---
type: "Bill"
title: "MEDICAID: Provides for fees on emergency ground ambulance providers and the disposition of fees (EN INCREASE SD RV See Note)"
description: "MEDICAID: Provides for fees on emergency ground ambulance providers and the disposition of fees (EN INCREASE SD RV See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "HB 493"
citation: "Louisiana HB 493 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dustin Miller"]
version_count: 12
action_count: 25
vote_count: 3
first_action: "2023-03-31"
last_action: "2023-06-07"
source: "openstates"
source_identifier: "ocd-bill/a56ee764-04ea-410d-a807-bb289cf35f9d"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244460"
source_hash: "9b8a329ad6aa8448ec821f255f113418b2819298d88f3d634d29e3249d0d4bed"
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 493 (2023) — MEDICAID: Provides for fees on emergency ground ambulance providers and the disposition of fees (EN INCREASE SD RV See Note)

## Version chain

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

1. **HB493 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1309416)
2. **HB493 Act** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332142)
3. **HB493 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316246)
4. **HB493 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320622)
5. **House Committee Amendment, #1606, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1314586)
6. **House Committee Amendment, #1866, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316204)
7. **House Floor Amendment, #2617, Miller, D., Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320411)
8. **Senate Committee Amendment, #1777, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1322380)
9. **Senate Committee Amendment, #1861, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323083)
10. **Senate Floor Amendment, #2468, Boudreaux, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1327263)
11. **Senate Legislative Bureau Amendment, #2295, BUREAU, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1326516)
12. **HB493 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1328401)

## Votes

- CONCUR IN SENATE AMENDMENTS (#796) — **97–0** (pass) · lower
- FINAL PASSAGE (#574) — **36–0** (pass) · upper
- FINAL PASSAGE (#269) — **101–0** (pass) · lower

## Sponsors

- Dustin Miller — primary (person)

## Timeline

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

- **2023-06-07** Effective date: 06/07/2023.
- **2023-06-07** Signed by the Governor. Becomes Act No. 171. `became-law, executive-signature`
- **2023-06-04** Sent to the Governor for executive approval. `executive-receipt`
- **2023-06-02** Signed by the President of the Senate.
- **2023-06-02** Enrolled and signed by the Speaker of the House. `enrolled`
- **2023-05-31** Read by title, roll called, yeas 97, nays 0, Senate amendments concurred in.
- **2023-05-30** Scheduled for concurrence on 05/31/2023.
- **2023-05-30** Received from the Senate with amendments. `receipt`
- **2023-05-30** Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 36 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2023-05-29** Reported with Legislative Bureau amendments which were read and adopted. Read by title and passed to third reading and final passage. `reading-3`
- **2023-05-26** Read by title and referred to the Legislative Bureau.
- **2023-05-25** Reported favorably. `committee-passage-favorable`
- **2023-05-18** Read by title. Recommitted to the Committee on Revenue and Fiscal Affairs.
- **2023-05-18** Senate Committee amendments read and adopted.
- **2023-05-17** Reported with amendments. `committee-passage-favorable`
- **2023-05-11** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2023-05-10** Received in the Senate. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2023-05-09** Read third time by title, amended, roll called on final passage, yeas 100, nays 0. Finally passed, title adopted, ordered to the Senate. `passage`
- **2023-05-04** Scheduled for floor debate on 05/09/2023.
- **2023-04-27** Read by title, amended, ordered engrossed, passed to 3rd reading. `reading-3`
- **2023-04-26** Reported with amendments (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.
- **2023-03-31** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2023-03-31** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a56ee764-04ea-410d-a807-bb289cf35f9d`. Confidence: reported (aggregated from official Louisiana legislature records).