# Indiana HB 1391: Services for the aged and disabled.

Indiana HB 1391, Services for the aged and disabled., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Edward Clere (Republican); status signed, last action 2025-05-01 (Public Law 167); PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/IN-HB1391-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Indiana HB 1391
- State: Indiana
- Session: First Regular Session 124th General Assembly (2025)
- Title: Services for the aged and disabled.
- Status: signed
- Chamber: House
- Introduced: 2025-01-13
- Last action: 2025-05-01, Public Law 167
- Sponsor: Edward Clere (Republican)
- Cosponsors: 15
- Subjects: public health, the senate, health and provider services, appropriations
- Touches household money: yes
- Roll calls: 3 (221 yes, 2 no in all)
- Economic provisions PRIA read: 3

## 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.

## Bill overview: provisions PRIA read

- More home care beyond Medicaid: benefit, medium. 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…
- More support for dementia caregivers: benefit, low. 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: benefit, low. 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…

## Sponsors and cosponsors

- Sponsor: Edward Clere (Republican), House
- Cosponsor: Chris Garten (Republican), Senate
- Cosponsor: Cindy Ledbetter (Republican), House
- Cosponsor: Ed Charbonneau (Republican), Senate
- Cosponsor: Fady Qaddoura (Democratic), Senate
- Cosponsor: Greg Goode (Republican), Senate
- Cosponsor: J.D. Ford (Democratic), Senate
- Cosponsor: Jeff Raatz (Republican), Senate
- Cosponsor: La Keisha Jackson (Democratic), Senate
- Cosponsor: Liz Brown (Republican), Senate
- Cosponsor: Lonnie Randolph (Democratic), Senate
- Cosponsor: Lori Goss-Reaves (Republican), House
- Cosponsor: Michael Crider (Republican), Senate
- Cosponsor: Robin Shackleford (Democratic), House
- Cosponsor: Rodney Pol (Democratic), Senate
- Cosponsor: Vaneta Becker (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-21 | House | House concurred with Senate amendments | pass | 80 | 0 |   |
| 2025-04-15 | Senate | Third reading: passed | pass | 47 | 2 |   |
| 2025-02-20 | House | Third reading: passed | pass | 94 | 0 |   |

## Actions (29)

- 2025-05-01: Public Law 167 (House)
- 2025-05-01: Signed by the Governor (House)
- 2025-04-23: Signed by the President of the Senate (Senate)
- 2025-04-22: Signed by the President Pro Tempore (Senate)
- 2025-04-21: House concurred with Senate amendments; Roll Call 502: yeas 80, nays 0 (House)
- 2025-04-21: Motion to concur filed (House)
- 2025-04-21: Signed by the Speaker (House)
- 2025-04-16: Returned to the House with amendments (Senate)
- 2025-04-15: Senator Raatz added as cosponsor (Senate)
- 2025-04-15: Third reading: passed; Roll Call 438: yeas 47, nays 2 (Senate)
- 2025-04-15: Senators Qaddoura, Pol, Charbonneau, Crider added as cosponsors (Senate)
- 2025-04-15: Senator Garten added as cosponsor (Senate)
- 2025-04-14: Second reading: ordered engrossed (Senate)
- 2025-04-10: Committee report: do pass, adopted (Senate)
- 2025-04-10: Senator Randolph added as cosponsor (Senate)
- 2025-04-08: Senator Becker added as cosponsor (Senate)
- 2025-04-03: Senator Ford J.D. added as cosponsor (Senate)
- 2025-04-03: Committee report: amend do pass adopted; reassigned to Committee on Appropriations (Senate)
- 2025-03-03: First reading: referred to Committee on Health and Provider Services (Senate)
- 2025-02-21: Referred to the Senate (House)
- 2025-02-20: Third reading: passed; Roll Call 245: yeas 94, nays 0 (House)
- 2025-02-20: Senate sponsors: Senators Goode, Brown L, Jackson L (House)
- 2025-02-19: Second reading: ordered engrossed (House)
- 2025-02-17: Committee report: do pass, adopted (House)
- 2025-02-11: Committee report: amend do pass, adopted (House)
- 2025-02-11: Recommitted to Committee on Ways and Means pursuant to House Rule 126.3 (House)
- 2025-01-13: First reading: referred to Committee on Public Health (House)
- 2025-01-13: Authored by Representative Clere (House)
- 2025-01-13: Coauthored by Representatives Ledbetter, Goss-Reaves, Shackleford (House)

## Bill text

- Enrolled House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.06.ENRS?format=pdf)
- House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.02.COMH?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.05.COMS?format=pdf)
- House Bill (S): [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.03.COMH?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.04.COMS?format=pdf)
- Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.01.INTR?format=pdf)

## Related bills

- SB 231: Various corrections matters. (signed)
- SB 324: Criminal procedures. (signed)
- SB 80: Code publication. (signed)
- SB 453: Various tax matters. (signed)
- SB 464: Financial institutions and consumer credit. (signed)
- SB 371: Workforce matters. (signed)

## Sources
- [Enrolled House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.06.ENRS?format=pdf)
- [House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.02.COMH?format=pdf)
- [House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.05.COMS?format=pdf)
- [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.03.COMH?format=pdf)
- [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.04.COMS?format=pdf)
- [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1391/versions/HB1391.01.INTR?format=pdf)

## Related
- [SB 231: Various corrections matters.](https://policyrisk.com/state-bill/IN-SB231-2025)
- [SB 324: Criminal procedures.](https://policyrisk.com/state-bill/IN-SB324-2025)
- [SB 80: Code publication.](https://policyrisk.com/state-bill/IN-SB80-2025)
- [SB 453: Various tax matters.](https://policyrisk.com/state-bill/IN-SB453-2025)
- [SB 464: Financial institutions and consumer credit.](https://policyrisk.com/state-bill/IN-SB464-2025)
- [SB 371: Workforce matters.](https://policyrisk.com/state-bill/IN-SB371-2025)
- [Indiana bills](https://policyrisk.com/states/indiana/bills)
- [Indiana state hub](https://policyrisk.com/states/indiana)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IN-HB1391-2025 (as of 2026-10-17).