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---
type: "Bill"
title: "First steps program."
description: "Provides that: (1) a health benefits plan; or (2) an employee health plan; may not require authorization for services specified in a covered individual's individualized family service plan once the individualized family service plan is signed by a physician. Adds habilitative services to the services that are required under the definition of \"early intervention services\" for purposes of the First Steps program. Provides that a member of the interagency coordinating council (council) shall continue to serve until a successor is appointed. Removes the authority of the governor to designate the chairperson of the council or to call a meeting of the council. Requires the council to annually elect a chairperson and vice chairperson. Provides that, except for members of the general assembly, per diem and travel expenses for council members are governed by the policies and procedures established by the Indiana department of administration and approved by the budget agency. Establishes procedures that the division must follow before making a change to the cost participation schedule under the First Steps program. Establishes a method to determine the rate at which: (1) a provider of the services under the First Steps program; or (2) the division; is reimbursed for providing early intervention services using Current Procedural Terminology (CPT) code rates. Provides that: (1) a health plan information card issued: (A) to an insured by an insurer for a policy of accident and sickness insurance; or (B) to an enrollee by a health maintenance organization (HMO); must indicate the type of health plan that is providing the health benefits and services under the insurance policy or HMO contract; and (2) these requirements apply only to a health plan information card issued: (A) initially to a new insured or new enrollee; or (B) to an insured or enrollee at the time of the insured's or enrollee's policy or contract renewal; after July 1, 2020. Provides that: (1) the electronic database by which an issuer of a policy of accident and sickness insurance, or an administrator of a self insured plan, allows an insured or a provider to verify the coverage or benefits of an insured must indicate: (A) whether health benefits and services under the policy of accident and sickness insurance are provided by the issuer of the policy or by a third party administrator; and (B) whether the policy of accident and sickness insurance is subject to state or federal regulation; and (2) the electronic database by which by which an HMO, or an administrator of benefits and health care services under an HMO contract, allows an enrollee or a provider to verify the coverage or benefits of an enrollee must indicate: (A) whether benefits and health care services under the HMO contract are provided by the HMO or by a third party administrator; and (B) whether the HMO contract is a self funded or fully funded plan. Requires the department of insurance to adopt rules to ensure compliance with certain provisions added by the bill."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2020"
identifier: "HB 1176"
citation: "Indiana HB 1176 (2020)"
classification: ["bill"]
subjects: ["INSURANCE generally", "CHILDREN AND MINORS", "Children with Special Health Needs"]
status: "enacted"
primary_sponsors: ["Edward Clere", "Erin Houchin", "John Ruckelshaus", "Ronald Grooms"]
version_count: 5
action_count: 25
vote_count: 2
first_action: "2020-01-08"
last_action: "2020-03-30"
source: "openstates"
source_identifier: "ocd-bill/87b02743-cf7e-4718-bda0-ae635eba1d0e"
source_url: "http://iga.in.gov/legislative/2020/bills/house/1176"
source_hash: "d86caf901128c76ad0d97ef7141f047e551f8ad041d52041595f03146f0fff89"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-in"]
---
# Indiana HB 1176 (2020) — First steps program.
Provides that: (1) a health benefits plan; or (2) an employee health plan; may not require authorization for services specified in a covered individual's individualized family service plan once the individualized family service plan is signed by a physician. Adds habilitative services to the services that are required under the definition of "early intervention services" for purposes of the First Steps program. Provides that a member of the interagency coordinating council (council) shall continue to serve until a successor is appointed. Removes the authority of the governor to designate the chairperson of the council or to call a meeting of the council. Requires the council to annually elect a chairperson and vice chairperson. Provides that, except for members of the general assembly, per diem and travel expenses for council members are governed by the policies and procedures established by the Indiana department of administration and approved by the budget agency. Establishes procedures that the division must follow before making a change to the cost participation schedule under the First Steps program. Establishes a method to determine the rate at which: (1) a provider of the services under the First Steps program; or (2) the division; is reimbursed for providing early intervention services using Current Procedural Terminology (CPT) code rates. Provides that: (1) a health plan information card issued: (A) to an insured by an insurer for a policy of accident and sickness insurance; or (B) to an enrollee by a health maintenance organization (HMO); must indicate the type of health plan that is providing the health benefits and services under the insurance policy or HMO contract; and (2) these requirements apply only to a health plan information card issued: (A) initially to a new insured or new enrollee; or (B) to an insured or enrollee at the time of the insured's or enrollee's policy or contract renewal; after July 1, 2020. Provides that: (1) the electronic database by which an issuer of a policy of accident and sickness insurance, or an administrator of a self insured plan, allows an insured or a provider to verify the coverage or benefits of an insured must indicate: (A) whether health benefits and services under the policy of accident and sickness insurance are provided by the issuer of the policy or by a third party administrator; and (B) whether the policy of accident and sickness insurance is subject to state or federal regulation; and (2) the electronic database by which by which an HMO, or an administrator of benefits and health care services under an HMO contract, allows an enrollee or a provider to verify the coverage or benefits of an enrollee must indicate: (A) whether benefits and health care services under the HMO contract are provided by the HMO or by a third party administrator; and (B) whether the HMO contract is a self funded or fully funded plan. Requires the department of insurance to adopt rules to ensure compliance with certain provisions added by the bill.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Engrossed House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/HB1176/versions/HB1176.04.ENGS)
2. **Enrolled House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/HB1176/versions/HB1176.05.ENRS)
3. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/HB1176/versions/HB1176.02.COMH)
4. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/HB1176/versions/HB1176.03.COMS)
5. **Introduced House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/HB1176/versions/HB1176.01.INTR)
## Votes
- HB 1176 - Ruckelshaus - 3rd Reading — **473** (pass) · upper
- HB 1176 - Clere - 3rd Reading — **960** (pass) · lower
## Sponsors
- Edward Clere — primary (person)
- Erin Houchin — primary (person)
- John Ruckelshaus — primary (person)
- Ronald Grooms — primary (person)
- Ann Vermilion — coauthor (person)
- Dale DeVon — coauthor (person)
- J.D. Ford — cosponsor (person)
- Jean Breaux — cosponsor (person)
- Mark Stoops — cosponsor (person)
- Vanessa Summers — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-08** Authored by Representative Clere
- **2020-01-08** First reading: referred to Committee on Family, Children and Human Affairs `reading-1, referral-committee`
- **2020-01-14** Representatives DeVon, Vermilion A, Summers added as coauthors
- **2020-01-21** Committee report: amend do pass, adopted `committee-passage`
- **2020-01-23** Second reading: ordered engrossed `reading-2`
- **2020-01-27** Third reading: passed; Roll Call 60: yeas 96, nays 0 `reading-3, passage`
- **2020-01-27** Senate sponsors: Senators Ruckelshaus, Grooms, Houchin
- **2020-01-27** Cosponsor: Senator Breaux
- **2020-01-28** Referred to the Senate
- **2020-02-17** First reading: referred to Committee on Family and Children Services `reading-1, referral-committee`
- **2020-02-24** Committee report: amend do pass, adopted `committee-passage`
- **2020-02-24** Senator Ford J.D. added as cosponsor
- **2020-02-27** Amendment #1 (Ruckelshaus) prevailed; voice vote `amendment-passage, amendment-failure`
- **2020-02-27** Amendment #2 (Ruckelshaus) prevailed; voice vote `amendment-passage, amendment-failure`
- **2020-02-27** Second reading: amended, ordered engrossed `reading-2`
- **2020-02-27** Senator Stoops added as cosponsor
- **2020-03-03** Third reading: passed; Roll Call 296: yeas 47, nays 3 `reading-3, passage`
- **2020-03-04** Returned to the House with amendments `amendment-failure`
- **2020-03-09** Motion to concur filed
- **2020-03-09** House concurred in Senate amendments; Roll Call 339: yeas 89, nays 0 `amendment-failure`
- **2020-03-10** Signed by the Speaker
- **2020-03-12** Signed by the President Pro Tempore
- **2020-03-18** Signed by the President of the Senate
- **2020-03-18** Signed by the Governor `executive-signature`
- **2020-03-30** Public Law 111
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/87b02743-cf7e-4718-bda0-ae635eba1d0e`. Confidence: reported (aggregated from official Indiana legislature records).