Indiana 2026 Regular Session

Indiana House Bill HB1012

Introduced
12/1/25  
Refer
12/1/25  

Caption

Medicaid matters.

Impact

One of the key impacts of this legislation is the establishment of the home and community based services waiver waiting list assistance fund, which aims to provide supports for individuals awaiting waiver services. This fund will be fed by unspent Medicaid appropriations from previous fiscal years, thus creating a mechanism for reinvestment in community-based care. By requiring audits of providers that serve fewer than ten recipients, the bill seeks to enhance the delivery of quality services and ensure compliance with regulations, ultimately aiming for improved service stability for individuals with disabilities.

Summary

House Bill 1012 addresses various issues related to Medicaid and home and community based services (HCBS) in Indiana. It amends the responsibilities of the office of the secretary of family and social services regarding HCBS waivers, establishing requirements for auditing providers and enhancing oversight and accountability within the system. The bill also includes provisions for ensuring that waiver recipients can review their monthly statements for errors or inconsistencies, and mandates that providers assist recipients in this process.

Sentiment

The general sentiment around HB 1012 has been largely supportive, particularly from advocates of improved Medicaid services and those concerned about provider accountability. Supporters see this bill as a necessary step toward improving transparency and care coordination for individuals relying on Medicaid for home and community based services. However, there are concerns about the practicalities of implementing audits and the potential burden it may impose on smaller service providers, which could lead to a divided opinion among stakeholders in the communities affected by these changes.

Contention

Notably, there are points of contention regarding the auditable threshold of ten recipients, which some providers believe might unfairly impact small operations that deliver essential services. While aimed at fostering better oversight, critics fear that increased auditing could result in resource strain on these smaller providers, thereby affecting their ability to operate. Overall, HB 1012 encapsulates both a commitment to enhance service quality and a challenge of balancing administrative oversight with provider capacity.

Companion Bills

No companion bills found.

Previously Filed As

IN SB0002

Medicaid matters.

IN SB0234

Medicaid matters.

IN HB1689

Human services matters.

IN HB1106

Medicaid buy-in.

IN HB1474

FSSA matters.

IN HB1587

Insurance matters.

IN SB0192

Postpartum care for new mothers on Medicaid.

IN HB1004

Health care matters.

IN HB1586

Medicaid funding.

IN SB0522

Maternal health matters.

Similar Bills

MD HB390

Budget Bill (Fiscal Year 2027)

MD SB282

Budget Bill (Fiscal Year 2027)

MD HB350

Budget Bill (Fiscal Year 2026)

MD SB319

Budget Bill (Fiscal Year 2026)

PA HB1330

To provide appropriations from the General Fund for the expenses of certain agencies of the Executive Department for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025.

PA SB160

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.

PA SB280

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2025; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2024, to June 30, 2025, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2024.

PA SB1161

To provide appropriations from the General Fund for the expenses of the Executive, Legislative and Judicial Departments of the Commonwealth, the public debt and the public schools for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide appropriations from special funds and accounts to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; to provide for the appropriation of Federal funds to the Executive and Judicial Departments for the fiscal year July 1, 2026, to June 30, 2027, and for the payment of bills remaining unpaid at the close of the fiscal year ending June 30, 2026; and to provide for the additional appropriation of Federal and State funds to the Executive and Legislative Departments for the fiscal year July 1, 2025, to June 30, 2026, and for the payment of bills incurred and remaining unpaid at the close of the fiscal year ending June 30, 2025.