---
type: "Bill"
title: "MEDICAID: Provides for the personal needs allowance of residents in nursing homes and other facilities (EN +$893,660 GF EX See Note)"
description: "MEDICAID: Provides for the personal needs allowance of residents in nursing homes and other facilities (EN +$893,660 GF EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2025"
identifier: "HB 266"
citation: "Louisiana HB 266 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jeffery \"Jeff\" Wiley"]
version_count: 6
action_count: 20
vote_count: 2
first_action: "2025-04-01"
last_action: "2025-06-11"
source: "openstates"
source_identifier: "ocd-bill/648240c2-86af-4700-af80-456894bbf49c"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=248197"
source_hash: "4fce23758b7d811ea1a130bb1b3df2400a59b62a26d35ec92a3882bd6ca47da6"
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 266 (2025) — MEDICAID: Provides for the personal needs allowance of residents in nursing homes and other facilities (EN +$893,660 GF EX See Note)

## Version chain

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

1. **HB266 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1401340)
2. **HB266 Act 259** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1425569)
3. **HB266 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1409555)
4. **HB266 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1419514)
5. **House Floor Amendment, #3587, Wiley, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1418509)
6. **HB266 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1423397)

## Votes

- FINAL PASSAGE (#778) — **37–0** (pass) · upper
- FINAL PASSAGE (#711) — **87–5** (pass) · lower

## Sponsors

- Jeffery "Jeff" Wiley — primary (person)
- Adrian Fisher — cosponsor (person)
- Alonzo Knox — cosponsor (person)
- Barbara Reich Freiberg — cosponsor (person)
- C. Denise Marcelle — cosponsor (person)
- Candace N. Newell — cosponsor (person)
- Daryl Adams — cosponsor (person)
- Delisha Boyd — cosponsor (person)
- Dustin Miller — cosponsor (person)
- Ed Larvadain III — cosponsor (person)
- Foy Gadberry — cosponsor (person)
- Jack McFarland — cosponsor (person)
- Jason Dewitt — cosponsor (person)
- Jason Hughes — cosponsor (person)
- Jessica Domangue — cosponsor (person)
- Joe Stagni — cosponsor (person)
- Joy Walters — cosponsor (person)
- Matthew Willard — cosponsor (person)
- Mike Bayham — cosponsor (person)
- Pat Moore — cosponsor (person)
- R. Dewith Carrier — cosponsor (person)
- Robert Carter — cosponsor (person)
- Rodney Lyons — cosponsor (person)
- Shane Mack — cosponsor (person)
- Steven Jackson — cosponsor (person)
- Sylvia Taylor — cosponsor (person)
- Tehmi Chassion — cosponsor (person)
- Tony Bacala — cosponsor (person)
- Vincent Cox III — cosponsor (person)

## Timeline

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

- **2025-06-11** Effective date: 06/11/2025.
- **2025-06-11** Signed by the Governor. Becomes Act No. 259. `became-law, executive-signature`
- **2025-06-10** Sent to the Governor for executive approval. `executive-receipt`
- **2025-06-10** Signed by the President of the Senate.
- **2025-06-09** Enrolled and signed by the Speaker of the House. `enrolled`
- **2025-06-09** Received from the Senate without amendments. `receipt`
- **2025-06-09** Rules suspended. Read by title, passed by a vote of 37 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2025-06-08** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2025-06-08** Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau. `committee-passage-favorable`
- **2025-06-01** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2025-05-29** Received in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2025-05-29** Read third time by title, amended, roll called on final passage, yeas 87, nays 5. Finally passed, title adopted, ordered to the Senate. `passage`
- **2025-05-28** Scheduled for floor debate on 05/29/2025.
- **2025-05-28** Read by title, ordered engrossed, passed to 3rd reading. `reading-3`
- **2025-05-27** Reported favorably (15-0). `committee-passage-favorable`
- **2025-04-30** Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
- **2025-04-29** Reported favorably (12-0). `committee-passage-favorable`
- **2025-04-14** Read by title, under the rules, referred to the Committee on Health and Welfare. `referral-committee`
- **2025-04-01** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2025-04-01** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/648240c2-86af-4700-af80-456894bbf49c`. Confidence: reported (aggregated from official Louisiana legislature records).