# Indiana HB 1474: FSSA matters. Indiana HB 1474, FSSA matters., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Brad Barrett (Republican); status signed, last action 2025-05-01 (Public Law 174); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/IN-HB1474-2025 - 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 1474 - State: Indiana - Session: First Regular Session 124th General Assembly (2025) - Title: FSSA matters. - Status: signed - Chamber: House - Introduced: 2025-01-21 - Last action: 2025-05-01, Public Law 174 - Sponsor: Brad Barrett (Republican) - Cosponsors: 6 - Subjects: public health, the senate, health and provider services, appropriations - Touches household money: yes - Roll calls: 5 (247 yes, 68 no in all) - Economic provisions PRIA read: 15 ## Summary Adds additional duties to a workgroup currently organized concerning the pathways for aging risk based managed care program (program). Requires the office of the secretary of family and social services (office of the secretary) to determine the base reimbursement rate structure, methodology, and reimbursement rates for provider payment by managed care organizations under the program. Allows the office of the secretary to perform claims reviews of claims under the program. Requires a managed care organization participating in the program to do the following: (1) Contract with nursing facilities if certain conditions are met under the same terms for a specified time frame. (2) Submit monthly reports for claims that had a denial rate of at least five percent in the previous month. (3) Pay minimum reimbursement rates to providers. (4) Pay interest on unpaid claims that are later determined to be clean claims. Sets forth the powers and duties of the office of the secretary concerning Medicaid home and community based services waivers. Requires a provider of services under a home and community based services waiver to follow any waiver requirements under federal law and developed by the office of the secretary. Establishes requirements for home and community based services waivers. Relocates provisions requiring reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver. Specifies that: (1) these provisions apply to a home and community based services waiver that included assisted living services as an available services before July 1, 2025; (2) these provisions apply to an individual receiving services under a home and community based services waiver; and (3) reimbursement is required for certain services that are part of the individual's home and community based service plan. Relocates provisions establishing limitations concerning assisted living services provided in a home and community based services program. Relocates a provision requiring the office of the secretary to annually determine any state savings generated by home and community based services. Removes a provision allowing the division of aging to adopt rules concerning an appeals process for a housing with services establishment provider's determination that the provider is unable to meet the health needs of a resident and allows the office of the secretary to adopt rules concerning the appeals process. Requires an individual who provides attendant care services for compensation from Medicaid to register with the office of the secretary. Removes the requirement that the division of aging administer programs established under Medicaid waivers for in-home services for treatment of medical conditions. Provides that provisions of law concerning the statewide waiver ombudsman apply to an individual who has a disability and receives services administered by the bureau of disabilities services. (Current law specifies that these provisions apply to an individual who has a developmental disability and receives services under the federal home and community based services program.) Specifies that these provisions do not apply to an individual served by the long term care ombudsman program. Changes references from "statewide waiver ombudsman" to "statewide bureau of disabilities services ombudsman". Requires the unit of services for the deaf and hard of hearing and the division (rather than the unit and the board of interpreters) to adopt rules creating standings for interpreters. Removes provisions concerning the board of interpreters. Repeals a provision providing that licensed home health agencies and licensed personal services agencies are approved to provide certain services under a Medicaid waiver granted to the state under federal law that provides services for treatment of medical conditions. Repeals language concerning a long term care services eligibility screen for purposes of the Community and Home Options to Institutional Care for the Elderly and Disabled program (CHOICE). Authorizes the division of disability and rehabilitative services to charge an authorized service provider that employs a direct service professional an annual fee. Establishes the direct support professional training program fund and appropriates money in the fund. ## Bill overview: provisions PRIA read - Assisted living waiver payments can reach back: benefit, medium. For waivers offering assisted living before July 1, 2025, Indiana must reimburse specified services for aged or disabled participants. Covered services are assisted living, integrated health care coordination, and transportation when included in the person’s service plan. Once the state approves a… - Care plans and complaints for Medicaid recipients: benefit, medium. Beginning July 1, 2025, Indiana must coordinate waiver recipients’ care within available resources, using plans centered on each person’s needs. Plans must consider family and community resources, and the Secretary’s office serves as placement authority for recipients with plans. Providers must fol… - Medicaid recipients can choose self-directed care: benefit, medium. Beginning July 1, 2025, Indiana must offer self-directed care to eligible waiver recipients who choose it. The state must amend or implement a waiver to pay for personal attendants and related employment and recordkeeping costs. To the extent federal law allows, money provided to hire registered at… - Interpreter rules must include complaint procedures: benefit, low. Beginning July 1, 2025, the designated Indiana unit and division must adopt interpreter standards. Their rules must include ethics, complaint procedures, and enforcement. The law assigns rulemaking responsibility but does not itself set the detailed standards or decide complaints. - Aging care claims get deadlines and oversight: benefit, low. Beginning July 1, 2025, Pathways for Aging plans must pay, deny, or suspend participating nursing facility claims within 21 days electronically or 30 days on paper. Late payment of clean claims requires interest at the Medicare overpayment and underpayment rate, from day 22 or 31 until payment. Thi… - Aging plans must meet provider payment floors: benefit, low. Beginning July 1, 2025, Indiana sets provider payment rates for Pathways for Aging, and managed care plans cannot pay less. Plans must also contract with qualifying nursing facilities willing to accept the same terms offered to other participating providers. Facilities must hold an Indiana license… - Care providers get order review notices: benefit, low. Beginning July 1, 2025, covered care providers must receive notice explaining certain state orders and available review procedures. This covers orders from the Secretary or a designee against providers regulated by the Secretary’s office, Division of Aging, or Bureau of Disabilities Services. Order… - Emergency Medicaid provider aid requirement ends: cost, low. Indiana removes the requirement for temporary emergency aid to providers facing financial emergencies caused by managed-care claims-payment problems. The former requirement covered the first 210 days after the covered managed-care program began. Its eligibility, payment, and reconciliation requirem… - Medicaid home care comes with funding limits: mixed, high. Beginning July 1, 2025, Indiana replaces its older home-care chapter with a centralized Medicaid home and community-based services framework. Eligible people must get needed services when waiver slots and funding are available; eligibility alone does not guarantee a slot. The state sets eligibility… - Assisted living rules allow more flexibility: mixed, medium. For waivers offering assisted living before July 1, 2025, Indiana cannot require only private rooms, separate housing and service agreements, or specified building features. The ban on requiring kitchenette sinks covers entities participating in the Medicaid waiver program before July 1, 2018. Adjo… - Paid Medicaid attendants face registration limits: mixed, medium. Beginning July 1, 2025, paid Medicaid attendants under the new chapter must register with the Secretary’s office. Applicants must be at least 18 and submit a resume, an allowed criminal-history check, three reference letters, and other required information. A nurse aide registry report is required… - Self-directed care gives control and employer duties: mixed, medium. Beginning July 1, 2025, self-directed care recipients employ their attendants and handle hiring, training, supervision, payroll, paperwork, and dismissal. They must plan weekly care tasks with a case manager and sign a state-approved contract covering duties, service frequency, duration, wages, and… - Separate attendant care rules for CHOICE participants: mixed, medium. Beginning July 1, 2025, the older self-directed care chapter requires participation in Indiana’s CHOICE home-care program. Participants must need attendant help with daily living, self-care, and mobility because of an impairment, choose a paid attendant, and direct care. Medicaid waiver approval al… - Disability ombudsman access expands with record sharing: mixed, low. Beginning July 1, 2025, the statewide disability ombudsman covers people with developmental disabilities receiving Bureau of Disabilities Services programs. Coverage is no longer limited to federal waiver recipients, but excludes people served by the long-term care ombudsman. Mental health records… - Provider fees support care worker training: mixed, low. Beginning July 1, 2025, Indiana creates a fund for direct support professional training, a registry, curriculum, and administration. Provider fees and investment earnings support the fund; its money is continuously available for these purposes and does not expire at year-end. The Division may charg… ## Sponsors and cosponsors - Sponsor: Brad Barrett (Republican), House - Cosponsor: Ed Charbonneau (Republican), Senate - Cosponsor: Liz Brown (Republican), Senate - Cosponsor: Lonnie Randolph (Democratic), Senate - Cosponsor: Maureen Bauer (Democratic), House - Cosponsor: Robb Greene (Republican), House - Cosponsor: Tony Isa (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-17 | House | House concurred with Senate amendments | pass | 85 | 0 | | | 2025-04-15 | Senate | Third reading: passed | pass | 47 | 1 | | | 2025-04-10 | Senate | Amendment #3 (Qaddoura) failed | fail | 10 | 34 | | | 2025-04-10 | Senate | Amendment #2 (Qaddoura) failed | fail | 12 | 33 | | | 2025-02-17 | House | Third reading: passed | pass | 93 | 0 | | ## Actions (27) - 2025-05-01: Public Law 174 (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: Signed by the Speaker (House) - 2025-04-17: House concurred with Senate amendments; Roll Call 497: yeas 85, nays 0 (House) - 2025-04-17: Motion to concur filed (House) - 2025-04-16: Returned to the House with amendments (Senate) - 2025-04-15: Third reading: passed; Roll Call 443: yeas 47, nays 1 (Senate) - 2025-04-10: Amendment #1 (Jackson L) prevailed; voice vote (Senate) - 2025-04-10: Amendment #7 (Charbonneau) prevailed; voice vote (Senate) - 2025-04-10: Amendment #2 (Qaddoura) failed; Roll Call 375: yeas 12, nays 33 (Senate) - 2025-04-10: Amendment #3 (Qaddoura) failed; Roll Call 376: yeas 10, nays 34 (Senate) - 2025-04-10: Second reading: amended, ordered engrossed (Senate) - 2025-04-07: Senator Randolph added as cosponsor (Senate) - 2025-04-07: Senator Brown L added as cosponsor (Senate) - 2025-04-03: Committee report: do pass, adopted (Senate) - 2025-03-27: 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) - 2025-02-18: Referred to the Senate (House) - 2025-02-17: Senate sponsor: Senator Charbonneau (House) - 2025-02-17: Third reading: passed; Roll Call 183: yeas 93, nays 0 (House) - 2025-02-17: Representatives Greene, Isa, Bauer added as coauthors (House) - 2025-02-13: Second reading: ordered engrossed (House) - 2025-02-11: Committee report: amend do pass, adopted (House) - 2025-01-21: First reading: referred to Committee on Public Health (House) - 2025-01-21: Authored by Representative Barrett (House) ## Bill text - Engrossed House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.05.ENGS?format=pdf) - Enrolled House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.06.ENRS?format=pdf) - House Bill (S): [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.02.COMH?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.03.COMS?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.04.COMS?format=pdf) - Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.01.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 - [Engrossed House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.05.ENGS?format=pdf) - [Enrolled House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.06.ENRS?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.02.COMH?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.03.COMS?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.04.COMS?format=pdf) - [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1474/versions/HB1474.01.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-HB1474-2025 (as of 2026-10-17).