Indiana legislation · 2026 Regular Session
Indiana SB275: FSSA fiscal matters.
Status: Passed one chamber, February 25, 2026
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.
What the bill says
A bill FOR AN ACT to amend the Indiana Code concerning human services.
From the engrossed text:
A BILL FOR AN ACT to amend the Indiana Code concerning human services. SECTION 1. IC 12-8-1.6-4, AS ADDED BY P.L.174-2025, SECTION 14, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2026]: Sec. 4. (a) The office of the secretary has all powers necessary and convenient to administer a home and community based services waiver. (b) The office of the secretary shall do the following: (1) Administer money appropriated or allocated to the office of the secretary by the state, including money appropriated or allocated for a home and community based services waiver. (2) Take any action necessary to implement a home and community based services waiver, including applying to the United States Department of Health and Human Services for approval to amend or renew the waiver, implement a new Medicaid waiver, or amend the Medicaid state plan. (3) Ensure that a home and community based services waiver is subject to funding available to the office of the secretary. (4) Ensure, in coordination with the budget agency, that the cost ES 275--LS 7045/DI of a home and community based services waiver does not exceed the total amount of funding available by the budget agency, including state and federal funds, for the Medicaid programs established to provide services under a home and community based services waiver. (5) Establish and administer …
Sponsors
- Ryan Mishler (R, SD-009) · primary sponsor
- Chris Garten (R, SD-045)
- Lonnie Randolph (D, SD-002)
Latest actions
- : Senate dissented from House amendments
- : Returned to the Senate with amendments
- : House conferees appointed: Lopez, Porter
- : House advisors appointed: Jordan, Greene, Campbell, Shackleford
- : Motion to dissent filed
- : Senate advisors appointed: Garten, Niezgodski
- : Senate conferees appointed: Mishler, Qaddoura
- : Third reading: passed; Roll Call 355: yeas 68, nays 27
- : Amendment #3 (Steuerwald) prevailed; voice vote
- : Amendment #4 (Meltzer) prevailed; voice vote
Votes
- SB0275.04.COMH (February 24, 2026): 68 yea, 27 nay, passed
- SB0275.04.COMH.AMH001 (February 23, 2026): 31 yea, 63 nay, failed
- SB0275.02.COMS (January 29, 2026): 39 yea, 9 nay, passed
Subjects: HEALTH; Home Health Care, HEALTH; Physical Disabilities, HEALTH; Medicaid, HEALTH CARE FACILITIES; Generally, HEALTH; Billing and Costs, PROTECTED CLASSES, AGENCIES; Family and Social Services Administration (FSSA)
Common questions
- What is SB275?
- SB275 is a bill in the Indiana Legislature (2026 Regular Session): FSSA fiscal matters.
- What does SB275 do?
- In its own words: A bill FOR AN ACT to amend the Indiana Code concerning human services.
- What is the status of SB275?
- Passed one chamber as of February 25, 2026. Latest action: Senate dissented from House amendments (February 25, 2026).
- Who sponsored SB275?
- Ryan Mishler (R, SD-009), with 2 co-sponsors.
- Where is the official record for SB275?
- On the Indiana Legislature website: https://iga.in.gov/legislative/2026/bills/senate/275
Source: official Indiana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.