Introduced Version
HOUSE BILL No. 1023
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-7-2-40.3; IC 12-15-5-22; IC 16-18-2;
IC 16-46-18.
Synopsis: Violence prevention services. Requires Medicaid
reimbursement for eligible community violence prevention services
provided by a qualified violence prevention professional to certain
Medicaid recipients. Requires the office of the secretary of family and
social services to: (1) issue guidance on the use of; and (2) determine
the reimbursement for; community violence prevention services.
Requires the Indiana department of health to approve at least one
accredited violence prevention professional training and certification
program that meets certain criteria. Sets forth the requirements for a
qualified violence prevention professional.
Effective: July 1, 2024.
Bauer M
January 8, 2024, read first time and referred to Committee on Public Health.
2024 IN 1023—LS 6158/DI 147 Introduced
Second Regular Session of the 123rd General Assembly (2024)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
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Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2023 Regular Session of the General Assembly.
HOUSE BILL No. 1023
A BILL FOR AN ACT to amend the Indiana Code concerning
human services.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 12-7-2-40.3 IS ADDED TO THE INDIANA CODE
2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
3 1, 2024]: Sec. 40.3. "Community violence prevention services", for
4 purposes of IC 12-15-5-22, has the meaning set forth in
5 IC 12-15-5-22(a).
6 SECTION 2. IC 12-15-5-22 IS ADDED TO THE INDIANA CODE
7 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
8 1, 2024]: Sec. 22. (a) As used in this section, "community violence
9 prevention services" means evidence based, trauma informed,
10 supportive, and nonpsychotherapeutic services provided by a
11 qualified violence prevention professional (as defined in
12 IC 16-46-18-5) to a victim of community violence (as defined in
13 IC 16-46-18-2) for the purpose of improving health outcomes,
14 promoting positive behavior change, preventing injury, and
15 reducing the likelihood of violence of the victim.
16 (b) The term may include the provision of the following services:
17 (1) Peer support.
2024 IN 1023—LS 6158/DI 147 2
1 (2) Counseling.
2 (3) Mentorship.
3 (4) Conflict mediation.
4 (5) Crisis intervention.
5 (6) Targeted case management.
6 (7) Referrals to certified or licensed health care or social
7 service providers.
8 (8) Patient education.
9 (9) Screening services.
10 (c) As used in this section, "office" includes the following:
11 (1) The office of the secretary of family and social services.
12 (2) A managed care organization that has contracted with the
13 office of Medicaid policy and planning under this article.
14 (3) A person that has contracted with a managed care
15 organization described in subdivision (2).
16 (d) The office shall reimburse for eligible community violence
17 prevention services provided by a qualified violence prevention
18 professional (as defined in IC 16-46-18-5) to a Medicaid recipient
19 who has:
20 (1) received medical treatment for an injury sustained as a
21 result of community violence (as defined in IC 16-46-18-2);
22 (2) been determined by a certified or licensed health care or
23 social services provider to be at an elevated risk of violent
24 injury or retaliation; and
25 (3) been referred by a provider described in subdivision (2)
26 for community violence prevention services.
27 (e) Before December 1, 2024, the office of the secretary shall
28 apply to the United States Department of Health and Human
29 Services for any state plan amendment or waiver necessary to
30 implement this section.
31 (f) After submitting a waiver or amendment described in
32 subsection (e), the office of the secretary shall do the following:
33 (1) Issue guidance on the use of community violence
34 prevention services for eligible Medicaid recipients.
35 (2) Determine the reimbursement for community violence
36 prevention services and consider:
37 (A) Medicaid outpatient reimbursement rates for the same
38 or similar services; or
39 (B) any other relevant data, as determined by the office of
40 the secretary.
41 (3) Consult with violence intervention organizations, local
42 community based violence prevention programs, and hospital
2024 IN 1023—LS 6158/DI 147 3
1 based violence prevention programs in developing the
2 guidance described in subdivision (1) and determining the
3 reimbursement described in subdivision (2).
4 (g) The office of the secretary may adopt rules under IC 4-22-2
5 necessary to implement this section.
6 SECTION 3. IC 16-18-2-23.5 IS ADDED TO THE INDIANA
7 CODE AS A NEW SECTION TO READ AS FOLLOWS
8 [EFFECTIVE JULY 1, 2024]: Sec. 23.5. "Approved program", for
9 purposes of IC 16-46-18, has the meaning set forth in
10 IC 16-46-18-1.
11 SECTION 4. IC 16-18-2-66.1 IS ADDED TO THE INDIANA
12 CODE AS A NEW SECTION TO READ AS FOLLOWS
13 [EFFECTIVE JULY 1, 2024]: Sec. 66.1. "Community violence", for
14 purposes of IC 16-46-18, has the meaning set forth in
15 IC 16-46-18-2.
16 SECTION 5. IC 16-18-2-66.2 IS ADDED TO THE INDIANA
17 CODE AS A NEW SECTION TO READ AS FOLLOWS
18 [EFFECTIVE JULY 1, 2024]: Sec. 66.2. "Community violence
19 prevention services", for purposes of IC 16-46-18, has the meaning
20 set forth in IC 16-46-18-3.
21 SECTION 6. IC 16-18-2-292.2 IS ADDED TO THE INDIANA
22 CODE AS A NEW SECTION TO READ AS FOLLOWS
23 [EFFECTIVE JULY 1, 2024]: Sec. 292.2. "Prevention professional",
24 for purposes of IC 16-46-18, has the meaning set forth in
25 IC 16-46-18-4.
26 SECTION 7. IC 16-18-2-302.7 IS ADDED TO THE INDIANA
27 CODE AS A NEW SECTION TO READ AS FOLLOWS
28 [EFFECTIVE JULY 1, 2024]: Sec. 302.7. "Qualified violence
29 prevention professional", for purposes of IC 16-46-18, has the
30 meaning set forth in IC 16-46-18-5.
31 SECTION 8. IC 16-46-18 IS ADDED TO THE INDIANA CODE
32 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
33 JULY 1, 2024]:
34 Chapter 18. Violence Prevention Professional Training Program
35 Sec. 1. As used in this chapter, "approved program" refers to an
36 accredited training and certification program:
37 (1) for an individual to become a qualified violence prevention
38 professional; and
39 (2) that is approved by the state department under section 6
40 of this chapter.
41 Sec. 2. As used in this chapter, "community violence" means an
42 intentional act of force or power that is committed:
2024 IN 1023—LS 6158/DI 147 4
1 (1) against an individual;
2 (2) by another individual who is not related to or an intimate
3 partner of the individual; and
4 (3) in a public area.
5 Sec. 3. (a) As used in this chapter, "community violence
6 prevention services" means evidence based, trauma informed,
7 supportive, and nonpsychotherapeutic services provided by a
8 qualified violence prevention professional to a victim of community
9 violence for the purpose of improving health outcomes, promoting
10 positive behavior change, preventing injury, and reducing the
11 likelihood of violence of the victim.
12 (b) The term may include the provision of the following services:
13 (1) Peer support.
14 (2) Counseling.
15 (3) Mentorship.
16 (4) Conflict mediation.
17 (5) Crisis intervention.
18 (6) Targeted case management.
19 (7) Referrals to certified or licensed health care or social
20 service providers.
21 (8) Patient education.
22 (9) Screening services.
23 Sec. 4. As used in this chapter, "prevention professional" means
24 an individual who:
25 (1) works in a program that is designed to:
26 (A) address the specific needs of a patient, such as suicide
27 prevention, violence prevention, alcohol avoidance, and
28 tobacco prevention; and
29 (B) reduce the patient's risk of injury, relapse, or reinjury;
30 and
31 (2) provides appropriate case management, medication,
32 referral, or mentorship services to a patient;
33 as defined in the health care provider taxonomy code set published
34 by the National Uniform Claim Committee.
35 Sec. 5. As used in this chapter, "qualified violence prevention
36 professional" refers to a prevention professional who meets the
37 requirements of section 7 of this chapter.
38 Sec. 6. Not later than January 1, 2025, the state department
39 shall approve at least one (1) accredited violence prevention
40 professional training and certification program that includes at
41 least the following:
42 (1) Thirty-five (35) hours of initial training on:
2024 IN 1023—LS 6158/DI 147 5
1 (A) the effects of trauma and violence;
2 (B) the essential components of trauma informed care;
3 (C) community violence prevention strategies, including
4 conflict mediation and retaliation prevention related to
5 community violence;
6 (D) case management and advocacy practice; and
7 (E) patient privacy and the federal Health Insurance
8 Portability and Accountability Act (HIPAA).
9 (2) Six (6) hours of continuing education training every two
10 (2) years.
11 Sec. 7. To be certified as a qualified violence prevention
12 professional, a prevention professional shall complete:
13 (1) the requirements of an approved program; and
14 (2) at least six (6) hours of continuing education training every
15 two (2) years after the date on which the prevention
16 professional completed the initial training.
17 Sec. 8. An individual may not use the title or designation
18 "qualified violence prevention professional" to indicate or imply
19 that the individual is a qualified violence prevention professional
20 unless the individual is certified by an approved program.
21 Sec. 9. An entity that employs or enters into a contract with a
22 qualified violence prevention professional to provide community
23 violence prevention services shall do the following:
24 (1) Maintain documentation that a qualified violence
25 prevention professional:
26 (A) has obtained all certification requirements; and
27 (B) meets continuing education requirements;
28 described in section 7 of this chapter.
29 (2) Ensure that a qualified violence prevention professional
30 provides community violence prevention services in
31 accordance with the applicable standard of care and any state
32 or federal laws or regulations.
33 Sec. 10. This chapter does not affect the scope of practice of a
34 health care professional.
35 Sec. 11. The state department may adopt rules under IC 4-22-2
36 to implement this chapter.
2024 IN 1023—LS 6158/DI 147