Latest change summary
+163 / −343 words · LargeConfidence: medium
This version of SB 222 represents a major restructuring through wholesale substitution of statutory provisions across dozens of sections, coupled with new requirements for home health agencies. The bill now allows home health agencies with pending Medicare enrollment to continue receiving Medicaid reimbursement (through April 1, 2026 deadline), establishes licensing and good standing requirements for Medicaid providers, and creates a temporary mandate for the legislative services agency to prepare conforming legislation for 2027. Most substantively, the bill extensively reorganizes Indiana Code provisions related to disability services, mental health facilities, special education, and long-term care by replacing entire statutory sections with different code provisions—shifting content on supervised group living facilities, staffing limitations, reimbursement rates, advisory councils, and worker's compensation reporting. The emergency clause enables immediate effectiveness for select provisions while others take effect July 1, 2026, and the December 31, 2027 sunset provision was removed. These changes appear to be comprehensive conforming amendments necessitated by broader restructuring of family and social services administration in Indiana law.
- Creates temporary Medicaid reimbursement pathway for home health agencies during pending Medicare enrollment (with April 1, 2026 application deadline), potentially affecting revenue continuity for agencies in transition
- Reorganizes residential facility establishment priorities by replacing state lease-and-development program with mandate to prioritize facilities in counties with lowest 25% bed-to-population ratios, subject to funding availability
- Replaces IC 12-28-4-6 memorandum-of-agreement staffing limitation requirements with direct division authority to approve staffing for non-Medicaid facilities, altering regulatory framework for developmental disability residential settings
- Substitutes health insurance early intervention reimbursement mechanism (monthly fees vs. individual claims) provisions across multiple sections, changing payment methodology for first steps program services
- Adds new three-part licensing and enrollment framework requiring IC 16-27-1 licensure, Medicaid provider enrollment, and good standing determination by secretary's office
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