---
type: "Bill"
title: "MEDICAID: Provides relative to Medicaid coverage through the TEFRA option program (EN SEE FISC NOTE GF EX)"
description: "MEDICAID: Provides relative to Medicaid coverage through the TEFRA option program (EN SEE FISC NOTE GF EX)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2025"
identifier: "HB 595"
citation: "Louisiana HB 595 (2025)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Tammy Phelps"]
version_count: 7
action_count: 25
vote_count: 3
first_action: "2025-04-04"
last_action: "2025-06-11"
source: "openstates"
source_identifier: "ocd-bill/4da43138-de05-4969-85bd-9663f1ad8ac8"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=248643"
source_hash: "cd1048e70181ff5a7536db735fcfbc0646ad173cf0e26e7b824904291544ede5"
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 595 (2025) — MEDICAID: Provides relative to Medicaid coverage through the TEFRA option program (EN SEE FISC NOTE GF EX)

## Version chain

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

1. **HB595 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1404426)
2. **HB595 Act 294** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1425608)
3. **HB595 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1413157)
4. **House Committee Amendment, #2364, H&W, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1411994)
5. **House Committee Amendment, #2494, H&W, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1412985)
6. **Senate Floor Amendment, #2767, Boudreaux, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1421365)
7. **HB595 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1423495)

## Votes

- CONCUR IN SENATE AMENDMENTS (#1016) — **99–2** (pass) · lower
- FINAL PASSAGE (#394) — **75–10** (pass) · lower
- FINAL PASSAGE (#731) — **36–0** (pass) · upper

## Sponsors

- Tammy Phelps — primary (person)

## Timeline

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

- **2025-06-11** Effective date: 08/01/2025.
- **2025-06-11** Signed by the Governor. Becomes Act No. 294. `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** Read by title, roll called, yeas 99, nays 2, Senate amendments concurred in.
- **2025-06-09** Called from the calendar.
- **2025-06-09** Read by title, returned to the calendar.
- **2025-06-08** Scheduled for concurrence on 06/09/2025.
- **2025-06-08** Received from the Senate with amendments. `receipt`
- **2025-06-08** Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 36 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2025-06-04** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2025-06-03** Read by title and referred to the Legislative Bureau.
- **2025-06-03** Rules suspended. Recalled from Committee.
- **2025-05-29** Read by title. Recommitted to the Committee on Finance.
- **2025-05-28** Reported favorably. `committee-passage-favorable`
- **2025-05-19** Read second time by title and referred to the Committee on Health and Welfare. `reading-2, referral-committee`
- **2025-05-14** Received in the Senate. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2025-05-14** Read third time by title, roll called on final passage, yeas 75, nays 10. Finally passed, title adopted, ordered to the Senate. `passage`
- **2025-05-13** Scheduled for floor debate on 05/14/2025.
- **2025-05-12** Read by title, amended, ordered engrossed, passed to 3rd reading. `reading-3`
- **2025-05-08** Reported with amendments (11-0). `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/4da43138-de05-4969-85bd-9663f1ad8ac8`. Confidence: reported (aggregated from official Louisiana legislature records).