---
type: "Bill"
title: "NURSES/REGISTERED: Provides relative to admitting privileges for psychiatric mental health nurse practitioners"
description: "NURSES/REGISTERED: Provides relative to admitting privileges for psychiatric mental health nurse practitioners"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2021"
identifier: "HB 181"
citation: "Louisiana HB 181 (2021)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dustin Miller"]
version_count: 8
action_count: 25
vote_count: 3
first_action: "2021-03-23"
last_action: "2021-06-16"
source: "openstates"
source_identifier: "ocd-bill/ba2d2503-2d2e-42d9-9af8-372c391473f4"
source_url: "http://www.legis.la.gov/Legis/BillInfo.aspx?i=240007"
source_hash: "4d309c2d4ef2c4791882f98f633436825986eedd35ceb5a501288027d80342dc"
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 181 (2021) — NURSES/REGISTERED: Provides relative to admitting privileges for psychiatric mental health nurse practitioners

## Version chain

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

1. **HB181 Original** (filed) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1205995)
2. **HB181 Act** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1235706)
3. **HB181 Engrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1220831)
4. **HB181 Reengrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1224369)
5. **House Committee Amendment, #2203, H&W, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1220419)
6. **House Floor Amendment, #2791, Crews, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1223814)
7. **Senate Floor Amendment, #3533, Mills, Fred, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1232268)
8. **HB181 Enrolled** (enrolled) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1233329)

## Votes

- FINAL PASSAGE (#888) — **23–13** (pass) · upper
- CONCUR IN SENATE AMENDMENTS (#1094) — **76–20** (pass) · lower
- FINAL PASSAGE (#427) — **54–39** (pass) · lower

## Sponsors

- Dustin Miller — primary (person)

## Timeline

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

- **2021-06-16** Effective date: 08/01/2021.
- **2021-06-16** Signed by the Governor. Becomes Act No. 373. `executive-signature`
- **2021-06-11** Sent to the Governor for executive approval. `executive-receipt`
- **2021-06-09** Signed by the President of the Senate.
- **2021-06-08** Enrolled and signed by the Speaker of the House.
- **2021-06-08** Read by title, roll called, yeas 76, nays 20, Senate amendments concurred in.
- **2021-06-07** Scheduled for concurrence on 06/08/2021.
- **2021-06-07** Received from the Senate with amendments.
- **2021-06-07** Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 23 yeas and 13 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2021-06-03** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
- **2021-06-02** Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
- **2021-05-17** Read second time by title and referred to the Committee on Health and Welfare. `referral-committee`
- **2021-05-13** Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
- **2021-05-12** Read third time by title, amended, roll called on final passage, yeas 54, nays 39. Finally passed, title adopted, ordered to the Senate. `passage`
- **2021-05-12** Called from the calendar.
- **2021-05-11** Scheduled for floor debate on 05/12/2021.
- **2021-05-11** Notice given.
- **2021-05-11** Read by title, returned to the calendar.
- **2021-05-06** Scheduled for floor debate on 05/11/2021.
- **2021-05-05** Read by title, amended, ordered engrossed, passed to 3rd reading.
- **2021-05-04** Reported with amendments (10-3).
- **2021-04-12** Read by title, under the rules, referred to the Committee on Health and Welfare. `referral-committee`
- **2021-03-26** First appeared in the Interim Calendar on 3/26/2021.
- **2021-03-23** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2021-03-23** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ba2d2503-2d2e-42d9-9af8-372c391473f4`. Confidence: reported (aggregated from official Louisiana legislature records).