---
type: "Bill"
title: "NURSES: Authorizes certain healthcare professionals to certify the existence of an illness"
description: "NURSES: Authorizes certain healthcare professionals to certify the existence of an illness"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "HB 652"
citation: "Louisiana HB 652 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dustin Miller"]
version_count: 6
action_count: 16
vote_count: 2
first_action: "2023-05-04"
last_action: "2023-06-12"
source: "openstates"
source_identifier: "ocd-bill/a64a8088-7286-42ab-86dd-de3056b43997"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244990"
source_hash: "b8372cc0228fb309e2c693e3f0c7736bd881aaeb4649ce7632a12f0232e7eeb2"
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 652 (2023) — NURSES: Authorizes certain healthcare professionals to certify the existence of an illness

## Version chain

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

1. **HB652 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1318879)
2. **HB652 Act 296** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332449)
3. **HB652 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1319027)
4. **HB652 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1322792)
5. **House Floor Amendment, #2411, Miller, D., Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1319342)
6. **HB652 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1327064)

## Votes

- FINAL PASSAGE (#449) — **100–0** (pass) · lower
- FINAL PASSAGE (#541) — **39–0** (pass) · upper

## Sponsors

- Dustin Miller — 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. 296. `became-law, executive-signature`
- **2023-06-01** Sent to the Governor for executive approval. `executive-receipt`
- **2023-05-31** Signed by the President of the Senate.
- **2023-05-31** Enrolled and signed by the Speaker of the House. `enrolled`
- **2023-05-30** Received from the Senate without amendments. `receipt`
- **2023-05-29** Rules suspended. Read by title, passed by a vote of 39 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2023-05-26** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2023-05-25** Read by title and referred to the Legislative Bureau.
- **2023-05-24** Rules suspended. Reported favorably. `committee-passage-favorable`
- **2023-05-18** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2023-05-17** Received in the Senate. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2023-05-16** Read third time by title, roll called on final passage, yeas 100, nays 0. Finally passed, title adopted, ordered to the Senate. `passage`
- **2023-05-11** Scheduled for floor debate on 05/16/2023.
- **2023-05-08** Read by title, ordered engrossed, passed to 3rd reading. `reading-3`
- **2023-05-04** Read by title, substitute title adopted, lies over in the same order of business, substitute for HB No. 599 reported by the Committee on Health and Welfare (16-0).

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a64a8088-7286-42ab-86dd-de3056b43997`. Confidence: reported (aggregated from official Louisiana legislature records).