IndianaHB 1689First Regular Session 124th General Assembly (2025)House

Human services matters.

Sponsored By: Edward Clere (Republican)

Signed by Governor

Summary

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 office of the secretary of family and social services (office of the secretary) to prepare an annual report on the provision of Medicaid home and community based waiver services. Specifies the information that must be included in the report. Requires the division of disability and rehabilitative services advisory council to provide recommendations to the division of disability and rehabilitative services to ensure the delivery of appropriate high quality services to recipients. Requires the office of the secretary to provide to the division of disability and rehabilitative services advisory council reports on the office of the secretary's plans to provide services to individuals who require extraordinary care and specifies the timing of the reports.

public healththe senatehealth and provider services

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Broader oversight for disability service users

Beginning July 1, 2025, the Bureau of Disabilities Services Ombudsman oversees covered disability services beyond Medicaid waiver services. It serves people with developmental disabilities receiving bureau-administered services, excluding clients of the long-term care ombudsman. The law provides access to people, providers, and records, with consent rules and privacy safeguards. A statewide toll-free line receives complaints and forwards them to the ombudsman. Providers and employees who release records as the law allows are protected from civil, criminal, and professional penalties.

Public review before extraordinary-care Medicaid changes

Effective upon passage, the law requires advisory council review and public feedback before federal requests for extraordinary-care Medicaid waiver changes. State officials must present the proposed care definition and qualification method at least 90 days before requesting federal approval. They must present the proposed amendment at least 60 days before, and revisions reflecting feedback at least 30 days before. Written meeting materials must arrive at least five days ahead. Review includes structured family caregiving and any proposals to pay legally responsible family caregivers. This process ends July 1, 2026; it does not itself change benefits, eligibility, or caregiver pay.

Mental health safety plans shared without consent

Psychiatric crisis centers, inpatient units, and residential treatment providers must share state-format safety plans when an eligible requester identifies possible harm. The requester must determine that the patient may harm themself or others; patient consent is not required. Eligible requesters include licensed mental health professionals, licensed paramedics, and representatives of mobile integrated healthcare or mental health community paramedicine programs. Requesters must show proof of licensure, protect privacy, and use plans only for the patient's welfare and safety. If the patient is later evaluated as dangerous, interpreting the records requires consultation with a licensed U.S. Secret Service mental health professional. Providers making good-faith disclosures receive civil and criminal immunity.

Sponsors & Cosponsors

Sponsor

  • Edward Clere

    Republican • House

Cosponsors

  • Cherrish Pryor

    Democratic • House

  • Fady Qaddoura

    Democratic • Senate

  • Greg Goode

    Republican • Senate

  • Gregory Porter

    Democratic • House

  • J.D. Ford

    Democratic • Senate

  • Robert Behning

    Republican • House

  • Shelli Yoder

    Democratic • Senate

  • Spencer Deery

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 274 • No: 2

Senate vote • 4/23/2025

Rules Suspended. Conference Committee Report 1: adopted by the Senate

Yes: 44 • No: 1

House vote • 4/23/2025

Rules Suspended. Conference Committee Report 1: adopted by the House

Yes: 91 • No: 0

Senate vote • 4/8/2025

Third reading: passed

Yes: 47 • No: 1

House vote • 2/10/2025

Third reading: passed

Yes: 92 • No: 0

Actions Timeline

  1. Signed by the Governor

    5/6/2025House
  2. Public Law 243

    5/6/2025House
  3. Signed by the President of the Senate

    4/29/2025Senate
  4. Signed by the Speaker

    4/24/2025House
  5. Signed by the President Pro Tempore

    4/24/2025Senate
  6. Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 502: yeas 44, nays 1

    4/23/2025Senate
  7. CCR # 1 filed in the House

    4/23/2025House
  8. CCR # 1 filed in the Senate

    4/23/2025Senate
  9. Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 538: yeas 91, nays 0

    4/23/2025House
  10. Senate conferees appointed: Goode and Jackson L

    4/21/2025Senate
  11. Senate advisors appointed: Yoder and Deery

    4/21/2025Senate
  12. House advisors appointed: Barrett, Isa, Goss-Reaves and Pryor

    4/17/2025House
  13. House dissented from Senate amendments

    4/17/2025House
  14. Motion to dissent filed

    4/17/2025House
  15. House conferees appointed: Clere and Porter

    4/17/2025House
  16. Returned to the House with amendments

    4/9/2025Senate
  17. Third reading: passed; Roll Call 368: yeas 47, nays 1

    4/8/2025Senate
  18. Second reading: ordered engrossed

    4/7/2025Senate
  19. Committee report: amend do pass, adopted

    4/3/2025Senate
  20. Senator Qaddoura added as cosponsor

    4/1/2025Senate
  21. First reading: referred to Committee on Health and Provider Services

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

    2/11/2025House
  23. Senate sponsors: Senators Goode, Ford J.D., Deery

    2/10/2025House
  24. Cosponsor: Senator Yoder

    2/10/2025House
  25. Third reading: passed; Roll Call 119: yeas 92, nays 0

    2/10/2025House

Bill Text

  • Enrolled House Bill (H)

  • House Bill (H)

  • House Bill (S)

  • Introduced House Bill (H)

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