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HB199 • 2026

NURSING HOMES: Extends moratorium on nursing facilities (EN SEE FISC NOTE GF EX See Note)

NURSING HOMES: Extends moratorium on nursing facilities (EN SEE FISC NOTE GF EX See Note)

Healthcare
Enacted

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

Sponsor
Dustin Miller
Last action
2026-05-15
Official status
Signed by the Governor - Act 136
Effective date
Not listed

Plain English Breakdown

The official source does not provide specific details on how collected data will be used or analyzed beyond reporting requirements.

Nursing Homes Moratorium Extension

This act extends the moratorium on new nursing homes and additional beds until July 1, 2031.

What This Bill Does

  • Extends the ban on building new nursing homes and adding more beds to existing ones until July 1, 2031.
  • Requires the state department to collect data from hospitals about avoidable skilled nursing days starting January 1, 2027.
  • Requires the state department to gather information monthly from nursing facilities about their bed capacity and occupancy rates starting January 1, 2027.
  • Mandates that nursing facilities report any refusals to admit patients who need care along with reasons for these refusals starting January 1, 2027.
  • Requires the department to submit quarterly and annual reports on this data to health committees.

Who It Names or Affects

  • Nursing homes and hospitals in Louisiana
  • The state department responsible for collecting and analyzing nursing home data

Terms To Know

moratorium
A temporary ban on building new nursing facilities or adding more beds to existing ones.
occupancy rate
The percentage of available beds in a nursing facility that are filled with patients.

Limits and Unknowns

  • Does not specify what will happen after the moratorium ends on July 1, 2031.
  • Does not provide details about how the collected data will be used or analyzed beyond reporting requirements.

Amendments

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

Filed

Plain English: SSHB199 4465 5330 HOUSE SUMMARY OF SENATE AMENDMENTS HB 199 2026 Regular Session Miller NURSING HOMES: Extends moratorium on nursing facilities Synopsis of Senate Amendments 1.

  • SSHB199 4465 5330 HOUSE SUMMARY OF SENATE AMENDMENTS HB 199 2026 Regular Session Miller NURSING HOMES: Extends moratorium on nursing facilities Synopsis of Senate Amendments 1.
  • Modifies the reporting requirements related to assessing the need for continuing the nursing home moratorium.
  • Digest of Bill as Finally Passed by Senate Present law establishes a facility need review process within the La.
  • Dept.
Adopted

Plain English: HFAHB199 4465 2917 FOR OFFICE USE ONLY HOUSE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Representative Berault to Engrossed House Bill No.

  • HFAHB199 4465 2917 FOR OFFICE USE ONLY HOUSE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Representative Berault to Engrossed House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, line 8, change "B.(1)" to "B.(1)(a)" 3 AMENDMENT NO.
  • 2 4 On page 1, between lines 9 and 10 insert the following: 5 "(b) The department shall collect and analyze data to assess the continued 6 necessity of the nursing facility moratorium.
Adopted

Plain English: HCAHB199 4465 2411 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Health and Welfare to Original House Bill No.

  • HCAHB199 4465 2411 HOUSE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by House Committee on Health and Welfare to Original House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, line 9, change "July 1, 2032." to "July 1, 2031." Page 1 of 1 CODING: Words in struck through type are deletions from existing law; words underscored are additions.
Filed

Plain English: The amendment to HB199 extends the moratorium on new nursing facilities.

  • Extends the period during which no new nursing facilities can be established.
  • The official text does not provide specific details about how long the extension will last or what conditions it includes, making a full explanation of changes difficult.
Filed

Plain English: SFAHB199 2352 3259 SENATE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Senator Miller to Reengrossed House Bill No.

  • SFAHB199 2352 3259 SENATE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Senator Miller to Reengrossed House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, line 9, change "July 1, 2031" to "July 1, 2028 Page 1 of 1
Filed

Plain English: 2026 Regular Session Sequence: 604 HBS 3RD READING AND FINAL PASSAGE HB 199 BY MILLER NURSING HOMES RE1 SEE FISC NOTE GF EX AMENDMENT # 3259 BY MILLER Date: 5/05/2026 Time: 7:17:50 PM ROLL CALL The roll was called with the following result: YEAS Barthelemy Bass Carter Duplessis Fesi Foil Harris Lambert Miller Mizell Morris Talbot Wheat Total -- 13 NAYS Mr.

  • 2026 Regular Session Sequence: 604 HBS 3RD READING AND FINAL PASSAGE HB 199 BY MILLER NURSING HOMES RE1 SEE FISC NOTE GF EX AMENDMENT # 3259 BY MILLER Date: 5/05/2026 Time: 7:17:50 PM ROLL CALL The roll was called with the following result: YEAS Barthelemy Bass Carter Duplessis Fesi Foil Harris Lambert Miller Mizell Morris Talbot Wheat Total -- 13 NAYS Mr.
  • President Abraham Allain Barrow Boudreaux Cathey Cloud Edmonds Hensgens Hodges Jackson-Andrews Jenkins Kleinpeter Luneau McMath Miguez Myers Owen Pressly Price Seabaugh Stine Womack Total -- 23 ABSENT Connick Reese Selders Total -- 3
Filed

Plain English: 2026 Regular Session Sequence: 603 HBS 3RD READING AND FINAL PASSAGE HB 199 BY MILLER NURSING HOMES RE1 SEE FISC NOTE GF EX AMENDMENT # 3250 BY CARTER Date: 5/05/2026 Time: 7:12:40 PM ROLL CALL The roll was called with the following result: YEAS Barthelemy Carter Duplessis Fesi Harris Lambert Mizell Talbot Wheat Total -- 9 NAYS Mr.

  • 2026 Regular Session Sequence: 603 HBS 3RD READING AND FINAL PASSAGE HB 199 BY MILLER NURSING HOMES RE1 SEE FISC NOTE GF EX AMENDMENT # 3250 BY CARTER Date: 5/05/2026 Time: 7:12:40 PM ROLL CALL The roll was called with the following result: YEAS Barthelemy Carter Duplessis Fesi Harris Lambert Mizell Talbot Wheat Total -- 9 NAYS Mr.
  • President Abraham Allain Barrow Bass Boudreaux Cathey Cloud Edmonds Foil Hensgens Hodges Jackson-Andrews Jenkins Kleinpeter Luneau McMath Miguez Miller Morris Myers Owen Pressly Price Seabaugh Stine Womack Total -- 27 ABSENT Connick Reese Selders Total -- 3
Filed

Plain English: SFAHB199 2283 3250 SENATE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Senator Carter to Reengrossed House Bill No.

  • SFAHB199 2283 3250 SENATE FLOOR AMENDMENTS 2026 Regular Session Amendments proposed by Senator Carter to Reengrossed House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, line 2, after "R.S.
  • 40:2116.1(B)(1)" insert "and to enact R.S.
Adopted

Plain English: SCAHB199 3005 2564 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.

  • SCAHB199 3005 2564 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, delete lines 10 through 20 and on page 2, delete lines 1 and 2 and insert the 3 following: 4 "(b) The department shall collect and analyze data to assess the continued necessity 5 of the nursing facility moratorium.
  • 6 (i) Beginning January 1, 2027, the department shall collect, at a minimum, the 7 following information monthly from all licensed hospitals in Louisiana: 8 (aa) The number of avoidable skilled nursing days occurring in hospitals.
Draft

Plain English: SCAHB199 3005 2463 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.

  • SCAHB199 3005 2463 SENATE COMMITTEE AMENDMENTS 2026 Regular Session Amendments proposed by Senate Committee on Health and Welfare to Reengrossed House Bill No.
  • 199 by Representative Miller 1 AMENDMENT NO.
  • 1 2 On page 1, delete lines 10 through 20 and on page 2, delete lines 1 and 2 and insert the 3 following: 4 "(b) The department shall collect and analyze data to assess the continued 5 necessity of the nursing facility moratorium.
  • 6 (i) Beginning January 1, 2027, the department shall collect, at a minimum, the 7 following information monthly from all licensed hospitals in Louisiana: 8 (aa) The number of avoidable skilled nursing days occurring in hospitals.

Bill History

  1. 2026-05-15 H

    Effective date: 08/01/2026.

  2. 2026-05-15 H

    Signed by the Governor. Becomes Act No. 136.

  3. 2026-05-13 H

    Sent to the Governor for executive approval.

  4. 2026-05-12 S

    Signed by the President of the Senate.

  5. 2026-05-12 H

    Enrolled and signed by the Speaker of the House.

  6. 2026-05-11 H

    Read by title, roll called, yeas 92, nays 2, Senate amendments concurred in.

  7. 2026-05-07 H

    Scheduled for concurrence on 05/11/2026.

  8. 2026-05-06 H

    Received from the Senate with amendments.

  9. 2026-05-05 S

    Rules suspended. Read by title, passed by a vote of 24 yeas and 12 nays, and ordered returned to the House. Motion to reconsider tabled.

  10. 2026-04-28 S

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

  11. 2026-04-27 S

    Committee amendments read and adopted. Read by title and referred to the Legislative Bureau.

  12. 2026-04-22 S

    Reported with amendments.

  13. 2026-04-07 S

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

  14. 2026-04-01 S

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

  15. 2026-03-31 H

    Read third time by title, amended, roll called on final passage, yeas 88, nays 11. Finally passed, title adopted, ordered to the Senate.

  16. 2026-03-30 H

    Scheduled for floor debate on 03/31/2026.

  17. 2026-03-26 H

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

  18. 2026-03-25 H

    Reported with amendments (11-0).

  19. 2026-03-09 H

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

  20. 2026-02-20 H

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

  21. 2026-02-18 H

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

  22. 2026-02-18 H

    Prefiled.

Official Summary Text

NURSING HOMES: Extends moratorium on nursing facilities (EN SEE FISC NOTE GF EX See Note)

Current Bill Text

Read the full stored bill text 
ENROLLED
ACT No. 1362026 Regular Session
HOUSE BILL NO. 199
BY REPRESENTATIVES MILLER AND CHASSION
1 AN ACT
2 To amend and reenact R.S. 40:2116.1(B)(1), relative to the moratorium on nursing facilities;
3 to provide for a termination date; and to provide for related matters.
4 Be it enacted by the Legislature of Louisiana:
5 Section 1. R.S. 40:2116.1(B)(1) is hereby amended and reenacted to read as follows:
6 §2116.1. Nursing facilities; facility need review; moratorium; exceptions
7 * * *
8 B.(1)(a) There shall be a moratorium on nursing facilities and additional
9 beds for nursing facilities which shall be in effect until July 1, 2027 July 1, 2031.
10 (b) The department shall collect and analyze data to assess the continued
11 necessity of the nursing facility moratorium.
12 (i) Beginning January 1, 2027, the department shall collect, at a minimum,
13 the following information monthly from all licensed hospitals in Louisiana:
14 (aa) The number of avoidable skilled nursing days occurring in hospitals.
15 (bb) An accounting of the reasons why such days were avoidable.
16 (ii) Beginning January 1, 2027, the department shall collect, at a minimum,
17 the following information monthly from all licensed nursing facilities in Louisiana:
18 (aa) The staffed licensed bed capacity of the nursing facility, as well as total
19 occupancy, delineated by payor source.
20 (bb) The number of denials or refusals to admit patients who are eligible for
21 nursing facility care and the reasons for any denials or refusals.
22 (c) The department may provide or mandate a template, form, or system for
23 the collection of information.
Page 1 of 2
CODING: Words in struck through type are deletions from existing law; words underscored
are additions.
HB NO. 199 ENROLLED
1 (d) The department shall submit the following reports to include the data
2 collected and analysis required pursuant to Subparagraph (b) of this Paragraph to the
3 House and Senate committees on health and welfare:
4 (i) A quarterly report on the fifteenth of October, January, April, and July of
5 each year to include the data and analysis from the prior quarter. The first quarterly
6 report shall be submitted on April 15, 2027.
7 (ii) An annual report to include data and analysis from the prior calendar
8 year. The first annual report shall be submitted on March 1, 2028, and submitted
9 annually on March first of each subsequent year.
10 * * *
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.