Healthcare

Requires, upon request, a public school to consult with and allow certain licensed or board certified behavior analysts and certified registered behavior technicians to provide applied behavioral analysis therapy services in the public school to a student under certain conditions in accordance with the student's special education program or plan. Provides immunity from civil liability for any actions taken in good faith to comply with the requirements. Requires the department of education to prepare and provide information and guidance to assist public schools in implementing the requirements.

Sets forth requirements for coverage of orthotic devices and prosthetic devices by a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract. Requires, not later than October 1, 2027, the state personnel department, an insurer that issues a policy of accident and sickness insurance, and a health maintenance organization to submit a report to the insurance commissioner regarding the total number of claims and the total amount of claims paid for orthotic devices and prosthetic devices during the preceding plan year. Requires the insurance commissioner to: (1) aggregate the data received in the reports regarding coverage of orthotic devices and prosthetic devices; and (2) report the aggregated data, not later than December 1, 2027, to the standing committees of the house of representatives and the senate that consider insurance matters. Makes corresponding changes.

Authorizes the attorney general to enforce provisions concerning health care debt wage garnishment and principal residence lien restrictions and establish a complaint process. Requires hospitals to do the following: (1) Offer a person who meets certain income guidelines and has received health services the opportunity to pay the charges through a payment plan that satisfies certain requirements. (2) Develop a written notice about a charity care program operated by the hospital, provide the notice to patients, and post the notice. (3) Include certain information concerning financial assistance on a billing statement. (4) Requires a hospital that reports an annual gross patient revenue of at least $20,000,000 to provide written notice and information to a person who has requested an eligibility determination concerning a payment plan or charity care. Provides that the unpaid earnings of a consumer who meets specified income eligibility requirements may not be attached by garnishment if an individual makes 200% of the federal income poverty level or less, and limits the amount to be garnished over a certain amount of the individual's disposable earnings in satisfaction of: (1) health care debt owed or alleged to be owed by the consumer; or (2) any amount of the judgment that represents health care debt determined to be owed by the consumer. Provides that: (1) health care debt owed or alleged to be owed by a consumer; or (2) in an action against a consumer in which a judgment has been entered, the amount of the judgment that represents health care debt determined to be owed by the consumer; does not constitute a lien against the consumer's principal residence for a consumer. Requires the disclosure of whether a debt is a health care debt in the execution of a judgment. Provides that in any action filed in Indiana for the recovery of health care debt owed or alleged to be owed by a consumer, the principal residence of the consumer is not liable to judgment or attachment or to be sold on execution against the consumer.

HB 1060 exempts state educational institution degree programs focused on emergency medical services (EMS) from a specific elimination provision that would otherwise remove such programs. This bill directly affects public colleges and universities offering EMS training by preventing them from being cut under the referenced rule. The key mechanism is a targeted exemption within the elimination provision, ensuring these critical training programs remain available. The bill aims to maintain educational pathways for future EMS professionals without altering broader state education funding. (Note: The specific elimination provision referenced is not detailed in the provided context.)

SB 91 extends the expiration date of the state's syringe exchange program to July 1, 2036. This directly affects people who use syringe exchange services, primarily to prevent the spread of blood-borne diseases like HIV and hepatitis. The bill changes the program's current expiration date to a new end date in 2036, ensuring continued funding and operation. It does not alter the program's existing structure or eligibility requirements.

Amends the duties of the office of the secretary of family and social services (office) concerning home and community based services waivers (waiver). Sets forth requirements for conducting an audit of a provider of waiver services. Requires: (1) a waiver recipient to review the recipient's monthly statement and report errors or inconsistencies; and (2) the recipient's case manager to provide assistance to the recipient in reviewing the statements and reporting any errors. Establishes the home and community based services waiver waiting list assistance fund (fund) to provide individuals on a waiver waiting list with access to certain supports. Provides that when the office determines an individual is ineligible for Medicaid, the office shall provide the specific reason for determining the individual is ineligible. Requires the office to review certain bank accounts in determining an individual's Medicaid eligibility. Requires a provider of waiver services to provide a recipient and the recipient's care coordinator with certain billing statements. Provides that appropriations in the budget bill for Medicaid assistance that are budgeted for a waiver that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall be deposited in the fund. Provides that, for the state fiscal year beginning July 1, 2026, and ending June 30, 2027, appropriations in the budget bill for Medicaid assistance in an amount sufficient to cover costs incurred by the office in carrying out specified duties that remain unexpended and unencumbered at the close of the state fiscal year and that would otherwise lapse and be returned to the state general fund do not revert to the state general fund, but instead shall remain available to the office to cover these costs.

Provides that a law enforcement officer may not request verification of the citizenship or immigration status of an individual from federal immigration authorities if the law enforcement officer determines that the individual: (1) has requested emergency medical assistance; or (2) acted in concert with another person who requested emergency medical assistance for an individual who reasonably appeared to be in need of medical assistance. Provides that the individual shall cooperate with emergency medical assistance personnel and law enforcement.

States that a health care provider's report concerning the performance of an abortion that is submitted to the Indiana department of health is a medical record, confidential, and not subject to disclosure as a public record.

Provides that the insurance commissioner shall discharge the powers and duties of the commissioner's office with respect to policies of accident and sickness insurance and health maintenance organization contracts in a specified manner. Requires the commissioner to consider, before approving or disapproving a rate increase or decrease for a policy of accident and sickness insurance or a health maintenance organization contract, whether the filer's products are affordable and whether the filer has implemented effective strategies to enhance the affordability of the filer's products. Allows the commissioner to disapprove a rate increase if the rate is increased by an amount that exceeds the Consumer Price Index for All Urban Consumers: All Items Less Food and Energy percentage increase plus 1%.

Sets forth requirements for a home and community based services attendant care service Medicaid provider to meet in the use of the state fund share of Medicaid reimbursement for compensation of direct care staff. Requires the provider to submit a cost report annually to verify compliance.