Rep. Robin Shackleford

Requires the state health commissioner to establish a work group to study methods of reducing and preventing health facility resident neglect and submit a report to the general assembly. Requires a health facility to do the following: (1) Designate at least one employee to act as a family advocacy liaison. (2) Establish an independent third party review process for written resident or other individual complaints alleging neglect of a resident. (3) Offer grief support to the family of a deceased resident. Prohibits a health facility from taking retaliatory action against an employee because the employee: (1) discloses actions or practices by the health facility that the employee reasonably believes violate state or federal law; (2) provides information or testifies in investigations or hearings; or (3) assists or participates in proceedings to enforce state law. Urges the legislative council to assign to an appropriate interim committee during the 2026 interim the study of requiring health facilities to meet certain staff-to-patient ratios.

Provides that an individual elected or appointed as a state senator or state representative after November 3, 2026, may serve until the earlier of the following: (1) The date on which the individual completes 20 total combined years of service as a state senator or state representative. (2) The individual's seventieth birthday.

Requires a person who is at least 18 years of age and is a member of a family that receives TANF or SNAP benefits to complete a course of instruction on financial literacy that is established by the department of education (department). Requires the department to establish and administer a course of instruction on financial literacy. Requires the department to submit an annual report to the executive director of the legislative services agency for distribution to the members of the general assembly that contains certain information regarding the course of instruction on financial literacy.

Requires the Indiana utility regulatory commission (IURC) to conduct a study to evaluate the effect of new and additional electricity demand from data centers and large load customers on: (1) the costs incurred by energy utilities to meet that demand; and (2) retail electric rates for all customer classes of energy utilities. Sets forth specific topics that the IURC must evaluate as part of the study. Requires the IURC to include in its 2026 annual report the commission's findings with respect to the topics evaluated in the study.

Requires the office of the secretary of family and social services to apply, not later than October 1, 2026, for approval of a Section 1115 Medicaid demonstration waiver to provide coverage for health related social needs.

Requires the office of the secretary of family and social services to apply, not later than October 1, 2026, for approval of a Section 1115 Medicaid demonstration waiver or any other Medicaid waiver to provide coverage for nutrition supports for specified individuals.

Requires an insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits to ensure that a network utilized by the insurer, pharmacy benefit manager, or other administrator is reasonably adequate and accessible and file an annual report regarding the network with the commissioner of the department of insurance (commissioner). Sets forth certain limitations and requirements with respect to the provision of pharmacy or pharmacist services under a health plan. Allows any insured, pharmacy, or pharmacist impacted by an alleged violation to file a complaint with the commissioner. Provides that the commissioner may order reimbursement to any person who has incurred a monetary loss as a result of a violation. Requires, if a pharmacy benefit manger is used with regard to a state employee health plan, the state personnel department to either create a pharmacy benefit manager or contract with an insurer, a pharmacy benefit manager, or other administrator. Prohibits a third party administrator from: (1) requiring, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or (2) charging a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager. Urges the legislative council to assign to the appropriate study committee the task of studying the topic of contracts for pharmacy benefit coverage under the Medicaid program and a state employee health plan.

Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1) to prescription drugs that: (1) are covered under a health plan; (2) are life-saving or intended to manage chronic pain; and (3) do not have an approved generic version. Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network. Requires a health plan to: (1) establish a procedure by which a covered individual may claim a credit; and (2) identify documentation necessary to support a claim for a credit.

Requires reporting of certain ownership information by: (1) a hospital to the Indiana department of health (state department); (2) certain health care entities to the secretary of state; and (3) an insurer, a third party administrator, and a pharmacy benefit manager to the department of insurance. Requires the secretary of state and the department of insurance to provide the ownership information to the state department. Requires the state department to annually publish a report concerning the ownership information. Amends the definition of "health care entity" for provisions governing health care entity mergers and acquisitions. Allows the office of the attorney general to investigate the market concentration of a health care entity.

Requires the Indiana department of health (state department) to establish: (1) a statewide mobile retail food establishment license (license); (2) standards for the licensure, inspection, and operation of a mobile retail food establishment; and (3) license fees and inspection fees. Requires the state department to establish a workgroup to collaborate with in implementing specified provisions. Beginning January 1, 2027, requires a local health department to: (1) receive applications for licenses; (2) collect annual license and inspection fees; (3) issue licenses; and (4) conduct semiannual inspections of a mobile retail food establishment that is issued a license. Provides that an owner or operator of a mobile retail food establishment issued a license is not required to obtain a county or local license or permit, nor required to pay a county or local inspection fee or a license or permit fee. Provides that beginning January 1, 2027, a person may not operate a mobile retail food establishment in Indiana unless the person obtains a license. Requires the state department to adopt rules to implement these provisions. Repeals provisions of law governing mobile retail food establishment permits effective January 1, 2027.