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SB275 • 2026

A BILL FOR AN ACT to amend the Indiana Code concerning human services.

A BILL FOR AN ACT to amend the Indiana Code concerning human services.

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Senator Ryan Mishler
Last action
2026-02-25
Official status
Engrossed Senate Bill (S)
Effective date
Not listed

Plain English Breakdown

The official source material does not provide specific details on changes to Medicaid reimbursement for certain healthcare providers, only that it provides exemptions under value-based health care agreements.

Changes to Indiana Human Services Laws

This bill changes how Indiana handles certain human services, including home and community-based waivers for people with disabilities.

What This Bill Does

  • Requires service providers to give documentation to waiver recipients.
  • Asks waiver recipients to check the documentation and report any mistakes or issues.
  • Gives case managers help in reviewing the documentation and reporting errors.
  • Sets a time limit for approving or denying requests for more services from people with disabilities.
  • Creates an exception for presumptive eligibility standards.

Who It Names or Affects

  • People who receive home and community-based waiver services in Indiana.
  • Healthcare service providers in Indiana.
  • Case managers working with individuals receiving waivers.

Terms To Know

Waiver
A special permission that allows certain people to get health care services at home instead of in a hospital or nursing home.
Presumptive eligibility standards
Rules that allow someone to receive Medicaid benefits before their application is fully processed.

Limits and Unknowns

  • The bill does not specify how the new reimbursement methodology for home health services will be developed.
  • It's unclear what happens after June 30, 2027, regarding the prohibition on reducing reimbursement for home health services.
  • The exact details of the collaboration between entities to develop a new reimbursement method are not provided.

Amendments

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

SB0275.03.ENGS.AMH20

Committee Engrossed Senate Bill (H) • Representative Danny Lopez

Filed

Plain English: The amendment focuses on fiscal matters related to the Family and Social Services Administration (FSSA) in Indiana.

  • The amendment addresses financial issues concerning the FSSA, but does not specify exact changes or details about these fiscal matters.
  • The official text is too brief to provide specific details on what fiscal changes are proposed.
  • It's unclear from the provided information exactly how the FSSA will be affected.
SB0275.03.ENGS.AMH12

Committee Engrossed Senate Bill (H) • Representative Gregory Porter

Filed

Plain English: The amendment adds a new section to the Indiana Code that establishes an office within the Medicaid agency to handle estate recovery matters.

  • Adds a new section to the Indiana Code to create an office within the Medicaid agency responsible for managing and recovering estates from deceased individuals who received Medicaid benefits.
  • The amendment does not provide details on how the office will operate or what specific tasks it will handle, which limits understanding of its full impact.
SB0275.01.INTR.AMS01

Committee Introduced Senate Bill (S) • Senator Ryan Mishler

Filed

Plain English: The amendment changes how claims can be made against the assets of someone who has died.

  • Adds new rules for making claims against the property and money left by a person after they die.
  • The exact details of what these new rules are and how they will affect existing laws is not clear from the provided text.
SB0275.04.COMH.AMH001

Filed Senate Bill (H) • Representative Gregory Porter

X

Plain English: This amendment does not provide specific details about changes to the Indiana Code concerning human services.

  • The official text of the amendment is incomplete and does not specify any concrete changes or updates to the bill.
SB0275.04.COMH.AMH002

Filed Senate Bill (H) • Representative Danny Lopez

Passed

Plain English: This amendment does not provide specific details about changes to the Indiana Code concerning human services.

  • The official text of the amendment is incomplete and does not specify any concrete changes or updates to the law.
SB0275.04.COMH.AMH003

Filed Senate Bill (H) • Representative Gregory Steuerwald

Passed

Plain English: This amendment changes the Indiana Code to add new requirements for human services programs.

  • Adds new provisions to the Indiana Code regarding human services programs.
  • The official text does not provide specific details about what these new provisions entail, making it unclear exactly how human services programs will be affected.
SB0275.04.COMH.AMH004

Filed Senate Bill (H) • Representative Jennifer Meltzer

Passed

Plain English: This amendment changes the Indiana Code to require certain human services programs to provide additional support for individuals with disabilities.

  • Adds a requirement for human services programs to offer extra assistance to people with disabilities.
  • The official text does not specify what kind of 'additional support' is required, making it unclear exactly how these programs will change their operations.
SB0275.04.COMH.AMH005

Filed Senate Bill (H) • Representative Jennifer Meltzer

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they are using federal funds.

  • Adds a requirement for specific human services agencies to submit reports detailing their use of federal funding.
  • The exact details and requirements of these new reporting obligations are not specified in the provided amendment text, making it unclear how comprehensive or detailed the reports will be.
  • It is unknown which specific agencies would be required to comply with this new requirement without further context.
SB0275.04.COMH.AMH006

Filed Senate Bill (H) • Representative Brad Barrett

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they use federal funds.

  • Adds a requirement for specific human services agencies to submit reports detailing their use of federal funding.
  • The exact details and scope of what needs to be reported are not specified in the provided amendment text, making it unclear how comprehensive these reporting requirements would be.
SB0275.02.COMS.AMS001

Filed Senate Bill (S) • Senator Aaron Freeman

Failed

Plain English: This amendment aims to modify the Indiana Code regarding human services, but does not provide specific details about what changes it intends to make.

  • The exact nature of the change is unclear from the provided text.
  • The official amendment text does not specify any concrete changes or updates to the Indiana Code concerning human services.
SB0275.02.COMS.AMS002

Filed Senate Bill (S) • Senator Fady Qaddoura

Failed

Plain English: This amendment aims to modify the Indiana Code regarding human services, but the specific changes are not clearly stated in the provided text.

  • The official amendment text does not provide enough information to describe the concrete changes it would make.
SB0275.02.COMS.AMS003

Filed Senate Bill (S) • Senator Fady Qaddoura

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they use federal funds.

  • Adds a requirement for specific human services agencies to submit reports detailing their use of federal funding.
  • The exact details and scope of what needs to be reported are not specified in the provided amendment text, making it unclear how comprehensive these reporting requirements will be.
  • It is unknown which specific agencies would be required to comply with this new requirement without further clarification.
SB0275.02.COMS.AMS004

Filed Senate Bill (S) • Senator Fady Qaddoura

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they are using federal funds.

  • Adds a requirement for specific human services agencies to submit reports detailing their use of federal funding.
  • The exact details and requirements of these new reporting obligations are not specified in the provided amendment text, making it unclear how comprehensive or detailed the reports will be.
SB0275.02.COMS.AMS005

Filed Senate Bill (S) • Senator Fady Qaddoura

Failed

Plain English: This amendment aims to modify the Indiana Code regarding human services, but the specific details of the changes are not provided in the given text.

  • The exact nature and content of the proposed changes are unclear from the provided information.
  • The official amendment text does not provide enough detail about what specific parts of the Indiana Code concerning human services would be changed.
SB0275.02.COMS.AMS006

Filed Senate Bill (S) • Senator Aaron Freeman

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they are using federal funds.

  • Adds a requirement for specific human services agencies to submit reports detailing their use of federal funding.
  • The exact details and scope of what needs to be reported in the new section are not fully explained, making it unclear how this will affect agency operations.
  • It is unknown which specific agencies would be required to comply with these reporting requirements.
SB0275.02.COMS.AMS007

Filed Senate Bill (S) • Senator Ryan Mishler

Failed

Plain English: This amendment would add a new section to the Indiana Code that requires certain human services agencies to report on how they use federal funds.

  • Adds a requirement for specific human services agencies in Indiana to submit reports detailing their use of federal funding.
  • The amendment text does not specify which agencies are required to submit these reports, making it unclear exactly which organizations will be affected.
  • It is also unclear what the consequences or oversight mechanisms would be for failing to comply with this reporting requirement.
SB0275.02.COMS.AMS008

Filed Senate Bill (S) • Senator Ryan Mishler

Passed

Plain English: This amendment changes the Indiana Code to require certain human services programs to provide additional documentation for verification purposes.

  • Adds a requirement for human services programs to submit extra documentation for verification.
  • The official text does not specify which exact human services programs are affected or what kind of documentation is required, making it hard to provide more details.

Bill History

  1. 2026-02-25 House

    Returned to the Senate with amendments

  2. 2026-02-25 Senate

    Motion to dissent filed

  3. 2026-02-25 Senate

    Senate dissented from House amendments

  4. 2026-02-25 Senate

    Senate advisors appointed: Garten, Niezgodski

  5. 2026-02-25 Senate

    Senate conferees appointed: Mishler, Qaddoura

  6. 2026-02-25 House

    House advisors appointed: Jordan, Greene, Campbell, Shackleford

  7. 2026-02-25 House

    House conferees appointed: Lopez, Porter

  8. 2026-02-24 House

    Third reading: passed; Roll Call 355: yeas 68, nays 27

  9. 2026-02-23 House

    Second reading: amended, ordered engrossed

  10. 2026-02-23 House

    Amendment #1 (Porter) failed; Roll Call 322: yeas 31, nays 63

  11. 2026-02-23 House

    Amendment #2 (Lopez) prevailed; voice vote

  12. 2026-02-23 House

    Amendment #3 (Steuerwald) prevailed; voice vote

  13. 2026-02-23 House

    Amendment #4 (Meltzer) prevailed; voice vote

  14. 2026-02-18 House

    Committee report: amend do pass, adopted

  15. 2026-02-02 House

    First reading: referred to Committee on Ways and Means

  16. 2026-01-29 Senate

    Third reading: passed; Roll Call 140: yeas 39, nays 9

  17. 2026-01-29 Senate

    House sponsor: Representative Lopez

  18. 2026-01-29 Senate

    Cosponsor: Representative Jordan

  19. 2026-01-29 Senate

    Senator Randolph added as coauthor

  20. 2026-01-29 Senate

    Referred to the House

  21. 2026-01-28 Senate

    Second reading: amended, ordered engrossed

  22. 2026-01-28 Senate

    Amendment #8 (Mishler) prevailed; voice vote

  23. 2026-01-20 Senate

    Committee report: amend do pass, adopted

  24. 2026-01-08 Senate

    Authored by Senators Mishler, Garten

  25. 2026-01-08 Senate

    First reading: referred to Committee on Appropriations

Official Summary Text

A BILL FOR AN ACT to amend the Indiana Code concerning human services.
FSSA fiscal matters.

Current Bill Text

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

FSSA fiscal matters.

Amends the duties of the office of the secretary of family and social services (office) concerning 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. 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. Creates an exemption for presumptive eligibility standards. Provides reimbursement exemptions under certain Medicaid programs when operating under a value based health care reimbursement agreement. 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. 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.