# Indiana SB 2: Medicaid matters. Indiana SB 2, Medicaid matters., is a First Regular Session 124th General Assembly (2025) Senate bill sponsored by Ryan Mishler (Republican); status signed, last action 2025-05-01 (Signed by the Governor); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/IN-SB2-2025 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Indiana SB 2 - State: Indiana - Session: First Regular Session 124th General Assembly (2025) - Title: Medicaid matters. - Status: signed - Chamber: Senate - Introduced: 2025-01-14 - Last action: 2025-05-01, Signed by the Governor - Sponsor: Ryan Mishler (Republican) - Cosponsors: 10 - Subjects: appropriations, the house, public health - Touches household money: yes - Roll calls: 14 (409 yes, 706 no in all) - Economic provisions PRIA read: 7 ## Summary Requires the office of the secretary of family and social services (office) to report specified Medicaid data to the Medicaid oversight committee. Requires the office to annually prepare and present a report to the budget committee concerning the enforcement of the Medicaid five year look back period. Prohibits specified persons from advertising or otherwise marketing the Medicaid program. Provides that the office may adopt rules concerning permissible advertising or marketing indicating participation in the Medicaid program by a person that has contracted with the office. Allows the office to reimburse medical providers at the appropriate Medicaid fee schedule rate for certified medical claims prior to the beginning of benefits, provided the claims satisfy certain conditions. Repeals language allowing for marketing of the Medicaid program. Requires the office to receive and review data from specified federal and state agencies concerning Medicaid recipients to determine whether circumstances have changed that affect Medicaid eligibility for recipients and to perform a redetermination. Requires the office to establish: (1) performance standards for hospitals that make presumptive eligibility determinations and sets out action for when hospitals do not comply with the standards; and (2) an appeals procedure for hospitals that dispute the violation determination. Sets out a hospital's responsibilities when making a presumptive eligibility determination. Imposes corrective action and restrictions for failing to meet presumptive eligibility standards. Specifies requirements, allowances, and limitations for the healthy Indiana plan. ## Bill overview: provisions PRIA read - Earlier care payments for Indiana plan applicants: benefit, low. Beginning July 1, 2025, Indiana may pay providers for certified care received before Healthy Indiana Plan benefits begin. Care must fall within 30 days before the application, and the applicant must have been eligible when treated. The applicant must later be approved and enrolled in the plan. Paym… - Funding limits Healthy Indiana Plan access: cost, high. Beginning July 1, 2025, Indiana must limit Healthy Indiana Plan enrollment to what available state funding supports. The law sets no specific enrollment cap. Indiana must end the plan if its federal waiver is revoked, rescinded, vacated, or changed so Indiana cannot follow the law. Indiana may also… - More frequent checks on Medicaid eligibility: cost, high. Beginning July 1, 2025, Indiana must make regular data checks to see whether Medicaid recipients still qualify. Unless federal law prohibits it, specified federal and other records must be checked at least monthly. Records include income, earnings, addresses, deaths, incarceration, child support, a… - Stricter adult Healthy Indiana Plan eligibility: cost, high. Beginning July 1, 2025, adults in the Healthy Indiana Plan's covered adult group must meet an activity or exemption. They must also meet Indiana residency and the plan's other eligibility requirements. Work, work programs, workfare, volunteering, or combined activities generally require an average… - Medicaid applicants face stricter information checks: cost, medium. Beginning July 1, 2025, Indiana must verify six types of information before Medicaid enrollment. These are income, residency, age, household makeup, caretaker or relative status, and other health coverage. An applicant's statement alone is not enough unless federal law requires the state to accept… - Healthy Indiana Plan coverage requires federal waiver: mixed, medium. Beginning March 14, 2025, Indiana must provide Healthy Indiana Plan eligibility through an approved federal demonstration waiver. The law generally bars the covered adult group from the regular Medicaid state plan, with a stated statutory exception. Indiana must amend its state plan to exclude that… - New hospital rules for temporary Medicaid: mixed, low. Only qualified hospitals can grant temporary Medicaid coverage through a presumptive eligibility decision. Hospitals must report each decision within five business days, help with full applications, and give written deadline notices. Applicants must file a full application before the last day of th… ## Sponsors and cosponsors - Sponsor: Ryan Mishler (Republican), Senate - Cosponsor: Brad Barrett (Republican), House - Cosponsor: Chris Garten (Republican), Senate - Cosponsor: Ed Charbonneau (Republican), Senate - Cosponsor: Jeff Raatz (Republican), Senate - Cosponsor: Jeffrey Thompson (Republican), House - Cosponsor: Linda Rogers (Republican), Senate - Cosponsor: Martin Carbaugh (Republican), House - Cosponsor: Michael Young (Republican), Senate - Cosponsor: Mike Gaskill (Republican), Senate - Cosponsor: Tyler Johnson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-17 | Senate | Senate concurred with House amendments | pass | 37 | 10 | | | 2025-04-08 | House | Third reading: passed | pass | 66 | 28 | | | 2025-04-07 | House | Amendment #1 (Garcia Wilburn) failed | fail | 28 | 60 | | | 2025-04-07 | House | Amendment #2 (Shackleford) failed | fail | 26 | 67 | | | 2025-04-07 | House | Amendment #3 (Shackleford) failed | fail | 28 | 66 | | | 2025-04-07 | House | Amendment #4 (Shackleford) failed | fail | 27 | 67 | | | 2025-04-07 | House | Amendment #10 (DeLaney) failed | fail | 28 | 60 | | | 2025-04-07 | House | Amendment #8 (Porter) failed | fail | 27 | 64 | | | 2025-04-07 | House | Amendment #6 (Shackleford) failed | fail | 28 | 65 | | | 2025-04-07 | House | Amendment #12 (DeLaney) failed | fail | 28 | 67 | | | 2025-04-07 | House | Amendment #5 (Shackleford) failed | fail | 28 | 65 | | | 2025-02-18 | Senate | Third reading: passed | pass | 40 | 9 | | | 2025-02-17 | Senate | Amendment #7 (Qaddoura) failed | fail | 9 | 39 | | | 2025-02-17 | Senate | Amendment #8 (Qaddoura) failed | fail | 9 | 39 | | ## Actions (46) - 2025-05-01: Signed by the Governor (Senate) - 2025-05-01: Public Law 126 (Senate) - 2025-04-23: Signed by the President of the Senate (Senate) - 2025-04-22: Signed by the President Pro Tempore (Senate) - 2025-04-22: Signed by the Speaker (House) - 2025-04-17: Senate concurred with House amendments; Roll Call 470: yeas 37, nays 10 (Senate) - 2025-04-10: Motion to concur filed (Senate) - 2025-04-09: Returned to the Senate with amendments (House) - 2025-04-08: Third reading: passed; Roll Call 390: yeas 66, nays 28 (House) - 2025-04-07: Amendment #4 (Shackleford) failed; Roll Call 378: yeas 27, nays 67 (House) - 2025-04-07: Second reading: ordered engrossed (House) - 2025-04-07: Amendment #7 (Porter) ruled out of order (House) - 2025-04-07: Amendment #6 (Shackleford) failed; Roll Call 381: yeas 28, nays 65 (House) - 2025-04-07: Amendment #3 (Shackleford) failed; Roll Call 377: yeas 28, nays 66 (House) - 2025-04-07: Amendment #12 (DeLaney) failed; Roll Call 382: yeas 28, nays 67 (House) - 2025-04-07: Amendment #8 (Porter) failed; Roll Call 380: yeas 27, nays 64 (House) - 2025-04-07: Amendment #2 (Shackleford) failed; Roll Call 376: yeas 26, nays 67 (House) - 2025-04-07: Amendment #1 (Garcia Wilburn) failed; Roll Call 375: yeas 28, nays 60 (House) - 2025-04-07: Amendment #10 (DeLaney) failed; Roll Call 374: yeas 28, nays 60 (House) - 2025-04-07: Amendment #5 (Shackleford) failed; Roll Call 379: yeas 28, nays 65 (House) - 2025-04-03: Committee report: amend do pass, adopted (House) - 2025-03-20: Committee report: amend do pass, adopted (House) - 2025-03-20: Recommitted to Committee on Ways and Means pursuant to House Rule 126.3 (House) - 2025-03-20: Representative Carbaugh added as cosponsor (House) - 2025-03-03: First reading: referred to Committee on Public Health (House) - 2025-02-19: Referred to the House (Senate) - 2025-02-18: Cosponsor: Representative Thompson (Senate) - 2025-02-18: House sponsor: Representative Barrett (Senate) - 2025-02-18: Third reading: passed; Roll Call 143: yeas 40, nays 9 (Senate) - 2025-02-17: Amendment #8 (Qaddoura) failed; Roll Call 130: yeas 9, nays 39 (Senate) - 2025-02-17: Amendment #2 (Yoder) failed; voice vote (Senate) - 2025-02-17: Second reading: amended, ordered engrossed (Senate) - 2025-02-17: Amendment #4 (Yoder) failed; voice vote (Senate) - 2025-02-17: Amendment #6 (Yoder) failed; voice vote (Senate) - 2025-02-17: Amendment #9 (Qaddoura) failed; voice vote (Senate) - 2025-02-17: Senator Johnson T added as coauthor (Senate) - 2025-02-17: Senator Young M added as coauthor (Senate) - 2025-02-17: Amendment #5 (Yoder) failed; voice vote (Senate) - 2025-02-17: Amendment #1 (Mishler) prevailed; voice vote (Senate) - 2025-02-17: Amendment #7 (Qaddoura) failed; Roll Call 129: yeas 9, nays 39 (Senate) - 2025-02-13: Senator Rogers added as coauthor (Senate) - 2025-02-13: Committee report: amend do pass, adopted (Senate) - 2025-01-30: Senator Raatz added as coauthor (Senate) - 2025-01-14: Authored by Senators Mishler, Garten, Charbonneau (Senate) - 2025-01-14: First reading: referred to Committee on Appropriations (Senate) - 2025-01-14: Coauthored by Senator Gaskill (Senate) ## Bill text - Engrossed Senate Bill (H): [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.03.ENGS?format=pdf) - Enrolled Senate Bill (S): [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.06.ENRH?format=pdf) - Introduced Senate Bill (S): [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.01.INTR?format=pdf) - Senate Bill (H): [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.04.COMH?format=pdf) - Senate Bill (S): [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.02.COMS?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.05.COMH?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 Senate Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.03.ENGS?format=pdf) - [Enrolled Senate Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.06.ENRH?format=pdf) - [Introduced Senate Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.01.INTR?format=pdf) - [Senate Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.04.COMH?format=pdf) - [Senate Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.02.COMS?format=pdf) - [Senate Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/SB0002/versions/SB0002.05.COMH?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-SB2-2025 (as of 2026-10-17).