republic-os/legislation/us/states/la/2023/hb-186.md

---
type: "Bill"
title: "INSURANCE/HEALTH: Provides relative to health insurance coverage for standard fertility preservation services (EN INCREASE SG EX See Note)"
description: "INSURANCE/HEALTH: Provides relative to health insurance coverage for standard fertility preservation services (EN INCREASE SG EX See Note)"
jurisdiction: "us/states/la"
legislature: "Louisiana Legislature"
session: "2023"
identifier: "HB 186"
citation: "Louisiana HB 186 (2023)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["Paula Davis"]
version_count: 18
action_count: 38
vote_count: 5
first_action: "2023-03-24"
last_action: "2023-06-13"
source: "openstates"
source_identifier: "ocd-bill/b03d6df2-3dad-4390-b9b2-f30687affb3d"
source_url: "https://www.legis.la.gov/Legis/BillInfo.aspx?i=244044"
source_hash: "326c787f2e11dec48176d9487fdbe2af74ded15f8b93a96d7995624513298b01"
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 186 (2023) — INSURANCE/HEALTH: Provides relative to health insurance coverage for standard fertility preservation services (EN INCREASE SG EX See Note)

## Version chain

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

1. **HB186 Original** (filed) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1305123)
2. **Conference Committee Report, #4202, House Adopted, Senate Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331123)
3. **HB186 Act 299** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1332452)
4. **HB186 Engrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316202)
5. **HB186 Re-Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1323389)
6. **HB186 Reengrossed** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320317)
7. **House Committee Amendment, #1801, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1315587)
8. **House Committee Amendment, #1875, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1316189)
9. **House Committee Amendment, #2425, APP, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1319476)
10. **House Committee Amendment, #2556, APP, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1320285)
11. **House Floor Amendment, #2021, Davis, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1317270)
12. **House Floor Legislative Bureau Amendment, #1609, Horton, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1321169)
13. **Senate Committee Amendment, #2093, INS, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1324921)
14. **Senate Committee Amendment, #2151, INS, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1325419)
15. **Senate Committee Amendment, #2358, FNCE, Draft** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1326661)
16. **Senate Committee Amendment, #2368, FNCE, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1326672)
17. **Senate Floor Bureau Note, #2586, Jackson, Katrina, Adopted** (committee substitute) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1327997)
18. **HB186 Enrolled** (enrolled) — [source](https://www.legis.la.gov/Legis/ViewDocument.aspx?d=1331866)

## Votes

- FINAL PASSAGE (#610) — **38–0** (pass) · upper
- ADOPT CONFERENCE REPORT (#1211) — **88–4** (pass) · lower
- FINAL PASSAGE (#485) — **99–1** (pass) · lower
- REJECT SENATE AMENDMENTS (#1023) — **98–0** (pass) · lower
- ADOPT (#1002) — **37–0** (pass) · upper

## Sponsors

- Paula Davis — primary (person)
- Aimee Adatto Freeman — cosponsor (person)
- Barbara Reich Freiberg — cosponsor (person)
- Candace N. Newell — cosponsor (person)
- Cedric Glover — cosponsor (person)
- Chad Brown — cosponsor (person)
- Delisha Boyd — cosponsor (person)
- Gary Carter — cosponsor (person)
- Gary L. Smith, Jr. — cosponsor (person)
- Jack McFarland — cosponsor (person)
- Jason Hughes — cosponsor (person)
- John "Big John" Illg , Jr. — cosponsor (person)
- Katrina Jackson — cosponsor (person)
- Kirk Talbot — cosponsor (person)
- Laurie Schlegel — cosponsor (person)
- Mandie Landry — cosponsor (person)
- Matthew Willard — cosponsor (person)
- Pat Moore — cosponsor (person)
- R. Dewith Carrier — cosponsor (person)
- Rhonda Butler — cosponsor (person)
- Robert Mills — cosponsor (person)
- Royce Duplessis — cosponsor (person)
- Stephanie Hilferty — cosponsor (person)

## Timeline

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

- **2023-06-13** Effective date: 01/01/2024.
- **2023-06-13** Signed by the Governor. Becomes Act No. 299. `became-law, executive-signature`
- **2023-06-09** Sent to the Governor for executive approval. `executive-receipt`
- **2023-06-08** Signed by the President of the Senate.
- **2023-06-08** Enrolled and signed by the Speaker of the House. `enrolled`
- **2023-06-08** Notice House adopted the Conference Committee Report.
- **2023-06-08** Notice of Senate adoption of Conference Committee Report.
- **2023-06-08** Conference Committee Report read, roll called, yeas 88, nays 4. The Conference Committee Report was adopted.
- **2023-06-08** Rules suspended.
- **2023-06-08** Conference Committee Report read; adopted by a vote of 37 yeas and 0 nays.
- **2023-06-08** Conference Committee report received.
- **2023-06-07** Notice House Conference Committee members appointed.
- **2023-06-07** House conferees appointed: Davis, Huval, and Hughes.
- **2023-06-07** Notice of Senate conferees appointed.
- **2023-06-06** Senate conference committee members appointed: Talbot, Smith, and Jackson.
- **2023-06-06** Notice House rejected the Senate amendments.
- **2023-06-06** Read by title, roll called, yeas 98, nays 0, Senate amendments rejected, conference committee appointment pending.
- **2023-06-04** Scheduled for concurrence on 06/06/2023.
- **2023-06-04** Received from the Senate with amendments. `receipt`
- **2023-06-02** Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 38 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled. `passage`
- **2023-05-31** Reported without Legislative Bureau amendments. Read by title and passed to third reading and final passage. `reading-3`
- **2023-05-30** Committee amendments read and adopted. Read by title and referred to the Legislative Bureau.
- **2023-05-29** Reported with amendments. `committee-passage-favorable`
- **2023-05-25** Read by title. Recommitted to the Committee on Finance.
- **2023-05-25** Senate Committee amendments read and adopted.
- **2023-05-24** Reported with amendments. `committee-passage-favorable`
- **2023-05-22** Read second time by title and referred to the Committee on Insurance. `reading-2, referral-committee`
- **2023-05-18** Received in the Senate. Read first time by title and placed on the Calendar for a second reading. `reading-1`
- **2023-05-17** Read third time by title, amended, roll called on final passage, yeas 99, nays 1. Finally passed, title adopted, ordered to the Senate. `passage`
- **2023-05-11** Scheduled for floor debate on 05/17/2023.
- **2023-05-10** Read by title, amended, ordered reengrossed, passed to 3rd reading. `reading-3`
- **2023-05-09** Reported with amendments (19-0). `committee-passage-favorable`
- **2023-04-27** Read by title, amended, ordered engrossed, recommitted to the Committee on Appropriations.
- **2023-04-26** Reported with amendments (10-0). `committee-passage-favorable`
- **2023-04-10** Read by title, under the rules, referred to the Committee on Insurance. `referral-committee`
- **2023-03-24** First appeared in the Interim Calendar on 3/24/2023.
- **2023-03-24** Under the rules, provisionally referred to the Committee on Insurance. `referral-committee`
- **2023-03-24** Prefiled. `filing`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b03d6df2-3dad-4390-b9b2-f30687affb3d`. Confidence: reported (aggregated from official Louisiana legislature records).