Rep. Lori Goss-Reaves

Amends the duties of the office of the secretary of family and social services (office) concerning Medicaid home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Requires certain Medicaid recipients to choose the recipient's provider of integrated health care coordination. Provides that integrated health care coordination provided by a provider of assisted living services is not duplicative of certain other services. Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Requires the office to apply to the federal government for: (1) a new Medicaid waiver to provide assisted living services; and (2) an amendment to a specific Medicaid home and community based services waiver to establish an individual cost limit of not more than the institutional cost of nursing facility services. Specifies that provisions concerning reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver apply to the new assisted living Medicaid waiver. Provides that, beginning July 1, 2027, an individual is no longer a member of the covered population upon receiving nursing facility services for 100 consecutive days. Provides that on the one hundredth day, the individual is not a member of the covered population and shall receive Medicaid services under a fee for service program. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Amends the definition of "bulk drug substance" for provisions concerning drug compounding. Provides that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.

Requires the local office of the department of child services to provide notice of an adoption petition to the court in which a CHINS proceeding is open or pending. Provides that the consent to adoption may be executed or acknowledged at any time after the birth of the child in the presence of an attorney, in person, or by video conferencing. Provides that a court may grant postadoption contact privileges if the child is at least 12 months of age. (Current law requires the child to be at least two years of age.) Provides certain exceptions to confidentiality requirements. Requires the department of child services (department) to consider certain factors when evaluating an out-of-home placement for a child in a child in need of services (CHINS) case. Provides that a placement with whom a child has resided with for at least 12 months, consecutively or nonconsecutively, is presumed to be an individual who has a significant relationship with the child. Requires a court to write a formal order in certain circumstances and include specific information in the order. Provides that the objectives of the dispositional decree are not considered met solely because a court is prohibited from changing a child's placement under IC 31-34-23-6(g) and prohibits the court from considering certain information when deciding whether the objectives of the dispositional decree are met. Requires any party seeking a change in placement for certain children to file a motion with the court, provide notice to all persons affected, and inform all persons affected of the right to file a written objection within 15 days. (Current law only allows the department to file the motion for a change of placement.) Allows a court to rule on a party's motion for the change in placement without delay if exigent circumstances are alleged in the party's motion. Provides that, with certain exceptions, if a child is the subject of an adoption petition, the adoption petitioner is the child's current placement, and the adoption petitioner has been the child's placement for at least 12 months, the court shall not change the child's placement until the adoption petition has been ruled on. Provides that if the party seeking a change of placement is a parent, guardian ad litem, or a court appointed special advocate, the party must provide notice to the department of child services, and the department shall then provide notice of the motion to the child's out-of-home placement.

Sets forth the circumstances in which a dispenser is not required to transmit certain information to the INSPECT program (program). Requires an opioid treatment program to, before reporting patient information to the program, comply with federal regulations in obtaining patient consent. Allows the board of pharmacy to disclose prescription drug monitoring program data to a representative of the Indiana department of health and the office of the secretary of family and social services for specified purposes.

Eliminates a requirement that home health aide competency evaluation program training include at least 75 hours of training and 16 hours of classroom training before supervised practical training. Amends the educational requirements for dental hygienists. Amends the requirements for administration of nitrous oxide by a dental hygienist. Allows the state board of dentistry to establish additional requirements for an applicant who has failed the licensure examination at least three times. Amends the licensure and temporary permit requirements for respiratory care practitioners. Provides that a current or former police officer or firefighter (first responder) may recover medical benefits from the first responder's employer for an employment related injury or illness without first proceeding with a worker's compensation claim. Provides that if a first responder pursues a worker's compensation claim for medical benefits and the claim is withdrawn or denied, the first responder is not precluded from recovering medical benefits from the employer. Repeals the penalty in Title 16 concerning the crime of transferring contaminated semen. (Current statute contains a transferring of contaminated body fluids crime in Title 35 remains in law.)

Changes the statewide standing order for the dispensing of a smoking cessation product to a tobacco, vaping, or nicotine cessation product. Amends the date by which a hospital must submit the hospital's fiscal report and patient information report to the state department. Removes a requirement that a home health aide competency evaluation program include at least 75 hours of training and 16 hours of classroom training before supervised practical training. Adds Parkinson's disease to the definition of "chronic disease" for provisions concerning the chronic disease registry. Requires: (1) the state department to maintain a trauma registry; and (2) certain health care facilities to submit data to the registry. Establishes requirements for the handling and transporting of infectious waste. Sets forth factors the state department must consider in determining the nature of and civil penalty for a violation of infectious waste requirements. Expands provisions concerning epinephrine, including provisions allowing a pharmacist to dispense and an entity to prescribe epinephrine rather than auto-injectable epinephrine. Removes the expiration of provisions concerning lead screening for children. Requires a registered manufacturer, processor, repackager, or wholesale distributor of food, drugs, or cosmetics to comply with federal regulations concerning good manufacturing practices. Allows the state health commissioner to enter and inspect the premises of the manufacturer, processor, repackager, or wholesale distributor. Permits a local health department to conduct inspections of certain manufacturers, processors, repackagers, or wholesale distributors. Amends the information a local child fatality review team and the statewide child fatality review committee may review in conducting a child fatality review. Allows a suicide and overdose fatality review team and a fetal-infant mortality review team to provide records to the state department. Requires the state department to maintain the confidentiality of these records. Requires a medical school to: (1) include nutrition education in the school's curriculum; and (2) require students to complete a rural health rotation. Voids administrative rules concerning infectious waste and the state trauma registry.

Adds four members to the statewide child fatality review committee, one of whom is appointed by each of the following: (1) The speaker of the house of representatives. (2) The president pro tempore of the senate. (3) The minority leader of the house of representatives. (4) The minority leader of the senate. Provides that a court may grant postadoption contact privileges to the birth parent of a child if the child is at least one year of age (rather than two years of age, under current law). Adds information that must be included in the annual report of the department of child services (department) concerning child fatalities or near fatalities in Indiana that are the result of child abuse or neglect. Requires the department to promptly disclose to the public certain information regarding child fatalities or near fatalities. Allows the department, upon request, to provide additional information regarding cases of child fatalities or near fatalities subject to certain requirements. Provides that the obligation of the department to conduct a detailed assessment of a report of known or suspected child abuse or neglect does not apply if the report is screened out and referred to a law enforcement agency. Provides that the department: (1) shall disclose information regarding reported child abuse or neglect to a member of the United States Congress representing Indiana or a member of the Indiana general assembly (state legislator) upon request of the state legislator; (2) may release information to the news media to confirm, clarify, correct, or supplement information concerning reported child abuse or neglect that has been made public by a source other than the department; and (3) shall, upon request by the news media, report to the news media specified information regarding the death of a child whose death is suspected to be the result of child abuse or neglect. Provides that if the information disclosed or released by the department includes a record that is redacted to exclude specified information, the record is not confidential. Provides that the department may provide unredacted reports or material to: (1) a service provider that requires access to the unredacted reports or material to assess whether the service provider's services are suitable for the child; and (2) the attorney general or a prosecutor for purposes of a criminal investigation by the attorney general or prosecutor. Provides that the statutory limit on the department's provision of services to a parent, guardian, or custodian of a child who is the subject of a petition alleging the child to be a child in need of services (CHINS) applies: (1) regardless of whether the child has been removed from the home of the parent, guardian, or custodian; (2) regardless of whether the services are provided at the direction of a court or at the direction of the department; and (3) beginning on the date on which the CHINS petition is filed. Makes technical and conforming changes.

Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization.

Requires a sports wagering certificate holder and vendor to withhold funds from a person who requests a certain type of withdrawal from the person's mobile sports wagering account if the person is delinquent in the person's child support payments. Requires an order establishing paternity to be obtained without further proceedings if certain conditions are met. Allows the state to approve additional payment facilities for purposes of accepting child support payments. Provides that if a child who is the subject of an adoption petition is also the subject of an open or pending child in need of services (CHINS) or delinquency proceeding, the adoption petition must identify: (1) the court in which the CHINS or delinquency proceeding is open or pending and the cause number; and (2) the case number of the CHINS or delinquency proceeding; if known to the petitioner. Requires a volunteer of an applicant for licensure as a child caring institution to undergo a criminal background check if the volunteer is likely to have unsupervised contact with children in the child caring institution or will have access to a child's medical records. Provides that the department may deny an application for licensure as a child caring institution, group home, or child placing agency if the applicant was previously licensed as a residential child care provider and the license was revoked within one year of the application. Provides that a department caseworker who wishes to interview a child at the child's school must provide the caseworker's department issued credential in order to interview the child alone.

Amends the educational requirements for dental hygienists. Amends the requirements for administration of nitrous oxide by a dental hygienist. Allows the state board of dentistry to establish additional requirements for an applicant who has failed the licensure examination at least three times. Amends the licensure and temporary permit requirements for respiratory care practitioners.

Maddy summaryHB 1056 resolves a conflict between two other bills: HEA 1014-2025 and HEA 1637-2025. This procedural bill does not create new policies or directly affect residents; it only adjusts conflicting legislative language. The bill passed unanimously in the House (94-0) and was referred to the Senate. It serves as a technical correction to ensure consistency between the two referenced bills.