Louisiana 2026 Regular Session

Louisiana Senate Bill SB43

Introduced
2/12/26  
Refer
2/12/26  
Refer
3/9/26  
Report Pass
3/25/26  
Refer
3/30/26  
Engrossed
4/20/26  
Refer
4/21/26  
Report Pass
4/28/26  

Caption

HEALTH SERVICES: Provides relative to psychedelic-assisted therapy. (8/1/26) (EN INCREASE GF EX See Note)

Summary

SB 43 creates a new “Psychedelic-Assisted Therapy Initiative” within the Louisiana Department of Health, Office of Behavioral Health, to support clinical studies and drug-development efforts involving psychedelic medications. The bill defines psychedelic-assisted therapy as the controlled administration of substances such as ibogaine, MDMA, and psilocybin, paired with preparatory and integrative psychotherapy. It directs the department to identify academic health centers conducting studies, coordinate with human service districts to find eligible patients, designate a state point of contact, and maintain a list of participating centers. The measure also authorizes academic health centers to participate in tightly regulated clinical studies and consortium-based drug development trials, subject to federal and state compliance requirements. Those requirements include FDA authorization pathways, DEA Schedule I research registration, IRB approval, liability insurance, study protocols, safety monitoring, and fidelity/training plans. The bill further allows use of opioid settlement funds, federal funds, grants, gifts, and donations to support enrollment and trial-enabling work, and it requires annual reporting to the Legislature on program activity.

Impact

SB 43 adds new provisions to Title 28 of the Louisiana Revised Statutes by creating Part IX, “Alternative Therapies,” and establishing R.S. 28:211 and 212. It gives the Department of Health a formal role in coordinating psychedelic-assisted therapy research, patient identification, interagency coordination, and reporting, while also authorizing academic health centers to enter into research and development agreements with drug developers and out-of-state consortia. The bill creates a framework for using opioid settlement dollars and other funding sources to support clinical studies and trial-enabling activities, and it provides for a state royalty of at least 2.5% of net sales from newly developed intellectual property arising from funded consortium trials.

Sentiment

The bill appears to have been broadly supported and largely noncontroversial in the Legislature. It passed the Senate and House overwhelmingly, including multiple unanimous or near-unanimous votes, and ultimately became law without the Governor’s signature as Act 956. The voting record suggests strong bipartisan interest in expanding research options for opioid use disorder and other treatment-resistant conditions through a regulated clinical framework.

Contention

The main policy tension in SB 43 is not over whether research may occur, but over how far Louisiana should go in facilitating psychedelic drug development and how public funds should be used. Potential concerns include the use of opioid settlement money for experimental or trial-enabling work, the involvement of controlled substances such as ibogaine, MDMA, and psilocybin, and the state’s participation in commercialization and intellectual property arrangements. The bill’s detailed compliance, safety, and oversight provisions appear designed to address these concerns by limiting participation to federally authorized, institutionally reviewed, and closely monitored studies.

Companion Bills

No companion bills found.

Previously Filed As

LA SB221

Provides relative to massage therapy. (8/1/25) (EN +$82,200 SG RV See Note)

LA SB42

Provides relative to perinatal behavioral health treatment. (8/1/25) (EN INCREASE GF EX See Note)

LA HB454

Requires Medicaid coverage for certain doula services (EN INCREASE GF EX See Note)

LA HB640

Establishes the office of Louisiana Highway Construction (EN INCREASE GF EX See Note)

LA SB196

Provides relative to homelessness. (8/1/25) (EG INCREASE GF EX See Note)

LA HB114

Provides for the use of artificial intelligence by healthcare providers (OR INCREASE GF EX See Note)

LA SB223

Establishes the Retail Service Worker Health and Safety Act. (8/1/25) (OR INCREASE GF EX See Note)

LA SB41

Provides relative to child welfare. (See Act) (EN INCREASE GF EX See Note)

LA HB159

Provides relative to the supervision of physical therapist assistants

LA HB619

Provides relative to public camping (EG INCREASE GF EX See Note)

Similar Bills

WA HB1433

Concerning access to psychedelic substances.

WA SB5201

Concerning access to psychedelic substances.

MD SB336

Task Force on Responsible Use of Natural Psychedelic Substances - Extension and Membership

MD HB427

Task Force on Responsible Use of Natural Psychedelic Substances - Extension and Membership

MD HB0427

Task Force on Responsible Use of Natural Psychedelic Substances - Extension and Membership

NV SJR10

Urges Congress to take certain actions relating to the therapeutic use of certain psychedelic compounds. (BDR R-801)

TX HB4014

Relating to a study on the use of psychedelic therapies in the treatment of certain conditions.