IndianaSB 486First Regular Session 124th General Assembly (2025)SenateWALLET

Family and social services matters.

Sponsored By: Ed Charbonneau (Republican)

Signed by Governor

Summary

Requires a sheriff to assist an individual who: (1) has been incarcerated for at least 30 days in a: (A) county jail; (B) community based correctional facility for children; (C) juvenile detention facility; or (D) secure facility other than a child caring institution; and (2) is eligible for Medicaid; in applying for Medicaid before the individual's release from the facility. Provides that if a child loses Medicaid coverage while confined in a juvenile detention facility or secure facility, the division of family resources shall, upon receiving notice that the child will be released, take action necessary ensure that the child is eligible to receive specified federally mandated services for 30 days before and after the child's release. Requires an insurer to respond within 60 days to an inquiry from the office of Medicaid policy and planning regarding a Medicaid claim that is made within three years from the date on which the service that is the subject of the claim was provided. Provides that an insurer other than Medicare, Medicare Advantage, or Medicare Part D may not deny a Medicaid claim solely due to lack of prior authorization in accordance with federal Medicaid law. Provides that the requirement that an individual who receives payment for medical expenses from Medicaid must cede to the state the individual's rights to third party payment for the medical expenses extends to settlement amounts for both past medical expenses and rights to payment of future medical expenses. Amends the duties, membership, and terms of office of the Medicaid advisory commission. Creates the Medicaid beneficiary advisory commission. Repeals a provision requiring that employees of a child care provider be tested for tuberculosis in order for the child care provider to be eligible to receive voucher payments under the federal Child Care and Development Fund program. Provides the following with regard to a licensed child care center, licensed child care home, or registered child care ministry (child care provider): (1) Requires all employees of a child care provider to be trained in pediatric first aid and pediatric cardiopulmonary resuscitation applicable to all age groups of children cared for by the child care provider. (2) Requires at least one adult who is certified in pediatric cardiopulmonary resuscitation applicable to all age groups of children cared for by the child care provider to be present at all times when a child is in the care of the child care provider. Amends the membership of the division of mental health and addiction planning and advisory council.

health and provider servicesappropriationsthe housepublic health

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

5 provisions identified: 3 benefits, 1 costs, 1 mixed.

Medicaid recovery can reduce settlement money

Beginning July 1, 2025, Indiana can recover Medicaid payments from settlement money for past or future medical expenses. This can leave Medicaid recipients with less settlement money. The law does not set a recovery amount or formula.

More Medicaid help before leaving custody

Beginning July 1, 2025, sheriffs must help eligible people apply for Medicaid before release after at least 30 days in covered custody. They must act as an authorized representative or health navigator and can arrange outside help. For covered releases involving a qualifying court order, the Department of Correction must give at least 40 days' notice. Covered juvenile facilities must give the Division of Family Resources at least 45 days' notice before release. The division must prepare eligible people for Medicaid participation when released. Where federal law requires, it must arrange covered services for 30 days before and 30 days after release. Eligible inmates without immediate medical needs have coverage authorized, then suspended, to support reactivation at release.

Fewer technical denials for Medicaid claims

Beginning July 1, 2025, insurers must accept Medicaid office claims submitted within three years of service. They must answer the office's claim inquiries within 60 days. Insurers cannot deny these claims solely for filing timing, form, method, or missing point-of-sale records when enforcement starts within six years. Insurers other than Medicare, Medicare Advantage, and Medicare Part D cannot deny office-submitted Medicaid claims solely for missing prior approval. When approval is needed, those insurers must review it afterward and process approved claims as though approval came first.

Medicaid families gain a formal voice

Beginning July 1, 2025, Indiana creates an eight-member Medicaid Beneficiary Advisory Commission. Members are current or former Medicaid recipients, their family members, or their caregivers. The Medicaid administrator appoints four members, and four legislative leaders appoint one each. The group advises on Medicaid policy and administration and must meet at least four times each year. The Medicaid office supplies staff, and eligible non-state members receive per diem and travel reimbursement from family and social services funds. Six members also serve on the restructured Medicaid Advisory Commission, alongside provider, managed care, community, governor-appointed, legislative, and agency representatives.

Stronger child care safety, more training duties

Child care centers, homes, and ministries must have a currently certified pediatric CPR adult present whenever children are there. Certification must cover every age group served and include a live skills demonstration. Beginning July 1, 2025, employed and volunteer caregivers must complete pediatric CPR training within 90 days of starting. They must maintain current pediatric CPR and first-aid certifications covering the children they serve. New hires need orientation before duties and child abuse training within three months. Except for relatives, providers need at least 12 hours of continuing education each year. Caregivers under 18 must work under supervision, and facilities must keep training records on site. Centers need food, health, safety, and sanitation compliance, plus substantial fire and life-safety compliance, unless the state approves an exception. These safety requirements can add training time and certification costs for providers and caregivers.

Sponsors & Cosponsors

Sponsor

Ed Charbonneau
Republican • Senate

Cosponsors

Julie McGuire
Republican • House
Lonnie Randolph
Democratic • Senate
Maureen Bauer
Democratic • House
Michael Crider
Republican • Senate
Ryan Lauer
Republican • House

Roll Call Votes

All Roll Calls

Yes: 140 • No: 0

House vote • 3/20/2025

Third reading: passed

Yes: 91 • No: 0

Senate vote • 2/20/2025