

  8. Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.

  9. Read by title and referred to the Legislative Bureau.

  10. Reported favorably.

  11. Read second time by title and referred to the Committee on Health and Welfare.

  12. Received in the Senate. Read first time by title and placed on the Calendar for a second reading.

  13. Read third time by title, amended, roll called on final passage, yeas 95, nays 0. Finally passed, title adopted, ordered to the Senate.

  14. Scheduled for floor debate on 04/22/2026.

  15. Read by title, amended, ordered engrossed, passed to 3rd reading.

  16. Reported with amendments (13-0).

  17. Read by title, under the rules, referred to the Committee on Health and Welfare.

  18. Prefiled.

  19. Under the rules, provisionally referred to the Committee on Health and Welfare.

  20. First appeared in the Interim Calendar on 2/27/2026.

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 146 not signed on

Sponsors (1)

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.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

FINAL PASSAGE (#1166)

Passed 35 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 1000
Republican 24003
Democrat 10001
Total 35004
% of votes cast 90%0%0%10%
How each member voted (39)
Member Party Vote
Mr. President — Yea
Edward J. Price Democrat Yea
Gary Carter Democrat Yea
Gerald Boudreaux Democrat Yea
Jay Luneau Democrat Yea
Jimmy Harris Democrat Yea
Katrina R. Jackson-Andrews Democrat Yea
Larry Selders Democrat Not Voting
Regina Barrow Democrat Yea
Royce Duplessis Democrat Yea
Sam Jenkins Democrat Yea
Sidney Barthelemy II Democrat Yea
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 Not Voting
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 Not Voting
Rick Edmonds Republican Yea
Robert "Bob" Owen Republican Yea
Robert Allain Republican Yea
Stewart Jr. Cathey Republican Yea
Thomas A. Pressly Republican Yea
Valarie Hodges Republican Yea

Official roll call →

FINAL PASSAGE (#650)

Passed 95 Yea · 0 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 7000
Republican 63005
Democrat 25005
Total 950010
% of votes cast 90%0%0%10%
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 Yea
Barbara Carpenter Democrat Not Voting
C. Denise Marcelle Democrat Yea
Candace N. Newell Democrat Yea
Chasity Martinez Democrat Yea
Dana Henry Democrat Yea
Delisha Boyd Democrat Yea
Ed Murray Democrat Yea
Edmond Jordan Democrat Yea
Gerald Boudreaux Democrat Yea
III, Ed Larvadain Democrat Yea
Joy Walters Democrat Not Voting
Jr., Kyle M. Green Democrat Yea
Ken Brass Democrat Yea
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 Yea
Steven Jackson Democrat Not Voting
Sylvia Elaine Taylor Democrat Yea
Tammy T. Phelps Democrat Yea
Tehmi Jahi Chassion Democrat Yea
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 Not Voting
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 Not Voting
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 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 Yea
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 Not Voting
Timothy P. Kerner Republican Yea
Tony Bacala Republican Yea
Troy Jude Hebert Republican Yea
Wayne McMahen Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 786?
HB 786 is sponsored by Sr., Peter F. Egan (Republican).
What is the current status of HB 786?
This bill has been enacted into law. Introduced February 27, 2026. Enacted.
Where can I track HB 786?
Track HB 786 free on One Click Politics — get push/email alerts when it moves.

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