IndianaHB 1391First Regular Session 124th General Assembly (2025)HouseWALLET

Services for the aged and disabled.

Sponsored By: Edward Clere (Republican)

Signed by Governor

Summary

Allows the office of the secretary of family and social services (office of the secretary) to study and prepare a report containing recommendations for realigning and consolidating the local area agency on aging (area agency) planning and service areas. Amends the definition of "community and home care services" for purposes of community and home options to institutional care for the elderly and disabled program (CHOICE). Prohibits the division of aging from requiring a CHOICE provider to be certified under the Medicaid program or a Medicaid waiver program. Creates an exception for a provider of certain services. Requires an area agency to prioritize CHOICE funding to identify specified individuals and provide community and home care services to these individuals. Requires the office of the secretary, in negotiating reimbursement rates for CHOICE services, to consider the location and availability of service providers. Authorizes the office of the secretary to establish a Medicaid diversion pilot program to evaluate the effectiveness of home modification and telehealth enhanced chronic care services provided by specified area agencies in reducing Medicaid expenditures. Allows the office of the secretary, a managed care organization that has contracted with the office of Medicaid policy and planning, and a person who has contracted with a certain managed care organization or the office of the secretary to contract with an area agency to provide and receive reimbursement for a level of care assessment for the: (1) health and wellness Medicaid waiver; (2) traumatic brain injury Medicaid waiver; and (3) risk based managed care program for the covered population.

public healththe senatehealth and provider servicesappropriations

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 3 benefits, 0 costs, 0 mixed.

More home care beyond Medicaid

Beginning July 1, 2025, Indiana’s CHOICE home care program includes services aimed at preventing hospital stays and institutional care. These services also aim to reduce reliance on Medicaid home care. Local aging agencies must prioritize funding to find and serve CHOICE-eligible people who cannot qualify for Medicaid. These people must also be at risk of trouble with daily activities. Services depend on feasibility and available funding; the law sets no funding amount or guaranteed benefit.

More support for dementia caregivers

Beginning July 1, 2025, Indiana’s CHOICE home care program includes education, resources, and strategies for dementia caregivers and family members. This support depends on CHOICE program eligibility and available funding. The law sets no dollar amount or guaranteed service level.

New certification and payment rules for providers

Beginning July 1, 2025, Indiana generally cannot require CHOICE home care providers to hold Medicaid or Medicaid waiver certification. Certification remains required for attendant care, clinical therapy, home and community assistance, home health aide services, and integrated home care coordination. It also remains required for respite care, nursing, adult day services, and structured family caregiving. The state must consider provider location and availability when negotiating program payment rates. The law guarantees neither higher rates nor more available services.

Sponsors & Cosponsors

Sponsor

  • Edward Clere

    Republican • House

Cosponsors

  • Chris Garten

    Republican • Senate

  • Cindy Ledbetter

    Republican • House

  • Ed Charbonneau

    Republican • Senate

  • Fady Qaddoura

    Democratic • Senate

  • Greg Goode

    Republican • Senate

  • J.D. Ford

    Democratic • Senate

  • Jeff Raatz

    Republican • Senate

  • La Keisha Jackson

    Democratic • Senate

  • Liz Brown

    Republican • Senate

  • Lonnie Randolph

    Democratic • Senate

  • Lori Goss-Reaves

    Republican • House

  • Michael Crider

    Republican • Senate

  • Robin Shackleford

    Democratic • House

  • Rodney Pol

    Democratic • Senate

  • Vaneta Becker

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 221 • No: 2

House vote • 4/21/2025

House concurred with Senate amendments

Yes: 80 • No: 0

Senate vote • 4/15/2025

Third reading: passed

Yes: 47 • No: 2

House vote • 2/20/2025

Third reading: passed

Yes: 94 • No: 0

Actions Timeline

  1. Public Law 167

    5/1/2025House
  2. Signed by the Governor

    5/1/2025House
  3. Signed by the President of the Senate

    4/23/2025Senate
  4. Signed by the President Pro Tempore

    4/22/2025Senate
  5. House concurred with Senate amendments; Roll Call 502: yeas 80, nays 0

    4/21/2025House
  6. Motion to concur filed

    4/21/2025House
  7. Signed by the Speaker

    4/21/2025House
  8. Returned to the House with amendments

    4/16/2025Senate
  9. Senator Raatz added as cosponsor

    4/15/2025Senate
  10. Third reading: passed; Roll Call 438: yeas 47, nays 2

    4/15/2025Senate
  11. Senators Qaddoura, Pol, Charbonneau, Crider added as cosponsors

    4/15/2025Senate
  12. Senator Garten added as cosponsor

    4/15/2025Senate
  13. Second reading: ordered engrossed

    4/14/2025Senate
  14. Committee report: do pass, adopted

    4/10/2025Senate
  15. Senator Randolph added as cosponsor

    4/10/2025Senate
  16. Senator Becker added as cosponsor

    4/8/2025Senate
  17. Senator Ford J.D. added as cosponsor

    4/3/2025Senate
  18. Committee report: amend do pass adopted; reassigned to Committee on Appropriations

    4/3/2025Senate
  19. First reading: referred to Committee on Health and Provider Services

    3/3/2025Senate
  20. Referred to the Senate

    2/21/2025House
  21. Third reading: passed; Roll Call 245: yeas 94, nays 0

    2/20/2025House
  22. Senate sponsors: Senators Goode, Brown L, Jackson L

    2/20/2025House
  23. Second reading: ordered engrossed

    2/19/2025House
  24. Committee report: do pass, adopted

    2/17/2025House
  25. Committee report: amend do pass, adopted

    2/11/2025House

Bill Text

  • Enrolled House Bill (H)

  • House Bill (H)

  • House Bill (S)

  • Introduced House Bill (H)

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