---
type: "Bill"
title: "MEDICAID: Provides relative to Medicaid provider fees assessed on nonpublic providers of emergency ground ambulance services (EN INCREASE SD RV See Note)"
description: "MEDICAID: Provides relative to Medicaid provider fees assessed on nonpublic providers of emergency ground ambulance services (EN INCREASE SD RV See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2019"
identifier: "HB 204"
citation: "Louisiana HB 204 (2019)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Vincent J. Pierre"]
version_count: 4
action_count: 21
vote_count: 2
first_action: "2019-03-26"
last_action: "2019-06-11"
source: "openstates"
source_identifier: "ocd-bill/178d0eee-08de-43bc-97cb-97babceaefd0"
source_url: "http://www.legis.la.gov/Legis/BillInfo.aspx?i=235907"
source_hash: "54e249375d71bd5e4ec89d6056ba98530e96499e3df1bfc7361c13e26647ad20"
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 204 (2019) — MEDICAID: Provides relative to Medicaid provider fees assessed on nonpublic providers of emergency ground ambulance services (EN INCREASE SD RV See Note)

## Version chain

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

1. **HB204 Original** (filed) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1118819)
2. **HB204 Act 299** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1144229)
3. **HB204 Engrossed** (committee substitute) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1129744)
4. **HB204 Enrolled** (enrolled) — [source](http://www.legis.la.gov/Legis/ViewDocument.aspx?d=1141272)

## Votes

- FINAL PASSAGE (#791) — **38–0** (pass) · upper
- FINAL PASSAGE (#279) — **86–0** (pass) · lower

## Sponsors

- Vincent J. Pierre — primary (person)
- Ronnie Johns — cosponsor (person)

## Timeline

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

- **2019-06-11** Effective date: 08/01/2019.
- **2019-06-11** Signed by the Governor. Becomes Act No. 299. `executive-signature`
- **2019-06-05** Sent to the Governor for executive approval. `executive-receipt`
- **2019-06-04** Signed by the President of the Senate.
- **2019-06-03** Enrolled and signed by the Speaker of the House.
- **2019-06-02** Received from the Senate without amendments.
- **2019-06-02** Read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2019-06-02** Rules suspended.
- **2019-05-30** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage.
- **2019-05-29** Rules suspended. Reported favorably. Rules suspended. Read by title and referred to the Legislative Bureau.
- **2019-05-23** Read by title. Recommitted to the Committee on Finance.
- **2019-05-22** Reported favorably.
- **2019-05-15** Read second time by title and referred to the Committee on Health and Welfare. `referral-committee`
- **2019-05-14** Received in the Senate. Rules suspended. Read first time by title and placed on the Calendar for a second reading.
- **2019-05-14** Read third time by title, roll called on final passage, yeas 86, nays 0. The bill, having received two-thirds vote of the elected members, was finally passed, title adopted, ordered to the Senate. `passage`
- **2019-05-02** Scheduled for floor debate on 05/14/19.
- **2019-05-02** Read by title, ordered engrossed, passed to 3rd reading.
- **2019-05-01** Reported favorably (8-0).
- **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/178d0eee-08de-43bc-97cb-97babceaefd0`. Confidence: reported (aggregated from official Louisiana legislature records).