HB 1118 Louisiana House · 2026 Regular Session

HEALTH CARE: Requires disclosure of certain agreements between a hospital and a real estate investment trust

This bill requires hospitals in Louisiana that lease their main campus from a real estate investment trust to disclose specific lease agreements to the state health department. Hospitals must submit all related documents, including master leases and subleases, both when renewing their annual license and within 14 days of entering into a new lease agreement. The state health department will make these documents public records and publish an annual report listing all hospitals with such leases, along with their complaint histories and any changes in complaints before and after the lease took effect. The first public report under this requirement will be available on July 1, 2027.

Bill status passed 3 of 5 stages cleared

Introduction

Mar 2026

Committee Review

Apr 2026

House Passage

Apr 2026

Senate Passage

Governor

Introduced Mar 31, 2026 Last action May 4, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

HB1118 Reengrossed → HB1118 Engrossed · 4 edits · Apr 28, 2026

MODERATE

The bill was amended to clarify definitions and significantly expand reporting requirements for hospitals leasing from Real Estate Investment Trusts (REITs). The changes ensure that hospitals must disclose lease documents and specific complaint data to the Department of Health, including a new requirement to report complaints separately for periods before and after the lease took effect.

Scope change

The scope of reporting was expanded to include hospitals that enter into new lease agreements with REITs regardless of whether the lease constitutes an 'acquisition' under existing law, and the definition of 'main campus' was narrowed to focus on where the majority of inpatient beds are located.

DEFINITION

The definition of 'main campus' was changed from the physical premises of the primary building to the licensed premises where the majority of inpatient beds are located.

REQUIREMENT

Hospitals entering into new REIT lease agreements must submit all related documents to the Department of Health within 14 days, regardless of whether the lease is classified as an acquisition.

The annual public report now requires a separate breakdown of complaints and resolutions for months before and after the REIT lease took effect.

Documents submitted by hospitals regarding their REIT leases are now explicitly designated as public records available to anyone upon request.

Floor votes · House Apr 28, 2026

How they voted

99–1

Passed · 7 other

Total votes 107

Apr 28, 2026

D Democratic33

30 Yea 3

90% Yea

R Republican74

69 Yea 1 Nay 4

93% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Apr 28, 2026

Lower · Passed

Read third time by title, amended, roll called on final passage, yeas 97, nays 1. Finally passed, title adopted, ordered to the Senate.

lower

Apr 22, 2026

Introduced

Read by title, amended, returned to the calendar.

lower

Apr 15, 2026

Lower · Passed

Reported with amendments (10-0).

lower

Apr 1, 2026

Committee

Read by title, under the rules, referred to the Committee on Health and Welfare.

lower

1 primary · 0 co-sponsors