Prepared by: Andrew Alvarez
Report created on January 13, 2026
 
HB1003BOARDS AND COMMISSIONS. (BARTELS S) Makes changes to requirements for the readoption of administrative rules. Repeals, merges, consolidates, or otherwise modifies various boards, commissions, committees, councils, authorities, and funds. Removes certain appointed members from various boards, commissions, and districts. Modifies the appointing authority for particular funds, boards, and councils. Provides that the professional licensing agency may adopt and enforce procedural rules for the administration of a board if the rule: (1) will affect multiple boards; and (2) is not inconsistent with any rule adopted by the affected board. Establishes certain funds. Repeals the fire prevention and building safety commission (commission). Transfers the commission's responsibilities and administrative rules to the department of homeland security (department). Provides that variances relating to the building code shall be administered by the department or, with the approval of the department, the state building commissioner. Requires the department, on or before July 1, 2028, to adopt rules to supersede certain building rules. Provides that, if the rules adopted incorporate provisions included in a model code, rule, or requirement, the provisions: (1) may not be incorporated by reference and must be included in the rule; and (2) must be free and accessible to the public. Provides that, on or before July 1, 2027, the department shall submit a report to the legislative council that includes any provision that is included in the current building code rules on July 1, 2026, which the department recommends to be codified by the general assembly. Makes conforming amendments. Relocates certain provisions pertaining to the adoption of building rules. Establishes the athletic trainer interstate compact. Makes an appropriation.
 Current Status:   1/15/2026 - House Government and Regulatory Reform, (Bill Scheduled for Hearing); Time & Location: 8:30 AM, Room 156-A
 Recent Status:   1/8/2026 - Referred to House Government and Regulatory Reform
1/8/2026 - First Reading
 State Bill Page:   HB1003
 
HB1012MEDICAID MATTERS. (CLERE E) Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Sets forth requirements for conducting an audit of a provider of waiver services. Requires: (1) a waiver recipient to review the recipient's monthly statement and report errors or inconsistencies; and (2) the recipient's case manager to provide assistance to the recipient in reviewing the statements and reporting any errors. Establishes the home and community based services waiver waiting list assistance fund (fund) to provide individuals on a waiver waiting list with access to certain supports. Provides that when the office determines an individual is ineligible for Medicaid, the office shall provide the specific reason for determining the individual is ineligible. Requires the office to review certain bank accounts in determining an individual's Medicaid eligibility. Requires a provider of waiver services to provide a recipient and the recipient's care coordinator with certain billing statements. Provides that appropriations in the budget bill for Medicaid assistance that are budgeted for a waiver that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall be deposited in the fund. Provides that, for the state fiscal year beginning July 1, 2026, and ending June 30, 2027, appropriations in the budget bill for Medicaid assistance in an amount sufficient to cover costs incurred by the office in carrying out specified duties that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall remain available to the office to cover these costs.
 Current Status:   1/13/2026 - Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
 Recent Status:   1/13/2026 - Committee Report amend do pass, adopted
1/13/2026 - House Committee recommends passage, as amended Yeas: 12; Nays: 0
 State Bill Page:   HB1012
 Notes:   Creates a new fund for individuals on an HCBS waiver wait list. The fund is made up of the unexpended money budgeted for HCBS waivers. Prior to this bill, this money would have reverted to the General Fund. Money in the fund may be use for caregiver or individual training (person centered planning training, skill building, and self-advocacy workshops), assistive technology devices, short term supports to 'prevent institutionalization' (respite or transitional assistance), care coordination planning, and anything that promotes 'stability, readiness, and crisis prevention' as determined by FSSA. 

Section 2: This Section has a lot of FSSA requirements on multiple topics. Here's bullet points of the highlights. Requires FSSA to:
  • Establish how to document compliance with an individual service plan. The bill would require provider attestation that services delivered align with the recipient's individual service plan.
  • Send a monthly statement to individuals receiving services that, among other things, would include the reason for any denial of services to the individual.
  • Post data on its website relating to waiver budgets versus actual spend and the amount billed by providers for each waiver service
  • Collaborate with the DDRS Advisory Council by 1/1/2027 to 'redesign the list of service providers'. This redesign must ensure that all providers are searchable online, 'consumer friendly', and are accepting new patients. FSSA must also post the provider's accreditation and credentials and the results of any provider satisfaction survey. 
  • Post HCBS waiver slot data on its website monthly
  • Review and then change the criteria for approving and removing HCBS service providers. This would include removing providers that mismanage funds or have consistently high incident rates. The stated purpose of this is to 'ensure provider accountability and high-quality services'
  • Once a year, audit providers of HCBS services
The bill also requires FSSA to provide the 'specific reason' why an individual is deemed ineligible for services. 

Section 6: Makes two new requirements for HCBS providers:
  • Provide care coordinators with the individual receiving services' billing records not later than 15 days before the individual meets with their care coordination team.
  • Twice a year, provide itemized statements of services billed by the provider to the individual receiving services. This statement is required to be in 'plain language'. 
 
HB1102APPLIED BEHAVIORAL ANALYSIS THERAPY SERVICES. (GREENE R) Requires, upon request, a public school to consult with and allow certain licensed or board certified behavior analysts and certified registered behavior technicians to provide applied behavioral analysis therapy services in the public school to a student under certain conditions in accordance with the student's special education program or plan. Provides immunity from civil liability for any actions taken in good faith to comply with the requirements. Requires the department of education to prepare and provide information and guidance to assist public schools in implementing the requirements.
 Current Status:   1/14/2026 - House Education, (Bill Scheduled for Hearing); Time & Location: 8:30 AM, House Chamber
 Recent Status:   1/12/2026 - added as coauthor Representative Olthoff
1/5/2026 - Referred to House Education
 State Bill Page:   HB1102
 Notes:   
This bill comes directly from the ABA working group's recommendation: Strengthen collaboration with schools to support smoother transitions and coordinated care.

Allows a public school student that is receiving ABA services to continue receiving services while in school. When a student begins attending school, they are eligible for at least 30 days of service, and not more than 90 days of service (unless otherwise recommended by the certified analyst). 

The analyst would be required to have an updated criminal history background check before performing services at the school. If they have the results of one from the previous five years, then that would be acceptable.

Requires the DOE to give guidance to public schools by September 1, 2026 about the requirements in the bill.

Finally, the bill specifies that it is not the school's responsibility to contract with a licensed analyst; the cost of services is still the responsibility of the parent/insurer.
 
HB1103APPLIED BEHAVIOR ANALYSIS COVERAGE. (GREENE R) Requires a state employee health plan to reimburse the provider of behavior analysis services that provides behavior analysis services to a covered individual at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances. Requires a policy of accident and sickness insurance to reimburse the provider of behavior analysis services that provides behavior analysis services to an insured at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances. Requires a health maintenance organization contract to reimburse the provider of behavior analysis services that provides behavior analysis services to an enrollee at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances.
 Current Status:   1/13/2026 - added as coauthor Representative Cash
 Recent Status:   1/5/2026 - Referred to House Insurance
1/5/2026 - First Reading
 State Bill Page:   HB1103
 Notes:   This bill comes directly form the ABA working group's recommendation: Ensure commercial insurers reimburse ABA therapy above Medicaid rates.

In short, the bill requires insurance programs (state employee, self-insurance, accident and sickness, HMO contract) to reimburse ABA providers at no less than 110% of the Medicaid reimbursement rate for ABA.
 
HB1162MEDICAID WAIVER DIRECT CARE STAFF COMPENSATION. (NOVAK R) Sets forth requirements for a home and community based services attendant care service Medicaid provider to meet in the use of the state fund share of Medicaid reimbursement for compensation of direct care staff. Requires the provider to submit a cost report annually to verify compliance.
 Current Status:   1/5/2026 - Referred to House Public Health
 Recent Status:   1/5/2026 - First Reading
1/5/2026 - Authored By Randy Novak
 State Bill Page:   HB1162
 Notes:   Requires a provider of attendant care services to use at least 70% 'of the state share' of Medicaid per diem reimbursement to be used for direct care staff compensation. 'Compensation' can be wages or benefits. Providers would be required to submit an annual report to FSSA showing that they are complying with the bill.
 
HB1229INTERNATIONAL MONEY WIRING FEE. (GREENE R) Requires a money transmitter (entities licensed under the Money Transmission Modernization Act) to collect and remit an international money wiring fee from senders of a money transmission to a location outside of the United States. Allows a money transmitter to retain a collection allowance from the fee amounts remitted. Provides an income tax credit to individuals who are a citizen or national of the United States, or an alien who has lawful permanent resident status or conditional permanent resident status, and paid an international money wiring fee during the taxable year. Renames the community services quality assurance fund the community based services fund (fund). Requires 20% of the revenue from the international money wiring fee to be deposited in the state general fund and 80% of the revenue to be deposited in the fund to be used to fund the family supports Medicaid waiver and community integration habilitation Medicaid waiver programs, including applied behavior analysis, in order to reduce the wait list and make additional waiver slots available under these two programs. Provides that, of the money in the fund for that purpose, 50% is subject to review by the budget committee before being expended and the remaining 50% may be used any time following the deposit of the money in the fund.
 Current Status:   1/5/2026 - Referred to House Financial Institutions
 Recent Status:   1/5/2026 - First Reading
1/5/2026 - Authored By Robb Greene
 State Bill Page:   HB1229
 Notes:   Creates a fee for money being wired internationally, and allows money from that fee to be sent to the General Fund as well as a community based services fund. The community based services fund is required to fund the FSW and CIH waiver programs, including ABA, so that wait lists can be reduced. The fee is $5 for every transmission under $500, and $5 + 3% of the transmitted amount over $500. 

20% of the fees collected would go straight to the General Fund. The other 80% shall go to the community based services fund. Of the money going directly to the community based services fund, 50% would be ready for use immediately, and the other 50% would need State Budget Committee review before being released.

The international wiring fee tax credit is also established.
 
HB1432DEATH SENTENCE AND INTELLECTUAL DISABILITIES. (BASCOM G) Prohibits the state from seeking the death penalty against a defendant if a court determines at any time before trial that the defendant has an intellectual disability. (Under current law, the court must make this determination at a specified pretrial hearing.)
 Current Status:   1/14/2026 - House Courts and Criminal Code, (Bill Scheduled for Hearing); Time & Location: 10:30 AM, Room 156-A
 Recent Status:   1/8/2026 - Referred to House Courts and Criminal Code
1/8/2026 - First Reading
 State Bill Page:   HB1432
 
SB1HUMAN SERVICES MATTERS. (GARTEN C) Terminates the state's participation in the use of expanded categorical eligibility within the federal Supplemental Nutrition Assistance Program (SNAP). Specifies gross income standards and countable resources for SNAP eligibility. Establishes immigration eligibility requirements for SNAP and requires the division of family resources to verify compliance with the requirements and submit information to the federal government about individuals for whom the division could not verify the immigration status. Specifies the time frame for Medicaid eligibility redeterminations. Requires the office of the secretary of family and social services (office) to transmit certain information to the federal government to prevent multiple state Medicaid enrollment. Specifies the time frame concerning the initial date of Medicaid assistance based on the application date. Sets forth additional countable income requirements for Medicaid. Modifies immigration status requirements for Medicaid, including presumptive eligibility and the healthy Indiana plan (HIP), and requires the office to verify compliance of the requirements and report information to the federal government. Modifies work and exemption requirements for HIP and requires the conditions to be met in the three preceding months before an individual applies to HIP. Requires the office to verify compliance with the work requirements on an ongoing basis and at least quarterly. Prohibits the office from expanding the medically frail exemption beyond the federal definition of the term. Removes the 12 month eligibility period for HIP and requires semiannual renewal. Sets forth additional copayments for the use of an emergency room setting for nonemergency services and other services under HIP.
 Current Status:   1/15/2026 - Senate Appropriations, (Bill Scheduled for Hearing); Time & Location: 9:30 AM, Room 431
 Recent Status:   1/8/2026 - added as coauthors Senators Tomes, Niemeyer
1/8/2026 - Referred to Senate Appropriations
 State Bill Page:   SB1
 Notes:   Section 1: Ends Indiana's expanded categorical eligibility for SNAP, and aligns the program with federal government standard on income limits. Indiana's asset limit is currently $5,000 under the expanded eligibility. The total asset limit at the federal level is $2,000. This limit is $3,000 if the household 'includes an elderly or disabled member'.

Section 2: Spells out that SNAP benefits are only for US citizens or certain individuals that are lawfully living in the US. Requires DFR to verify citizenship during the enrollment/recertification process. 

Section 3: Conforms state eligibility checks with requirements from the 2025 federal budget. Requires FSSA to perform eligibility checks at least once for HIP recipients every 6 months and ever 12 months for all other Medicaid recipients.

Section 4: Requires FSSA to perform monthly checks on if a Medicaid recipient is also receiving Medicaid benefits in another state. This would be done by working with the federal USDHS. 

Section 5: Creates new timelines on when individuals that are found eligible for Medicaid can begin receiving benefits. This not earlier than 1 month before the request was made for HIP participants and not more than 2 months before the request for anyone else.

Section 6: Beginning October 1, 2026, requires FSSA to count the income of a household member who is not eligible for Medicaid due to their immigration status when determining an individual's financial eligibility. 

Sections 7-8: Similar to Section 2 (eligibility for US citizens)

Section 9: Beginning October 1, 2026, requires FSSA to verify the immigration status for all Medicaid recipients, applicants, and household members of either. 

Section 10: Beginning October 1, 2026, require a question about immigration status to be on a presumptive eligibility application.

Section 11: 'office' means FSSA

Section 12: Updates the HIP work requirements passed in SEA 2 - 2025 to match the federal law. Current law states that 20 hours of work/volunteering must be done per week. This bill would change that to 80 hours of work/volunteering/community service per month. 'Medically frail' is defined in federal statute already, and it includes individuals with a 'physical, intellectual, or developmental disability that significantly impairs their ability to perform 1 or more activities of daily living' or individuals with a disability based on Social Security.

Section 13: Removes language on about needing to apply for a waiver amendment to change how regulations on how donated breast milk would operate.

Sections 14, 16, 19, 20, 22, 23, 24: Changes 'office' to 'secretary', clarifying who administers HIP.

Section 15: Requires the work requirements to be implemented by January 1, 2027. The reimbursement changes in Section 21 must be implemented by October 2, 2028. 

Section 17: For an individual to be on HIP, requires them to comply with the work requirements for at least three consecutive months before applying and include evidence of compliance.

Section 18: HIP participants will go through redetermination by the Secretary at least once every 6 months.

Section 21: Changes the HIP copayment amounts for nonemergency services based on where the individual is in the FPL. i.e. at least $8 for less than 100% FPL and $35 for more than 100% FPL.

Section 25: The Secretary will accept an individual's status as 'medically frail' through an official notice from: a physician, PA, APRN, nurse, other designated medical professional, psychologist, or social worker.
 
SB222FAMILY AND SOCIAL SERVICES ADMINISTRATION MATTERS. (CHARBONNEAU E) Adds the 9-8-8 crisis response center and a mobile crisis team as first responders. Provides civil and criminal immunity for these first responders. Requires certified peers to be trained and certified by the division of mental health and addiction. Amends the definition of "qualified provider" concerning the Medicaid program. Requires the office of the secretary of family and social services to limit presumptive eligibility determinations to qualified providers and sets forth requirements. Requires rules to be adopted concerning the implementation and administration of certification requirements for specified entities and amends standards. Changes the name of the division of disability and rehabilitative services to the division of disability, aging, and rehabilitative services. Repeals the division of aging and moves existing statutes and administrative rules to other locations. Renames the bureau of aging and in-home services to the bureau of better aging (bureau) and designates the bureau to perform certain duties once performed by the division of aging. Eliminates the requirement of a preferred drug list report. Extends the expiration of the micro facility pilot program. Authorizes the legislative services agency to prepare any legislation necessary to conform with the changes made.
 Current Status:   1/14/2026 - Senate Health and Provider Services, (Bill Scheduled for Hearing); Time & Location: 9:00 AM, Room 431
 Recent Status:   1/8/2026 - Referred to Senate Health and Provider Services
1/8/2026 - First Reading
 State Bill Page:   SB222
 Notes:   Makes technical changes to update DDRS to DDARS in Code.

Adds 988 response center volunteer and mobile crisis team to the definition of 'first responder'. 

Requires the Bureau of Aging to develop a 'Dementia Strategic Plan', including looking at trends, raising awareness, and reducing the cost of dementia care.

Yellow Dot Motor Vehicle Program - Used to provide first responders with emergency medical information during accidents. This is in the Code section that includes Aging. 

The bill also creates the Caretaker Support Program, which is for individuals that provide unpaid care for individuals with 'special needs'; including Alzheimer's, 'inability to perform 2 activities of daily living', and anything else the Bureau of Aging deems necessary. Anyone that is at least 65 or has 'special needs' is covered by the program, which would have money appropriated by the General Assembly. Services include info about available services for caretakers, assistance in gaining access to services, and counseling.


 
SB275FSSA FISCAL MATTERS. (MISHLER R) Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Reduces the income levels as a percentage of the federal poverty level for purposes of the Medicaid eligibility of certain Medicare beneficiaries. Repeals a provision prohibiting the office of the secretary of family and social services from reducing reimbursement for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Removes language providing that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit takes certain action against the decedent's estate not later than 120 days after the date of death of the decedent.
 Current Status:   1/15/2026 - Senate Appropriations, (Bill Scheduled for Hearing); Time & Location: 9:30 AM, Room 431
 Recent Status:   1/8/2026 - Referred to Senate Appropriations
1/8/2026 - First Reading
 State Bill Page:   SB275
 Notes:   For individuals with disabilities, any increase in service units must be submitted to the bureau within 45 days for review.

Removes the requirement for an individual's family income to be less than 100% the FPL to be eligible for Medicaid. This is for an individual that is at least 65, has a disability according to SSI, and whose individual income/resources does not exceed SSI levels.

Lowers the FPL thresholds that currently exist to be eligible for Medicare. The beneficiary threshold goes from 150% FPL to 100%, the specified lower-income Medicare beneficiary goes from 170% to 120%, and the qualifying individual limit decreases from 185% to 135%. 

Removes the law stipulating that FSSA may not reduce reimbursement for home health services. This was established in 2017. 

 
actionTRACK - HANNAH NEWS SERVICE - MIDWEST, LLC.