HB 408 Louisiana House · 2025 Regular Session

INSURANCE/HEALTH: Requires health insurance coverage relative to pediatric acute-onset neuropsychiatric syndrome and related conditions (EN INCREASE GF EX See Note)

HB 408, known as "The Gillian Guiffreda Act," mandates that health insurance plans cover treatments for pediatric acute-onset neuropsychiatric syndrome (PANS) and related conditions. This directly affects children diagnosed with PANS - a severe neurological condition causing sudden behavioral and cognitive changes - and their families, who previously faced barriers to insurance coverage for specialized care. The bill requires insurers to provide coverage for medically necessary treatments related to these conditions, without imposing additional out-of-pocket costs on patients. It focuses on ensuring access to established medical care rather than creating new treatments or programs.

Issues: ✓ Healthcare

Bill status signed all 5 stages cleared

Introduction

Apr 2025

Committee Review

Jun 2025

House Passage

Jun 2025

Senate Passage

Jun 2025

Signed into Law

Jun 2025

Introduced Apr 3, 2025 Signed Jun 20, 2025

Maddy AI version diff · 3 comparisons

What changed between versions

HB408 Original → HB408 Act · 4 edits

MODERATE

This bill was finalized as Act No. 360, expanding the list of sponsors to include numerous additional representatives and senators. The core legislative text was reorganized to start with formal findings about the severity of pediatric conditions like PANS and PANDAS, rather than jumping immediately to insurance requirements. The substantive insurance mandates, including coverage for intravenous immunoglobulin therapy and specific treatment limits, remain unchanged from the original draft.

Scope change

The bill's scope was expanded to include a formal section of legislative findings detailing the symptoms and risks of the covered conditions, while the applicability of the law was updated to specify that new policies must comply by January 1, 2026, and existing policies must convert by January 1, 2027.

SCOPE

Added a new Section 1 containing detailed legislative findings regarding the symptoms, misdiagnosis risks, and treatment effectiveness for PANS, PANDAS, and autoimmune encephalitis.

Added a formal title for the legislation, known as the 'Gillian Guiffreda Act'.

TIMELINE

Added specific effective dates: January 1, 2026, for new policies and January 1, 2027, for converting existing policies.

TECHNICAL

Expanded the list of bill sponsors from a single representative to a large bipartisan group of representatives and senators.

Floor votes · Senate Jun 9, 2025 · House May 19, 2025

How they voted

37–0

Passed

Total votes 37

Jun 9, 2025

D Democratic11

11 Yea

100% Yea

R Republican26

26 Yea

100% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Jun 10, 2025

Lower · Passed

Read by title, roll called, yeas 96, nays 0, Senate amendments concurred in.

lower

Jun 9, 2025

Upper · Passed

Rules suspended. Senate floor amendments read and adopted. Read by title, passed by a vote of 39 yeas and 0 nays, and ordered returned to the House. Motion to reconsider tabled.

upper

Jun 8, 2025

Committee

Read by title and referred to the Legislative Bureau.

upper

Jun 8, 2025

Upper · Passed

Rules suspended. Recalled from Committee.

upper

May 29, 2025

Committee

Read by title. Recommitted to the Committee on Finance.

upper

May 29, 2025

Upper · Passed

Senate Committee amendments read and adopted.

upper

May 28, 2025

Upper · Passed

Reported with amendments.

upper

May 19, 2025

Lower · Passed

Read third time by title, roll called on final passage, yeas 96, nays 0. Finally passed, title adopted, ordered to the Senate.

lower

May 14, 2025

Lower · Passed

Discharged from the Committee on Appropriations.

lower

Apr 30, 2025

Committee

Read by title, ordered engrossed, recommitted to the Committee on Appropriations.

lower

Apr 29, 2025

Lower · Passed

Reported favorably (12-0).

lower

Apr 14, 2025

Committee

Read by title, under the rules, referred to the Committee on Insurance.

lower

Apr 3, 2025

Committee

Under the rules, provisionally referred to the Committee on Insurance.

lower

1 primary · 51 co-sponsors