A CONCURRENT RESOLUTION celebrating the 100th year anniversary of Riley Children's Health at Indiana University Health.
Supporting Israel.
Requires the office of the secretary of family and social services and the division of mental health and addiction to include each community mental health center that meets certain requirements in: (1) the community mental health services demonstration program (program), if Indiana is approved to participate in the program and as a state plan amendment for specified reimbursement after the program; or (2) if Indiana is not approved to participate in the program, a Medicaid state plan amendment or waiver to allow for Medicaid reimbursement for eligible certified community behavioral health clinic services by certain Medicaid providers.
Establishes the community cares initiative grant pilot program for the purpose of assisting in the costs of starting or expanding mobile integrated health care programs and mobile crisis teams in Indiana. Establishes the community cares initiative fund.
Establishes the dentist and dental hygienist compact (compact). Provides the requirements states must follow in order to participate in the compact. Provides that dentists and dental hygienists may practice in participating states so long as the dentists and dental hygienists meet certain criteria. Provides that active military members and their spouses should pay reduced or no fees in order to practice in participating states. Establishes a governing commission and sets out its powers, duties, financing, and liability. Provides various mechanisms for the participating states and the governing commission to regulate the interstate practice of dentists and dental hygienists. Provides for various contingencies, including the process to effect, amend, enforce, withdraw from, or terminate the compact. Makes technical corrections. Removes certain language regarding the regulation of dentists.
Requires reporting of certain ownership information by: (1) a hospital to the Indiana department of health (state department); (2) a physician group practice to the professional licensing agency; and (3) an insurer, a third party administrator, and a pharmacy benefit manager to the department of insurance. Requires the professional licensing agency and the department of insurance to provide the ownership information to the state department. Requires the state department to post the ownership information on the state department's website. Sets forth penalties for a violation of the ownership reporting requirements. Allows a contract holder to request an audit of a pharmacy benefit manager at least two times in a calendar year. Requires a contract with a third party administrator, pharmacy benefit manager, or prepaid health care delivery plan to provide that the plan sponsor has ownership of the claims data. Allows a plan sponsor that contracts with a third party administrator, the office of the secretary of family and social services that contracts with a managed care organization to provide services to a Medicaid recipient, or the state personnel department that contracts with a prepaid health care delivery plan to provide group health coverage for state employees to request an audit at least two times in a calendar year. Provides that a violation of the requirements concerning audits of a third party administrator, managed care organization, or prepaid health care delivery plan is an unfair or deceptive act or practice in the business of insurance and allows the department of insurance to adopt rules to set forth fines for a violation.
Provides that: (1) a state employee health plan; (2) a policy of accident and sickness policy; and (3) an individual or group contract; must provide reimbursement beginning July 1, 2024, and ending June 30, 2027, for emergency medical services that are performed or provided in specified counties by a mobile integrated healthcare program.
Specifies that provisions of law governing the office of administrative law proceedings apply to the Indiana department of health (state department) in matters concerning the involuntary transfer or discharge of a resident of a health facility. Requires the fee amount for a service provided by the state health laboratory to be based on the federal Medicare reimbursement rate for the service or if the service does not have a Medicare reimbursement rate, the Medicaid reimbursement rate. Amends the list of crimes or acts that preclude a home health aide, nurse aide, or other unlicensed employee from employment at a home health agency and certain health care facilities. Requires the state department to: (1) investigate any report that a nurse aide or home health aide has been convicted of a certain crime; and (2) after an administrative hearing, remove the individual from the state nurse aide registry. Makes it a Class A infraction for a person convicted of a certain crime to knowingly or intentionally apply for a job as a home health aide or other unlicensed employee at a home health agency or certain health care facilities. For provisions concerning the women, infants, and children nutrition program (WIC program), defines "WIC vendor agreement" and requires the state department to include in a WIC vendor agreement a list of sanctions for failing to comply with the agreement. Requires the state department to: (1) select WIC program vendors based on selection criteria set forth in federal regulations; (2) review the selection criteria annually; (3) include the selection criteria in the WIC state plan; and (4) publish the selection criteria on the state department's website. Includes reporting to local child fatality review teams, the statewide child fatality review committee, local fetal-infant mortality review teams, and suicide and overdose fatality review teams for the release of mental health records without the consent of the patient. For provisions governing home based food products, repeals the term "potentially hazardous food product" and defines "time temperature control for safety food". Adds the state health commissioner or the commissioner's designee as a member of the rare disease advisory council (council). Adjusts the number of council members required to establish a quorum. Amends the membership of the statewide child fatality review committee. Repeals the expiration of the maternal mortality review laws.
Sets forth the powers and duties of the office of the secretary of family and social services (office of the secretary) concerning Medicaid home and community based services waivers. Defines "home and community based services waiver". 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 an individual receiving services under a home and community based services waiver; and (2) 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 developmental 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 certain facilities to provide notice within a specified time to the division of family resources (division) that a delinquent child will be released from the facility. Requires the division to take action necessary to ensure that the delinquent child, if eligible, participates in the Medicaid program upon the child's release and receives services required by federal law. Specifies that an insurer may not deny a Medicaid claim solely due to a lack of prior authorization in accordance with federal law. Requires an insurer to respond to a state inquiry regarding a Medicaid claim not later than 60 days after receiving the inquiry. Specifies, for purposes of a provision concerning Medicaid third party liability, that the state is considered to have acquired the rights of the person to payment by any other party for accumulated and future health care items or services. (Current law provides that the state is considered to have acquired these rights for the health care items or services.) 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 provisions requiring the division of aging to submit a plan, before October 1, 2017, to the general assembly to expand the scope and availability of home and community based services for individuals who are aged and disabled. Makes conforming amendments.
A CONCURRENT RESOLUTION opposing assisted medical suicide.
