Bill > HB1024

This bill extends the expiration date for a specific Medicaid reimbursement provision for out-of-state children's hospitals from July 1, 2025, to July 1, 2027. The bill defines a "children's hospital" as a freestanding hospital or hospital facility that either is designated as a children's hospital by Medicare or primarily serves patients under 19 years old. The reimbursement applies to inpatient and outpatient Medicaid services for children under 19 at children's hospitals located in states bordering Indiana. The reimbursement rate will be based on either the current federal Medicare reimbursement rate or 130% of the Medicaid rate for services without a Medicare rate, with special consideration for "cost outlier cases" (medical stays that exceed a predetermined threshold). The bill also requires the state office to apply for necessary federal waivers and amendments to implement these reimbursement provisions. An emergency clause is included, indicating the immediate importance of the legislation.

Budget and Finance, Health and Social Services

https://iga.in.gov/legislative/2025/bills/house/1024/details