§1061.6. Use of public funds
A.(1) Notwithstanding any other provision of law to the contrary, no public funds,
made available to any institution, board, commission, department, agency, official, or
employee of the state of Louisiana, or of any local political subdivision thereof, whether such
funds are made available by the government of the United States, the state of Louisiana, or
of a local governmental subdivision, or from any other public source shall be used in any way
for, to assist in, or to provide facilities for an abortion, except when the abortion is medically
necessary to prevent the death of the mother.
NOTE: Paragraph (A)(2) eff. until conditions per Acts 2018, No. 498.
(2) No institution, board, commission, department, agency, official, or employee of
the state, or of any local political subdivision thereof, shall contract with, award any grant
to, or otherwise bestow any funding upon, an entity or organization that performs abortions,
or that contracts with an entity or organization that performs abortions, in this state, as more
specifically provided in Chapter 1-A of Title 36 of the Louisiana Revised Statutes of 1950.
NOTE: Paragraph (A)(2) eff. upon conditions per Acts 2018, No. 498.
(2)(a) As more specifically provided in R.S. 49:200.51, the Louisiana Department
of Health shall not enter into any provider agreement for medical assistance program
funding, as defined in R.S. 46:437.3, with any healthcare provider, entity, or organization
that does any of the following:
(i) Performs abortions in this state.
(ii) Provides its own facilities where reimbursable medical assistance program
services are performed for the use of another healthcare provider, entity, or organization for
the purpose of performing abortions in this state.
(iii) Hires or retains another healthcare provider, entity, or organization for the
purpose of performing abortions in this state.
(iv) Provides reimbursable medical assistance program services in the same physical
facility as a licensed outpatient abortion facility.
(b)(i) The prohibitions provided in this Subsection shall apply to state funds, federal
funds, and any other public funds administered by the Louisiana Department of Health
through a medical assistance program provider agreement, but shall not be construed to
prohibit provision of public protections, such as fire, police, or emergency medical services,
public utilities, or other such services to any entity or organization in the same manner as
provided to the general public.
(ii) For purposes of this Subparagraph, "medical assistance program" and "provider
agreement" shall have the meaning ascribed in R.S. 46:437.3.
B. Notwithstanding any other provision of law to the contrary, no public funds made
available to any institution, board, commission, department, agency, official, or employee
of the state of Louisiana, or of any local political subdivision thereof, whether such funds are
made available by the government of the United States, the state of Louisiana, or a local
governmental subdivision, or from any other public source, shall be used in any way for, to
assist in, or to provide facilities for an abortion, except for any of the following:
(1) Whenever the abortion is necessary to save the life of the mother.
(2) Whenever the abortion is being sought to terminate a pregnancy resulting from
an alleged act of rape and all of the requirements of R.S. 40:1061.18(A) are met.
(3) Whenever the abortion is being sought to terminate a pregnancy resulting from
an alleged act of crime against nature as defined by R.S. 14:89(A)(2) and all of the
requirements of R.S. 40:1061.18(B) are met.
C. The secretary of the Louisiana Department of Health shall promulgate rules to
ensure that no funding of any abortion shall be made based upon a claim of rape or crime
against nature as defined by R.S. 14:89(A)(2) until the applicable requirements of R.S.
40:1061.18 have been complied with and written verification has been obtained from the
physician performing the abortion and from the law enforcement official to whom the report
is made, if applicable.
D. Subsection A of this Section shall be superseded and Subsections B and C and
R.S. 40:1061.18 shall become effective only when the circumstances in Subparagraph (1)(a)
or in Subparagraph (2)(a) occur:
(1)(a) A decision or order of a court of competent jurisdiction is rendered declaring
the provisions of Subsection A unconstitutional, inconsistent with federal law, or otherwise
unenforceable based on inconsistency with the Hyde Amendment, or enjoins the state or any
of its officials from enforcing Subsection A while at the same time accepting federal funds
pursuant to Title XIX, as modified by the Hyde Amendment, and then only if, as, and when
a stay pending all appeals of the decision or order is denied, or, if a stay is granted, such stay
expires or is no longer effective.
(b) If such a decision or order is rendered, the state Department of Justice, on behalf
of the state, shall vigorously and expeditiously pursue judicial remedies seeking to obtain a
stay pending all appeals of the decision or order and its reversal.
(2)(a) An order or decision of a court of competent jurisdiction is rendered affirming
a finding of the administrator of the Health Care Financing Administration of the United
States Department of Health and Human Services that Subsection A fails to substantially
comply with the Hyde Amendment or denying a stay of the finding of the administrator and
then only if, as, and when the state receives formal notification from the administrator that
Medicaid funds, including but not limited to the federal percentage of Medicaid assistance
payments pursuant to 42 U.S.C. 1396 et seq. allocated to the state from the United States
government, will be withheld or terminated on a specified date.
(b) If the administrator finds that the state is in noncompliance with the Hyde
Amendment as it relates to funding certain abortions, the governor, the state Department of
Justice, and the state Department of Health, on behalf of the state, shall vigorously and
expeditiously pursue administrative and judicial remedies to obtain a stay of the finding and
its reversal.
(c) If such a decision or order is rendered by a court, the state Department of Justice,
on behalf of the state, shall vigorously and expeditiously pursue judicial remedies seeking
to obtain a stay of the decision or order and to seek its reversal.
E. If Subsections B and C and R.S. 40:1061.18 become effective and subsequently
the federal requirement for acceptance of Medicaid funds, that public funds be made
available for abortions resulting from pregnancy due to rape or crime against nature as
defined by R.S. 14:89(A)(2), is no longer applicable to the state of Louisiana, then on the
same day, the provisions of Subsections B and C and R.S. 40:1061.18 shall be superseded
and the provisions of Subsection A shall be effective to the fullest extent allowed by law.
Added by Acts 1978, No. 704, §2; Acts 1994, 4th Ex. Sess., No. 1, §1, eff. Aug. 23,
1994; Acts 2014, No. 602, §6, eff. June 12, 2014; Redesignated from R.S. 40:1299.34.5 by
HCR 84 of 2015 R.S.; Acts 2016, No. 304, §2, eff. June 2, 2016; Acts 2018, No. 498, §2,
See Act.