All Roll Calls
Yes: 487 • No: 787
IndianaSB 1Second Regular Session 124th General Assembly (2026)SenateWALLET
Human services matters.
Sponsored By: Chris Garten (Republican)
Signed by Governor
appropriationsthe houseways and means
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Bill Overview
Analyzed Economic Effects
15 provisions identified: 5 benefits, 2 costs, 8 mixed.
HIP costs: deductible, contributions, ER copays
HIP has a deductible of at least $2,500 a year. The state puts money into your account to cover the gap between your required payments and the deductible. Starting July 1, 2026, you must meet three months of participation rules with documents, and benefits do not start until you pay at least 1/12 of your annual contribution or $10. Ongoing payments are at least 2% of household income or at least $1 a month. Nonemergency ER copays are $8 at or below 100% FPL and $35 above 100% FPL, with a prudent layperson emergency exception. Your total cost sharing each quarter cannot be more than 5% of family income. Vision and dental are only for people who make the required monthly payments.
HIP covers more services and prevention
The Healthy Indiana Plan includes many services: mental health, hospital care, prescription drugs (including certain long-acting medications for addiction), ER visits, doctor care, diagnostics, therapy, disease management, home health, urgent and preventive care, family planning (not abortion), hospice, substance use care, and donated breast milk. HIP cannot add extra limits or costs to mental health or substance use care that are not on other medical care. Preventive services listed in federal law are free. HIP also pays up to $500 each year at no cost for other listed preventive services.
HIP savings for preventive care and renewals
Starting January 1, 2027, HIP uses a 12‑month plan year and renews twice a year. If you paid on time and got required preventive care, unused account money can be matched and carried over to cut what you owe next time. If you missed payments in the past but got the preventive care, you can get discounts up to 50% of the required contribution.
Stronger rules for HIP health plans
HIP managed care plans must process claims, pay providers at least at rates set by the secretary, and cannot deny coverage to someone the office approved. Plans must meet cultural-competency standards, including for non‑English speakers and people with disabilities. At least 87% of HIP funds must pay for care; no more than 13% may go to plan administration and profit.
New rural health fund and oversight
The law creates the Indiana Rural Health Transformation Fund with federal dollars. The fund is continuously appropriated, can earn interest, and pays for allowed uses through December 31, 2032. Starting December 1, 2026, the budget committee must review allotments before money is released. The office reports by June 1 and December 1 each year, listing spending, expected six‑month costs, and whether benchmarks and federal steps are met; reporting ends December 31, 2033.
More HIP checks and tighter frail rules
Starting January 1, 2027, the state checks HIP eligibility at least every six months. It also verifies work-rule compliance at least every three months; you cannot self-attest and an MCO’s statement does not count. Medically frail status is accepted only with certification under federal rules by approved providers, and the definition cannot be expanded.
Stricter Medicaid checks and data matches
Starting July 1, 2026, the state checks federal databases at least monthly (SSA, HHS new hires, USPS, HUD, FBI, Treasury) to verify Medicaid eligibility. Beginning January 1, 2027, self-attestation is not accepted for income, residency, age, household members, caretaker status, or other coverage. The office also reviews state vital statistics and corrections monthly, taxes and workforce data quarterly, and quickly redetermines eligibility if data show changes. It checks lottery and gaming winnings of $3,000 or more monthly and ends coverage if winnings make someone ineligible. From January 1, 2027, nonelderly adults under MAGI rules are redetermined every 6 months; others at least every 12 months.
How far Medicaid can pay back
Starting January 1, 2027, county offices set Medicaid start dates no earlier than one month before the application month for people eligible under IC 12-15-44.5 and no earlier than two months before for others. Beginning July 1, 2026, providers can be paid for care given up to one month before you applied if you are later approved and were eligible when you got care.
Medicaid changes for immigrants: who qualifies
Beginning October 1, 2026, refugees, Cuban/Haitian entrants, and people under the Compact of Free Association can get full Medicaid services like citizens, if federal funding and residency rules are met. People in the U.S. without permission who do not meet 42 U.S.C. 1396b(v)(5) are not entitled to Medicaid. The state counts income of household members who are ineligible due to immigration status when it decides eligibility. The office must verify status and, after a reasonable chance to prove status, refer noncitizens without satisfactory status to federal authorities. Presumptive eligibility forms must include immigration status and cannot be approved until status is verified.
SNAP asset cap and food purchase ban
Beginning July 1, 2026, SNAP uses a $5,000 cap on countable assets for expanded categorical eligibility. Money set aside for funerals and burials does not count. SNAP cannot pay for candy or soft drinks under new legal definitions; the state will seek federal approval if needed. You must be a U.S. citizen, national, or an eligible immigrant, and the state checks status in SSA or SAVE. If a household member is ineligible, the state counts that person’s full income and resources when setting your benefits.
Updated who qualifies for HIP adults
Beginning July 1, 2026, HIP adult eligibility rules change. Work‑hour and activity thresholds are updated, and the dependent child age moves to under 14. New or clarified qualifying groups include pregnancy and postpartum, people in substance use treatment, the medically frail, released inmates, students, Indians and urban Indians, and veterans with total disability ratings. You must meet Medicaid residency rules to qualify.
State sign-off before spending federal funds
Beginning January 1, 2026, state agencies cannot spend federal funds they receive until the state budget agency allots the money, unless another state law allows it. The same rule applies to federal money held by state instrumentalities (state-run entities). Funds must be used for the purpose set by the federal government or by the General Assembly when it appropriates them. These steps can slow when programs or payments start, but they add oversight to how money is used.
HIP waiver funding and program guardrails
If the HIP waiver is revoked or changed so the state cannot comply, the secretary must end HIP; the secretary may also end HIP if the federal match for plan recipients falls below 90%. The secretary can set up alternate coverage using an incremental fee if HHS approves, but HIP cannot run beyond state appropriations. The office may delay a state-plan amendment while negotiating a HIP 3.0 waiver; the plan keeps operating from January 1, 2025 until the waiver takes effect. Starting January 1, 2027, the secretary cannot lower required contributions, deductibles, work hours, or penalties unless federal law requires it and after a written report to the budget committee. The secretary must inform the Indiana Hospital Association before filing a HIP extension or major change and may adopt rules to run HIP and meet waiver terms.
Job help for underemployed HIP members
The Healthy Indiana Plan must refer members who work less than 20 hours a week and are not full-time students to job training and job search services. The goal is to help you find more hours or better pay. There is no new penalty tied to the referral.
Governor now accepts federal funds
Beginning January 1, 2026, only the governor may accept federal funds for the state, except where other law allows. Federal money is treated as appropriated for its federal purpose and is subject to allotment by the state budget agency.
Sponsors & Cosponsors
Sponsor
Chris Garten
Republican • Senate
Cosponsors
Aaron Freeman
Republican • Senate
Blake Doriot
Republican • Senate
Brad Barrett
Republican • House
Brett Clark
Republican • Senate
Brian Buchanan
Republican • Senate
Craig Snow
Republican • House
Cyndi Carrasco
Republican • Senate
Daryl Schmitt
Republican • Senate
Ed Charbonneau
Republican • Senate
Eric Koch
Republican • Senate
Gary Byrne
Republican • Senate
Greg Goode
Republican • Senate
James Tomes
Republican • Senate
Jeff Raatz
Republican • Senate
Jeffrey Thompson
Republican • House
Joanna King
Republican • House
Justin Busch
Republican • Senate
Linda Rogers
Republican • Senate
Liz Brown
Republican • Senate
Michael Crider
Republican • Senate
Michael Young
Republican • Senate
Mike Gaskill
Republican • Senate
Randy Maxwell
Republican • Senate
Rick Niemeyer
Republican • Senate
Ryan Mishler
Republican • Senate
Scott Alexander
Republican • Senate
Scott Baldwin
Republican • Senate
Stacey Donato
Republican • Senate
Travis Holdman
Republican • Senate
Tyler Johnson
Republican • Senate
Roll Call Votes
Senate vote • 2/25/2026
Roll Call 266 on SB0001.04.ENGH.CON01
Yes: 39 • No: 9 • Other: 1
House vote • 2/23/2026
Roll Call 302 on SB0001.04.ENGH
Yes: 64 • No: 30 • Other: 2
House vote • 2/19/2026
Roll Call 280 on SB0001.03.COMH.AMH017
Yes: 30 • No: 59 • Other: 5
House vote • 2/19/2026
Roll Call 283 on SB0001.03.COMH.AMH006
Yes: 28 • No: 62 • Other: 6
House vote • 2/19/2026
Roll Call 284 on SB0001.03.COMH.AMH007
Yes: 32 • No: 60 • Other: 3
House vote • 2/19/2026
Roll Call 285 on SB0001.03.COMH.AMH012
Yes: 34 • No: 55 • Other: 5
House vote • 2/19/2026
Roll Call 286 on SB0001.03.COMH.AMH011
Yes: 30 • No: 64 • Other: 2
House vote • 2/19/2026
Roll Call 279 on SB0001.03.COMH.AMH003
Yes: 29 • No: 61 • Other: 4
House vote • 2/19/2026
Roll Call 277 on SB0001.03.COMH.AMH002
Yes: 30 • No: 56 • Other: 12
House vote • 2/19/2026
Roll Call 278 on SB0001.03.COMH.AMH015
Yes: 31 • No: 57 • Other: 6
House vote • 2/19/2026
Roll Call 281 on SB0001.03.COMH.AMH004
Yes: 28 • No: 60 • Other: 6
House vote • 2/19/2026
Roll Call 282 on SB0001.03.COMH.AMH005
Yes: 29 • No: 60 • Other: 6
Senate vote • 1/22/2026
Roll Call 44 on SB0001.02.COMS
Yes: 38 • No: 8 • Other: 1
Senate vote • 1/20/2026
Roll Call 29 on SB0001.02.COMS.AMS001
Yes: 10 • No: 38
Senate vote • 1/20/2026
Roll Call 31 on SB0001.02.COMS.AMS003
Yes: 10 • No: 38
Senate vote • 1/20/2026
Roll Call 32 on SB0001.02.COMS.AMS006
Yes: 13 • No: 35
Senate vote • 1/20/2026
Roll Call 30 on SB0001.02.COMS.AMS002
Yes: 12 • No: 35 • Other: 1
Actions Timeline
Signed by the Governor
3/4/2026SenatePublic Law 63
3/4/2026SenateSigned by the President Pro Tempore
2/27/2026SenateSigned by the President of the Senate
2/27/2026SenateSigned by the Speaker
2/27/2026HouseSenate concurred with House amendments; Roll Call 266: yeas 39, nays 9
2/25/2026SenateReturned to the Senate with amendments
2/24/2026HouseMotion to concur filed
2/24/2026SenateRepresentative King added as cosponsor
2/23/2026HouseThird reading: passed; Roll Call 302: yeas 64, nays 30
2/23/2026HouseAmendment #11 (DeLaney) failed; Roll Call 286: yeas 30, nays 64
2/19/2026HouseSecond reading: amended, ordered engrossed
2/19/2026HouseAmendment #12 (DeLaney) failed; Roll Call 285: yeas 34, nays 55
2/19/2026HouseAmendment #7 (Porter) failed; Roll Call 284: yeas 32, nays 60
2/19/2026HouseAmendment #10 (DeLaney) failed; voice vote
2/19/2026HouseAmendment #5 (Porter) failed; Roll Call 282: yeas 29, nays 60
2/19/2026HouseAmendment #4 (Porter) failed; Roll Call 281: yeas 28, nays 60
2/19/2026HouseAmendment #17 (Shackleford) failed; Roll Call 280: yeas 30, nays 59
2/19/2026HouseAmendment #3 (Shackleford) failed; Roll Call 279: yeas 29, nays 61
2/19/2026HouseAmendment #15 (Clere) failed; Roll Call 278: yeas 31, nays 57
2/19/2026HouseAmendment #16 (Clere) failed; Division of the House: yeas 32, nays 59
2/19/2026HouseAmendment #2 (Pack) failed; Roll Call 277: yeas 30, nays 56
2/19/2026HouseAmendment #14 (Barrett) prevailed; voice vote
2/19/2026HouseAmendment #6 (Porter) failed; Roll Call 283: yeas 28, nays 62
2/19/2026HouseCommittee report: amend do pass, adopted
2/17/2026House
Bill Text
Engrossed Senate Bill (S)
Enrolled Senate Bill (S)
Introduced Senate Bill (S)
Senate Bill (H)