Fabio
97 lines
13 KiB
Markdown
97 lines
13 KiB
Markdown
---
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type: "Bill"
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title: "FSSA matters."
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description: "Adds additional duties to a workgroup currently organized concerning the pathways for aging risk based managed care program (program). Requires the office of the secretary of family and social services (office of the secretary) to determine the base reimbursement rate structure, methodology, and reimbursement rates for provider payment by managed care organizations under the program. Allows the office of the secretary to perform claims reviews of claims under the program. Requires a managed care organization participating in the program to do the following: (1) Contract with nursing facilities if certain conditions are met under the same terms for a specified time frame. (2) Submit monthly reports for claims that had a denial rate of at least five percent in the previous month. (3) Pay minimum reimbursement rates to providers. (4) Pay interest on unpaid claims that are later determined to be clean claims. Sets forth the powers and duties of the office of the secretary concerning Medicaid home and community based services waivers. Requires a provider of services under a home and community based services waiver to follow any waiver requirements under federal law and developed by the office of the secretary. Establishes requirements for home and community based services waivers. Relocates provisions requiring reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver. Specifies that: (1) these provisions apply to a home and community based services waiver that included assisted living services as an available services before July 1, 2025; (2) these provisions apply to an individual receiving services under a home and community based services waiver; and (3) reimbursement is required for certain services that are part of the individual's home and community based service plan. Relocates provisions establishing limitations concerning assisted living services provided in a home and community based services program. Relocates a provision requiring the office of the secretary to annually determine any state savings generated by home and community based services. Removes a provision allowing the division of aging to adopt rules concerning an appeals process for a housing with services establishment provider's determination that the provider is unable to meet the health needs of a resident and allows the office of the secretary to adopt rules concerning the appeals process. Requires an individual who provides attendant care services for compensation from Medicaid to register with the office of the secretary. Removes the requirement that the division of aging administer programs established under Medicaid waivers for in-home services for treatment of medical conditions. Provides that provisions of law concerning the statewide waiver ombudsman apply to an individual who has a disability and receives services administered by the bureau of disabilities services. (Current law specifies that these provisions apply to an individual who has a developmental disability and receives services under the federal home and community based services program.) Specifies that these provisions do not apply to an individual served by the long term care ombudsman program. Changes references from \"statewide waiver ombudsman\" to \"statewide bureau of disabilities services ombudsman\". Requires the unit of services for the deaf and hard of hearing and the division (rather than the unit and the board of interpreters) to adopt rules creating standings for interpreters. Removes provisions concerning the board of interpreters. Repeals a provision providing that licensed home health agencies and licensed personal services agencies are approved to provide certain services under a Medicaid waiver granted to the state under federal law that provides services for treatment of medical conditions. Repeals language concerning a long term care services eligibility screen for purposes of the Community and Home Options to Institutional Care for the Elderly and Disabled program (CHOICE). Authorizes the division of disability and rehabilitative services to charge an authorized service provider that employs a direct service professional an annual fee. Establishes the direct support professional training program fund and appropriates money in the fund."
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jurisdiction: "us/states/in"
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legislature: "Indiana General Assembly"
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session: "2025"
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identifier: "HB 1474"
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citation: "Indiana HB 1474 (2025)"
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classification: ["bill"]
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subjects: ["AGENCIES; Family and Social Services Administration (FSSA)", "AGENCIES; State Budget Agency (SBA)", "FEDERAL GOVERNMENT; Generally", "HEALTH CARE FACILITIES; Generally", "HEALTH CARE PROFESSIONALS; Generally", "HEALTH; Billing and Costs", "HEALTH; Home Health Care", "HEALTH; Medicaid", "SCHOOLS; School for the Deaf", "SOCIAL SERVICES; Social Security Disability", "STATE ELECTED OFFICIALS; Treasurer"]
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status: "enacted"
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primary_sponsors: ["Brad Barrett", "Ed Charbonneau"]
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version_count: 4
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action_count: 27
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vote_count: 5
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first_action: "2025-01-21"
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last_action: "2025-05-01"
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source: "openstates"
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source_identifier: "ocd-bill/b1970414-8f24-45dc-9190-91d145d4a3c0"
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source_url: "https://api.iga.in.gov/2025/bills/hb1474"
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source_hash: "0c5636ee47211eaa4b31fcc32eeb7be5f91db40b28a562c8b0c917ece044d952"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-in"]
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---
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# Indiana HB 1474 (2025) — FSSA matters.
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Adds additional duties to a workgroup currently organized concerning the pathways for aging risk based managed care program (program). Requires the office of the secretary of family and social services (office of the secretary) to determine the base reimbursement rate structure, methodology, and reimbursement rates for provider payment by managed care organizations under the program. Allows the office of the secretary to perform claims reviews of claims under the program. Requires a managed care organization participating in the program to do the following: (1) Contract with nursing facilities if certain conditions are met under the same terms for a specified time frame. (2) Submit monthly reports for claims that had a denial rate of at least five percent in the previous month. (3) Pay minimum reimbursement rates to providers. (4) Pay interest on unpaid claims that are later determined to be clean claims. Sets forth the powers and duties of the office of the secretary concerning Medicaid home and community based services waivers. Requires a provider of services under a home and community based services waiver to follow any waiver requirements under federal law and developed by the office of the secretary. Establishes requirements for home and community based services waivers. Relocates provisions requiring reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver. Specifies that: (1) these provisions apply to a home and community based services waiver that included assisted living services as an available services before July 1, 2025; (2) these provisions apply to an individual receiving services under a home and community based services waiver; and (3) reimbursement is required for certain services that are part of the individual's home and community based service plan. Relocates provisions establishing limitations concerning assisted living services provided in a home and community based services program. Relocates a provision requiring the office of the secretary to annually determine any state savings generated by home and community based services. Removes a provision allowing the division of aging to adopt rules concerning an appeals process for a housing with services establishment provider's determination that the provider is unable to meet the health needs of a resident and allows the office of the secretary to adopt rules concerning the appeals process. Requires an individual who provides attendant care services for compensation from Medicaid to register with the office of the secretary. Removes the requirement that the division of aging administer programs established under Medicaid waivers for in-home services for treatment of medical conditions. Provides that provisions of law concerning the statewide waiver ombudsman apply to an individual who has a disability and receives services administered by the bureau of disabilities services. (Current law specifies that these provisions apply to an individual who has a developmental disability and receives services under the federal home and community based services program.) Specifies that these provisions do not apply to an individual served by the long term care ombudsman program. Changes references from "statewide waiver ombudsman" to "statewide bureau of disabilities services ombudsman". Requires the unit of services for the deaf and hard of hearing and the division (rather than the unit and the board of interpreters) to adopt rules creating standings for interpreters. Removes provisions concerning the board of interpreters. Repeals a provision providing that licensed home health agencies and licensed personal services agencies are approved to provide certain services under a Medicaid waiver granted to the state under federal law that provides services for treatment of medical conditions. Repeals language concerning a long term care services eligibility screen for purposes of the Community and Home Options to Institutional Care for the Elderly and Disabled program (CHOICE). Authorizes the division of disability and rehabilitative services to charge an authorized service provider that employs a direct service professional an annual fee. Establishes the direct support professional training program fund and appropriates money in the fund.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Engrossed House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/house/bills/HB1474/HB1474.05.ENGS.pdf)
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2. **Enrolled House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/house/bills/HB1474/HB1474.06.ENRS.pdf)
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3. **House Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/house/bills/HB1474/HB1474.04.COMS.pdf)
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4. **Introduced House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/house/bills/HB1474/HB1474.01.INTR.pdf)
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## Votes
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- HB 1474 - Charbonneau - 2nd Reading — **10–34** (fail) · upper
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- HB 1474 - Charbonneau - 2nd Reading — **12–33** (fail) · upper
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- HB 1474 - Barrett — **85–0** (pass) · lower
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- HB 1474 - Barrett - 3rd Reading — **93–0** (pass) · lower
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- HB 1474 - Charbonneau - 3rd Reading — **47–1** (pass) · upper
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## Sponsors
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- Brad Barrett — primary (person)
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- Ed Charbonneau — primary (person)
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- Liz Brown — cosponsor (person)
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- Lonnie Randolph — cosponsor (person)
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- Maureen Bauer — coauthor (person)
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- Robb Greene — coauthor (person)
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- Tony Isa — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2025-01-21** Authored by Representative Barrett
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- **2025-01-21** First reading: referred to Committee on Public Health `reading-1, referral-committee`
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- **2025-02-11** Committee report: amend do pass, adopted `committee-passage`
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- **2025-02-13** Second reading: ordered engrossed `reading-2`
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- **2025-02-17** Representatives Greene, Isa, Bauer added as coauthors
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- **2025-02-17** Third reading: passed; Roll Call 183: yeas 93, nays 0 `passage, reading-3, reading-3`
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- **2025-02-17** Senate sponsor: Senator Charbonneau
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- **2025-02-18** Referred to the Senate `referral`
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- **2025-03-03** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
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- **2025-03-27** Committee report: amend do pass adopted; reassigned to Committee on Appropriations `committee-passage, referral-committee`
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- **2025-04-03** Committee report: do pass, adopted `committee-passage`
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- **2025-04-07** Senator Brown L added as cosponsor
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- **2025-04-07** Senator Randolph added as cosponsor
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- **2025-04-10** Second reading: amended, ordered engrossed `reading-2`
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- **2025-04-10** Amendment #3 (Qaddoura) failed; Roll Call 376: yeas 10, nays 34 `amendment-failure, failure`
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- **2025-04-10** Amendment #2 (Qaddoura) failed; Roll Call 375: yeas 12, nays 33 `amendment-failure, failure`
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- **2025-04-10** Amendment #7 (Charbonneau) prevailed; voice vote `amendment-passage`
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- **2025-04-10** Amendment #1 (Jackson L) prevailed; voice vote `amendment-passage`
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- **2025-04-15** Third reading: passed; Roll Call 443: yeas 47, nays 1 `passage, reading-3, reading-3`
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- **2025-04-16** Returned to the House with amendments `receipt`
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- **2025-04-17** Motion to concur filed `filing`
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- **2025-04-17** House concurred with Senate amendments; Roll Call 497: yeas 85, nays 0
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- **2025-04-21** Signed by the Speaker `passage`
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- **2025-04-22** Signed by the President Pro Tempore `passage`
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- **2025-04-23** Signed by the President of the Senate `passage`
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- **2025-05-01** Signed by the Governor `executive-signature`
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- **2025-05-01** Public Law 174 `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b1970414-8f24-45dc-9190-91d145d4a3c0`. Confidence: reported (aggregated from official Indiana legislature records).
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