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 6950 NOTE PREPARED: Jan 10, 2024
BILL NUMBER: HB 1392 BILL AMENDED:
SUBJECT: Medicaid Work Requirements.
FIRST AUTHOR: Rep. Slager BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED:XGENERAL IMPACT: State
XDEDICATED
XFEDERAL
Summary of Legislation: The bill sets forth work requirements for certain individuals in order to be eligible
for Medicaid, and it makes exceptions.
The bill requires the Office of the Secretary of Family and Social Services to apply for any state plan
amendment or Medicaid waiver necessary and to continue to apply for the plan amendment or waiver request
if the plan amendment or waiver is denied by the United States Department of Health and Human Services.
Effective Date: July 1, 2024.
Explanation of State Expenditures: If the amendment or waiver is approved, the bill’s work requirements
may decrease the number of Medicaid recipients in the state which would decrease state Medicaid
expenditures. Any potential decrease is indeterminable and will depend on the number of non-exempt
individuals who do not comply with the bill’s requirements.
The Office of the Secretary of Family and Social Services (FSSA) must apply for plan amendments and
waivers, as prescribed in the bill, and if the amendment or waiver is approved, must establish a reporting
process regarding the bill’s work requirements. This is within the agency’s routine administrative functions
and should be able to be implemented with no additional appropriations, assuming near customary agency
staffing and resource levels.
The Office of Administrative Law Proceedings may have additional workload to make determinations of loss
of Medicaid coverage resulting from the bill’s work requirements. This is within the agency’s routine
administrative functions.
HB 1392 1 Additional Information: Medicaid is jointly funded between the state and federal governments. The state
share of costs for most Medicaid medical services for FFY 2024 is 34%, and is 10% for the age 19 to 64
expansion population within the Healthy Indiana Plan (HIP). The state share of administrative costs is 50%.
The state share of most Medicaid expenditures is paid from General Fund appropriations, and state dedicated
funds primarily cover HIP costs.
Explanation of State Revenues:
Explanation of Local Expenditures:
Explanation of Local Revenues:
State Agencies Affected: Family and Social Services Administration; Office of Administrative Law
Proceedings.
Local Agencies Affected:
Information Sources:
Fiscal Analyst: Karen Rossen, 317-234-2106.
HB 1392 2