---
type: "Bill"
title: "MEDICAID: Establishes the TEFRA option within the La. Medicaid program to serve children with disabilities (EN +$9,340,656 GF EX See Note)"
description: "MEDICAID: Establishes the TEFRA option within the La. Medicaid program to serve children with disabilities (EN +$9,340,656 GF EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2019"
identifier: "HB 199"
citation: "Louisiana HB 199 (2019)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dodie Horton"]
version_count: 10
action_count: 22
vote_count: 4
first_action: "2019-03-26"
last_action: "2019-06-20"
source: "openstates"
source_identifier: "ocd-bill/a0a77e82-3b2a-4fe0-be1d-eac9c335c182"
source_url: "http://www.legis.la.gov/Legis/BillInfo.aspx?i=235902"
source_hash: "c1bdd1ff3ce44970b2418c8c78337494acb38bd81f6b5cd6e746f82c6978da49"
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 199 (2019) — MEDICAID: Establishes the TEFRA option within the La. Medicaid program to serve children with disabilities (EN +$9,340,656 GF EX See Note)

## Version chain

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

1. **HB199 Original** (filed) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1118814)
2. **HB199 Act 421** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1144895)
3. **HB199 Engrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1127525)
4. **HB199 Reengrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1135582)
5. **House Committee Amendment, #1270, H&W, Draft** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1125735)
6. **House Committee Amendment, #1550, H&W, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1127509)
7. **House Floor Amendment, #2956, Miller, D., Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1135534)
8. **House Floor Legislative Bureau Amendment, #1127, Pierre, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1128076)
9. **Senate Committee Amendment, #2735, H&W, Adopted** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1138912)
10. **HB199 Enrolled** (enrolled) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1142051)

## Votes

- CO-AUTHORS (#840) — **24–0** (pass) · upper
- FINAL PASSAGE (#393) — **98–0** (pass) · lower
- FINAL PASSAGE (#841) — **38–0** (pass) · upper
- CONCUR IN SENATE AMENDMENTS (#881) — **103–0** (pass) · lower

## Sponsors

- Dodie Horton — primary (person)
- Barrow Peacock — cosponsor (person)
- Beryl Amedee — cosponsor (person)
- Beth Mizell — cosponsor (person)
- Cameron Henry — cosponsor (person)
- Charles R. "Bubba" Chaney — cosponsor (person)
- Christopher Turner — cosponsor (person)
- Conrad Appel — cosponsor (person)
- Danny Martiny — cosponsor (person)
- Daryl Adams — cosponsor (person)
- Dorothy Sue Hill — cosponsor (person)
- Dustin Miller — cosponsor (person)
- Francis C. Thompson — cosponsor (person)
- Frank Hoffmann — cosponsor (person)
- Frankie Howard — cosponsor (person)
- Fred H. Mills, Jr. — cosponsor (person)
- Gary L. Smith, Jr. — cosponsor (person)
- Gerald Boudreaux — cosponsor (person)
- H. Bernard LeBas — cosponsor (person)
- J. Rogers Pope — cosponsor (person)
- J.P. Morrell — cosponsor (person)
- Jack Donahue — cosponsor (person)
- Jack McFarland — cosponsor (person)
- James Armes — cosponsor (person)
- James R. Fannin — cosponsor (person)
- Jay Luneau — cosponsor (person)
- Jeremy LaCombe — cosponsor (person)
- Jerome "Dee" Richard — cosponsor (person)
- Jerry "Truck" Gisclair — cosponsor (person)
- Jim Morris — cosponsor (person)
- Joe Stagni — cosponsor (person)
- John A. Johnny Berthelot — cosponsor (person)
- John Alario — cosponsor (person)
- John R. Smith — cosponsor (person)
- John Stefanski — cosponsor (person)
- Julie Emerson — cosponsor (person)
- Julie Stokes — cosponsor (person)
- Karen Carter Peterson — cosponsor (person)
- Katrina Jackson — cosponsor (person)
- Ken Brass — cosponsor (person)
- Kirk Talbot — cosponsor (person)
- Lance Harris — cosponsor (person)
- Larry Bagley — cosponsor (person)
- Mack Bodi White, Jr. — cosponsor (person)
- Malinda White — cosponsor (person)
- Mark Abraham — cosponsor (person)
- Mark Wright — cosponsor (person)
- Mike Walsworth — cosponsor (person)
- Neil Riser — cosponsor (person)
- Pat Moore — cosponsor (person)
- Patrick O. Jefferson — cosponsor (person)
- Paula Davis — cosponsor (person)
- Phillip DeVillier — cosponsor (person)
- Polly Thomas — cosponsor (person)
- Regina Ashford Barrow — cosponsor (person)
- Rick Ward, III — cosponsor (person)
- Robert Carter — cosponsor (person)
- Robert E. Billiot — cosponsor (person)
- Robert Johnson — cosponsor (person)
- Ronnie Johns — cosponsor (person)
- Ryan Gatti — cosponsor (person)
- Sam Jones — cosponsor (person)
- Samuel Jenkins — cosponsor (person)
- Stephanie Hilferty — cosponsor (person)
- Steve Carter — cosponsor (person)
- Steven E. Pylant — cosponsor (person)
- Terry Brown — cosponsor (person)
- Thomas Carmody — cosponsor (person)
- Tony Bacala — cosponsor (person)
- Vincent J. Pierre — cosponsor (person)
- Wayne McMahen — cosponsor (person)
- Wesley Bishop — cosponsor (person)
- Yvonne Colomb — cosponsor (person)

## Timeline

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

- **2019-06-20** Signed by the Governor. Becomes Act No. 421. `executive-signature`
- **2019-06-05** Sent to the Governor for executive approval. `executive-receipt`
- **2019-06-04** Signed by the President of the Senate.
- **2019-06-04** Enrolled and signed by the Speaker of the House.
- **2019-06-03** Read by title, roll called, yeas 103, nays 0, Senate amendments concurred in.
- **2019-06-02** Scheduled for concurrence on 06/03/19.
- **2019-06-02** Received from the Senate with amendments.
- **2019-06-02** Rules suspended. The amended bill was read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2019-06-01** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
- **2019-05-31** Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
- **2019-05-29** Rules suspended. Reported with amendments. Rules suspended. Committee amendments read and adopted. Read by title and recommitted to the Committee on Finance.
- **2019-05-22** Read second time by title and referred to the Committee on Health and Welfare. `referral-committee`
- **2019-05-21** Received in the Senate. Read first time by title and placed on the Calendar for a second reading.
- **2019-05-20** Read third time by title, amended, roll called on final passage, yeas 98, nays 0. Finally passed, title adopted, ordered to the Senate. `passage`
- **2019-05-09** Scheduled for floor debate on 05/20/19.
- **2019-05-07** Read by title, passed to 3rd reading.
- **2019-05-07** Discharged from the Committee on Appropriations.
- **2019-04-29** Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
- **2019-04-25** Reported with amendments (13-0).
- **2019-04-08** Read by title, under the rules, referred to the Committee on Health and Welfare. `referral-committee`
- **2019-03-26** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2019-03-26** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/a0a77e82-3b2a-4fe0-be1d-eac9c335c182`. Confidence: reported (aggregated from official Louisiana legislature records).