HB1028 • 2026

MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers (EN +$2,601,174 GF EX See Note)

Budget Healthcare

Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor: Rodney Lyons
Last action: 2026-06-25
Official status: Became law without the Governor's signature - Act 969
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers (EN +$2,601,174 GF EX See Note)

What This Bill Does

MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers (EN +$2,601,174 GF EX See Note)

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

Summary of Senate Amendments to HB1028

Filed

Plain English: SSHB1028 4465 6246 HOUSE SUMMARY OF SENATE AMENDMENTS HB 1028 2026 Regular Session Lyons MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers Synopsis of Senate Amendments 1.

SSHB1028 4465 6246 HOUSE SUMMARY OF SENATE AMENDMENTS HB 1028 2026 Regular Session Lyons MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers Synopsis of Senate Amendments 1.
Clarifies that wheelchair-accessible nonemergecy medical transportation (NEMT) services receive the increased rate as provided for in proposed law.
2.
Requires the La.

Fiscal Note - HB1028 ReReEngrossed With Senate Cmte Amendments

Filed

Plain English: Filed 7

The official amendment file could not be read automatically during the last sync, so only the official amendment metadata is shown right now.

House Committee Amendment #5002 APP Adopted

Adopted

Plain English: HCAHB1028 2549 5002 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.

HCAHB1028 2549 5002 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.
1028 by Representative Lyons 1 AMENDMENT NO.
1 2 On page 1, line 4, after "rate;" and before "and to" insert "to provide for an effective date;" 3 AMENDMENT NO.
2 4 On page 1, line 14, after "later than" and before "the Louisiana" delete "October 1, 2026," 5 and insert "ninety days after the effective date of this Act" 6 AMENDMENT NO.

House Committee Amendment #4894 APP Draft

Draft

Plain English: HCAHB1028 2549 4894 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.

HCAHB1028 2549 4894 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Appropriations to Engrossed House Bill No.
1028 by Representative Lyons 1 AMENDMENT NO.
1 2 On page 1, line 4, after "rate;" and before "and to" insert "to provide for an effective date;" 3 AMENDMENT NO.
2 4 On page 1, line 14, after "later than" and before "the Louisiana" delete "October 1, 2026," 5 and insert "ninety days after the effective date of this Act" 6 AMENDMENT NO.

House Committee Amendment #4308 H&W Draft

Draft

Plain English: HCAHB1028 4465 4308 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Health and Welfare to Original House Bill No.

HCAHB1028 4465 4308 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Health and Welfare to Original House Bill No.
1028 by Representative Lyons 1 AMENDMENT NO.
1 2 On page 1, line 2, change "R.S.
40:1257.2(C)" to "R.S.

House Vote on HB 1028 REJECT SENATE AMENDMENTS (#1745)

Filed

Plain English: 2026 Regular Session Sequence: 1745 HBS AMENDED BY SENATE TO BE CONCURRED IN HB 1028 BY LYONS REJECT SENATE AMENDMENTS Date: 5/29/2026 Time: 2:21:37 PM ROLL CALL The roll was called with the following result: YEAS Adams Amedee Bacala Bamburg Beaullieu Berault Billings Boudreaux Bourriaque Boyd Boyer Brass Braud Broussard Bryant Butler Carlson Carrier Carter, W.

2026 Regular Session Sequence: 1745 HBS AMENDED BY SENATE TO BE CONCURRED IN HB 1028 BY LYONS REJECT SENATE AMENDMENTS Date: 5/29/2026 Time: 2:21:37 PM ROLL CALL The roll was called with the following result: YEAS Adams Amedee Bacala Bamburg Beaullieu Berault Billings Boudreaux Bourriaque Boyd Boyer Brass Braud Broussard Bryant Butler Carlson Carrier Carter, W.
Carver Chassion Chenevert Coates Cox Crews Deshotel Dewitt Dickerson Domangue Echols Edmonston Egan Firment Fisher Fontenot Freeman Freiberg Gadberry Galle Geymann Glorioso Green Hebert Henry, C.
Henry, D.
Hilferty Horton Illg Jackson Johnson, M.

Senate Committee Amendment #4178 H&W Adopted

Adopted

Plain English: SCAHB1028 3005 4178 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.

SCAHB1028 3005 4178 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.
1028 by Representative Lyons 1 AMENDMENT NO.
1 2 On page 1, line 13, after "services" insert ", including wheelchair-accessible NEMT" 3 AMENDMENT NO.
2 4 On page 1, between lines 13 and 14, insert the following: 5 "D.

Senate Committee Amendment #3953 H&W Draft

Draft

Plain English: SCAHB1028 3005 3953 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.

SCAHB1028 3005 3953 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.
1028 by Representative Lyons 1 AMENDMENT NO.
1 2 On page 1, line 13, after "services" insert ", including wheelchair-accessible NEMT" 3 AMENDMENT NO.
2 4 On page 1, between lines 13 and 14, insert the following: 5 "D.

Bill History

2026-06-25 H
Effective date: 06/24/2026.
2026-06-25 H
Becomes Act No. 969 without the Governor's signature.
2026-06-04 H
Sent to the Governor for executive approval.
2026-06-01 S
Signed by the President of the Senate on 6/2/2026.
2026-06-01 H
Enrolled and signed by the Speaker of the House.
2026-06-01 H
Notice of Senate adoption of Conference Committee Report.
2026-06-01 S
Conference Committee Report read; adopted by a vote of 36 yeas and 0 nays.
2026-06-01 S
Notice House adopted the Conference Committee Report.
2026-06-01 H
Conference Committee Report read, roll called, yeas 74, nays 23. The Conference Committee Report was adopted.
2026-05-31 H
Scheduled for floor debate on 06/01/2026.
2026-05-31 H
Conference Committee report received. Lies over under the rules.
2026-05-31 S
Conference committee report received.
2026-05-29 H
Notice of Senate conferees appointed.
2026-05-29 S
Notice House Conference Committee members appointed.
2026-05-29 S
Senate conference committee members appointed: Carter, Harris, and McMath.
2026-05-29 H
House conferees appointed: Lyons, Miller, and LaFleur.
2026-05-29 S
Notice House rejected the Senate amendments.
2026-05-29 H
Read by title, roll called, yeas 95, nays 0, Senate amendments rejected, conference committee appointment pending.
2026-05-29 H
Scheduled for concurrence on 05/29/2026.
2026-05-28 H
Received from the Senate with amendments.
2026-05-28 S
The amended bill was read by title, passed by a vote of 30 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled.
2026-05-27 S
Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
2026-05-27 S
Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
2026-05-21 S
Read by title. Recommitted to the Committee on Finance.
2026-05-21 S
Senate Committee amendments read and adopted.
2026-05-20 S
Reported with amendments.
2026-05-12 S
Read second time by title and referred to the Committee on Health and Welfare.
2026-05-11 S
Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
2026-05-07 H
Read third time by title, roll called on final passage, yeas 80, nays 16. Finally passed, title adopted, ordered to the Senate.
2026-05-06 H
Scheduled for floor debate on 05/07/2026.
2026-05-06 H
Read by title, amended, ordered reengrossed, passed to 3rd reading.
2026-05-05 H
Reported with amendments (19-0).
2026-04-27 H
Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
2026-04-23 H
Reported favorably (12-0).
2026-03-31 H
Read by title, under the rules, referred to the Committee on Health and Welfare.
2026-03-30 H
Read by title. Lies over under the rules.

Official Summary Text

MEDICAID: Requires the Louisiana Department of Health to increase the reimbursement rates for nonemergency medical transportation providers (EN +$2,601,174 GF EX See Note)

Current Bill Text

Read the full stored bill text

ENROLLED
ACT No. 9692026 Regular Session
HOUSE BILL NO. 1028
BY REPRESENTATIVES LYONS, CHASSION, EGAN, FISHER, JACKSON, AND
SPELL
1 AN ACT
2 To enact R.S. 40:1257.2(C) through (E), relative to nonemergency medical transportation;
3 to provide for Medicaid reimbursement rates; to require the Louisiana Department
4 of Health to establish a minimum trip and mileage reimbursement rate; to provide
5 for an effective date; and to provide for related matters.
6 Be it enacted by the Legislature of Louisiana:
7 Section 1. R.S. 40:1257.2(C) through (E) are hereby enacted to read as follows:
8 §1257.2. Nonemergency medical transportation services
9 * * *
10 C. The department shall promulgate and adopt rules establishing a Medicaid
11 reimbursement rate methodology that provides for a minimum rate of fourteen
12 dollars and fifty cents per trip and two dollars and ten cents per mile for NEMT
13 services, including wheelchair-accessible NEMT.
14 D. The department shall promulgate rules to establish a NEMT rate
15 methodology for multiple passenger trips based on the number of passengers being
16 transported.
17 E. The department shall not allow an individual to be transported via NEMT
18 to a Medicaid covered service outside of the individual's parish of residence or
19 contiguous parishes unless there is a determination of medical necessity by the
20 Medicaid managed care organization or the department.
21 Section 2. Not later than ninety days after the effective date of this Act the Louisiana
22 Department of Health shall take all necessary actions including but not limited to filing a
23 Medicaid state plan amendment, to implement the provisions of this Act.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HB NO. 1028 ENROLLED
1 Section 3.(A) The provisions of Sections 1and 2 of this Act shall become effective
2 when an Act of the Louisiana Legislature containing a specific appropriation of monies for
3 the implementation of the provisions of this Act becomes effective.
4 (B) The provisions of this Section shall become effective upon signature by the
5 governor or, if not signed by the governor, upon expiration of the time for bills to become
6 law without signature by the governor, as provided by Article III, Section 18 of the
7 Constitution of Louisiana. If vetoed by the governor and subsequently approved by the
8 legislature, the provisions of this Section shall become effective on the day following such
9 approval.
SPEAKER OF THE HOUSE OF REPRESENTATIVES
PRESIDENT OF THE SENATE
GOVERNOR OF THE STATE OF LOUISIANA
APPROVED:
Page 2 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.