--- type: "Bill" title: "MENTAL HEALTH: Provides limitations on diagnosing of the disorder commonly known as \"Munchausen syndrome by proxy\", and on initiation of child welfare proceedings (EN SEE FISC NOTE SD EX See Note)" description: "MENTAL HEALTH: Provides limitations on diagnosing of the disorder commonly known as \"Munchausen syndrome by proxy\", and on initiation of child welfare proceedings (EN SEE FISC NOTE SD EX See Note)" jurisdiction: "us/states/la" legislature: "Louisiana Legislature" session: "2018" identifier: "HB 145" citation: "Louisiana HB 145 (2018)" classification: ["bill"] subjects: [] status: "enacted" primary_sponsors: ["Kenny Cox"] version_count: 6 action_count: 19 vote_count: 2 first_action: "2018-02-26" last_action: "2018-05-15" source: "openstates" source_identifier: "ocd-bill/92fbb1f2-7b4e-439a-826d-ea6c97838866" source_url: "http://www.legis.la.gov/Legis/BillInfo.aspx?i=233354" source_hash: "8f25f28dd755c436a5518802b5ed812c1609f3400574644e92a31ae58622f29d" vintage: "2026-07-01" source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump" retrieved_at: "2026-07-06" confidence: "reported" tags: ["legislation", "bill", "us-la"] --- # Louisiana HB 145 (2018) — MENTAL HEALTH: Provides limitations on diagnosing of the disorder commonly known as "Munchausen syndrome by proxy", and on initiation of child welfare proceedings (EN SEE FISC NOTE SD EX See Note) ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **HB145 Original** (filed) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1067341) 2. **HB145 Act 193** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1099049) 3. **HB145 Engrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1080153) 4. **House Committee Amendment, #1305, H&W, Draft** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1075672) 5. **House Committee Amendment, #1880, H&W, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1080099) 6. **HB145 Enrolled** (enrolled) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1093971) ## Votes - FINAL PASSAGE (#247) — **98–0** (pass) · legislature - FINAL PASSAGE (#741) — **30–0** (pass) · legislature ## Sponsors - Kenny Cox — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2018-05-15** Effective date: 08/01/2018. - **2018-05-15** Signed by the Governor. Becomes Act No. 193. `executive-signature` - **2018-05-09** Sent to the Governor for executive approval. `executive-receipt` - **2018-05-09** Signed by the President of the Senate. - **2018-05-08** Enrolled and signed by the Speaker of the House. - **2018-05-07** Received from the Senate without amendments. - **2018-05-07** Read by title, passed by a vote of 30 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage` - **2018-04-30** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. - **2018-04-26** Read by title and referred to the Legislative Bureau. - **2018-04-25** Rules suspended. Reported favorably. - **2018-04-05** Read second time by title and referred to the Committee on Health and Welfare. `referral-committee` - **2018-04-04** Received in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading. - **2018-04-04** Read third time by title, roll called on final passage, yeas 91, nays 5. Finally passed, title adopted, ordered to the Senate. `passage` - **2018-03-29** Scheduled for floor debate on 04/04/18. - **2018-03-29** Read by title, amended, ordered engrossed, passed to 3rd reading. - **2018-03-28** Reported with amendments (10-0). - **2018-03-12** Read by title, rules suspended, referred to the Committee on Health and Welfare. `referral-committee` - **2018-02-26** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee` - **2018-02-26** Prefiled. `filing` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/92fbb1f2-7b4e-439a-826d-ea6c97838866`. Confidence: reported (aggregated from official Louisiana legislature records).