# Indiana SB 1: Human services matters. Indiana SB 1, Human services matters., is a Second Regular Session 124th General Assembly (2026) Senate bill sponsored by Chris Garten (Republican); status signed, last action 2026-03-04 (Public Law 63); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IN-SB1-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Indiana SB 1 - State: Indiana - Session: Second Regular Session 124th General Assembly (2026) - Title: Human services matters. - Status: signed - Chamber: Senate - Introduced: 2026-01-08 - Last action: 2026-03-04, Public Law 63 - Sponsor: Chris Garten (Republican) - Cosponsors: 30 - Subjects: appropriations, the house, ways and means - Touches household money: yes - Roll calls: 17 (487 yes, 787 no in all) - Economic provisions PRIA read: 8 ## Summary Establishes the Indiana rural health transformation fund and makes allotments and expenditures from the fund subject to budget committee review before the allotment and expenditure may occur. Requires the office of the secretary of family and social services to report biannually to the budget committee concerning the use of the money in the fund. Prohibits recipients of Supplemental Nutrition Assistance Program (SNAP) benefits from using SNAP benefits to purchase candy and soft drinks. Requires the office of the secretary of family and social services to apply for a waiver or authorization to implement the prohibition if a waiver or authorization from a federal agency is required. Terminates the state's participation in the use of expanded categorical eligibility within the federal SNAP. Specifies gross income standards and countable resources for SNAP eligibility. Establishes immigration eligibility requirements for SNAP and requires the division of family resources to verify compliance with the requirements and submit information to the federal government about individuals for whom the division could not verify the immigration status. Specifies the time frame for Medicaid eligibility redeterminations. Requires the office of the secretary of family and social services (office) to transmit certain information to the federal government to prevent multiple state Medicaid enrollment. Specifies the time frame concerning the initial date of Medicaid assistance based on the application date. Sets forth additional countable income requirements for Medicaid. Modifies immigration status requirements for Medicaid, including presumptive eligibility and the healthy Indiana plan (HIP), and requires the office to verify compliance of the requirements and report information to the federal government. Modifies work and exemption requirements for HIP and requires the conditions to be met in the three preceding months before an individual applies to HIP. Requires the office to verify compliance with the work requirements on an ongoing basis and at least quarterly. Prohibits the office from expanding the medically frail exemption beyond the federal definition of the term. Removes the 12 month eligibility period for HIP and requires semiannual renewal. Sets forth additional copayments for the use of an emergency room setting for nonemergency services and other services under HIP. ## Bill overview: provisions PRIA read - More frequent Medicaid checks for recipients: cost, medium. Indiana must verify eligibility facts before Medicaid enrollment, rather than accept self-reported information, unless federal law requires otherwise. Recurring data checks trigger prompt eligibility reviews when relevant circumstances change. Unless federal law prohibits, reviews occur at least ev… - Shorter Medicaid coverage for earlier bills: cost, medium. Beginning January 1, 2027, Medicaid's payment window for earlier care is shorter. Healthy Indiana Plan applicants can receive payment for eligible care no earlier than one month before their application month. For other applicants, the limit is two months before their application month. Applicants… - Stricter medical frailty proof for participants: cost, medium. Beginning January 1, 2027, the Secretary can recognize medical frailty only with certification meeting the federal definition. Certification must come from a listed physician, physician assistant, advanced practice nurse, nurse, psychologist, or social worker. A qualifying physician's office repres… - Medicaid immigration checks trigger federal referrals: cost, low. Beginning October 1, 2026, Indiana checks citizenship or satisfactory immigration status for Medicaid applicants, recipients, and identified household members. People whose status cannot be verified get a reasonable opportunity to provide proof before referral to federal authorities. Indiana must a… - New Medicaid rules for immigrant households: mixed, high. Beginning October 1, 2026, lawful permanent residents, Cuban or Haitian entrants, and lawful Compact of Free Association residents receive citizen-like eligibility treatment. Federal funding and immigration eligibility limits still apply, and people outside the stated federal requirements are not e… - Revised eligibility routes for Indiana adults: mixed, high. Beginning July 1, 2026, Healthy Indiana Plan eligibility includes 80 monthly hours of work, work programs, volunteering, community service, or combined activities. Another route is monthly earnings of at least the minimum wage times 80 hours, with separate seasonal-work tests. Other routes include… - Higher plan charges with quarterly limits: mixed, medium. Beginning July 1, 2026, Healthy Indiana Plan participants pay minimum copays for nonemergency emergency-room care. Copays are at least $8 at or below the federal poverty level, and at least $35 above it. Health account money cannot pay for that care unless the condition meets the law's reasonable-p… - More plan reviews, fewer reenrollment barriers: mixed, medium. Healthy Indiana Plan participants remain eligible while meeting plan requirements, without the prior 12-month plan-period limit. Renewals change from yearly to every six months, and Indiana must review each participant's eligibility at least every six months. The law removes the six-month wait to r… ## Sponsors and cosponsors - Sponsor: Chris Garten (Republican), Senate - Cosponsor: Aaron Freeman (Republican), Senate - Cosponsor: Blake Doriot (Republican), Senate - Cosponsor: Brad Barrett (Republican), House - Cosponsor: Brett Clark (Republican), Senate - Cosponsor: Brian Buchanan (Republican), Senate - Cosponsor: Craig Snow (Republican), House - Cosponsor: Cyndi Carrasco (Republican), Senate - Cosponsor: Daryl Schmitt (Republican), Senate - Cosponsor: Ed Charbonneau (Republican), Senate - Cosponsor: Eric Koch (Republican), Senate - Cosponsor: Gary Byrne (Republican), Senate - Cosponsor: Greg Goode (Republican), Senate - Cosponsor: James Tomes (Republican), Senate - Cosponsor: Jeff Raatz (Republican), Senate - Cosponsor: Jeffrey Thompson (Republican), House - Cosponsor: Joanna King (Republican), House - Cosponsor: Justin Busch (Republican), Senate - Cosponsor: Linda Rogers (Republican), Senate - Cosponsor: Liz Brown (Republican), Senate - Cosponsor: Michael Crider (Republican), Senate - Cosponsor: Michael Young (Republican), Senate - Cosponsor: Mike Gaskill (Republican), Senate - Cosponsor: Randy Maxwell (Republican), Senate - Cosponsor: Rick Niemeyer (Republican), Senate - Cosponsor: Ryan Mishler (Republican), Senate - Cosponsor: Scott Alexander (Republican), Senate - Cosponsor: Scott Baldwin (Republican), Senate - Cosponsor: Stacey Donato (Republican), Senate - Cosponsor: Travis Holdman (Republican), Senate - Cosponsor: Tyler Johnson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-25 | Senate | Senate concurred with House amendments | pass | 39 | 9 | | | 2026-02-23 | House | Third reading: passed | pass | 64 | 30 | | | 2026-02-19 | House | Amendment #3 (Shackleford) failed | fail | 29 | 61 | | | 2026-02-19 | House | Amendment #11 (DeLaney) failed | fail | 30 | 64 | | | 2026-02-19 | House | Amendment #12 (DeLaney) failed | fail | 34 | 55 | | | 2026-02-19 | House | Amendment #6 (Porter) failed | fail | 28 | 62 | | | 2026-02-19 | House | Amendment #5 (Porter) failed | fail | 29 | 60 | | | 2026-02-19 | House | Amendment #4 (Porter) failed | fail | 28 | 60 | | | 2026-02-19 | House | Amendment #2 (Pack) failed | fail | 30 | 56 | | | 2026-02-19 | House | Amendment #17 (Shackleford) failed | fail | 30 | 59 | | | 2026-02-19 | House | Amendment #15 (Clere) failed | fail | 31 | 57 | | | 2026-02-19 | House | Amendment #7 (Porter) failed | fail | 32 | 60 | | | 2026-01-22 | Senate | Third reading: passed | pass | 38 | 8 | | | 2026-01-20 | Senate | Amendment #1 (Qaddoura) failed | fail | 10 | 38 | | | 2026-01-20 | Senate | Amendment #2 (Qaddoura) failed | fail | 12 | 35 | | | 2026-01-20 | Senate | Amendment #3 (Yoder) failed | fail | 10 | 38 | | | 2026-01-20 | Senate | Amendment #6 (Yoder) failed | fail | 13 | 35 | | ## Bill text - Engrossed Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.04.ENGH?format=pdf) - Enrolled Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.05.ENRH?format=pdf) - Introduced Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.01.INTR?format=pdf) - Senate Bill (H): [PDF](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.02.COMS?format=pdf), [PDF](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.03.COMH?format=pdf) ## Related bills - HB 1424: Farm and homestead food sales. (signed) - HB 1406: Tax and fiscal matters. (signed) - HB 1266: Department of education and education matters. (signed) - HB 1277: Health and human services matters. (signed) - HB 1210: Department of local government finance. (signed) - HB 1249: Various criminal law matters. (signed) ## Sources - [Engrossed Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.04.ENGH?format=pdf) - [Enrolled Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.05.ENRH?format=pdf) - [Introduced Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.01.INTR?format=pdf) - [Senate Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.02.COMS?format=pdf) - [Senate Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/SB0001/versions/SB0001.03.COMH?format=pdf) ## Related - [HB 1424: Farm and homestead food sales.](https://policyrisk.com/state-bill/IN-HB1424-2026) - [HB 1406: Tax and fiscal matters.](https://policyrisk.com/state-bill/IN-HB1406-2026) - [HB 1266: Department of education and education matters.](https://policyrisk.com/state-bill/IN-HB1266-2026) - [HB 1277: Health and human services matters.](https://policyrisk.com/state-bill/IN-HB1277-2026) - [HB 1210: Department of local government finance.](https://policyrisk.com/state-bill/IN-HB1210-2026) - [HB 1249: Various criminal law matters.](https://policyrisk.com/state-bill/IN-HB1249-2026) - [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-SB1-2026 (as of 2026-11-01).