Exhibit 3.1


                     AMENDMENT TO THE LHC GROUP, INC. BYLAWS

         This Amendment to the LHC Group, Inc. Bylaws (the "Bylaws") is made and
entered into this 31st day of December 2007, by LHC Group, Inc. (the "Company").

         Pursuant to a resolution  of the Board of Directors of the Company,  in
accordance  with  Article VIII of the Bylaws,  the Bylaws are hereby  amended as
follows:

1.       By  deleting  Section 5.1(A) in its  entirety and replacing it with the
         following:

         "The interest of each stockholder of the Corporation shall be evidenced
         by certificated or uncertificated shares, as provided under the General
         Corporation  Law of the State of Delaware,  and shall be entered in the
         books  of the  Corporation  and  registered  as they are  issued.  Each
         stockholder, upon written request to the transfer agent or registrar of
         the  Corporation,  shall be  entitled to a  certificate  of the capital
         stock of the  Corporation.  Certificates  representing  shares of stock
         shall be in such form as the  appropriate  officers of the  Corporation
         may from  time to time  prescribe.  Stock of the  Corporation  shall be
         transferable  in the manner  prescribed by applicable  law and in these
         Bylaws.  Transfers  of  stock  shall  be  made  on  the  books  of  the
         Corporation.  In the case of certificated shares of stock, transfers of
         stock shall be made by the holder thereof in person or by his attorney,
         upon surrender for  cancellation of certificates for the same number of
         shares,  with an assignment and power of transfer  endorsed  thereon or
         attached   thereto,   duly  executed,   and  with  such  proof  of  the
         authenticity  of the  signature  as the  Corporation  or its agents may
         reasonably  require.  In the case of  uncertificated  shares  of stock,
         transfers  of stock shall be made upon the  receipt of proper  transfer
         instructions from the registered owner of  uncertificated  shares or by
         such  person's  attorney  lawfully  constituted  in  writing,  and upon
         compliance with  appropriate  procedures for transferring the shares in
         uncertificated  form;  such  uncertificated  shares shall be cancelled,
         issuance of new equivalent uncertificated shares or certificated shares
         shall be made to the shareholder  entitled  thereto and the transaction
         shall be  recorded  upon the books of the  Corporation.  No transfer of
         stock shall be valid as against the  Corporation  for any purpose until
         it shall have been entered in the stock records of the  Corporation  by
         an entry showing from and to who transferred."

2.       By  deleting Section 5.1(B)  in  its entirety and replacing it with the
         following:

         "The  shares of stock  represented  by  certificates  shall be  signed,
         countersigned  and  registered in such manner as the Board of Directors
         may by resolution prescribe,  which resolution may permit all or any of
         the  signatures on such  certificates,  if any, to be in facsimile.  In
         case any officer,  transfer  agent or registrar who has signed or whose
         facsimile signature has been placed upon a certificate has ceased to be
         such officer,  transfer agent or registrar  before such  certificate is
         issued,  it may be issued by the Corporation with the same effect as if
         he were  such  officer,  transfer  agent  or  registrar  at the date of
         issue."

3.       By adding a new Section 5.1(C) to read as follows:

         "Within  a   reasonable   time  after  the   issuance  or  transfer  of
         uncertificated  stock,  the  Corporation  shall send to the  registered
         owner  thereof a written  notice  that shall set forth the  information
         required  to be set  forth or stated on  certificates  pursuant  to the
         General  Corporation Law of the State of Delaware or, unless  otherwise
         provided by the General  Corporation  Law of the State of  Delaware,  a
         statement  that the  Corporation  will furnish,  without charge to each
         stockholder who so requests the powers, designations,  preferences, and
         relative participating,  optional or other special rights of each class
         of stock or  series  thereof  and the  qualifications,  limitations  or
         restrictions of such preferences and/or rights."




4.       Except as  specifically set  forth  herein,  the Bylaws shall remain in
         full force and effect as prior to this amendment.