The objectives were to evaluate the effects of feeding different amounts of supplemental live yeast (LY) on performance and digestion of cows under heat stress. Sixty Holstein cows, 27 multiparous and 33 primiparous, were blocked by parity and milk yield in the first 20 d in milk (DIM) and randomly assigned to receive 0, 0.5, or 1.0 g/d of LY, resulting in daily intakes of 0, 14.2, and 37.6 billion cells, respectively, of Saccharomyces cerevisiae strain CNCM I-1077 from 30 to 107 DIM. Cows were milked twice daily, dry matter intake (DMI) and milk yield were measured daily, and milk components, body weight, and body condition were measured weekly. Blood was sampled weekly and plasma analyzed for concentrations of glucose, fatty acids, urea N, haptoglobin, serum amyloid A, and acid-soluble protein. Digestibility of nutrients was measured in the last 2 wk of the experiment. Ruminal fluid was collected on 2 consecutive days 6 h after the morning feeding for measurements of pH, concentrations of short chain fatty acids, and NH3-N. Feeding behavior was observed for 48 h on experiment d 21 and 63. The mean ambient temperature was 26.8°C, humidity was 83.2%, and the temperature and humidity index ranged from 73 to 81. Treatment did not affect rectal temperature (38.9 ± 0.04°C) or DMI but increased yield of energy-corrected milk (ECM; 35.2 vs. 36.1 vs. 37.2 kg/d for 0, 0.5, and 1.0 g/d, respectively) and efficiency of conversion of DM into ECM (1.70, 1.79, and 1.83 for 0, 0.5, and 1 g/d, respectively). Feeding LY increased digestibility of crude protein (65.1 vs. 68.8 vs. 70.4%) and neutral detergent fiber (NDF; 47.5 vs. 49.2 vs. 55.2%), and concentration of acetate (64.7 vs. 69.1 vs. 72.2 mM), which resulted in increased concentration of total short chain fatty acids in ruminal fluid (110.3 vs. 117.7 vs. 121.4 mM). Mean ruminal pH increased (5.99 vs. 6.03 vs. 6.26), and proportion of cows with pH <5.8 decreased linearly (42.9 vs. 34.9 vs. 7.7%) with increasing inclusion of LY. Concentrations of acute-phase proteins decreased with increasing amount of LY. Some aspects of feeding behavior were altered by LY, and meal size reduced quadratically (3.2, 3.5, and 2.9 kg of DM, respectively), whereas interval between rumination bouts tended to reduce linearly (122, 96.5, and 90.7 min, respectively) with increasing dose of LY. Chewing time per kilogram of NDF tended to increase linearly (71.6, 71.3, and 81.6 min/kg, respectively) with increasing dose of LY. The estimated net energy for lactation of the diet increased 5.2%, from 1.72 Mcal/kg of DM for 0 g of LY to 1.81 Mcal/kg for 1 g of LY. Feeding 1 g of LY/d to cows under heat stress increased yield of ECM and efficiency of feed conversion into ECM, improved diet digestibility, and increased ruminal fluid pH; these responses might be related either to direct effects of LY on ruminal microbial activity or to changes in feeding behavior that improved digestion of cows in heat stress.