HB 1118

HLS 26RS-2067  REENGROSSED
 2026 Regular Session
 HOUSE BILL NO. 1118
 BY REPRESENTATIVE FISHER
 HEALTH CARE: Requires disclosure of certain agreements between a hospital and a real
  estate investment trust
1AN ACT
2 To enact R.S. 40:2104.1, relative to certain agreement disclosures between hospitals and real
3estate investment trusts; to provide for definitions; to provide for reporting
4requirements; to provide for entering into a lease agreement with a real estate
5investment trust; to provide for the publication of records; and to provide for related
6matters.
7 Be it enacted by the Legislature of Louisiana:
8Section 1. R.S. 40:2104.1 is hereby enacted to read as follows:
9§2104.1. Healthcare real estate ownership transparency
10A. For the purposes of this Section, the following terms have the meanings
11ascribed to them:
12(1) "Healthcare real estate investment trust" or "REIT" means a real estate
13investment trust, as defined by 26 U.S.C. 856, whose assets consist of real property
14held in connection with the use or operations of a hospital.
15(2) "Main campus" means the physical premises where the primary hospital
16building and its adjoining grounds are located, and is licensed as a hospital by the
17department pursuant to R.S. 40:2100 et seq.
18(3) "REIT lessee" means any hospital that is leasing its main campus from
19a healthcare real estate investment trust.
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 CODING: Words in struck through type are deletions from existing law; words underscored
 are additions.
 HLS 26RS-2067  REENGROSSED
  HB NO. 1118
1B. Upon initial application for licensure or in an application for an annual
2license renewal, every hospital that is a REIT lessee shall disclose that it is a REIT
3lessee and shall submit to the department certified copies of all documents related
4to the lease including but not limited to the lease, master lease, sublease, license or
5any other such document related to the use, occupancy or utilization of the premises
6occupied by the REIT lessee.
7C. Any hospital that enters into a lease agreement with a real estate
8investment trust regardless of whether the lease agreement constitutes acquisition as
9defined in R.S. 40:2115.2, shall submit to the secretary of the department, within
10fourteen calendar days of entering into the lease agreement, all documents related to
11the lease, master lease, sublease, license or any other agreement with the REIT for
12the use, occupancy or utilization of the premises occupied by the hospital.
13D. The department shall maintain on the department's website a listing of
14every licensed hospital that maintains a lease agreement with a real estate investment
15trust.
16Section 2. This Act shall become effective upon signature by the governor or, if not
17 signed by the governor, upon expiration of the time for bills to become law without signature
18 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If
19 vetoed by the governor and subsequently approved by the legislature, this Act shall become
20 effective on the day following such approval.
  DIGEST
 The digest printed below was prepared by House Legislative Services. It constitutes no part
 of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute
 part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)]
 HB 1118 Reengrossed  2026 Regular Session  Fisher
 Abstract: Provides relative to certain agreement disclosures between hospitals and real
  estate investment trusts and the governing rules.
 Proposed law provides for definitions.
 Proposed law requires every hospital that is also a real estate investment trust lessee to report
 to the secretary of the Louisiana Department of Health (LDH) all documents related to lease
 agreements and occupancy of the hospital premises. Reporting must occur within 14
 calendar days of entering into the agreement.
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 CODING: Words in struck through type are deletions from existing law; words underscored
 are additions.
HLS 26RS-2067  REENGROSSED
  HB NO. 1118
Proposed law provides that any documents submitted to the secretary of the LDH be
considered public record and available upon request.
Proposed law requires LDH to publish a list of every licensed hospital that is also a real
estate investment trust lessee, the annual total of complaints and their resolution, and
complaints and resolutions for each real estate investment trust lessee that has entered into
a new lease agreement in the last 12 months. This information is to be published on July 1,
2027, and every July 1 thereafter.
Effective upon signature of governor or lapse of time for gubernatorial action.
(Adds R.S. 40:2104.1)
Summary of Amendments Adopted by House
   The Committee Amendments Proposed by House Committee on Health and Welfare to
  the original bill:
   1.      Make a technical change.
   The House Floor Amendments to the engrossed bill:
   1.      Provide for a definition.
   2.      Provide for the submission of certified copies of all documents related to the
  lease and any other document related to the use, occupancy, or utilization of the
  premises occupied by the REIT lessee.
   3.      Provide for the Louisiana Department of Health to list every licensed hospital
  that maintains a REIT lease on the department's website.
   4.      Make technical changes.
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CODING: Words in struck through type are deletions from existing law; words underscored
are additions.