---
type: "Bill"
title: "MEDICAID: Provides relative to the state medical assistance program"
description: "MEDICAID: Provides relative to the state medical assistance program"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "HB 434"
citation: "Louisiana HB 434 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jack McFarland"]
version_count: 11
action_count: 22
vote_count: 3
first_action: "2023-03-30"
last_action: "2023-06-08"
source: "openstates"
source_identifier: "ocd-bill/340f82cd-3538-49f3-aaa5-d554be3a3f14"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244374"
source_hash: "7c89abe5466b906f9dd538a5ed6d09ac0f36e135618e52e23221216d5af39332"
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 434 (2023) — MEDICAID: Provides relative to the state medical assistance program

## Version chain

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

1. **HB434 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1308771)
2. **HB434 Act 233** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332295)
3. **HB434 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316236)
4. **HB434 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320538)
5. **House Committee Amendment, #1838, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1315815)
6. **House Committee Amendment, #1850, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1315978)
7. **House Committee Amendment, #1869, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316218)
8. **House Floor Amendment, #2553, McFarland, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320124)
9. **Senate Committee Amendment, #1729, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1321977)
10. **Senate Committee Amendment, #1855, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323068)
11. **HB434 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1328312)

## Votes

- FINAL PASSAGE (#470) — **34–0** (pass) · upper
- FINAL PASSAGE (#257) — **103–0** (pass) · lower
- CONCUR IN SENATE AMENDMENTS (#794) — **98–0** (pass) · lower

## Sponsors

- Jack McFarland — primary (person)

## Timeline

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

- **2023-06-08** Effective date: 10/01/2023.
- **2023-06-08** Signed by the Governor. Becomes Act No. 233. `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 98, 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`
- **2023-05-26** Rules suspended. The amended bill was read by title, passed by a vote of 34 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2023-05-22** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2023-05-18** Committee amendments read and adopted. Read by title and referred to the Legislative Bureau.
- **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 103, 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.
- **2023-03-30** 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/340f82cd-3538-49f3-aaa5-d554be3a3f14`. Confidence: reported (aggregated from official Louisiana legislature records).