LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
200 W. Washington St., Suite 301
Indianapolis, IN 46204
(317) 233-0696
iga.in.gov
FISCAL IMPACT STATEMENT
LS 7185 NOTE PREPARED: Feb 14, 2022
BILL NUMBER: HB 1222 BILL AMENDED: Feb 7, 2022
SUBJECT: Various FSSA Matters.
FIRST AUTHOR: Rep. Ziemke BILL STATUS: As Passed Senate
FIRST SPONSOR: Sen. Crider
FUNDS AFFECTED:XGENERAL IMPACT: State
DEDICATED
FEDERAL
Summary of Legislation: Child Care Homes: The bill allows the Family and Social Services Administration
(FSSA) to deny or revoke licensing for a child care home based on a household member's conviction for
certain specified criminal offenses. It removes a limitation specifying that an occupancy provision regarding
school-age children in Class I child care homes applies only during the school year.
Bureau of Quality Improvement Services (BQIS): The bill eliminates the Bureau of Quality Improvement
Services (BQIS) and reassigns the BQIS's responsibilities to the Bureau of Developmental Disabilities
Services (BDDS).
Name Change: The bill renames the Bureau of Child Care as the Office of Early Childhood and Out of
School Learning.
Mobile Integrated Health: The bill amends the required composition of mobile crisis teams that provide
behavioral health services in conjunction with the 9-8-8 suicide prevention hotline.
Division of Mental Health and Addiction (DMHA): The bill provides that a contract entered into with a third
party by the DMHA for provision of competency restoration services to a defendant may confer to the third
party all authority the DMHA would have in providing the services to the defendant at a state psychiatric
institution.
The bill also requires the DMHA to: (1) establish a plan to expand the use of certified community behavioral
health clinics in Indiana; and (2) make certain considerations in preparing the plan.
HB 1222 1 The bill allows the FSSA to apply for a Medicaid waiver to provide behavioral health services to a committed
offender held by the Department of Correction (DOC).
The bill makes conforming amendments.
Effective Date: July 1, 2022.
Explanation of State Expenditures: Waiver and Community Health Clinic Plans: The bill’s requirements
for a state Medicaid plan waiver and DMHA provider use and funding plan may increase these agencies’
workloads [and/or expenditures] outside of the their routine administrative functions to design new programs.
Existing staffing and resource levels, if currently being used to capacity, may be insufficient for full
implementation. The additional funds and resources required could be supplied through existing staff and
resources currently being used in another program or with new appropriations. Ultimately, the source of
funds and resources required to satisfy the requirements of this bill will depend on legislative and
administrative actions. [The state share of most administrative costs is 50%.]
Child Care Homes: If licenses are denied or revoked as the result of household members having certain
criminal convictions or if added oversight is required due to changes in the children allowed to be served by
a child care home, the FSSA may have added workload. This workload is expected to be within the FSSA’s
routine administrative functions and should be able to be implemented with no additional appropriations,
assuming near customary agency staffing and resource levels.
Bureau of Quality Improvement Services (BQIS): If the efficiencies from the transfer of duties reduce the
number of positions required to perform the duties currently assigned to the BQIS, the FSSA may achieve
cost savings.
Mobile Integrated Health: The bill requires supervision by certain providers and allows the supervision to
be provided remotely. Possible workload efficiencies may result from allowing for several types of providers
to act as team supervisors, and for the supervision to be conducted remotely. However, to the extent that
certain providers on the mobile team, under their scope of practice, are allowed remote supervision, any
workload change will be minimal.
Additional Information - Medicaid and the Children’s Health Insurance Program (CHIP) are jointly funded
between the state and federal governments. The standard state share of costs for most Medicaid medical
services for FFY 2021 is 34%, or 10% for the age 19 to 64 expansion population within the Healthy Indiana
Plan. The standard state share of CHIP costs is 24%.
Explanation of State Revenues:
Explanation of Local Expenditures:
Explanation of Local Revenues:
State Agencies Affected: FSSA.
Local Agencies Affected:
Information Sources: Hamilton Smith, FSSA.
HB 1222 2 Fiscal Analyst: Karen Rossen, 317-234-2106.
HB 1222 3