Dustin Miller — House - District 40
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Live from the 2025 Regular Session
(1400 House floor votes analyzed - so far...)
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Sponsored Bills
HB314: Modifies the regulatory authority of the Louisiana Department of Health in relation to hospital classifications
Last Action: Effective date: 01/01/2026.
Date: 2025-06-04
Author: Dustin Miller (D)
📅 Not Scheduled
HB454: Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)
Last Action: Effective date: 08/01/2025.
Date: 2025-06-10
Author: Dustin Miller (D)
Co-sponsors: Delisha Boyd (D) Ken Brass (D) Wilford Carter (D) Tehmi Chassion (D) Adrian Fisher (D) Jason Hughes (D) Steven Jackson (D) Alonzo Knox (D) Vanessa Caston Lafleur (D) Mandie Landry (D) Terry Landry Jr. (D) Rodney Lyons (D) Denise Marcelle (D) Shaun Mena (D) Pat Moore (D) Annie Spell (R) Joseph Stagni (R) Sylvia Taylor (D) Joy Walters (D) Matthew Willard (D) Regina Barrow (D) Gerald Boudreaux (D) Joseph Bouie (D) Gary Carter (D) Royce Duplessis (D) Katrina Jackson-Andrews (D) Beth Mizell (R) Edward Price (D) Larry Selders (D)
...and 24 more.
📅 Not Scheduled
FISCAL NOTE
Mandates Medicaid coverage and reimbursement for non-medical doula services before, during, and after childbirth. Requires a minimum number of visits and creates a state doula registry for reimbursement eligibility.
Key Provisions:
- Requires coverage for 5 prenatal visits, 3 postpartum visits, and labor/birth assistance
- Defines doulas as non-medical support persons
- Doulas must register with the Louisiana Doula Registry Board to receive Medicaid reimbursement
- LDH to determine reimbursement rates and submit state plan amendments
- All Medicaid managed care plans must comply by January 1, 2026
Concerns:
- Expands Medicaid coverage and costs to be borne by taxpayers
- Creates a new registry board with no fiscal impact specified
- Reimburses non-clinical services with broad, loosely defined scopes
- Duplicates existing services already provided by licensed professionals when necessary
- Lacks clear certification or quality control standards
Duplicated services already available to Medicaid patients through licensed providers:
1. Prenatal and postpartum care – Covered through OB/GYNs, certified nurse midwives, and primary care providers. These include prenatal education, screenings, and follow-up care.
2. Labor and delivery support – Provided by labor and delivery nurses, midwives, and physicians in hospitals and birthing centers. These professionals offer continuous physical and emotional support during childbirth.
3. Breastfeeding and lactation support – Medicaid covers certified lactation consultants, and WIC offers additional free support and education to eligible mothers.
4. Parenting education – Available through Medicaid-funded home visiting programs (e.g., Nurse-Family Partnership) and other community-based initiatives.
5. Pregnancy loss support – Medicaid covers mental health counseling provided by licensed therapists, social workers, or psychologists to address grief and trauma.
HB169: Provides relative to the St. Landry Parish Economic and Industrial Development District
Last Action: Withdrawn prior to introduction.
Date: 2025-04-02
Author: Dustin Miller (D)
📅 Not Scheduled
📄 Details 🔍 View Bill on Legislature Website
HB311: Provides relative to the St. Landry Parish Economic and Industrial Development District
Last Action: Withdrawn prior to introduction.
Date: 2025-04-03
Author: Dustin Miller (D)
📅 Not Scheduled
📄 Details 🔍 View Bill on Legislature Website
HB358: Permits a pharmacy technician to work remotely in certain circumstances
Last Action: Notice House adopted the Conference Committee Report.
Date: 2025-06-12
Author: Dustin Miller (D)
Co-sponsors: Tehmi Chassion (D) Beryl Amedee (R) Tony Bacala (R) Lawrence Bagley (R) Mike Bayham (R) Stephanie Berault (R) Marcus Bryant (D) Rhonda Butler (R) Dewith Carrier (R) Emily Chenevert (R) Kimberly Coates (R) Raymond Crews (R) Phillip DeVillier (R) Jason DeWitt (R) Kellee Dickerson (R) Jessica Domangue (R) Michael Echols (R) Kathy Edmonston (R) Peter Egan (R) Julie Emerson (R) Gabe Firment (R) Adrian Fisher (D) Brian Glorioso (R) Dodie Horton (R) Mike Johnson (R) Travis Johnson (D) Jeremy LaCombe (R) Jacob Landry (R) Shane Mack (R) Denise Marcelle (D) Danny McCormick (R) Jack McFarland (R) Wayne McMahen (R) Dixon McMakin (R) Pat Moore (D) Charles Owen (R) Rodney Schamerhorn (R) Annie Spell (R) Francis Thompson (R) Joy Walters (D) Roger Wilder (R) Jeff Wiley (R) John Wyble (R)
...and 38 more.
📅 Not Scheduled
Seeks to amend R.S. 37:1212 to permit licensed pharmacy technicians in Louisiana to remotely access their pharmacy's electronic prescription records and dispensing information systems. The bill mandates that pharmacies implement measures to protect the privacy and security of confidential records. Additionally, it prohibits pharmacy technicians from duplicating, downloading, or removing any part of the pharmacy's software or dispensing information systems.
HB359: Provides relative to victims of human trafficking
Last Action: Effective date: 08/01/2025.
Date: 2025-06-11
Author: Dustin Miller (D)
Co-sponsors: Mike Bayham (R) Stephanie Berault (R) Beth Billings (R) Dewith Carrier (R) Kellee Dickerson (R) Adrian Fisher (D) Barbara Freiberg (R) Edmond Jordan (D) Alonzo Knox (D) Vanessa Caston Lafleur (D) Ed Larvadain (D) Rodney Lyons (D) Denise Marcelle (D) Dixon McMakin (R) Pat Moore (D) Candace Newell (D) Annie Spell (R) Joseph Stagni (R) Sylvia Taylor (D) Joy Walters (D) John Wyble (R) Tehmi Chassion (D)
...and 17 more.
📅 Not Scheduled
HOUSE floor amendments [LINK] omit language requiring emergency department physicians to contact a local sexual assault nurse examiner when a patient shows signs of human trafficking, and revise the composition of a task force or advisory group: the executive director of the Louisiana State Board of Nursing, the president of the Louisiana State Coroner's Association, and two sexual assault nurse examiners—one selected by the Louisiana Hospital Association and one by the Louisiana State Coroner's Association.
HOUSE committee amendments [LINK] create procedures for hospitals to respond to suspected human trafficking cases. Physicians in emergency departments encountering potential trafficking victims must consult with local sexual assault nurse examiners to coordinate patient care. Each public health region must include a human trafficking protocol in its annual sexual assault response plan, and hospitals must follow this protocol. Additionally, the amendments establish the "Louisiana Human Trafficking in Emergency Departments Task Force," which is tasked with developing a statewide uniform protocol, assessing hospital readiness, and annually reporting to the governor and legislature.
Proposes amendments to R.S. 28:53 concerning the emergency admission of individuals for mental health treatment. The bill aims to include victims of sex trafficking under the provisions for emergency admission, recognizing that such individuals may experience mental illnesses or conditions necessitating immediate care. Specifically, it allows for their admission and detention at a treatment facility for observation, diagnosis, and treatment for up to fifteen days under an emergency certificate. Additionally, the bill permits an extension of this period for another fifteen days with a second certificate, provided certain conditions are met. The proposed legislation also outlines the responsibilities of healthcare professionals authorized to execute these emergency certificates, including physicians, physician assistants, psychiatric mental health nurse practitioners, and other nurse practitioners operating under collaborative agreements.
HB532: Provides relative to sales and use tax elections in certain municipalities (EN INCREASE LF EX See Note)
Last Action: Effective date: See Act.
Date: 2025-05-20
Author: Dustin Miller (D)
📅 Not Scheduled
HOUSE floor amendments technical
HOUSE committee amendments [LINK] revise election procedures by updating the reference for permissible dates to call special elections, linking them explicitly to existing dates set for federal, state and local elections.
Authorizes municipalities with a population between 15,000 and 16,000 to hold a sales and use tax election on a non-standard Saturday if the tax is set to expire before a regular election date is available. Requires approval by two-thirds of the State Bond Commission, the governor, and the secretary of state.
HB661: Provides relative to fees collected by the Louisiana Department of Health
Last Action: Effective date: 07/01/2025.
Date: 2025-07-01
Author: Dustin Miller (D)
📅 Not Scheduled
MORE FEES for the LDH beast
HOUSE floor amendments technical
HOUSE committee amendments [LINK] set an annual retail permit fee of $22,500 for each of the ten authorized therapeutic marijuana retail permit holders and remove previously proposed language on page 4, lines 1 through 17, from the original bill.
Increases and expands fees collected by the Louisiana Department of Health (LDH), mainly through its Office of Public Health.
Key Provisions:
- $25 permit fee for food and beverage vendors at the New Orleans Jazz and Heritage Festival
- $15 fee for each export or free sale certificate issued by LDH
- Annual sewage license fees increased from $100 to $150 for installers, maintenance providers, and combination licenses
- Inspection fee for sewage systems tied to loan approvals increased from $100 to $150
- $100 plan review fee for new or renovated facilities; $1,000 for expedited five-day review
- New tiered annual permit fees for therapeutic marijuana retailers based on gross sales:
- Under $25,000 = $500
- $25,001–$50,000 = $1,000
- $50,001–$75,000 = $2,000
- $75,001–$100,000 = $5,000
- Over $100,000 = $7,500
- $50 registration fee for each new therapeutic marijuana product added to the state tracking system
HCR55: Continues the Health Inequities and Disparities in Rural Areas Task Force
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-06-05
Author: Dustin Miller (D)
📅 Not Scheduled
HR203: Designates the week of May 18 through 24, 2025, as Emergency Medical Services Week
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-05-23
Author: Dustin Miller (D)
📅 Not Scheduled
HR23: Commends the Geaux Far Louisiana Coalition and designates April 15, 2025, as Geaux Far Day at the state capitol
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-04-17
Author: Dustin Miller (D)
📅 Not Scheduled
HR278: Requests the Louisiana State University School of Health Sciences to conduct certain studies to identify associations between environmental risk factors and maternal health outcomes
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-06-11
Author: Dustin Miller (D)
Co-sponsors: Beryl Amedee (R) Mike Bayham (R) Beth Billings (R) Delisha Boyd (D) Tehmi Chassion (D) Raymond Crews (R) Peter Egan (R) Stephanie Hilferty (R) Mike Johnson (R) Edmond Jordan (D) Alonzo Knox (D) Vanessa Caston Lafleur (D) Rodney Lyons (D) Charles Owen (R) Joy Walters (D) Rashid Young (D)
...and 11 more.
📅 Not Scheduled
HR329: Urges the attorney general and the Louisiana Department of Insurance to investigate pharmacy benefit managers (PBMs) for potential violations of law and to urge and request the legislature to pass legislation prohibiting PBMs from owning or having a financial interest in pharmacies in this state
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-06-11
Author: Dustin Miller (D)
Co-sponsors: Daryl Adams (D) Beryl Amedee (R) Mike Bayham (R) Stephanie Berault (R) Beth Billings (R) Delisha Boyd (D) Rhonda Butler (R) Robert Carter (D) Michael Echols (R) Peter Egan (R) Aimee Freeman (D) Barbara Freiberg (R) Brian Glorioso (R) Dodie Horton (R) Jason Hughes (D) Edmond Jordan (D) Alonzo Knox (D) Jeremy LaCombe (R) Ed Larvadain (D) Rodney Lyons (D) Denise Marcelle (D) Jack McFarland (R) Dixon McMakin (R) Pat Moore (D) Candace Newell (D) Charles Owen (R) Tammy Phelps (D) Rodney Schamerhorn (R) Annie Spell (R) Sylvia Taylor (D) Francis Thompson (R) Joy Walters (D) Roger Wilder (R) Jeff Wiley (R) John Wyble (R) Rashid Young (D)
...and 31 more.
📅 Not Scheduled
HR335: Commends DJ Daniel for his strength and resilience in achieving his lifelong dream of becoming a police officer and recognizes his family members for their unwavering support and dedication
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-06-11
Author: Dustin Miller (D)
📅 Not Scheduled
HR88: Recognizes April 30, 2025, as Nurses Day and May 6 through May 12, 2025, as National Nurses Week in Louisiana
Last Action: Taken by the Clerk of the House and presented to the Secretary of State in accordance with the Rules of the House.
Date: 2025-05-05
Author: Dustin Miller (D)
📅 Not Scheduled
This could be a huge and unnecessary expense for smaller rural hospitals.
HOUSE committee amendments technical
Proposes an amendment to R.S. 40:2109(B)(6) concerning hospital classifications and standards. The bill seeks to remove the existing exemption that allows hospitals in parishes with populations of 250,000 or less to qualify for Medicaid reimbursement for Level III neonatal or obstetric medical services without maintaining in-house obstetric anesthesia personnel on a 24-hour basis. Currently, these hospitals are permitted to have such personnel on-call and available within 20 minutes. If enacted, the bill would require all hospitals, regardless of parish population, to have in-house obstetric anesthesia personnel available 24/7 to qualify for the specified Medicaid reimbursements. The act would become effective upon the governor's signature or as otherwise provided by law.