HB 971 — MEDICAID: Provides relative to Medicaid reimbursement for rural health clinics (EN +$2,655,159 GF EX See Note)
Last action — Signed by the Governor. Becomes Act No. 859.
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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 March 16, 2026. Enacted.
Signed by Governor Jeff Landry (Republican) on June 08, 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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3 sponsors
1 primary, 2 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (1 D · 1 R) — cross-party backing.
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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
The bill adjusts Medicaid reimbursement rates for rural health clinics.
This bill modifies the Medicaid reimbursement system specifically for rural health clinics, allowing for increased funding. It aims to enhance healthcare access in rural areas by ensuring clinics receive adequate financial support.
What this means for you
- Families: Increased reimbursement for rural clinics may lead to better healthcare access for families living in rural areas.
- Consumers: Consumers may benefit from improved services and access to care at rural health clinics.
- Healthcare: This means rural health clinics will receive more funding, potentially improving healthcare services in rural communities.
Bill Text
What changed in the latest version
52 added · 59 removedPlain-language change summary
In the latest version of Bill HB 971, a specific reference to "ACT No. 859" has been removed. This change might signify that the bill is no longer linked to that prior act or that the contents of the act have been fully addressed elsewhere in the legislation. This simplification helps clarify the bill's intentions and ensures that it stands on its own without reliance on previous legislation. Understanding these edits is crucial because they can influence how the bill is interpreted and implemented in the future.
HLSENROLLED 26RS-1425 REENGROSSED Regular Session HOUSE BILL NO.
971 BY REPRESENTATIVEREPRESENTATIVES STAGNISTAGNI, MEDICAID:BERAULT, AND CHASSION AN ACT To enact R.S.
Provides40:2116(B)(8) and 2197.1, relative to Medicaid reimbursement for rural health clinicsclinics; AN ACT To enact R.S.
40:2197.1, relative to rural health clinics;
to provide for facility need review;
40:2197.140:2116(B)(8) isand hereby2197.1 enactedare herebyenacted to read as follows:
§2197.1.§2116.
Facility need review * * * B.Thefollowinghealthcareprovidersshallbesubjecttofacilityneedreview to determine the need for a new or additional facility, provider, program, service, or bed:
* * * (8) Types one and two rural health clinics.
* * * §2197.1.
TheIn LouisianaDepartmentofHealthshallensurethatindependentruralhealthclinicsarefiscal reimbursedyears2026-2027 byand Medicaid2027-2028, atthe Louisiana Departmentof Healthshall increase the sameencounter rate asthat provider-basedis in effect in the previous fiscal year for independent rural health clinics.clinics by forty-one dollars and fifty cents.
B.The annual Medicare Economic Index inflationary adjustment shall be applied to this rate.
Page 1 of 2 CODING:
Wordsinstruckthroughtypearedeletionsfromexistinglaw;wordsunderscored are additions.
HB NO.
971 ENROLLED B.
C.
The provisions of this Section are subject to the approval of the Centers for Medicare and Medicaid services.
D.
The Louisiana Department of Health shall submit a monthlyreport to the legislaturethatprovidesthenumberofencounterspermonthforeachindividualtype oneclinicandthetotal amountofmonthlyexpendituresforeachindividualtypeone clinic.
PageSection 13.(A) The provisions of Sections 1 and 2 CODING:of this Act shall become effective when an Act of the Louisiana Legislature containing a specific appropriation of monies for the implementation of the provisions of this Act becomes effective.
Wordsinstruckthroughtypearedeletionsfromexistinglaw;wordsunderscored are additions.
HLS 26RS-1425 REENGROSSED HB NO.
971 Section 3.(A) The provisions of Sections 1 and 2 of this Act shall become effective when an Act of the Louisiana Legislature containing a specific appropriation of monies for the implementation of the provisions of this Act becomes effective.
DIGESTSPEAKER ThedigestprintedbelowwaspreparedbyHouseLegislativeOF Services.THE HOUSE OF REPRESENTATIVES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED:
It constitutes nopart of the legislative instrument.
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 971 Reengrossed 2026 Regular Session Stagni Abstract:
Requires the La.
Dept.
of Health (LDH) to take all necessary actions to ensure that independent rural health clinics are reimbursed byMedicaid at the same rate as provider-based rural health clinics.
Present law defines a rural health clinic as a facility that provides primary healthcare servicesto outpatients locatedin an area that is not an urbanized areaas defined bythe U.S.
Census Bureau.
Proposed law requires the secretary of LDH to take all necessary actions to equalize Medicaidreimbursementratesbetweenindependentruralhealthclinics and provider-based rural health clinics.
Proposed law requires LDH to take any necessary action to implement the provisions of proposed law not later than 90 days after the effective date of proposed law including filing a Medicaid state plan amendment or promulgating and adopting rules.
Effective upon appropriation of funds bythe legislature.
(Adds R.S.
40:2197.1) Summary of Amendments Adopted by House The Committee Amendments Proposed by House Committee on Appropriations to the engrossed bill:
1.
Show all 44 changed lines (4 more)
Change deadline by which LDH must take action to implement proposed law from Oct.
1, 2026, to 90 days after proposed law becomes effective.
2.
Make effectiveness of proposed law subject to appropriation of monies by the legislature for the implementation of proposed law.
Show all 44 changed rows (4 more)
View plain text versions (5)
- Enrolled HB971 Enrolled Current pdf
- Engrossed HB971 Reengrossed pdf
- Engrossed HB971 Engrossed pdf
- HB971 Act 859 View text pdf
- HB971 Original View text pdf
Amendments
3 amendments- Senate Floor Amendment, #4243, McMath, Adopted Adopted Show changes
- House Committee Amendment, #4580, APP, Adopted Adopted Show changes
- House Committee Amendment, #4447, APP, 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. 859.
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Effective date: 06/08/2026.
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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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Read by title, roll called, yeas 95, nays 0, Senate amendments concurred in.
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Scheduled for concurrence on 05/29/2026.
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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.
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Received from the Senate with amendments.
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Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
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Rules suspended. Recalled from Committee.
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Read by title and referred to the Legislative Bureau.
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Read by title. Recommitted to the Committee on Finance.
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Reported favorably.
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Read second time by title and referred to the Committee on Health and Welfare.
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Read third time by title, roll called on final passage, yeas 91, nays 6. Finally passed, title adopted, ordered to the Senate.
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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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Scheduled for floor debate on 05/05/2026.
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Read by title, amended, ordered reengrossed, passed to 3rd reading.
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Reported with amendments (14-0).
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Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
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Reported favorably (9-0).
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Read by title, under the rules, referred to the Committee on Health and Welfare.
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Read by title. Lies over under the rules.
Sponsors
- Tehmi Jahi Chassion · Cosponsor
- Stephanie H. Berault · Cosponsor
- Joe Stagni · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 144 not signed on · 5 voted No
Sponsors (1)
- Joe Stagni
Co-sponsors (2)
- Tehmi Jahi Chassion Democrat
- Stephanie H. Berault Republican
Not signed on (144)
144 members have not signed on to this bill.
Show all 144 →"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 | 26 | 0 | 0 | 4 |
| Republican | 63 | 0 | 0 | 5 |
| Unaffiliated | 6 | 0 | 0 | 1 |
| Total | 95 | 0 | 0 | 10 |
| % of votes cast | 90% | 0% | 0% | 10% |
How each member voted (105)
| Member | Party | Vote |
|---|---|---|
| Amedee | — | Yea |
| Galle | — | Yea |
| Stagni | — | Yea |
| Mr. Speaker | — | Not Voting |
| Johnson, T. | — | Yea |
| Landry, T. | — | Yea |
| St. Blanc | — | Yea |
| Adrian Fisher | Democrat | Yea |
| Aimee Adatto Freeman | Democrat | Yea |
| 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 | Yea |
| 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 | Not Voting |
| Steven Jackson | Democrat | Yea |
| Sylvia Elaine Taylor | Democrat | Not Voting |
| 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 | Not Voting |
| 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 | Not Voting |
| 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 | Yea |
| Neil Riser | Republican | Yea |
| Nicholas Muscarello | Republican | Yea |
| Paul Sawyer | Republican | Yea |
| 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 |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 1 | 0 | 0 | 0 |
| Republican | 27 | 0 | 0 | 0 |
| Democrat | 9 | 0 | 0 | 2 |
| Total | 37 | 0 | 0 | 2 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (39)
| Member | Party | Vote |
|---|---|---|
| Mr. President | — | Yea |
| Edward J. Price | Democrat | Not Voting |
| 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 | Yea |
| Glen Womack | Republican | Yea |
| Gregory A. Miller | Republican | Yea |
| Heather Cloud | Republican | Yea |
| Jeremy Stine | Republican | Yea |
| 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 | Yea |
| 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 | 5 | 1 | 0 | 1 |
| Republican | 59 | 5 | 0 | 4 |
| Democrat | 27 | 0 | 0 | 3 |
| Total | 91 | 6 | 0 | 8 |
| % of votes cast | 87% | 6% | 0% | 8% |
How each member voted (105)
| Member | Party | Vote |
|---|---|---|
| Mr. Speaker | — | Yea |
| Galle | — | Yea |
| Amedee | — | Nay |
| Stagni | — | Not Voting |
| Johnson, T. | — | Yea |
| Landry, T. | — | Yea |
| St. Blanc | — | Yea |
| Adrian Fisher | Democrat | Not Voting |
| Aimee Adatto Freeman | Democrat | Yea |
| Alonzo L. Knox | Democrat | Yea |
| Barbara Carpenter | Democrat | Yea |
| 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 | Yea |
| 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 | Yea |
| 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 | Not Voting |
| 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 | Not Voting |
| 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 | Nay |
| Daryl Andrew Deshotel | Republican | Yea |
| Debbie Villio | Republican | Yea |
| Dixon Wallace McMakin | Republican | Yea |
| Dodie Horton | Republican | Nay |
| 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 | Not Voting |
| Jr., Dennis Bamburg | Republican | Yea |
| Jr., John R. Illg | Republican | Yea |
| Jr., Michael Robert Bayham | Republican | Yea |
| Kathy Edmonston | Republican | Nay |
| 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 | Not Voting |
| Les Farnum | Republican | Yea |
| Mark Wright | Republican | Yea |
| Michael "Gabe" Firment | Republican | Not Voting |
| 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 | Nay |
| Reese "Skip" Broussard | Republican | Yea |
| Rhonda Gaye Butler | Republican | Yea |
| Robert "Bob" Owen | Republican | Yea |
| Rodney Schamerhorn | Republican | Nay |
| 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 971?
- HB 971 is sponsored by Tehmi Jahi Chassion (Democrat), Stephanie H. Berault (Republican), and Joe Stagni.
- What is the current status of HB 971?
- This bill has been enacted into law. Introduced March 16, 2026. Enacted.
- Where can I track HB 971?
- Track HB 971 free on One Click Politics — get push/email alerts when it moves.
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