1. Office of Medicaid Policy and Planning
Agency and Legislative Update
Allison Taylor
Indiana Medicaid Director
Gabrielle Koenig
Government Affairs Manager

2. 2019 Indiana General Assembly Legislative Session
Budget session – HB 1001
1,349 bills introduced in 2019
156 total bills assigned to either health committee in each chamber
79 bills assigned to (S) Health and Provider Services
77 bills assigned to (H) Public Health
Sine Die scheduled for April 29th

3. OMPP’s Legislative Process
Bill Analysis
Examine bills that have any relation to OMPP
Determine if there is impact to our program and our position: neutral, oppose, or support
Analysis moves through OMPP, then to the agency’s legislative team
Program Changes
Following session, team inventories bills
Notes any that impact OMPP and contacts sections throughout the agency who will have to implement changes

4. 2019 General Session Major Themes
Infant/Maternal Mortality
Teacher Pay Raise
Bias/Hate Crimes
School Safety

5. 2019 General Session Major Health Care Themes
Infant/Maternal Mortality
Non-Emergency Medical Transportation (NEMT)
Pharmacy Benefit Managers (PBMs)
Mental Health Services and Substance Use Disorder Treatment

6. HB 1007-Perinatal Care Author: Representative Kirchhofer
Requires the Indiana State Department of Health (ISDH) to establish a perinatal navigator program
Requires ISDH to establish guidelines for heath care providers treating substance use disorder in pregnancy
4/18 – signed by the Speaker

7. HB 1218-Health Workforce Student Loan Repayment Program
Author: Representative Manning
Establishes a program, a commission, and a fund
Provides that the commission shall make student loan repayments, awarded in an amount determined by the commission, to an eligible applicant who met the program requirements during the fiscal year
Died 2/25 – failed to advance to House by third reading deadline

8. HB 1251-Mental Health Matters
Author: Representative Davisson
Requires Medicaid reimbursement for eligible Medicaid rehabilitation option services provided in a school setting to a Medicaid recipient
Sets forth requirements of the program and contracting entities
Died 2/25 – failed to advance to House by third reading deadline
This is very wordy so after you both discuss today what you’ve decided we can slim it down to bullets and this can be talking points for you if needed. You know this bill a lot better than I do.

9. HB 1548-Medicaid Advisory Committee
Author: Representative Kirchhofer
Adds two organizations to the Medicaid advisory committee (“MAC”) to represent health care associations
Increases the legislative membership of the MAC by providing for the appointment of six senators and six representatives
Requires the creation of a fiscal subcommittee comprised of three Senate MAC members and three House MAC members
Requires the MAC to review, study, and make advisory recommendations concerning specified subjects before July 1, 2021
4/18 – signed by the Speaker
This is very wordy so after you both discuss today what you’ve decided we can slim it down to bullets and this can be talking points for you if needed. You know this bill a lot better than I do.

10. SB 8-Study on the Growth of Health Care Costs
Author: Senator Ruckelshaus
Urges an interim study committee to investigate the factors that are contributing to the growth of health care costs during the 2019 interim of the general assembly
Requires a report to the legislative council by November 2019
Died 4/15 – failed to advance by House third reading deadline for Senate bills

11. SB 394-Advanced Practice Registered Nurses
Author: Senator Charbonneau
Expands the scope of practice for APRNs in specific situations, such as certifying death records and operating without a practice agreement, as long as certain requirements are met
Specifies additional requirements for the Indiana state board of nursing
Died 4/15 – failed to advance by House third reading deadline for Senate bills

12. SB 416-Medicaid Coverage for Doula Services
Author: Senator Breaux
Provides that Medicaid pregnancy services may include reimbursement for doula services
OMPP’s Policy and Program Development team had already received a policy consideration for doulas
4/18 – signed by the Governor

13. SB 437-School Based Services and Medicaid
Author: Senator Zay
Provides Medicaid reimbursement for health care services and school based services to specified individuals provided by a school based heath center
Provides that the expenditures for funding such a program may only be made if a state plan amendment is approved and if intergovernmental transfers are continuously made
Died 4/15 – failed to advance by House third reading deadline for Senate bills
Line at the end should maybe suggest what the bill was trying to do ? Sorry this is rough!

14. SB 480-Medicaid Nonemergency Transportation
Author: Senator Becker
Sets forth requirements for brokers of nonemergency medical transportation under the Medicaid fee-for-service program
Establishes the nonemergency medical transportation commission and sets forth duties
Requires FSSA to prepare a report concerning nonemergency medical transportation Medicaid claims and submit the report to the commission before October 1, 2019
4/16 – Senate concurred in House amendments
Line at the end should maybe suggest what the bill was trying to do ? Sorry this is rough!

15. Questions, Comments?