republic-os/legislation/us/states/la/2023/sb-188.md

---
type: "Bill"
title: "HEALTH/ACC INSURANCE: Provides for utilization review and approval procedures of claims for healthcare provider services. (gov sig)"
description: "HEALTH/ACC INSURANCE: Provides for utilization review and approval procedures of claims for healthcare provider services. (gov sig)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "SB 188"
citation: "Louisiana SB 188 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Jeremy Stine"]
version_count: 12
action_count: 41
vote_count: 5
first_action: "2023-03-31"
last_action: "2023-06-13"
source: "openstates"
source_identifier: "ocd-bill/b5e1d847-83d9-4b0d-9ea4-fe4892f571dc"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244600"
source_hash: "ca3b790e2d09365bcdcdfc595e1e282337b0c1ab4a420fcb925c93a3d6cf97ce"
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 SB 188 (2023) — HEALTH/ACC INSURANCE: Provides for utilization review and approval procedures of claims for healthcare provider services. (gov sig)

## Version chain

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

1. **SB188 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1309957)
2. **Conference Committee Report, #3021, House Adopted, Senate Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331812)
3. **House Committee Amendment, #2531, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320011)
4. **House Committee Amendment, #2532, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320030)
5. **House Committee Amendment, #2669, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1321155)
6. **SB188 Act 333** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332551)
7. **SB188 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316285)
8. **SB188 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1317741)
9. **Senate Committee Amendment, #421, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1310395)
10. **Senate Committee Amendment, #867, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1315663)
11. **Senate Floor Amendment, #1116, Stine, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1317334)
12. **SB188 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331947)

## Votes

- ADOPT CONFERENCE REPORT (#1222) — **97–0** (pass) · lower
- FINAL PASSAGE (#1003) — **102–0** (pass) · lower
- FINAL PASSAGE (#162) — **36–0** (pass) · upper
- REJECT (#942) — **34–0** (pass) · upper
- ADOPT (#1022) — **39–0** (pass) · upper

## Sponsors

- Jeremy Stine — primary (person)
- Jay Morris — cosponsor (person)
- Kirk Talbot — cosponsor (person)
- Louie Bernard — cosponsor (person)
- Mark Abraham — cosponsor (person)
- Michael "Big Mike" Fesi — cosponsor (person)
- Robert "Bob" Owen — cosponsor (person)
- Robert Mills — cosponsor (person)
- Thomas Pressly — cosponsor (person)

## Timeline

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

- **2023-06-13** Effective date: See Act.
- **2023-06-13** Signed by the Governor. Becomes Act No. 333. `became-law, executive-signature`
- **2023-06-08** Sent to the Governor by the Secretary of the Senate. `executive-receipt`
- **2023-06-08** Signed by the Speaker of the House.
- **2023-06-08** Enrolled. Signed by the President of the Senate. `enrolled`
- **2023-06-08** Notice House adopted the Conference Committee Report.
- **2023-06-08** Conference Committee Report read, roll called, yeas 97, nays 0. The Conference Committee Report was adopted.
- **2023-06-08** Rules suspended.
- **2023-06-08** Conference Committee report received.
- **2023-06-08** Conference Committee Report read; adopted by a vote of 39 yeas and 0 nays.
- **2023-06-07** Notice House Conference Committee members appointed.
- **2023-06-07** House conferees appointed: Geymann, Huval, and Pressly.
- **2023-06-07** Notice of Senate conferees appointed.
- **2023-06-07** Senate conference committee members appointed: Stine, Talbot, and Bernard.
- **2023-06-07** Notice of Senate rejecting House amendments.
- **2023-06-07** Rules suspended. Amendments proposed by the House read and rejected by a vote of 34 yeas and 0 nays.
- **2023-06-06** Received from the House with amendments. `receipt`
- **2023-06-05** Read third time by title, roll called on final passage, yeas 102, nays 0. Finally passed, ordered to the Senate. `passage`
- **2023-06-05** Called from the calendar.
- **2023-06-01** Scheduled for floor debate on 06/05/2023.
- **2023-06-01** Notice given.
- **2023-06-01** Read by title, returned to the calendar.
- **2023-06-01** Called from the calendar.
- **2023-05-31** Scheduled for floor debate on 06/01/2023.
- **2023-05-31** Notice given.
- **2023-05-31** Read by title, returned to the calendar.
- **2023-05-31** Called from the calendar.
- **2023-05-25** Scheduled for floor debate on 05/31/2023.
- **2023-05-25** Notice given.
- **2023-05-25** Read by title, returned to the calendar.
- **2023-05-23** Scheduled for floor debate on 05/25/2023.
- **2023-05-15** Read by title, amended, passed to 3rd reading. `reading-3`
- **2023-05-11** Reported without Legislative Bureau amendments.
- **2023-05-10** Reported with amendments (10-0). Referred to the Legislative Bureau. `committee-passage-favorable`
- **2023-05-03** Read by title, under the rules, referred to the Committee on Insurance. `referral-committee`
- **2023-05-02** Received in the House from the Senate, read by title, lies over under the rules.
- **2023-05-01** Rules suspended. Senate floor amendments read and adopted. Read by title and passed by a vote of 36 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled. `passage`
- **2023-04-27** Read by title. Committee amendments read and adopted. Ordered engrossed and passed to third reading and final passage.
- **2023-04-26** Reported with amendments. `committee-passage-favorable`
- **2023-04-10** Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Insurance. `referral-committee`
- **2023-03-31** Prefiled and under the rules provisionally referred to the Committee on Insurance. `filing, referral-committee`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b5e1d847-83d9-4b0d-9ea4-fe4892f571dc`. Confidence: reported (aggregated from official Louisiana legislature records).