---
type: "Bill"
title: "INSURANCE POLICIES: Provides for balance billing by and reimbursement of covered health services provided by out-of-network emergency ambulance services. (8/1/23) (EN INCREASE SG EX See Note)"
description: "INSURANCE POLICIES: Provides for balance billing by and reimbursement of covered health services provided by out-of-network emergency ambulance services. (8/1/23) (EN INCREASE SG EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "SB 109"
citation: "Louisiana SB 109 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Kirk Talbot"]
version_count: 16
action_count: 22
vote_count: 3
first_action: "2023-03-30"
last_action: "2023-06-28"
source: "openstates"
source_identifier: "ocd-bill/f7c7ac7f-54a6-4187-8094-c07a2c75069e"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244337"
source_hash: "bf90489b4ee5363de3ef3b9b930d6d58273cbd58d2bdb52028802366f8a16bd7"
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 SB 109 (2023) — INSURANCE POLICIES: Provides for balance billing by and reimbursement of covered health services provided by out-of-network emergency ambulance services. (8/1/23) (EN INCREASE SG EX See Note)

## Version chain

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

1. **SB109 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1308624)
2. **House Committee Amendment, #3723, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1327075)
3. **House Committee Amendment, #3869, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1328158)
4. **House Committee Amendment, #3919, APP, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1328685)
5. **House Committee Amendment, #3968, APP, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1329069)
6. **House Floor Amendment, #4085, Brown, Chad, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1329888)
7. **House Floor Amendment, #4100, DuBuisson, Withdrawn** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1330019)
8. **SB109 Act** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1333319)
9. **SB109 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323330)
10. **SB109 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1324695)
11. **Senate Committee Amendment, #1633, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1321311)
12. **Senate Committee Amendment, #1827, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1322950)
13. **Senate Committee Amendment, #1874, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323304)
14. **Senate Floor Bureau Note, #1964, Talbot, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323960)
15. **Senate Floor Legislative Bureau Amendment, #1909, Mills, Fred, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323590)
16. **SB109 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331272)

## Votes

- FINAL PASSAGE (#1007) — **101–0** (pass) · lower
- FINAL PASSAGE (#380) — **37–0** (pass) · upper
- CONCUR (#938) — **32–0** (pass) · upper

## Sponsors

- Kirk Talbot — primary (person)

## Timeline

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

- **2023-06-28** Effective date 8/1/2023.
- **2023-06-28** Signed by the Governor. Becomes Act No. 453. `became-law, executive-signature`
- **2023-06-08** Sent to the Governor by the Secretary of the Senate. `executive-receipt`
- **2023-06-08** Signed by the Speaker of the House.
- **2023-06-08** Enrolled. Signed by the President of the Senate. `enrolled`
- **2023-06-07** Rules suspended. Amendments proposed by the House read and concurred in by a vote of 32 yeas and 0 nays.
- **2023-06-06** Received from the House with amendments. `receipt`
- **2023-06-05** Read third time by title, amended, roll called on final passage, yeas 101, nays 0. Finally passed, ordered to the Senate. `passage`
- **2023-06-05** Called from the calendar.
- **2023-06-05** Rules suspended.
- **2023-06-05** Read by title, amended, passed to 3rd reading. `reading-3`
- **2023-06-04** Reported without Legislative Bureau amendments.
- **2023-06-02** Reported with amendments (20-0). Referred to the Legislative Bureau. `committee-passage-favorable`
- **2023-06-01** Read by title, amended, recommitted to the Committee on Appropriations.
- **2023-05-31** Reported with amendments (11-0). To be recommitted to the Committee on Appropriations. `committee-passage-favorable`
- **2023-05-24** Read by title, under the rules, referred to the Committee on Insurance. `referral-committee`
- **2023-05-23** Received in the House from the Senate, read by title, lies over under the rules.
- **2023-05-22** Senate floor amendments read and adopted. Read by title and passed by a vote of 37 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled. `passage`
- **2023-05-18** Read by title. Committee amendments read and adopted. Ordered engrossed and passed to third reading and final passage.
- **2023-05-17** Rules suspended. Reported with amendments. `committee-passage-favorable`
- **2023-04-10** Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Insurance. `referral-committee`
- **2023-03-30** Prefiled and under the rules provisionally referred to the Committee on Insurance. `filing, referral-committee`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/f7c7ac7f-54a6-4187-8094-c07a2c75069e`. Confidence: reported (aggregated from official Louisiana legislature records).