---
type: "Bill"
title: "MEDICAID: Provides relative to medicaid coverage of chimeric antigen receptor T-cell therapy (EN SEE FISC NOTE GF EX See Note)"
description: "MEDICAID: Provides relative to medicaid coverage of chimeric antigen receptor T-cell therapy (EN SEE FISC NOTE GF EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "HB 435"
citation: "Louisiana HB 435 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Aimee Adatto Freeman"]
version_count: 5
action_count: 22
vote_count: 3
first_action: "2023-03-30"
last_action: "2023-06-12"
source: "openstates"
source_identifier: "ocd-bill/7189660f-dbeb-4af2-8733-985c65b77faa"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244375"
source_hash: "a38ce64c8ed04be2c0f51f93657b3ac9dd35b41c29a3cfb4560268fc87678306"
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 435 (2023) — MEDICAID: Provides relative to medicaid coverage of chimeric antigen receptor T-cell therapy (EN SEE FISC NOTE GF EX See Note)

## Version chain

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

1. **HB435 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1308830)
2. **HB435 Act 294** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332447)
3. **HB435 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1315429)
4. **Senate Floor Amendment, #2189, Luneau, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1325725)
5. **HB435 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331040)

## Votes

- FINAL PASSAGE (#208) — **101–1** (pass) · lower
- FINAL PASSAGE (#721) — **37–0** (pass) · upper
- CONCUR IN SENATE AMENDMENTS (#1034) — **100–0** (pass) · lower

## Sponsors

- Aimee Adatto Freeman — primary (person)

## Timeline

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

- **2023-06-12** Effective date: 08/01/2023.
- **2023-06-12** Signed by the Governor. Becomes Act No. 294. `became-law, executive-signature`
- **2023-06-09** Sent to the Governor for executive approval. `executive-receipt`
- **2023-06-08** Signed by the President of the Senate.
- **2023-06-07** Enrolled and signed by the Speaker of the House. `enrolled`
- **2023-06-06** Read by title, roll called, yeas 100, nays 0, Senate amendments concurred in.
- **2023-06-04** Scheduled for concurrence on 06/06/2023.
- **2023-06-04** Received from the Senate with amendments. `receipt`
- **2023-06-04** Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 37 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2023-05-15** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2023-05-11** Read by title and referred to the Legislative Bureau.
- **2023-05-10** Reported favorably. `committee-passage-favorable`
- **2023-05-04** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2023-05-03** Received in the Senate. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2023-05-03** Read third time by title, roll called on final passage, yeas 100, nays 1. Finally passed, title adopted, ordered to the Senate. `passage`
- **2023-04-26** Scheduled for floor debate on 05/03/2023.
- **2023-04-26** Read by title, ordered engrossed, passed to 3rd reading. `reading-3`
- **2023-04-25** Reported favorably (12-0). `committee-passage-favorable`
- **2023-04-10** Read by title, under the rules, referred to the Committee on Health and Welfare. `referral-committee`
- **2023-04-03** First appeared in the Interim Calendar on 4/3/2023.
- **2023-03-30** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2023-03-30** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/7189660f-dbeb-4af2-8733-985c65b77faa`. Confidence: reported (aggregated from official Louisiana legislature records).