---
type: "Bill"
title: "MEDICAID: Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)"
description: "MEDICAID: Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2025"
identifier: "HB 454"
citation: "Louisiana HB 454 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Dustin Miller"]
version_count: 6
action_count: 30
vote_count: 4
first_action: "2025-04-04"
last_action: "2025-06-10"
source: "openstates"
source_identifier: "ocd-bill/36119bba-6cad-4940-9ab4-c88487d381dc"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=248461"
source_hash: "6d01fcf7c2e31d1cd7a8b7bacae8f311f38642a2c12c9bca0aab6df907a23e6b"
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 454 (2025) — MEDICAID: Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)

## Version chain

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

1. **HB454 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1403674)
2. **HB454 Act** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1425484)
3. **HB454 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1407601)
4. **Senate Committee Amendment, #2241, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1418010)
5. **Senate Committee Amendment, #2361, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1418881)
6. **HB454 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1422151)

## Votes

- CONCUR IN SENATE AMENDMENTS (#880) — **93–0** (pass) · lower
- FINAL PASSAGE (#598) — **34–2** (pass) · upper
- FINAL PASSAGE (#469) — **83–13** (pass) · lower
- CO-AUTHORS (#599) — **9–0** (fail) · upper

## Sponsors

- Dustin Miller — primary (person)
- Adrian Fisher — cosponsor (person)
- Alonzo Knox — cosponsor (person)
- Annie Spell — cosponsor (person)
- Beth Mizell — cosponsor (person)
- C. Denise Marcelle — cosponsor (person)
- Delisha Boyd — cosponsor (person)
- Ed Price — cosponsor (person)
- Gary Carter — cosponsor (person)
- Gerald Boudreaux — cosponsor (person)
- Jason Hughes — cosponsor (person)
- Joe Stagni — cosponsor (person)
- Joseph Bouie — cosponsor (person)
- Joy Walters — cosponsor (person)
- Katrina Jackson-Andrews — cosponsor (person)
- Ken Brass — cosponsor (person)
- Larry Selders — cosponsor (person)
- Mandie Landry — cosponsor (person)
- Matthew Willard — cosponsor (person)
- Pat Moore — cosponsor (person)
- Regina Ashford Barrow — cosponsor (person)
- Rodney Lyons — cosponsor (person)
- Royce Duplessis — cosponsor (person)
- Shaun Mena — cosponsor (person)
- Steven Jackson — cosponsor (person)
- Sylvia Taylor — cosponsor (person)
- Tehmi Chassion — cosponsor (person)
- Terry Landry Jr — cosponsor (person)
- Vanessa Caston LaFleur — cosponsor (person)
- Wilford Carter , Sr. — cosponsor (person)

## Timeline

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

- **2025-06-10** Effective date: 08/01/2025.
- **2025-06-10** Signed by the Governor. Becomes Act No. 228. `became-law, executive-signature`
- **2025-06-09** Sent to the Governor for executive approval. `executive-receipt`
- **2025-06-08** Signed by the President of the Senate.
- **2025-06-08** Enrolled and signed by the Speaker of the House. `enrolled`
- **2025-06-04** Read by title, roll called, yeas 93, nays 0, Senate amendments concurred in.
- **2025-06-03** Scheduled for concurrence on 06/04/2025.
- **2025-06-03** Received from the Senate with amendments. `receipt`
- **2025-06-02** The amended bill was read by title, passed by a vote of 34 yeas and 2 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2025-06-01** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2025-05-29** Read by title and referred to the Legislative Bureau.
- **2025-05-29** Rules suspended. Recalled from Committee.
- **2025-05-29** Read by title. Recommitted to the Committee on Finance.
- **2025-05-29** Senate Committee amendments read and adopted.
- **2025-05-28** Reported with amendments. `committee-passage-favorable`
- **2025-05-20** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2025-05-19** Received in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2025-05-19** Read third time by title, roll called on final passage, yeas 83, nays 13. Finally passed, title adopted, ordered to the Senate. `passage`
- **2025-05-19** Called from the calendar.
- **2025-05-14** Scheduled for floor debate on 05/19/2025.
- **2025-05-14** Notice given.
- **2025-05-14** Read by title, returned to the calendar.
- **2025-05-13** Scheduled for floor debate on 05/14/2025.
- **2025-05-12** Read by title, passed to 3rd reading. `reading-3`
- **2025-05-12** Discharged from the Committee on Appropriations.
- **2025-04-24** Read by title, ordered engrossed, recommitted to the Committee on Appropriations.
- **2025-04-23** Reported favorably (13-0). `committee-passage-favorable`
- **2025-04-14** Read by title, under the rules, referred to the Committee on Health and Welfare. `referral-committee`
- **2025-04-04** Under the rules, provisionally referred to the Committee on Health and Welfare. `referral-committee`
- **2025-04-04** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/36119bba-6cad-4940-9ab4-c88487d381dc`. Confidence: reported (aggregated from official Louisiana legislature records).