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SB1 • 2026

A BILL FOR AN ACT to amend the Indiana Code concerning human services and to make an appropriation.

A BILL FOR AN ACT to amend the Indiana Code concerning human services and to make an appropriation.

Budget Healthcare
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Senator Chris Garten
Last action
2026-03-04
Official status
Enrolled Senate Bill (S)
Effective date
Not listed

Plain English Breakdown

The bill's full impact on SNAP due to federal approval of waiver requests is uncertain.

Indiana Rural Health Fund and SNAP Changes

This law establishes a health fund to support rural healthcare, restricts SNAP purchases to exclude candy and soft drinks, sets new eligibility criteria for SNAP, modifies Medicaid rules including work requirements and copayments, and terminates expanded categorical eligibility within SNAP.

What This Bill Does

  • Establishes the Indiana Rural Health Transformation Fund with budget committee oversight over its use.
  • Prohibits SNAP recipients from purchasing candy and soft drinks with their benefits.
  • Sets new income and resource limits for SNAP eligibility and adds immigration verification requirements.
  • Modifies Medicaid rules to include more frequent eligibility checks, stricter work requirements, and additional copayments for nonemergency ER services under the Healthy Indiana Plan.

Who It Names or Affects

  • People who receive SNAP benefits
  • Individuals enrolled in Medicaid or the Healthy Indiana Plan
  • Healthcare providers in rural areas

Terms To Know

SNAP
Supplemental Nutrition Assistance Program, a federal program that helps low-income people buy food.
Medicaid
A government health insurance program for certain low-income and disabled individuals.

Limits and Unknowns

  • The bill does not specify the amount of money in the Indiana Rural Health Transformation Fund.
  • It is unclear how federal approval will affect SNAP restrictions.
  • Some details about eligibility requirements and work conditions for Medicaid programs are subject to federal guidelines.

Amendments

These notes stay tied to the official amendment files and metadata from the legislature.

SB0001.01.INTR.AMS02

Committee Introduced Senate Bill (S) • Senator Chris Garten

Filed

Plain English: The amendment adds a new section to the Indiana Code that establishes a Rural Health Transformation Fund, which will use funds from the Supplemental Nutrition Assistance Program (SNAP) for rural healthcare initiatives.

  • Adds a new section to the Indiana Code to create a Rural Health Transformation Fund.
  • Specifies that the fund will receive money from the SNAP program.
  • Indicates that the fund's purpose is to support rural health initiatives.
  • The amendment does not specify how much money will be allocated or what specific healthcare initiatives will be supported by the Rural Health Transformation Fund.
SB0001.02.COMS.AMH05

Committee Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: The amendment adds a new section to the Indiana Code that creates a Cell and Gene Therapy Access Model specifically for people with sickle cell disease.

  • Adds a new section in the Indiana Code to establish a program called the 'Cell and Gene Therapy Access Model' aimed at providing treatment options for individuals suffering from sickle cell disease.
  • The amendment does not provide details on how the model will be funded or implemented, which leaves some aspects of its operation unclear.
SB0001.02.COMS.AMH07

Committee Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: This amendment proposes changes to the Indiana Code related to human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code that deal with human services.
  • The official text does not provide specific details about what exactly is being changed or how much money is being appropriated, making it hard to explain further.
SB0001.02.COMS.AMH13

Committee Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: This amendment asks the Indiana Family and Social Services Administration to create a report about people who receive both SNAP (food assistance) and Medicaid benefits.

  • The amendment requires the Indiana Family and Social Services Administration to prepare an annual report on individuals who are enrolled in both the Supplemental Nutrition Assistance Program (SNAP) and Medicaid.
  • The exact details of what information will be included in the report are not specified, so it's unclear exactly what data will be collected or how it will be used.
SB0001.02.COMS.AMH14

Committee Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: This amendment changes the rules for who can get Medicaid in Indiana.

  • Adds new requirements for people to qualify for Medicaid based on their income and family size.
  • The exact details of how these new eligibility requirements will work are not clear from the provided text.
SB0001.02.COMS.AMH15

Committee Senate Bill (H) • Senator Chris Garten

Filed

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made to the Indiana Code or the amount of the appropriation, making it hard to explain concrete changes.
SB0001.02.COMS.AMH08

Committee Senate Bill (H) • Senator Chris Garten

Filed

Plain English: This amendment proposes changes to the Indiana Code related to human services and includes an appropriation.

  • The amendment would amend parts of the Indiana Code concerning human services.
  • The official text does not specify the exact details or scope of the changes to be made, making it hard to explain specific impacts.
SB0001.02.COMS.AMH06

Committee Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: This amendment proposes changes to the Indiana Code related to human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code that deal with human services.
  • The official text does not provide specific details about what exactly is being changed or how much money is being appropriated, making it hard to explain the full impact.
SB0001.02.COMS.AMS001

Filed Senate Bill (H) • Senator Fady Qaddoura

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further concrete changes.
SB0001.02.COMS.AMS002

Filed Senate Bill (H) • Senator Fady Qaddoura

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain concrete impacts.
SB0001.02.COMS.AMS003

Filed Senate Bill (H) • Senator Shelli Yoder

X

Plain English: This amendment changes how Indiana provides services to people with disabilities by adding new requirements for service providers.

  • Adds a requirement that service providers must have a plan to help individuals with disabilities live independently and participate in their communities.
  • Requires service providers to report annually on the progress of individuals they serve towards living independently.
  • The amendment does not specify how these new requirements will be enforced or what consequences there are for non-compliance.
SB0001.02.COMS.AMS004

Filed Senate Bill (H) • Senator Shelli Yoder

X

Plain English: This amendment changes how Indiana provides services to people with disabilities by adding new requirements for the state's human services programs.

  • Adds new rules for how the state must provide support and services to individuals with disabilities.
  • The official text does not specify all the details of these new rules, so it is unclear exactly what changes will be made in practice.
SB0001.02.COMS.AMS005

Filed Senate Bill (H) • Senator Shelli Yoder

X

Plain English: This amendment changes how Indiana provides services to people with disabilities by adding new requirements for service providers.

  • Adds a requirement that service providers must have a plan to help individuals with disabilities live independently and participate in their communities.
  • Requires service providers to report annually on the progress of individuals they serve towards living independently.
  • The amendment does not specify how these new requirements will be enforced or what consequences there are for non-compliance.
SB0001.02.COMS.AMS006

Filed Senate Bill (H) • Senator Shelli Yoder

X

Plain English: This amendment changes how Indiana provides services to people with disabilities by adding new requirements for service providers.

  • Adds new rules that service providers must follow when giving support to people with disabilities.
  • The text does not provide specific details about the new rules, so it's unclear exactly what changes will be made.
SB0001.03.COMH.AMH001

Filed Senate Bill (H) • Representative Wendy Dant Chesser

Failed

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment would modify the Indiana Code concerning human services.
  • The official text does not provide specific details about what changes are being made to the Indiana Code or the amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH002

Filed Senate Bill (H) • Representative Renee Pack

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH003

Filed Senate Bill (H) • Representative Robin Shackleford

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH004

Filed Senate Bill (H) • Representative Gregory Porter

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain concrete impacts.
SB0001.03.COMH.AMH005

Filed Senate Bill (H) • Representative Gregory Porter

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further concrete changes.
SB0001.03.COMH.AMH006

Filed Senate Bill (H) • Representative Gregory Porter

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further concrete changes.
SB0001.03.COMH.AMH007

Filed Senate Bill (H) • Representative Gregory Porter

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further concrete changes.
SB0001.03.COMH.AMH008

Filed Senate Bill (H) • Representative Gregory Porter

Failed

Plain English: This amendment aims to modify the Indiana Code regarding human services and proposes an appropriation.

  • The amendment seeks to change specific sections of the Indiana Code related to human services.
  • The official text does not provide enough details about the exact changes or appropriations proposed, making it hard to explain further specifics.
SB0001.03.COMH.AMH009

Filed Senate Bill (H) • Representative Edward DeLaney

Failed

Plain English: This amendment aims to change how Indiana provides services for people with disabilities by adjusting funding and eligibility criteria.

  • Adjusts the way Indiana funds programs that help people with disabilities, possibly changing who qualifies for these services.
  • Modifies specific sections of the Indiana Code related to human services to reflect new rules or requirements.
  • The amendment text is not detailed enough to explain all changes clearly.
  • It's unclear exactly which programs and individuals will be affected by this amendment.
SB0001.03.COMH.AMH010

Filed Senate Bill (H) • Representative Edward DeLaney

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the exact amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH011

Filed Senate Bill (H) • Representative Edward DeLaney

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH012

Filed Senate Bill (H) • Representative Edward DeLaney

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain further.
SB0001.03.COMH.AMH013

Filed Senate Bill (H) • Representative Peggy Mayfield

Failed

Plain English: This amendment proposes to change how Indiana provides services for people with disabilities by altering the state's human services code and making budget adjustments.

  • Modifies the Indiana Code related to human services, specifically concerning individuals with disabilities.
  • Includes provisions that adjust funding or appropriations within the human services budget.
  • The amendment text does not provide specific details about which parts of the human services code are being changed or how much money is involved in the appropriation.
  • Without more detailed information, it's unclear exactly what changes will be made to services for people with disabilities.
SB0001.03.COMH.AMH014

Filed Senate Bill (H) • Representative Brad Barrett

Passed

Plain English: This amendment changes the Indiana Code to require certain human services programs to provide additional reporting on their activities.

  • Adds a new requirement for human services programs to submit detailed reports about their operations and outcomes.
  • The official text does not specify which human services programs are affected or what specific details the reports must include, making it hard to know exactly how this will work in practice.
SB0001.03.COMH.AMH015

Filed Senate Bill (H) • Representative Edward Clere

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made to the Indiana Code or the amount of the appropriation, making it hard to explain further concrete changes.
SB0001.03.COMH.AMH016

Filed Senate Bill (H) • Representative Edward Clere

X

Plain English: This amendment does not provide specific details about changes to the bill.

  • The official text of the amendment is incomplete and does not specify any concrete changes or amendments to the bill.
SB0001.03.COMH.AMH017

Filed Senate Bill (H) • Representative Robin Shackleford

X

Plain English: This amendment proposes to change the Indiana Code regarding human services and includes an appropriation.

  • The amendment aims to modify parts of the Indiana Code related to human services.
  • The official text does not provide specific details about what changes will be made or the amount of the appropriation, making it hard to explain further.

Bill History

  1. 2026-03-04 Senate

    Signed by the Governor

  2. 2026-03-04 Senate

    Public Law 63

  3. 2026-02-27 Senate

    Signed by the President Pro Tempore

  4. 2026-02-27 House

    Signed by the Speaker

  5. 2026-02-27 Senate

    Signed by the President of the Senate

  6. 2026-02-25 Senate

    Senate concurred with House amendments; Roll Call 266: yeas 39, nays 9

  7. 2026-02-24 House

    Returned to the Senate with amendments

  8. 2026-02-24 Senate

    Motion to concur filed

  9. 2026-02-23 House

    Third reading: passed; Roll Call 302: yeas 64, nays 30

  10. 2026-02-23 House

    Representative King added as cosponsor

  11. 2026-02-19 House

    Second reading: amended, ordered engrossed

  12. 2026-02-19 House

    Amendment #10 (DeLaney) failed; voice vote

  13. 2026-02-19 House

    Amendment #11 (DeLaney) failed; Roll Call 286: yeas 30, nays 64

  14. 2026-02-19 House

    Amendment #12 (DeLaney) failed; Roll Call 285: yeas 34, nays 55

  15. 2026-02-19 House

    Amendment #14 (Barrett) prevailed; voice vote

  16. 2026-02-19 House

    Amendment #15 (Clere) failed; Roll Call 278: yeas 31, nays 57

  17. 2026-02-19 House

    Amendment #16 (Clere) failed; Division of the House: yeas 32, nays 59

  18. 2026-02-19 House

    Amendment #17 (Shackleford) failed; Roll Call 280: yeas 30, nays 59

  19. 2026-02-19 House

    Amendment #2 (Pack) failed; Roll Call 277: yeas 30, nays 56

  20. 2026-02-19 House

    Amendment #3 (Shackleford) failed; Roll Call 279: yeas 29, nays 61

  21. 2026-02-19 House

    Amendment #4 (Porter) failed; Roll Call 281: yeas 28, nays 60

  22. 2026-02-19 House

    Amendment #5 (Porter) failed; Roll Call 282: yeas 29, nays 60

  23. 2026-02-19 House

    Amendment #6 (Porter) failed; Roll Call 283: yeas 28, nays 62

  24. 2026-02-19 House

    Amendment #7 (Porter) failed; Roll Call 284: yeas 32, nays 60

  25. 2026-02-17 House

    Committee report: amend do pass, adopted

  26. 2026-01-28 House

    First reading: referred to Committee on Ways and Means

  27. 2026-01-23 Senate

    Referred to the House

  28. 2026-01-22 Senate

    Third reading: passed; Roll Call 44: yeas 38, nays 8

  29. 2026-01-22 Senate

    House sponsor: Representative Barrett

  30. 2026-01-22 Senate

    Cosponsors: Representatives Thompson, Snow

  31. 2026-01-20 Senate

    Second reading: ordered engrossed

  32. 2026-01-20 Senate

    Amendment #1 (Qaddoura) failed; Roll Call 29: yeas 10, nays 38

  33. 2026-01-20 Senate

    Amendment #2 (Qaddoura) failed; Roll Call 30: yeas 12, nays 35

  34. 2026-01-20 Senate

    Amendment #3 (Yoder) failed; Roll Call 31: yeas 10, nays 38

  35. 2026-01-20 Senate

    Amendment #4 (Yoder) failed; voice vote

  36. 2026-01-20 Senate

    Amendment #5 (Yoder) failed; voice vote

  37. 2026-01-20 Senate

    Amendment #6 (Yoder) failed; Roll Call 32: yeas 13, nays 35

  38. 2026-01-15 Senate

    Committee report: amend do pass, adopted

  39. 2026-01-08 Senate

    Authored by Senators Garten, Mishler, Charbonneau

  40. 2026-01-08 Senate

    Coauthored by Senators Holdman, Koch, Johnson T, Brown L, Busch, Freeman, Gaskill, Donato, Byrne, Carrasco, Alexander, Maxwell, Baldwin, Goode, Raatz, Clark, Schmitt, Crider, Buchanan, Rogers, Doriot, Young M

  41. 2026-01-08 Senate

    First reading: referred to Committee on Appropriations

  42. 2026-01-08 Senate

    Senators Tomes, Niemeyer added as coauthors

Official Summary Text

A BILL FOR AN ACT to amend the Indiana Code concerning human services and to make an
appropriation.
Human services matters.

Current Bill Text

Read the full stored bill text 
A BILL FOR AN ACT to amend the Indiana Code concerning human services and to make an
appropriation.

Human services matters.

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.