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The Housley Presumption in Louisiana Injury Cases

The Housley presumption helps an injured person prove the accident caused their injury. If you were in good health before the accident, then symptoms appeared after it and continued, and medical evidence shows a reasonable connection, the law presumes the accident caused the condition. The defendant must then produce evidence to overcome that presumption.

Last reviewed: June 5, 2026

Proving that a crash — not something else — caused your injury is often the hardest part of a case. Louisiana’s Housley presumption, now codified, eases that burden when the timeline lines up.

The three elements

The presumption applies when:

  1. the plaintiff was in good health before the accident;
  2. the symptoms of the disabling condition appeared after the accident and continuously manifested afterward; and
  3. medical or other evidence shows a reasonable possibility of a causal connection between the accident and the condition.

When all three are met, causation is presumed and the burden shifts to the defendant. The presumption is reflected in La. Code Evid. art. 306.1, added by Act 18 of the 2025 Regular Session.

How the defense fights it

Defendants attack each element — prior injuries, pre-existing conditions, gaps in treatment, or an alternative cause. Consistent medical treatment and an honest history are what keep the presumption intact.

A Louisiana injury lawyer builds the medical record so the presumption applies and holds.

Frequently Asked Questions

How does the Housley presumption help my case?
It shifts the work to the defense. If you were healthy before the crash, symptoms started after it and persisted, and a medical professional finds a reasonable causal link, the law presumes the accident caused the injury. The defendant then has to come forward with evidence to rebut that — you do not have to prove causation from scratch.
What can defeat the presumption?
The defense can rebut it with evidence that the condition existed before the accident, came from another cause, or is not reasonably connected to the crash. Gaps in treatment and prior similar injuries are common attacks.

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