Bill > SB0234

This bill proposes several significant changes to Indiana's Medicaid program, focusing on improving eligibility verification and program management. The bill requires the Office of the Secretary of Family and Social Services to conduct monthly reviews of Medicaid recipients using data from various federal and state sources, including Social Security Administration records, postal service change of address information, and state agencies, to verify ongoing eligibility. The office is prohibited from accepting self-attestations for critical information like income, residency, and household composition, and must instead verify such details through independent data sources. The bill establishes new performance standards for hospitals making presumptive eligibility determinations, including notification requirements and potential penalties for repeated violations. Additionally, the bill modifies the Healthy Indiana Plan by limiting enrollment to 500,000 individuals, introducing work requirements for eligibility, and capping benefit duration to 36 months. The legislation aims to enhance program integrity, reduce improper payments, and ensure that Medicaid resources are directed to those who truly qualify, with an emphasis on verifying recipient information and maintaining fiscal responsibility.

Health and Social Services

https://iga.in.gov/legislative/2025/bills/senate/234/details