---
type: "Bill"
title: "DRUGS/PRESCRIPTION: Provides for insurance coverage of step therapy or fail first protocols"
description: "DRUGS/PRESCRIPTION: Provides for insurance coverage of step therapy or fail first protocols"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2020"
identifier: "HB 263"
citation: "Louisiana HB 263 (2020)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Mike Huval"]
version_count: 10
action_count: 22
vote_count: 3
first_action: "2020-02-26"
last_action: "2020-06-11"
source: "openstates"
source_identifier: "ocd-bill/141e118e-7da6-487a-a664-94cc68c7b0d6"
source_url: "http://www.legis.la.gov/Legis/BillInfo.aspx?i=237822"
source_hash: "64a7cabe0a7be7b4c9ab9a7323f4ca1c83bdf56a6b07a7150ccbd319e4a5bb52"
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 263 (2020) — DRUGS/PRESCRIPTION: Provides for insurance coverage of step therapy or fail first protocols

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **HB263 Original** (filed) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1160142)
2. **HB263 Act** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1181914)
3. **HB263 Engrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1171934)
4. **HB263 Reengrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1175194)
5. **House Committee Amendment, #1824, INS, Draft** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1171480)
6. **House Committee Amendment, #1861, INS, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1171906)
7. **House Floor Amendment, #2439, Huval, Proposed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1174935)
8. **House Floor Amendment, #2474, Huval, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1175071)
9. **Senate Committee Amendment, #2052, INS, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1176338)
10. **HB263 Enrolled** (enrolled) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1178554)

## Votes

- FINAL PASSAGE (#474) — **35–0** (pass) · upper
- FINAL PASSAGE (#282) — **92–0** (pass) · lower
- CONCUR IN SENATE AMENDMENTS (#673) — **93–0** (pass) · lower

## Sponsors

- Mike Huval — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2020-06-11** Effective date: 06/11/2020.
- **2020-06-11** Signed by the Governor. Becomes Act No. 181. `executive-signature`
- **2020-06-03** Sent to the Governor for executive approval. `executive-receipt`
- **2020-06-01** Signed by the President of the Senate.
- **2020-06-01** Enrolled and signed by the Speaker of the House.
- **2020-05-31** Read by title, roll called, yeas 93, nays 0, Senate amendments concurred in.
- **2020-05-29** Scheduled for concurrence on 05/31/20.
- **2020-05-29** Received from the Senate with amendments.
- **2020-05-28** The amended bill was read by title, passed by a vote of 35 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2020-05-27** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
- **2020-05-27** Reported with amendments. Rules suspended. Committee amendments read and adopted. Read by title and referred to the Legislative Bureau.
- **2020-05-25** Read second time by title and referred to the Committee on Insurance. `referral-committee`
- **2020-05-22** Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
- **2020-05-21** Read third time by title, amended, roll called on final passage, yeas 92, nays 0. Finally passed, title adopted, ordered to the Senate. `passage`
- **2020-05-21** Called from the calendar.
- **2020-05-21** Read by title, returned to the calendar.
- **2020-05-20** Scheduled for floor debate on 05/21/20.
- **2020-05-15** Read by title, amended, ordered engrossed, passed to 3rd reading.
- **2020-05-13** Reported with amendments (11-0).
- **2020-03-09** Read by title, under the rules, referred to the Committee on Insurance. `referral-committee`
- **2020-02-26** Under the rules, provisionally referred to the Committee on Insurance. `referral-committee`
- **2020-02-26** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/141e118e-7da6-487a-a664-94cc68c7b0d6`. Confidence: reported (aggregated from official Louisiana legislature records).