Office of Medicaid Policy and Planning

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

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. 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 HB 1251-Mental Health Matters

9. 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 HB 1548-Medicaid Advisory Committee

10. 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 SB 8-Study on the Growth of Health Care Costs

11. 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 SB 394-Advanced Practice Registered Nurses

12. 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 SB 416-Medicaid Coverage for Doula Services

13. 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 SB 437-School Based Services and Medicaid

14. 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 SB 480-Medicaid Nonemergency Transportation

15. Questions, Comments?