SB 4 Louisiana Senate · 2026 Regular Session

PUBLIC HEALTH: Provides relative to water fluoridation. (gov sig) (EN SEE FISC NOTE LF EX See Note)

SB 4 changes Louisiana's water fluoridation policy by ending the state mandate for fluoridation in public water systems. Instead, it requires local voter approval via election for any system to fluoridate, with exceptions for systems already meeting natural fluoride levels. This directly affects public water systems serving over 5,000 connections that currently fluoridate or need to adjust fluoride levels. The bill takes effect January 1, 2027, replacing the previous requirement with a local decision process.
Bill status signed all 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
Senate Passage
May 2026
House Passage
May 2026
Signed into Law
Jun 2026
Introduced Jan 21, 2026 Signed Jun 2, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

SB4 Original SB4 Act · 3 edits
MINOR
The bill was converted from a draft proposal to an enrolled Act, changing its status from pending legislation to law. The sponsors were expanded to include multiple representatives, and the effective date was removed, allowing the law to take effect immediately upon the governor's signature. The substantive text of the fluoridation requirements appears to remain consistent between the two versions.
Scope change
The bill's scope remains focused on public water systems in Louisiana, specifically those with at least 5,000 service connections and fluoride levels outside the optimal range. The primary change is the transition from a proposed bill to an enacted law.
TIMELINE

The specific effective date of January 1, 2027, found in the original draft was removed. The enrolled Act now states the law becomes effective immediately upon the governor's signature or expiration of the signing period.

SCOPE

The list of bill sponsors was expanded to include Representatives Amedee, Coates, Crews, Dickerson, Edmonston, Jackson, Mack, Owen, and Ventrella, whereas the original draft only listed Senator Fesi.

TECHNICAL

The document was formally marked as 'ENROLLED ACT No. 731' and included signatures from the President of the Senate, Speaker of the House, and the Governor, indicating final approval.

Floor votes · Senate Apr 8, 2026 · House May 26, 2026

How they voted

277
Passed · 6 other
Total votes 40
Apr 8, 2026
D Democratic12
4 Yea 7 Nay 1
58% Nay
R Republican28
23 Yea 5
82% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
21
Key actions
5
Committee
4
Amendments
1
May 27, 2026
Upper · Passed
Amendments proposed by the House read and concurred in by a vote of 34 yeas and 0 nays.
upper
May 26, 2026
Lower · Passed
Read third time by title, roll called on final passage, yeas 55, nays 38. Finally passed, ordered to the Senate.
lower
May 20, 2026
Introduced
Reported without Legislative Bureau amendments.
lower
May 19, 2026
Lower · Passed
Reported with amendments (13-0). Referred to the Legislative Bureau.
lower
Apr 14, 2026
Committee
Read by title, under the rules, referred to the Committee on Health and Welfare.
lower
Apr 8, 2026
Upper · Passed
Senate floor amendments read and adopted. Read by title and passed by a vote of 26 yeas and 7 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.
upper
Mar 18, 2026
Upper · Passed
Reported with amendments.
upper
Mar 9, 2026
Committee
Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Health and Welfare.
upper
1 primary · 9 co-sponsors

Sponsors