Prepared by: Andrew Alvarez
Report created on May 14, 2026
 
HB1003BOARDS AND COMMISSIONS. (BARTELS S) Creates the agricultural promotion and regulation task force to study various agriculture related topics. Makes changes to requirements for the readoption of administrative rules. Repeals, merges, consolidates, or otherwise modifies various boards, commissions, and other governmental bodies. Modifies or establishes various funds. Makes changes to the membership, duties, and operations of various boards, commissions, and other governmental bodies. Expands the applicability of a statute concerning county hospital governance to Perry County, Spencer County, and Orange County. Repeals the fire prevention and building safety commission (commission). Transfers the commission's responsibilities and administrative rules to the department of homeland security. Makes certain changes to the administration of building and safety statutes and building and safety codes. Makes technical corrections. Makes an appropriation.
 Current Status:   3/12/2026 - Signed by the Governor
 Recent Status:   3/5/2026 - Signed by the President Pro Tempore
3/3/2026 - Signed by the Speaker
 State Bill Page:   HB1003
 Notes:   DDRS Advisory Council and State Use Committee now unaffected by the bill.
 
HB1277HEALTH AND HUMAN SERVICES MATTERS. (BARRETT B) Amends the duties of the office of the secretary of family and social services (office) concerning Medicaid home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Requires certain Medicaid recipients to choose the recipient's provider of integrated health care coordination. Provides that integrated health care coordination provided by a provider of assisted living services is not duplicative of certain other services. 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. Requires the office to apply to the federal government for: (1) a new Medicaid waiver to provide assisted living services; and (2) an amendment to a specific Medicaid home and community based services waiver to establish an individual cost limit of not more than the institutional cost of nursing facility services. Specifies that provisions concerning reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver apply to the new assisted living Medicaid waiver. Provides that, beginning July 1, 2027, an individual is no longer a member of the covered population upon receiving nursing facility services for 100 consecutive days. Provides that on the one hundredth day, the individual is not a member of the covered population and shall receive Medicaid services under a fee for service program. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology 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. Amends the definition of "bulk drug substance" for provisions concerning drug compounding. Provides 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 files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.
 Current Status:   3/12/2026 - Signed by the Governor
 Recent Status:   3/5/2026 - Signed by the President Pro Tempore
3/2/2026 - Signed by the President of the Senate
 State Bill Page:   HB1277
 Notes:   
Section 1: Adds 'elderly' to the list of individuals eligible to receive supports under HCBS waivers. Likely added due to the bill's language regarding the assisted living waiver.

Section 2: References assisted living waiver. Requires FSSA to establish a procedure for verifying that individual service plans are being followed. This must include provider attestation that the services being delivered are aligned with the service plan.

Section 3: Requires an HCBS waiver to be provided in accordance with an individual's service plan (already in Code) and their choice of provider. This legislates that individuals have their choice of providers.

Section 4: I/DD provider statements must be viewed within 45 days of receipt, and errors must be reported to FSSA or the provider. 

Section 5: 

Section 6: A request to increase service units to an individual's service plan must be submitted to BDS within 45 days.

Section 7: Requires FSSA to apply for an assisted living waiver no later than 9/1/26. The waiver would be for individuals that are at least 60 and meet nursing facility level of care. The waiver application must state a plan to transfer waiver slots over to the assisted living waiver. Basically saying that anyone currently receiving assisted living services under the HCBS waiver will be transferred to this new waiver upon approval. Also requires FSSA to create a workgroup of stakeholders appointed by the Governor to assist with this waiver application.

Section 8: Requires FSSA to apply for an amendment to the HCBS waiver to establish an individual cost limit of 'not more than institutional cost of nursing facility services' for individuals that are at least 60, meet nursing facility level of care, and are not transferring waivers.

Section 9: References Section 11

Section 10: Provider statement requirement. Both are 'upon request'. The first is an accounting record of service delivery that can be requested by the recipient or the guardian not more than quarterly. The second is a plain language itemized billing statement that can be requested not more than twice per year.

Section 11: Alters the definition of 'covered population' for A&D/managed care. States that on July 1, 2027, a person is no longer part of the covered population if they have been receiving nursing facility services for 100 consecutive days. In this scenario, a person is then eligible for the fee for service program.

Section 12: Changes the length of time that FSSA must give notice about nursing facility reimbursement reduction from 1 year to 6 months.

Section 13: Sunsets the already-existing Code that FSSA may not reduce home health reimbursement. The sunset date is June 30, 2027.

Section 14: Requires FSSA to partner with the Home Health Assoc. to develop a new reimbursement methodology. This methodology must be submitted to Leg. Council no later than 11/30/26.

Section 15: Removes 'amino acid' from the definition of 'bulk drug substance'

Section 16: Alters the date on which claims against a decedent's estate can be filed (120 days now to 9 months)

This was the home for the provider statement language that was originally in HB 1012 and then moved to SB 275. It moved from SB 275 during conference committee. The language can be found in Section 4 and Section 10 of this bill.
 
SB1HUMAN SERVICES MATTERS. (GARTEN C) Establishes the Indiana rural health transformation fund and makes allotments and expenditures from the fund subject to budget committee review before the allotment and expenditure may occur. Requires the office of the secretary of family and social services to report biannually to the budget committee concerning the use of the money in the fund. Prohibits recipients of Supplemental Nutrition Assistance Program (SNAP) benefits from using SNAP benefits to purchase candy and soft drinks. Requires the office of the secretary of family and social services to apply for a waiver or authorization to implement the prohibition if a waiver or authorization from a federal agency is required. Terminates the state's participation in the use of expanded categorical eligibility within the federal 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:   3/4/2026 - Signed by the Governor
 Recent Status:   2/27/2026 - Signed by the President of the Senate
2/27/2026 - Signed by the Speaker
 State Bill Page:   SB1
 Notes:   
Amended once in Senate Committee. Requires the Secretary of FSSA to make recommendations to the State Budget Committee on how to use rural health transformation funding. The amendment also prohibits SNAP recipients from buying candy and soft drinks with SNAP dollars.

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. Requires certified peers to be trained and certified by the division of mental health and addiction or an approved nationally accredited certification body. 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. Allows a home health agency that meets certain conditions to continue to provide services to a Medicaid recipient and receive Medicaid reimbursement while the home health agency's application for Medicare enrollment is pending if the home health agency submitted the application or initiated the enrollment process before April 1, 2026. 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:   3/5/2026 - Signed by the Governor
 Recent Status:   2/27/2026 - Signed by the President of the Senate
2/27/2026 - Signed by the Speaker
 State Bill Page:   SB222
 Notes:   
Minimal changes were made in the Senate. The House Public Health Committee passed an amendment that allows home health agencies to continue receiving reimbursement for Medicaid services while their application for enrollment is pending with CMS. 


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.


 
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