Indiana 2025 Regular Session Status: Enacted Bipartisan · 5 R · 2 D cosponsors

HB 1474 — FSSA matters.

Last action — Public Law 174

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 21, 2025. Enacted.

Signed by Governor Mike Braun (Republican) on May 01, 2025.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · high confidence

  • Enacted

    Current position in the legislative process.

  • 7 sponsors

    2 primary, 5 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 2 D) — cross-party backing.

  • Mixed recorded votes

    3 passed, 1 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

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.

Bill Text

We don't have the full text on file for this bill yet.

Read HB 1474 on the official Indiana source →

Action History

  1. Public Law 174

  2. Signed by the Governor

  3. Signed by the President of the Senate

  4. Signed by the President Pro Tempore

  5. Signed by the Speaker

  6. House concurred with Senate amendments; Roll Call 497: yeas 85, nays 0

  7. Motion to concur filed

  8. Returned to the House with amendments

  9. Third reading: passed; Roll Call 443: yeas 47, nays 1

  10. Amendment #1 (Jackson L) prevailed; voice vote

  11. Amendment #7 (Charbonneau) prevailed; voice vote

  12. Amendment #2 (Qaddoura) failed; Roll Call 375: yeas 12, nays 33

  13. Amendment #3 (Qaddoura) failed; Roll Call 376: yeas 10, nays 34

  14. Second reading: amended, ordered engrossed

  15. Senator Randolph added as cosponsor

  16. Senator Brown L added as cosponsor

  17. Committee report: do pass, adopted

  18. Committee report: amend do pass adopted; reassigned to Committee on Appropriations

  19. First reading: referred to Committee on Health and Provider Services

  20. Referred to the Senate

  21. Senate sponsor: Senator Charbonneau

  22. Third reading: passed; Roll Call 183: yeas 93, nays 0

  23. Representatives Greene, Isa, Bauer added as coauthors

  24. Second reading: ordered engrossed

  25. Committee report: amend do pass, adopted

  26. First reading: referred to Committee on Public Health

  27. Authored by Representative Barrett

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

2 sponsors · 5 co-sponsors · 143 not signed on · 32 voted No

Sponsors (2)

Co-sponsors (5)

Not signed on (143)

143 members have not signed on to this bill.

Show all 143 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

HB 1474 - Barrett

Passed 85 Yea · 0 Nay · 15 Other
Party YeaNayPresentNot Voting
Republican 64007
Unaffiliated 3000
Democrat 18008
Total 850015
% of votes cast 85%0%0%15%
How each member voted (100)
Member Party Vote
Boy — Yea
Dant Chesser — Yea
Garcia Wilburn — Yea
Alex Burton Democrat Yea
Carey Hamilton Democrat Yea
Carolyn Jackson Democrat Yea
Cherrish Pryor Democrat Yea
Chris Campbell Democrat Yea
Chuck Moseley Democrat Not Voting
Earl Harris Democrat Yea
Edward DeLaney Democrat Yea
Gregory Porter Democrat Yea
John Bartlett Democrat Yea
Justin Moed Democrat Yea
Kyle Miller Democrat Yea
Matt Pierce Democrat Yea
Maureen Bauer Democrat Not Voting
Mike Andrade Democrat Yea
Mitch Gore Democrat Yea
Philip GiaQuinta Democrat Yea
Ragen Hatcher Democrat Not Voting
Renee Pack Democrat Not Voting
Robin Shackleford Democrat Yea
Ryan Dvorak Democrat Not Voting
Sheila Klinker Democrat Yea
Sue Errington Democrat Not Voting
Tonya Pfaff Democrat Yea
Vanessa Summers Democrat Not Voting
Vernon Smith Democrat Not Voting
Alaina Shonkwiler Republican Yea
Alex Zimmerman Republican Yea
Andrew Ireland Republican Yea
Beau Baird Republican Not Voting
Becky Cash Republican Yea
Ben Smaltz Republican Yea
Brad Barrett Republican Yea
Bruce Borders Republican Yea
Chris Jeter Republican Yea
Chris Judy Republican Yea
Chris May Republican Yea
Cindy Ledbetter Republican Yea
Cory Criswell Republican Yea
Craig Haggard Republican Yea
Craig Snow Republican Yea
Dale DeVon Republican Yea
Danny Lopez Republican Yea
Dave Hall Republican Yea
Dave Heine Republican Not Voting
David Abbott Republican Yea
Doug Miller Republican Yea
Edmond Soliday Republican Yea
Edward Clere Republican Yea
Elizabeth Rowray Republican Yea
Ethan Lawson Republican Yea
Ethan Manning Republican Not Voting
Garrett Bascom Republican Yea
Gregory Steuerwald Republican Yea
Harold Slager Republican Yea
Heath VanNatter Republican Yea
Hunter Smith Republican Not Voting
J.D. Prescott Republican Yea
Jack Jordan Republican Yea
Jake Teshka Republican Yea
Jeffrey Thompson Republican Yea
Jennifer Meltzer Republican Yea
Jim Lucas Republican Yea
Jim Pressel Republican Yea
Joanna King Republican Yea
Julie McGuire Republican Yea
Julie Olthoff Republican Yea
Karen Engleman Republican Not Voting
Kendell Culp Republican Yea
Kyle Pierce Republican Yea
Lindsay Patterson Republican Yea
Lori Goss-Reaves Republican Yea
Lorissa Sweet Republican Yea
Mark Genda Republican Yea
Martin Carbaugh Republican Yea
Matt Commons Republican Yea
Matt Hostettler Republican Yea
Matt Lehman Republican Yea
Michael Karickhoff Republican Yea
Michelle Davis Republican Yea
Mike Aylesworth Republican Yea
Peggy Mayfield Republican Yea
Robb Greene Republican Yea
Robert Behning Republican Yea
Robert Heaton Republican Yea
Robert Morris Republican Yea
Ryan Lauer Republican Yea
Shane Lindauer Republican Yea
Steve Bartels Republican Yea
Tim Yocum Republican Yea
Timothy O'Brien Republican Yea
Timothy Wesco Republican Not Voting
Todd Huston Republican Not Voting
Tony Isa Republican Yea
Tyler Johnson Republican Yea
Wendy McNamara Republican Yea
Zach Payne Republican Yea

Official roll call →

HB 1474 - Charbonneau - 3rd Reading

Passed 47 Yea · 1 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 37002
Democrat 9100
Unaffiliated 1000
Total 47102
% of votes cast 94%2%0%4%
How each member voted (50)
Member Party Vote
Zay — Yea
Andrea Hunley Democrat Yea
David Niezgodski Democrat Yea
Fady Qaddoura Democrat Nay
Greg Taylor Democrat Yea
J.D. Ford Democrat Yea
La Keisha Jackson Democrat Yea
Lonnie Randolph Democrat Yea
Mark Spencer Democrat Yea
Rodney Pol Democrat Yea
Shelli Yoder Democrat Yea
Aaron Freeman Republican Yea
Blake Doriot Republican Yea
Brett Clark Republican Yea
Brian Buchanan Republican Yea
Chris Garten Republican Not Voting
Cyndi Carrasco Republican Yea
Dan Dernulc Republican Yea
Daryl Schmitt Republican Yea
Ed Charbonneau Republican Yea
Eric Bassler Republican Yea
Eric Koch Republican Yea
Gary Byrne Republican Yea
Greg Goode Republican Yea
Greg Walker Republican Yea
James Buck Republican Yea
James Tomes Republican Yea
Jean Leising Republican Yea
Jeff Raatz Republican Yea
Justin Busch Republican Yea
Kyle Walker Republican Yea
Linda Rogers Republican Yea
Liz Brown Republican Yea
Michael Crider Republican Yea
Michael Young Republican Yea
Mike Bohacek Republican Yea
Mike Gaskill Republican Yea
Randy Maxwell Republican Yea
Rick Niemeyer Republican Not Voting
Rodric Bray Republican Yea
Ron Alting Republican Yea
Ryan Mishler Republican Yea
Scott Alexander Republican Yea
Scott Baldwin Republican Yea
Spencer Deery Republican Yea
Stacey Donato Republican Yea
Susan Glick Republican Yea
Travis Holdman Republican Yea
Tyler Johnson Republican Yea
Vaneta Becker Republican Yea

Official roll call →

HB 1474 - Charbonneau - 2nd Reading

Failed 10 Yea · 34 Nay · 6 Other
Party YeaNayPresentNot Voting
Republican 13305
Democrat 9001
Unaffiliated 0100
Total 103406
% of votes cast 20%68%0%12%
How each member voted (50)
Member Party Vote
Zay — Nay
Andrea Hunley Democrat Yea
David Niezgodski Democrat Yea
Fady Qaddoura Democrat Yea
Greg Taylor Democrat Not Voting
J.D. Ford Democrat Yea
La Keisha Jackson Democrat Yea
Lonnie Randolph Democrat Yea
Mark Spencer Democrat Yea
Rodney Pol Democrat Yea
Shelli Yoder Democrat Yea
Aaron Freeman Republican Nay
Blake Doriot Republican Nay
Brett Clark Republican Nay
Brian Buchanan Republican Nay
Chris Garten Republican Not Voting
Cyndi Carrasco Republican Nay
Dan Dernulc Republican Nay
Daryl Schmitt Republican Nay
Ed Charbonneau Republican Nay
Eric Bassler Republican Nay
Eric Koch Republican Nay
Gary Byrne Republican Nay
Greg Goode Republican Nay
Greg Walker Republican Nay
James Buck Republican Nay
James Tomes Republican Nay
Jean Leising Republican Nay
Jeff Raatz Republican Nay
Justin Busch Republican Nay
Kyle Walker Republican Nay
Linda Rogers Republican Nay
Liz Brown Republican Nay
Michael Crider Republican Nay
Michael Young Republican Nay
Mike Bohacek Republican Yea
Mike Gaskill Republican Nay
Randy Maxwell Republican Nay
Rick Niemeyer Republican Nay
Rodric Bray Republican Nay
Ron Alting Republican Nay
Ryan Mishler Republican Not Voting
Scott Alexander Republican Nay
Scott Baldwin Republican Nay
Spencer Deery Republican Nay
Stacey Donato Republican Not Voting
Susan Glick Republican Nay
Travis Holdman Republican Not Voting
Tyler Johnson Republican Nay
Vaneta Becker Republican Not Voting

Official roll call →

HB 1474 - Barrett - 3rd Reading

Passed 93 Yea · 0 Nay · 7 Other
Party YeaNayPresentNot Voting
Republican 66005
Democrat 24002
Unaffiliated 3000
Total 93007
% of votes cast 93%0%0%7%
How each member voted (100)
Member Party Vote
Boy — Yea
Dant Chesser — Yea
Garcia Wilburn — Yea
Alex Burton Democrat Yea
Carey Hamilton Democrat Yea
Carolyn Jackson Democrat Not Voting
Cherrish Pryor Democrat Yea
Chris Campbell Democrat Yea
Chuck Moseley Democrat Yea
Earl Harris Democrat Yea
Edward DeLaney Democrat Yea
Gregory Porter Democrat Yea
John Bartlett Democrat Yea
Justin Moed Democrat Yea
Kyle Miller Democrat Yea
Matt Pierce Democrat Yea
Maureen Bauer Democrat Yea
Mike Andrade Democrat Yea
Mitch Gore Democrat Yea
Philip GiaQuinta Democrat Yea
Ragen Hatcher Democrat Yea
Renee Pack Democrat Not Voting
Robin Shackleford Democrat Yea
Ryan Dvorak Democrat Yea
Sheila Klinker Democrat Yea
Sue Errington Democrat Yea
Tonya Pfaff Democrat Yea
Vanessa Summers Democrat Yea
Vernon Smith Democrat Yea
Alaina Shonkwiler Republican Yea
Alex Zimmerman Republican Yea
Andrew Ireland Republican Yea
Beau Baird Republican Yea
Becky Cash Republican Yea
Ben Smaltz Republican Yea
Brad Barrett Republican Yea
Bruce Borders Republican Yea
Chris Jeter Republican Yea
Chris Judy Republican Yea
Chris May Republican Yea
Cindy Ledbetter Republican Yea
Cory Criswell Republican Yea
Craig Haggard Republican Yea
Craig Snow Republican Yea
Dale DeVon Republican Yea
Danny Lopez Republican Yea
Dave Hall Republican Yea
Dave Heine Republican Yea
David Abbott Republican Yea
Doug Miller Republican Yea
Edmond Soliday Republican Yea
Edward Clere Republican Yea
Elizabeth Rowray Republican Yea
Ethan Lawson Republican Yea
Ethan Manning Republican Yea
Garrett Bascom Republican Yea
Gregory Steuerwald Republican Yea
Harold Slager Republican Yea
Heath VanNatter Republican Not Voting
Hunter Smith Republican Yea
J.D. Prescott Republican Yea
Jack Jordan Republican Yea
Jake Teshka Republican Yea
Jeffrey Thompson Republican Yea
Jennifer Meltzer Republican Yea
Jim Lucas Republican Yea
Jim Pressel Republican Yea
Joanna King Republican Not Voting
Julie McGuire Republican Yea
Julie Olthoff Republican Yea
Karen Engleman Republican Yea
Kendell Culp Republican Yea
Kyle Pierce Republican Not Voting
Lindsay Patterson Republican Yea
Lori Goss-Reaves Republican Yea
Lorissa Sweet Republican Yea
Mark Genda Republican Yea
Martin Carbaugh Republican Not Voting
Matt Commons Republican Yea
Matt Hostettler Republican Yea
Matt Lehman Republican Yea
Michael Karickhoff Republican Yea
Michelle Davis Republican Yea
Mike Aylesworth Republican Yea
Peggy Mayfield Republican Yea
Robb Greene Republican Yea
Robert Behning Republican Yea
Robert Heaton Republican Yea
Robert Morris Republican Yea
Ryan Lauer Republican Yea
Shane Lindauer Republican Yea
Steve Bartels Republican Yea
Tim Yocum Republican Yea
Timothy O'Brien Republican Yea
Timothy Wesco Republican Yea
Todd Huston Republican Not Voting
Tony Isa Republican Yea
Tyler Johnson Republican Yea
Wendy McNamara Republican Yea
Zach Payne Republican Yea

Official roll call →

Subjects

public-safety healthcare labor health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does HB 1474 do?
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.
Who sponsors HB 1474?
HB 1474 is sponsored by Lonnie Randolph (Democrat), Liz Brown (Republican), Ed Charbonneau (Republican), Maureen Bauer (Democrat), Tony Isa (Republican), Robb Greene (Republican), and Brad Barrett (Republican).
What is the current status of HB 1474?
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Where can I track HB 1474?
Track HB 1474 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 1474

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 1474

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →