Indiana 2024 Regular Session

Indiana House Bill HB1156 Compare Versions

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1-*HB1156.1*
2-January 23, 2024
1+
2+Introduced Version
33 HOUSE BILL No. 1156
44 _____
5-DIGEST OF HB 1156 (Updated January 23, 2024 11:36 am - DI 147)
5+DIGEST OF INTRODUCED BILL
66 Citations Affected: Noncode.
77 Synopsis: Report on Medicaid behavior analysis services. Requires
88 the office of the secretary of family and social services to prepare and
99 submit a report to specified entities concerning data on the provision
1010 of applied behavior analysis services in the Medicaid program.
1111 Effective: Upon passage.
12-Greene, Cash
12+Greene
1313 January 8, 2024, read first time and referred to Committee on Public Health.
14-January 23, 2024, amended, reported — Do Pass.
15-HB 1156—LS 6640/DI 104 January 23, 2024
14+2024 IN 1156—LS 6640/DI 104 Introduced
1615 Second Regular Session of the 123rd General Assembly (2024)
1716 PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
1817 Constitution) is being amended, the text of the existing provision will appear in this style type,
1918 additions will appear in this style type, and deletions will appear in this style type.
2019 Additions: Whenever a new statutory provision is being enacted (or a new constitutional
2120 provision adopted), the text of the new provision will appear in this style type. Also, the
2221 word NEW will appear in that style type in the introductory clause of each SECTION that adds
2322 a new provision to the Indiana Code or the Indiana Constitution.
2423 Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
2524 between statutes enacted by the 2023 Regular Session of the General Assembly.
2625 HOUSE BILL No. 1156
2726 A BILL FOR AN ACT concerning human services.
2827 Be it enacted by the General Assembly of the State of Indiana:
2928 1 SECTION 1. [EFFECTIVE UPON PASSAGE] (a) Before
3029 2 November 1, 2024, the office of the secretary of family and social
3130 3 services shall prepare and submit under subsection (b) a report for
3231 4 the period beginning January 1, 2023, and ending October 1, 2024,
3332 5 setting forth the impact of Medicaid reimbursement changes to the
3433 6 applied behavior analysis services. The report must include the
3534 7 following:
3635 8 (1) A summary of the changes that were made to Medicaid
3736 9 reimbursement rates for applied behavior analysis services.
3837 10 (2) The number of claims for Medicaid recipients per month
3938 11 for applied behavior analysis services throughout the
4039 12 reporting period.
4140 13 (3) The number of Medicaid recipients per month who are
4241 14 authorized to receive applied behavior analysis services.
43-15 (4) The number of Medicaid applied behavior analysis
44-16 therapists (as identified by provider type code 11 and
45-17 provider specialty code 615) per month during the reporting
46-18 period and whether this number decreased during the
47-HB 1156—LS 6640/DI 104 2
48-1 reporting period. This subdivision includes applied behavior
49-2 analysis therapists that were billing for applied behavior
50-3 analysis services before January 1, 2024, and have not
51-4 submitted a claim to Medicaid for reimbursement for those
52-5 services.
53-6 (5) The average number of claims per month per provider for
54-7 applied behavior analysis services provided to Medicaid
55-8 recipients.
56-9 (6) The number of providers per month that submitted claims
57-10 for applied behavior analysis services for Medicaid recipients
58-11 during the reporting period.
59-12 (7) The number of Medicaid recipients per month who had
60-13 claims submitted for receiving applied behavior analysis
61-14 services during the reporting period.
62-15 (b) The office of the secretary of family and social services shall
63-16 submit a copy of the report required by subsection (a) to the
64-17 following:
65-18 (1) The Medicaid oversight committee, in an electronic format
66-19 under IC 5-14-6.
67-20 (2) The legislative council, in an electronic format under
68-21 IC 5-14-6.
69-22 (3) The Medicaid advisory committee created by
70-23 IC 12-15-33-2.
71-24 (4) The services for individuals with intellectual and other
72-25 developmental disabilities task force established by
73-26 IC 12-11-15.5-2.
74-27 (c) This SECTION expires December 31, 2025.
75-28 SECTION 2. An emergency is declared for this act.
76-HB 1156—LS 6640/DI 104 3
77-COMMITTEE REPORT
78-Mr. Speaker: Your Committee on Public Health, to which was
79-referred House Bill 1156, has had the same under consideration and
80-begs leave to report the same back to the House with the
81-recommendation that said bill be amended as follows:
82-Page 1, line 15, delete "providers per month that are" and insert
83-"applied behavior analysis therapists (as identified by provider
84-type code 11 and provider specialty code 615) per month".
85-Page 1, delete line 16.
86- Page 1, line 17, delete "analysis services".
87-Page 2, line 1, delete "providers" and insert "applied behavior
88-analysis therapists".
89-and when so amended that said bill do pass.
90-(Reference is to HB 1156 as introduced.)
91-BARRETT
92-Committee Vote: yeas 11, nays 0.
93-HB 1156—LS 6640/DI 104
42+15 (4) The number of Medicaid providers per month that are
43+16 approved under Medicaid to provide applied behavior
44+17 analysis services during the reporting period and whether this
45+18 number decreased during the reporting period. This
46+2024 IN 1156—LS 6640/DI 104 2
47+1 subdivision includes providers that were billing for applied
48+2 behavior analysis services before January 1, 2024, and have
49+3 not submitted a claim to Medicaid for reimbursement for
50+4 those services.
51+5 (5) The average number of claims per month per provider for
52+6 applied behavior analysis services provided to Medicaid
53+7 recipients.
54+8 (6) The number of providers per month that submitted claims
55+9 for applied behavior analysis services for Medicaid recipients
56+10 during the reporting period.
57+11 (7) The number of Medicaid recipients per month who had
58+12 claims submitted for receiving applied behavior analysis
59+13 services during the reporting period.
60+14 (b) The office of the secretary of family and social services shall
61+15 submit a copy of the report required by subsection (a) to the
62+16 following:
63+17 (1) The Medicaid oversight committee, in an electronic format
64+18 under IC 5-14-6.
65+19 (2) The legislative council, in an electronic format under
66+20 IC 5-14-6.
67+21 (3) The Medicaid advisory committee created by
68+22 IC 12-15-33-2.
69+23 (4) The services for individuals with intellectual and other
70+24 developmental disabilities task force established by
71+25 IC 12-11-15.5-2.
72+26 (c) This SECTION expires December 31, 2025.
73+27 SECTION 2. An emergency is declared for this act.
74+2024 IN 1156—LS 6640/DI 104