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HB 1118

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

2026 Regular Session Introduced by Adrian Fisher

Requires hospitals that are REIT lessees to report lease and occupancy documents to LDH within 14 days; public disclosure of these records and related complaints.

Read second time by title and referred to the Committee on Health and Welfare.
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Bill Summary · HB 1118

Summary of HB 1118 (Louisiana, 2026)

Overview

  • Jurisdiction: Louisiana
  • Session: 2026
  • Title: HEALTH CARE: Requires disclosure of certain agreements between a hospital and a real estate investment trust
  • Sponsor: Representative Fisher (co-sponsor: Adrian Fisher)
  • Status: Passed House committee amendments; engrossed and moved through readings in April 2026
  • Effective date: Upon signature by the governor or lapse of time for gubernatorial action

Purpose and intent

HB 1118 aims to increase transparency around contractual arrangements between hospitals and real estate investment trusts (REITs) that lease hospital facilities. The bill requires disclosure of lease-related documents and occupancy information to the Louisiana Department of Health (LDH) and mandates public posting of certain data about hospitals that are REIT lessees, including complaint activity.

Key provisions

  1. Definitions (Proposed Law)

    • The bill would define terms related to hospital-REIT arrangements to ensure clarity in reporting and public disclosure.

  2. Mandatory reporting to LDH

    • Any hospital that is also a REIT lessee must report to the LDH all documents related to its lease agreements and the occupancy of hospital premises.
    • Reporting timeline: Required within 14 calendar days of entering into the lease agreement or related occupancy arrangement.

  3. Public records and accessibility

    • Documents submitted to the LDH under this act would be deemed public records and available upon request.

  4. LDH publications and transparency requirements

    • LDH must publish:
      • A list of every licensed hospital that is also a REIT lessee.
      • The annual total number of complaints and their resolutions, and, for each REIT lessee that has entered into a new lease agreement in the last 12 months, the complaints and resolutions associated with that lessee.
    • Publication schedule: First publication by July 1, 2027, and annually on July 1 thereafter.

Who is affected

  • Hospitals that are REIT lessees: Subject to mandatory disclosure of lease documents and occupancy information to LDH; their documents become public records.
  • Louisiana Department of Health (LDH): Responsible for collecting, maintaining, and publicly posting disclosures and complaint data.
  • Public/Consumers: Have access to public records related to hospital-REIT leases and related complaints/resolutions.

Procedural and timeline aspects

  • Reporting deadline: 14 days from entering into a lease agreement with a REIT.
  • Public records: All submitted documents are public records and can be requested by the public.
  • LDH publication: Initial public list and complaint data by July 1, 2027, with annual updates each July 1 thereafter.
  • Effective date: Immediate upon the governor’s signature or after the constitutional waiting period, per typical Louisiana law.

Potential impact and considerations

  • Increases transparency around hospital financing and real estate arrangements.
  • Potentially improves public oversight of lease terms and occupancy arrangements for hospital facilities.
  • Creates a new public-facing data set related to hospital-REIT activity and complaint handling.
  • May influence negotiation dynamics for hospital leases due to enhanced public disclosure.
  • Could raise questions about privacy of sensitive documents; however, the bill explicitly makes disclosures public records.

If you’d like, I can provide a quick comparison with similar transparency measures in other states or draft a one-page brief for stakeholders (hospitals, REITs, public advocates).

Compiled from official sources — confirm details with the bill’s official record.

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