*SB0004.1*
January 19, 2024
SENATE BILL No. 4
_____
DIGEST OF SB 4 (Updated January 18, 2024 11:33 am - DI 129)
Citations Affected: IC 2-5; IC 4-12; IC 4-22; IC 12-15; IC 13-14;
IC 16-21; IC 25-1; noncode.
Synopsis: Fiscal and administrative matters. Requires the legislative
services agency (LSA) to prepare a report on administrative rules
oversight during the 2024 interim. Requires the budget agency to
biennially prepare a list of dedicated funds that have not been used in
the previous two state fiscal years. Makes technical corrections to
various statutes concerning rulemaking. Requires agencies to submit
a copy of the notice of the first public comment period and regulatory
analysis to the small business ombudsman. Provides that the legislative
notice required for rule readoptions must be submitted not later than
January 1 of the year preceding the year in which the rule expires.
Provides that the publisher assigns a document control number when
the agency submits the legislative notice during rule readoption instead
of when the agency submits the notice of proposed readoption.
Provides that an agency may adopt interim rules to implement a
reduction, a full or partial waiver, or an elimination of a fee, fine, or
civil penalty included in an administrative rule. Requires the budget
agency to transfer money in the phase out trust fund on or before June
(Continued next page)
Effective: Upon passage; July 1, 2024.
Garten, Mishler, Holdman,
Charbonneau, Brown L, Raatz,
Freeman, Busch, Baldwin, Glick,
Gaskill, Walker K, Koch, Carrasco,
Crane, Johnson T
January 16, 2024, read first time and referred to Committee on Appropriations.
January 18, 2024, amended, reported favorably — Do Pass.
SB 4—LS 6953/DI 92 Digest Continued
30, 2024, to the Medicaid contingency and reserve account. Expires the
phase out trust fund on July 1, 2024, and makes corresponding
changes. Specifies certain deadlines within the statutes governing an
agency's failure to enact required licensure rules. Requires the LSA to:
(1) develop new templates for creating funds and drafting
appropriations; and (2) submit the templates to the code revision
commission before October 1, 2024. Requires the code revision
commission to consider whether to recommend that the legislative
council approve a revised drafting manual. Provides that if the
legislative council approves a revised drafting manual, the LSA is
required to prepare legislation for introduction in 2026 to conform the
Indiana Code to the revised drafting manual's instructions for creating
funds and drafting appropriations.
SB 4—LS 6953/DI 92SB 4—LS 6953/DI 92 January 19, 2024
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
a new provision to the Indiana Code or the Indiana Constitution.
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.
SENATE BILL No. 4
A BILL FOR AN ACT to amend the Indiana Code concerning state
offices and administration.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 2-5-52.5 IS ADDED TO THE INDIANA CODE
2 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
3 UPON PASSAGE]:
4 Chapter 52.5. Report on Administrative Rules Oversight
5 Sec. 1. As used in this chapter, "committee" refers to the
6 administrative rules oversight committee established under
7 IC 2-5-18 (before its repeal by P.L.53-2014, SEC. 13).
8 Sec. 2. Before October 1, 2024, the legislative services agency
9 shall prepare a report on administrative rules oversight containing
10 the following information:
11 (1) A history of the committee, including information on the:
12 (A) number of years that the committee existed;
13 (B) number of meetings held by the committee;
14 (C) official actions taken by the committee; and
15 (D) documented reasons, if any, for the general assembly's
SB 4—LS 6953/DI 92 2
1 decision to repeal the committee in 2014.
2 (2) Information on the experience of other states served by
3 part-time legislatures that have committees on administrative
4 rules oversight. The report must include the following:
5 (A) An identification of the best practices of the
6 committees from other states.
7 (B) An estimate of the staff level necessary to implement a
8 new administrative rules oversight committee adhering to
9 the best practices identified under clause (A).
10 (C) An estimate of the amount of additional
11 appropriations, if any, that would be required to support
12 an administrative rules oversight committee in Indiana.
13 Sec. 3. The legislative services agency shall submit the report
14 required by section 2 of this chapter to:
15 (1) the legislative council; and
16 (2) the government reform task force established by
17 IC 2-5-53-5;
18 in an electronic format under IC 5-14-6.
19 Sec. 4. This chapter expires January 1, 2025.
20 SECTION 2. IC 4-12-1-15.5 IS AMENDED TO READ AS
21 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 15.5. (a) The
22 Medicaid contingency and reserve account is established within the
23 state general fund for the purpose of providing money for timely
24 payment of Medicaid claims, obligations, and liabilities. Money in the
25 account must be used to pay Medicaid claims, obligations, and
26 liabilities. The account shall be administered by the budget agency.
27 (b) Expenses of administering the account shall be paid from money
28 in the account. The account consists of the following:
29 (1) Appropriations to the account.
30 (2) Other Medicaid appropriations transferred to the account with
31 the approval of the governor and the budget agency.
32 (3) Money transferred to the account from the phase out trust
33 fund established by IC 12-15-44.5-7 (before its expiration).
34 (c) The treasurer of state shall invest the money in the account not
35 currently needed to meet the obligations of the account in the same
36 manner as other public money may be invested.
37 (d) Money in the account at the end of a state fiscal year does not
38 revert.
39 SECTION 3. IC 4-12-1-22 IS ADDED TO THE INDIANA CODE
40 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE
41 UPON PASSAGE]: Sec. 22. (a) Except as provided in subsection (b),
42 "dedicated fund", as used in this section, means a fund established
SB 4—LS 6953/DI 92 3
1 separate from the state general fund for:
2 (1) the use of a particular state agency;
3 (2) the deposit of a particular state revenue source; or
4 (3) the purposes of a particular state purpose or a particular
5 state program.
6 (b) The term does not include any of the following:
7 (1) A fund established for the purpose of administering a
8 federal program or a fund established for the deposit of
9 money received from the federal government.
10 (2) The public deposit insurance fund maintained by the
11 board for depositories under IC 5-13.
12 (3) A trust fund.
13 (4) A fund that is subject to a statutorily required minimum
14 balance.
15 (c) Before October 1 of each even-numbered year, the budget
16 agency shall prepare a list of dedicated funds from which no
17 expenditures were made in the previous two (2) state fiscal years.
18 The list must include the following information for each dedicated
19 fund:
20 (1) The name of the fund.
21 (2) The legal fund balance on June 30 of the previous state
22 fiscal year.
23 (3) Citation of the statute or other authority for establishing
24 the fund.
25 (d) Before October 1 of each even-numbered year, the budget
26 agency shall:
27 (1) make any appropriate recommendations concerning the
28 listed dedicated funds; and
29 (2) submit the list prepared under subsection (c) and any
30 recommendations made under subdivision (1) in an electronic
31 format under IC 5-14-6 to the legislative council and to the
32 budget committee.
33 (e) If the list required by this section is not submitted by
34 October 1 of an even-numbered year, the budget committee may
35 request that the budget agency appear at a public meeting
36 concerning the list.
37 (f) Notwithstanding any other law, any remaining balance in a
38 dedicated fund identified on the list submitted under subsection (d)
39 reverts to the state general fund at the end of the state fiscal year
40 in which the list is submitted.
41 SECTION 4. IC 4-22-2-15, AS AMENDED BY P.L.249-2023,
42 SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
SB 4—LS 6953/DI 92 4
1 JULY 1, 2024]: Sec. 15. Any rulemaking action that this chapter allows
2 or requires an agency to perform, other than final adoption of a rule
3 under section 29, 37.1, or 37.2 of this chapter or IC 13-14-9, may be
4 performed by the individual or group of individuals with the statutory
5 authority to adopt rules for the agency, a member of the agency's staff,
6 or another agent of the agency. Final adoption of a rule under section
7 29, 37.1, or 37.2 of this chapter or IC 13-14-9, including readoption of
8 a rule that is subject to sections 24 23 through 36 or to section 37.1 of
9 this chapter and recalled for further consideration under section 40 of
10 this chapter, may be performed only by the individual or group of
11 individuals with the statutory authority to adopt rules for the agency.
12 SECTION 5. IC 4-22-2-28, AS AMENDED BY THE TECHNICAL
13 CORRECTIONS BILL OF THE 2024 GENERAL ASSEMBLY IS
14 AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2024]:
15 Sec. 28. (a) The following definitions apply throughout As used in this
16 section,
17 (1) "ombudsman" refers to the small business ombudsman
18 designated under IC 5-28-17-6.
19 (2) "Total estimated economic impact" means the direct annual
20 economic impact of a rule on all regulated persons after the rule
21 is fully implemented under subsection (g).
22 (b) The ombudsman:
23 (1) shall review a proposed rule that imposes requirements or
24 costs on small businesses (as defined in IC 4-22-2.1-4); and
25 (2) may review a proposed rule that imposes requirements or
26 costs on businesses other than small businesses (as defined in
27 IC 4-22-2.1-4).
28 After conducting a review under subdivision (1) or (2), the ombudsman
29 may suggest alternatives to reduce any regulatory burden that the
30 proposed rule imposes on small businesses or other businesses. The
31 agency that intends to adopt the proposed rule shall respond in writing
32 to the ombudsman concerning the ombudsman's comments or
33 suggested alternatives before adopting the proposed rule under section
34 29 of this chapter.
35 SECTION 6. IC 4-22-2-31, AS AMENDED BY P.L.249-2023,
36 SECTION 31, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
37 JULY 1, 2024]: Sec. 31. After an agency has complied with section 29
38 of this chapter, or adopted the rule in conformity with IC 13-14-9, as
39 applicable, the agency shall submit its rule to the attorney general for
40 approval. The agency shall submit the following to the attorney
41 general:
42 (1) The rule in the form required by section 20 of this chapter.
SB 4—LS 6953/DI 92 5
1 (2) The documents required by section 21 of this chapter.
2 (3) Written or an electronic mail authorization to proceed issued
3 by the publisher under sections 23 and 24 of this chapter or
4 IC 13-14-9-4, IC 13-14-9-5, or IC 13-14-9-14, as applicable.
5 (4) Any other documents specified by the attorney general.
6 The attorney general may require the agency to submit any supporting
7 documentation that the attorney general considers necessary for the
8 attorney general's review under section 32 of this chapter. The agency
9 may submit any additional supporting documentation the agency
10 considers necessary.
11 SECTION 7. IC 4-22-2-37.1, AS AMENDED BY P.L.249-2023,
12 SECTION 33, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
13 JULY 1, 2024]: Sec. 37.1. (a) The following do not apply to a rule
14 adopted under this section:
15 (1) Sections 23 through 27 of this chapter or IC 13-14-9 (as
16 applicable).
17 (2) Sections 28 through 36 of this chapter.
18 The amendments to this section made in the 2023 regular session of the
19 general assembly apply to provisional rules that are accepted for filing
20 by the publisher of the Indiana Register after June 30, 2023, regardless
21 of whether the adopting agency initiated official action to adopt the rule
22 by the name of emergency rule or provisional rule before July 1, 2023.
23 An action taken before July 1, 2023, in conformity with this section (as
24 effective after June 30, 2023) is validated to the same extent as if the
25 action was taken after June 30, 2023.
26 (b) An agency may adopt a rule on a subject for which the agency
27 has rulemaking authority using the procedures in this section if the
28 governor finds that the agency proposing to adopt the rule has
29 demonstrated to the satisfaction of the governor that use of provisional
30 rulemaking procedures under this section is necessary to avoid:
31 (1) an imminent and a substantial peril to public health, safety, or
32 welfare;
33 (2) an imminent and a material loss of federal funds for an agency
34 program;
35 (3) an imminent and a material deficit;
36 (4) an imminent and a substantial violation of a state or federal
37 law or the terms of a federal agreement or program;
38 (5) injury to the business or interests of the people or any public
39 utility of Indiana as determined under IC 8-1-2-113;
40 (6) an imminent and a substantial peril to:
41 (A) wildlife; or
42 (B) domestic animal;
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1 health, safety, or welfare; or
2 (7) the spread of invasive species, pests, or diseases affecting
3 plants.
4 To obtain a determination from the governor, an agency must submit
5 to the governor the text of the proposed provisional rule, a statement
6 justifying the need for provisional rulemaking procedures, and any
7 additional information required by the governor in the form and in the
8 manner required by the governor. The governor may not approve
9 provisional rulemaking for any part of a proposed provisional rule that
10 adds or amends language to increase or expand application of a fee,
11 fine, or civil penalty or a schedule of fees, fines, or civil penalties
12 before submitting the proposal to the budget committee for review. A
13 notice of determination by the governor shall include findings that
14 explain the basis for the determination. The notice of determination
15 shall be provided to the agency in an electronic format. Approval of a
16 request shall be treated as a determination that the rule meets the
17 criteria in this subsection.
18 (c) After the governor approves provisional rulemaking procedures
19 for a rule but before the agency adopts the provisional rule, the agency
20 shall obtain a document control number from the publisher. The
21 publisher shall determine the documents and the format of the
22 documents that must be submitted to the publisher to obtain a
23 document control number. The agency must submit at least the
24 following:
25 (1) The full text of the proposed provisional rule in the form
26 required by section 20 of this chapter.
27 (2) A statement justifying the need for provisional rulemaking.
28 (3) The approval of the governor to use provisional rulemaking
29 procedures required by law.
30 (4) The documents required by section 21 of this chapter.
31 An agency may not adopt a proposed provisional rule until after the
32 publisher notifies the agency that the publisher has complied with
33 subsection (d). At least ten (10) regular business days must elapse after
34 the publisher has complied with subsection (d) before the department
35 of natural resources, the natural resources commission, the department
36 of environmental management, or a board that has rulemaking authority
37 under IC 13 adopts a provisional rule.
38 (d) Upon receipt of documents described in subsection (c), the
39 publisher shall distribute the full text of the proposed provisional rule
40 to legislators and legislative committees in the manner and the form
41 specified by the legislative council or the personnel subcommittee of
42 the legislative council acting for the legislative council. After
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1 distribution has occurred, the publisher shall notify the agency of the
2 date that distribution under this subsection has occurred.
3 (e) After the document control number has been assigned and the
4 agency adopts the provisional rule, the agency shall submit the
5 following to the publisher for filing:
6 (1) The text of the adopted provisional rule. The agency shall
7 submit the provisional rule in the form required by section 20 of
8 this chapter.
9 (2) A signature page that indicates that the agency has adopted the
10 provisional rule in conformity with all procedures required by
11 law.
12 (3) If the provisional rule adds or amends language to increase or
13 expand application of a fee, fine, or civil penalty or a schedule of
14 fees, fines, or civil penalties, the agenda of the budget committee
15 meeting at which the rule was scheduled for review.
16 (4) The documents required by section 21 of this chapter.
17 The publisher shall determine the format of the provisional rule and
18 other documents to be submitted under this subsection. The substantive
19 text of the adopted provisional rule must be substantially similar to the
20 text of the proposed provisional rule submitted to the governor. A
21 provisional rule may suspend but not repeal a rule approved by the
22 governor under section 34 of this chapter.
23 (f) Subject to subsections (c) and (e) and section 39 of this chapter,
24 the publisher shall:
25 (1) accept the provisional rule for filing;
26 (2) electronically record the date and time that the provisional
27 rule is accepted; and
28 (3) publish the text of the adopted provisional rule and the
29 governor's approval in the Indiana Register.
30 (g) A provisional rule adopted by an agency under this section takes
31 effect on the latest of the following dates:
32 (1) The effective date of the statute delegating authority to the
33 agency to adopt the provisional rule.
34 (2) The date and time that the provisional rule is accepted for
35 filing under subsection (f).
36 (3) The effective date stated by the adopting agency in the
37 provisional rule.
38 (4) The date of compliance with every requirement established by
39 law as a prerequisite to the adoption or effectiveness of the
40 provisional rule.
41 (5) The statutory effective date for a provisional rule set forth in
42 law.
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1 (h) An agency may amend a provisional rule with another
2 provisional rule by following the procedures in this section for the
3 amended provisional rule. However, unless otherwise provided by
4 IC 4-22-2.3, a provisional rule and all amendments of a provisional rule
5 by another provisional rule expire not later than one hundred eighty
6 (180) days after the initial provisional rule is accepted for filing under
7 subsection (f). Unless otherwise provided by IC 4-22-2.3-2, the
8 subject of the provisional rule, including all amendments to the
9 provisional rule, may not be subsequently extended under this section
10 or section 37.2 of this chapter. If the governor determines that the
11 circumstance that is the basis for using the procedures under this
12 section ceases to exist, the governor may terminate the provisional rule
13 before the lapse of one hundred eighty (180) days. The termination is
14 effective when filed with the publisher. The publisher shall publish the
15 termination notice in the Indiana Register.
16 (i) Subject to subsection (j), the attorney general or the governor
17 may file an objection to a provisional rule that is adopted under this
18 section not later than forty-five (45) days after the date that a
19 provisional rule or amendment to a provisional rule is accepted for
20 filing under subsection (f). The objection must cite the document
21 control number for the affected provisional rule and state the basis for
22 the objection. When filed with the publisher, the objection has the
23 effect of invalidating the provisional rule or amendment to a
24 provisional rule. The publisher shall publish the objection in the
25 Indiana Register.
26 (j) The attorney general may file a written objection to a provisional
27 rule under subsection (i) only if the attorney general determines that the
28 provisional rule has been adopted:
29 (1) without statutory authority; or
30 (2) without complying with this section.
31 A notice of objection to a provisional rule by the attorney general must
32 include findings that explain the basis for the determination. The notice
33 of objection shall be provided to the agency in an electronic format.
34 SECTION 8. IC 4-22-2-38, AS AMENDED BY P.L.249-2023,
35 SECTION 35, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
36 JULY 1, 2024]: Sec. 38. (a) This section applies to a rulemaking action
37 resulting in any of the following rules:
38 (1) A rule that brings another rule into conformity with section 20
39 of this chapter.
40 (2) A rule that amends another rule to replace an inaccurate
41 reference to a statute, rule, regulation, other text, governmental
42 entity, or location with an accurate reference, when the inaccuracy
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1 is the result of the rearrangement of a federal or state statute, rule,
2 or regulation under a different citation number, a federal or state
3 transfer of functions from one (1) governmental entity to another,
4 a change in the name of a federal or state governmental entity, or
5 a change in the address of an entity.
6 (3) A rule correcting any other typographical, clerical, or spelling
7 error in another rule.
8 (b) Sections 24 23 through 37.2 of this chapter do not apply to rules
9 described in subsection (a).
10 (c) Notwithstanding any other statute, an agency may adopt a rule
11 described by subsection (a) without complying with any statutory
12 notice, hearing, adoption, or approval requirement. In addition, the
13 governor may adopt a rule described in subsection (a) for an agency
14 without the agency's consent or action.
15 (d) A rule described in subsection (a) shall be submitted to the
16 publisher for the assignment of a document control number. The
17 agency (or the governor, for the agency) shall submit the rule in the
18 form required by section 20 of this chapter and with the documents
19 required by section 21 of this chapter. The publisher shall determine
20 the number of copies of the rule and other documents to be submitted
21 under this subsection.
22 (e) After a document control number is assigned, the agency (or the
23 governor, for the agency) shall submit the rule to the publisher for
24 filing. The agency (or the governor, for the agency) shall submit the
25 rule in the form required by section 20 of this chapter and with the
26 documents required by section 21 of this chapter. The publisher shall
27 determine the format of the rule and other documents to be submitted
28 under this subsection.
29 (f) Subject to section 39 of this chapter, the publisher shall:
30 (1) accept the rule for filing; and
31 (2) electronically record the date and time that it is accepted.
32 (g) Subject to subsection (h), a rule described in subsection (a) takes
33 effect on the latest of the following dates:
34 (1) The date that the rule being corrected by a rule adopted under
35 this section becomes effective.
36 (2) The date that is forty-five (45) days from the date and time
37 that the rule adopted under this section is accepted for filing
38 under subsection (f).
39 (h) The governor or the attorney general may file an objection to a
40 rule that is adopted under this section before the date that is forty-five
41 (45) days from the date and time that the rule is accepted for filing
42 under subsection (f). When filed with the publisher, the objection has
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1 the effect of invalidating the rule.
2 SECTION 9. IC 4-22-2.1-5, AS AMENDED BY P.L.249-2023,
3 SECTION 40, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
4 JULY 1, 2024]: Sec. 5. (a) If an agency intends to adopt a rule under
5 IC 4-22-2 that will impose requirements or costs on small businesses,
6 the agency shall prepare a statement that describes the annual
7 economic impact of a rule on all small businesses after the rule is fully
8 implemented. The statement required by this section must include the
9 following:
10 (1) An estimate of the number of small businesses, classified by
11 industry sector, that will be subject to the proposed rule.
12 (2) An estimate of the average annual reporting, record keeping,
13 and other administrative costs that small businesses will incur to
14 comply with the proposed rule.
15 (3) An estimate of the total annual economic impact that
16 compliance with the proposed rule will have on all small
17 businesses subject to the rule.
18 (4) A statement justifying any requirement or cost that is:
19 (A) imposed on small businesses by the rule; and
20 (B) not expressly required by:
21 (i) the statute authorizing the agency to adopt the rule; or
22 (ii) any other state or federal law.
23 The statement required by this subdivision must include a
24 reference to any data, studies, or analyses relied upon by the
25 agency in determining that the imposition of the requirement or
26 cost is necessary.
27 (5) A regulatory flexibility analysis that considers any less
28 intrusive or less costly alternative methods of achieving the
29 purpose of the proposed rule. The analysis under this subdivision
30 must consider the following methods of minimizing the economic
31 impact of the proposed rule on small businesses:
32 (A) The establishment of less stringent compliance or
33 reporting requirements for small businesses.
34 (B) The establishment of less stringent schedules or deadlines
35 for compliance or reporting requirements for small businesses.
36 (C) The consolidation or simplification of compliance or
37 reporting requirements for small businesses.
38 (D) The establishment of performance standards for small
39 businesses instead of design or operational standards imposed
40 on other regulated entities by the rule.
41 (E) The exemption of small businesses from part or all of the
42 requirements or costs imposed by the rule.
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1 If the agency has made a preliminary determination not to
2 implement one (1) or more of the alternative methods considered,
3 the agency shall include a statement explaining the agency's
4 reasons for the determination, including a reference to any data,
5 studies, or analyses relied upon by the agency in making the
6 determination.
7 (b) The agency shall submit a copy of the notice of the first
8 public comment period and regulatory analysis published under
9 IC 4-22-2-23 to the small business ombudsman not later than the
10 publication of the notice of the first public comment period.
11 SECTION 10. IC 4-22-2.1-6, AS AMENDED BY P.L.249-2023,
12 SECTION 41, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
13 JULY 1, 2024]: Sec. 6. (a) Not later than seven (7) days before the date
14 of the public hearing set forth in the agency's notice under
15 IC 4-22-2-24, IC 4-22-2-23, the small business ombudsman shall do
16 the following:
17 (1) Review the proposed rule contained within the notice of the
18 first public comment period and economic impact statement
19 contained within the regulatory analysis submitted to the small
20 business ombudsman by the agency under section 5 of this
21 chapter.
22 (2) Submit written comments to the agency on the proposed rule
23 and the economic impact statement prepared by the agency under
24 section 5 of this chapter. The small business ombudsman's
25 comments may:
26 (A) recommend that the agency implement one (1) or more of
27 the regulatory alternatives considered by the agency under
28 section 5 of this chapter;
29 (B) suggest regulatory alternatives not considered by the
30 agency under section 5 of this chapter;
31 (C) recommend any other changes to the proposed rule that
32 would minimize the economic impact of the proposed rule on
33 small businesses; or
34 (D) recommend that the agency abandon or delay the
35 rulemaking action until:
36 (i) more data on the impact of the proposed rule on small
37 businesses can be gathered and evaluated; or
38 (ii) less intrusive or less costly alternative methods of
39 achieving the purpose of the proposed rule can be effectively
40 implemented with respect to small businesses.
41 (b) Upon receipt of the small business ombudsman's written
42 comments under subsection (a), the agency shall make the comments
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1 available:
2 (1) for public inspection and copying at the offices of the agency
3 under IC 5-14-3;
4 (2) electronically through the electronic gateway administered
5 under IC 4-13.1-2-2(a)(6) by the office of technology; and
6 (3) for distribution at the public hearing required by IC 4-22-2-26.
7 (c) Before finally adopting a rule under IC 4-22-2-29, and in the
8 same manner that the agency considers public comments under
9 IC 4-22-2-27, the agency must fully consider the comments submitted
10 by the small business ombudsman under subsection (a). After
11 considering the comments under this subsection, the agency may:
12 (1) adopt any version of the rule permitted under IC 4-22-2-29; or
13 (2) abandon or delay the rulemaking action as recommended by
14 the small business ombudsman under subsection (a)(2)(D), if
15 applicable.
16 SECTION 11. IC 4-22-2.3-6, AS ADDED BY P.L.249-2023,
17 SECTION 43, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
18 JULY 1, 2024]: Sec. 6. The following apply to the department of
19 financial institutions:
20 (1) The department of financial institutions shall adopt rules
21 under the interim rule procedures in IC 4-22-2-37.2 announcing:
22 (A) sixty (60) days before January 1 of each odd-numbered
23 year in which dollar amounts under IC 24-4.5 (Uniform
24 Consumer Credit Code) are to change, the changes in dollar
25 amounts required by IC 24-4.5-1-106(2);
26 (B) promptly after the changes occur, changes in the Index
27 required by IC 24-4.5-1-106(3), including, when applicable,
28 the numerical equivalent of the Reference Base Index under a
29 revised Reference Base Index and the designation or title of
30 any index superseding the Index;
31 (C) the adjustments required under IC 24-9-2-8 concerning
32 high cost home loans; and
33 (D) the adjustments required under IC 34-55-10-2 (bankruptcy
34 exemptions; limitations) or IC 34-55-10-2.5.
35 A rule described in this subdivision expires not later than January
36 of the next odd-numbered year after the department of financial
37 institutions is required to issue the rule.
38 (2) The department of financial institutions may adopt a rule
39 under the interim rule procedures in IC 4-22-2-37.2 for a rule
40 permitted under IC 24-4.4-1-101 (licensing system for creditors
41 and mortgage loan originators) or IC 24-4.5 (Uniform Consumer
42 Credit Code) if the department of financial institutions declares
SB 4—LS 6953/DI 92 13
1 an emergency. A rule described in this subdivision expires not
2 later than two (2) years after the rule is effective.
3 (3) The department of financial institutions may adopt a rule
4 described in IC 34-55-10-2 (bankruptcy exemptions; limitations)
5 or IC 34-55-10-2.5 in conformity with the procedures in
6 IC 4-22-2-23 through IC 4-22-2-36 or the interim rule procedures
7 in IC 4-22-2-37.2. A rule described in this subdivision adopted
8 under IC 4-22-2-37.2 expires not later than two (2) years after the
9 rule is accepted for filing by the publisher of the Indiana Register.
10 A rule described in this section may be continued in another interim
11 rule only if the governor determines under section IC 4-22-2-37.2(c)
12 that the policy options available to the agency are so limited that use of
13 the additional notice, comment, and review procedures in IC 4-22-2-23
14 through IC 4-22-2-36 would provide no benefit to persons regulated or
15 otherwise affected by the rule.
16 SECTION 12. IC 4-22-2.3-10 IS ADDED TO THE INDIANA
17 CODE AS A NEW SECTION TO READ AS FOLLOWS
18 [EFFECTIVE JULY 1, 2024]: Sec. 10. (a) An agency may adopt
19 interim rules under IC 4-22-2-37.2 to implement a reduction, a full
20 or partial waiver, or an elimination of a fee, fine, or civil penalty
21 included in a rule adopted under IC 4-22-2.
22 (b) An interim rule authorized under this section expires not
23 later than January 1 of the fifth year after the year in which the
24 rule is accepted for filing by the publisher of the Indiana Register.
25 (c) A rule described in this section may be continued:
26 (1) if the agency readopts the rule:
27 (A) without changes in conformity with the procedures in
28 IC 4-22-2.6-3 through IC 4-22-2.6-9; or
29 (B) with or without changes in conformity with the
30 procedures in IC 4-22-2-23 through IC 4-22-2-36; or
31 (2) in another interim rule only if the governor determines
32 under IC 4-22-2-37.2(c) that the policy options available to the
33 agency are so limited that the use of the additional notice,
34 comment, and review procedures in IC 4-22-2-23 through
35 IC 4-22-2-36 would provide no benefit to persons regulated or
36 otherwise affected by the rule.
37 SECTION 13. IC 4-22-2.6-1, AS ADDED BY P.L.249-2023,
38 SECTION 45, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
39 JULY 1, 2024]: Sec. 1. (a) Except as provided in this section and
40 section 10 of this chapter, a rule adopted under IC 4-22-2-23 through
41 IC 4-22-2-36 expires January 1 of the fifth year after the year in which
42 the rule takes effect, unless the rule expires or is repealed on an earlier
SB 4—LS 6953/DI 92 14
1 date. Except for an amendment made under IC 4-22-2-38, the
2 expiration date of a rule under this section is extended each time that
3 a rule:
4 (1) amending under IC 4-22-2-23 through IC 4-22-2-36;
5 (2) continuing under IC 4-22-2.3-10; or
6 (3) readopting;
7 an unexpired rule takes effect. The rule, as amended or readopted,
8 expires on January 1 of the fifth year after the year in which the
9 amendment or readoption takes effect.
10 (b) If the latest version of a rule became effective:
11 (1) in calendar year 2017, the rule expires not later than January
12 1, 2024;
13 (2) in calendar year 2018, the rule expires not later than January
14 1, 2025;
15 (3) in calendar year 2019, the rule expires not later than January
16 1, 2026; or
17 (4) in calendar year 2020, the rule expires not later than January
18 1, 2027.
19 (c) If the latest version of a rule became effective before January 1,
20 2017, and:
21 (1) the rule was adopted by an agency established under IC 13,
22 the rule expires not later than January 1, 2025;
23 (2) the rule was adopted by an agency established under IC 16,
24 the rule expires not later than January 1, 2026; or
25 (3) the rule was adopted by an agency not described in
26 subdivision (1) or (2), the rule expires not later than January 1,
27 2027.
28 (d) A readoption rulemaking action under IC 4-22-2.5 (before its
29 repeal) or IC 13-14-9.5 (before its repeal) that became effective before
30 July 1, 2023, is validated to the same extent as if the rulemaking action
31 had been conducted under the procedures in this chapter.
32 (e) The determination of whether an administrative rule expires
33 under this chapter shall be applied at the level of an Indiana
34 Administrative Code section.
35 SECTION 14. IC 4-22-2.6-3, AS ADDED BY P.L.249-2023,
36 SECTION 45, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
37 JULY 1, 2024]: Sec. 3. (a) Except as provided in subsection (b), if an
38 agency intends to readopt a rule, the agency shall, not later than
39 January 1 of the fourth year after preceding the year in which the rule
40 takes effect, expires under this chapter, provide an initial notice of
41 the intended readoption in an electronic format designated by the
42 publisher to legislators and legislative committees in the manner and
SB 4—LS 6953/DI 92 15
1 on the schedule specified by the legislative council or the personnel
2 subcommittee of the legislative council acting for the legislative
3 council.
4 (b) An agency is not required to provide the initial notice under
5 subsection (a) for a rule described in section 1(b)(1) of this chapter.
6 (c) After receiving the material as required by this section, the
7 publisher shall assign a document control number.
8 SECTION 15. IC 4-22-2.6-5, AS ADDED BY P.L.249-2023,
9 SECTION 45, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
10 JULY 1, 2024]: Sec. 5. (a) If an agency elects to readopt a rule under
11 this chapter, the agency shall submit a notice of proposed readoption
12 to the publisher not later than the first regular business day in
13 September of the year preceding the year in which the rule expires
14 under this chapter for publication in the Indiana Register. A separate
15 notice must be published for each board or other person or entity with
16 rulemaking authority.
17 (b) The notice must include the following:
18 (1) A general description of the subject matter of all rules
19 proposed to be readopted.
20 (2) A listing of rules that are proposed to be readopted, listed by
21 their titles and subtitles only.
22 (3) A written public comment period of thirty (30) days and
23 instructions on how to submit written comments to the agency.
24 (4) A request for comments on whether specific rules should be
25 reviewed through the regular rulemaking process under
26 IC 4-22-2-23 through IC 4-22-2-36 (as modified by IC 13-14-9,
27 when applicable).
28 (5) A summary of the agency's findings under section 4 of this
29 chapter.
30 (6) Any other information required by the publisher.
31 (c) The agency shall submit the material in the form required by
32 IC 4-22-2-20. The agency need not resubmit the documents required by
33 IC 4-22-2-21 if the publisher received a copy of the documents when
34 the rule was previously adopted or amended. The publisher shall
35 review the material submitted under this section and determine the date
36 that the publisher intends to include the material in the Indiana
37 Register. After:
38 (1) establishing the intended publication date; and
39 (2) receiving the material as required by this section;
40 the publisher shall assign a document control number, provide an
41 electronic mail authorization to proceed to the agency and publish the
42 material on the intended publication date.
SB 4—LS 6953/DI 92 16
1 SECTION 16. IC 12-15-44.5-6, AS AMENDED BY P.L.108-2019,
2 SECTION 198, IS AMENDED TO READ AS FOLLOWS
3 [EFFECTIVE UPON PASSAGE]: Sec. 6. (a) For a state fiscal year
4 beginning July 1, 2018, or thereafter, and before July 1, 2024, the
5 office, after review by the state budget committee, may determine that
6 no incremental fees collected under IC 16-21-10-13.3 are required to
7 be deposited into the phase out trust fund established under section 7
8 of this chapter. This subsection expires July 1, 2024.
9 (b) If the plan is to be terminated for any reason, the office shall:
10 (1) if required, provide notice of termination of the plan to the
11 United States Department of Health and Human Services and
12 begin the process of phasing out the plan; or
13 (2) if notice and a phase out plan is not required under federal
14 law, notify the hospital assessment fee committee (IC 16-21-10)
15 of the office's intent to terminate the plan and the plan shall be
16 phased out under a procedure approved by the hospital
17 assessment fee committee.
18 The office may not submit any phase out plan to the United States
19 Department of Health and Human Services or accept any phase out
20 plan proposed by the Department of Health and Human Services
21 without the prior approval of the hospital assessment fee committee.
22 (c) Before submitting:
23 (1) an extension of; or
24 (2) a material amendment to;
25 the plan to the United States Department of Health and Human
26 Services, the office shall inform the Indiana Hospital Association of the
27 extension or material amendment to the plan.
28 SECTION 17. IC 12-15-44.5-7, AS ADDED BY P.L.213-2015,
29 SECTION 136, IS AMENDED TO READ AS FOLLOWS
30 [EFFECTIVE UPON PASSAGE]: Sec. 7. (a) The phase out trust fund
31 is established for the purpose of holding the money needed during a
32 phase out period of the plan. Funds deposited under this section shall
33 be used only:
34 (1) to fund the state share of the expenses described in
35 IC 16-21-10-13.3(b)(1)(A) through IC 16-21-10-13.3(b)(1)(F)
36 incurred during a phase out period of the plan;
37 (2) after funds from the healthy Indiana trust fund
38 (IC 12-15-44.2-17) are exhausted; and
39 (3) to refund hospitals in the manner described in subsection (h).
40 The fund is separate from the state general fund.
41 (b) The fund shall be administered by the office.
42 (c) The expenses of administering the fund shall be paid from
SB 4—LS 6953/DI 92 17
1 money in the fund.
2 (d) The trust fund must consist of:
3 (1) the funds described in section 6 of this chapter; and
4 (2) any interest accrued under this section.
5 (e) The treasurer of state shall invest the money in the fund not
6 currently needed to meet the obligations of the fund in the same
7 manner as other public money may be invested. Interest that accrues
8 from these investments shall be deposited in the fund.
9 (f) Money in the fund does not revert to the state general fund at the
10 end of any fiscal year. However, the budget agency shall transfer all
11 money in the trust fund to the Medicaid contingency and reserve
12 account established by IC 4-12-1-15.5 on or before June 30, 2024.
13 (g) The fund is considered a trust fund for purposes of IC 4-9.1-1-7.
14 Money may not be transferred, assigned, or otherwise removed from
15 the fund by the state board of finance, the budget agency, or any other
16 state agency unless specifically authorized under this chapter.
17 (h) At the end of the phase out period, any remaining funds and
18 accrued interest shall be distributed to the hospitals on a pro rata basis
19 based on the fees authorized by IC 16-21-10 that were paid by each
20 hospital for the state fiscal year that ended immediately before the
21 beginning of the phase out period.
22 (i) This section expires July 1, 2024.
23 SECTION 18. IC 13-14-9-4, AS AMENDED BY P.L.249-2023,
24 SECTION 53, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
25 JULY 1, 2024]: Sec. 4. (a) In addition to the requirements of
26 IC 4-22-2-23 and (if applicable) IC 4-22-2-24, the notice of public
27 comment period submitted by the department to the publisher must do
28 the following:
29 (1) Contain a summary of the response of the department to
30 written comments submitted under section 3 of this chapter, if
31 applicable.
32 (2) Request the submission of comments, including suggestions
33 of specific amendments to the language contained in the proposed
34 rule.
35 (3) Identify each element of the proposed rule that imposes a
36 restriction or requirement on persons to whom the proposed rule
37 applies that:
38 (A) is more stringent than a restriction or requirement imposed
39 under federal law; or
40 (B) applies in a subject area in which federal law does not
41 impose a restriction or requirement.
42 (4) With respect to each element identified under subdivision (3),
SB 4—LS 6953/DI 92 18
1 identify:
2 (A) the environmental circumstance or hazard that dictates the
3 imposition of the proposed restriction or requirement to
4 protect human health and the environment;
5 (B) examples in which federal law is inadequate to provide the
6 protection referred to in clause (A); and
7 (C) the:
8 (i) estimated fiscal impact; and
9 (ii) expected benefits;
10 based on the extent to which the proposed rule is more
11 stringent than the restrictions or requirements of federal law,
12 or on the creation of restrictions or requirements in a subject
13 area in which federal law does not impose restrictions or
14 requirements.
15 (5) For any element of the proposed rule that imposes a restriction
16 or requirement that is more stringent than a restriction or
17 requirement imposed under federal law or that applies in a subject
18 area in which federal law does not impose restrictions or
19 requirements, describe the availability for public inspection of all
20 materials relied upon by the department in the development of the
21 proposed rule, including, if applicable:
22 (A) health criteria;
23 (B) analytical methods;
24 (C) treatment technology;
25 (D) economic impact data;
26 (E) environmental assessment data;
27 (F) analyses of methods to effectively implement the proposed
28 rule; and
29 (G) other background data.
30 (b) If the notice provided by the department concerning a proposed
31 rule identifies an element of the proposed rule that imposes a restriction
32 or requirement more stringent than a restriction or requirement
33 imposed under federal law, the proposed rule shall not become
34 effective under this chapter until the adjournment sine die of the
35 regular session of the general assembly that begins after the department
36 provides the notice.
37 (c) Subsection (b) does not prohibit or restrict the commissioner, the
38 department, or the board from:
39 (1) adopting provisional rules under IC 4-22-2-37.1;
40 (2) taking emergency action under IC 13-14-10; or
41 (3) temporarily:
42 (A) altering ordinary operating policies or procedures; or
SB 4—LS 6953/DI 92 19
1 (B) implementing new policies or procedures;
2 in response to an emergency situation.
3 SECTION 19. IC 16-21-10-13.3, AS AMENDED BY P.L.201-2023,
4 SECTION 147, IS AMENDED TO READ AS FOLLOWS
5 [EFFECTIVE JULY 1, 2024]: Sec. 13.3. (a) This section is effective
6 beginning February 1, 2015. As used in this section, "plan" refers to the
7 healthy Indiana plan established in IC 12-15-44.5.
8 (b) Subject to subsections (c) through (e), the incremental fee under
9 this section may be used to fund the state share of the expenses
10 specified in this subsection if, after January 31, 2015, but before the
11 collection of the fee under this section, the following occur:
12 (1) The committee establishes a fee formula to be used to fund the
13 state share of the following expenses described in this
14 subdivision:
15 (A) The state share of the capitated payments made to a
16 managed care organization that contracts with the office to
17 provide health coverage under the plan to plan enrollees other
18 than plan enrollees who are eligible for the plan under Section
19 1931 of the federal Social Security Act.
20 (B) The state share of capitated payments described in clause
21 (A) for plan enrollees who are eligible for the plan under
22 Section 1931 of the federal Social Security Act that are limited
23 to the difference between:
24 (i) the capitation rates effective September 1, 2014,
25 developed using Medicaid reimbursement rates; and
26 (ii) the capitation rates applicable for the plan developed
27 using the plan's Medicare reimbursement rates described in
28 IC 12-15-44.5-5(a)(2).
29 (C) The state share of the state's contributions to plan enrollee
30 accounts.
31 (D) The state share of amounts used to pay premiums for a
32 premium assistance plan implemented under
33 IC 12-15-44.2-20.
34 (E) The state share of the costs of increasing reimbursement
35 rates for physician services provided to individuals enrolled in
36 Medicaid programs other than the plan, but not to exceed the
37 difference between the Medicaid fee schedule for a physician
38 service that was in effect before the implementation of the plan
39 and the amount equal to seventy-five percent (75%) of the
40 previous year federal Medicare reimbursement rate for a
41 physician service. The incremental fee may not be used for the
42 amount that exceeds seventy-five percent (75%) of the federal
SB 4—LS 6953/DI 92 20
1 Medicare reimbursement rate for a physician service.
2 (F) The state share of the state's administrative costs that, for
3 purposes of this clause, may not exceed one hundred seventy
4 dollars ($170) per person per plan enrollee per year, and
5 adjusted annually by the Consumer Price Index.
6 (G) The money described in IC 12-15-44.5-6(a) for the phase
7 out period of the plan.
8 (2) The committee approves a process to be used for reconciling:
9 (A) the state share of the costs of the plan;
10 (B) the amounts used to fund the state share of the costs of the
11 plan; and
12 (C) the amount of fees assessed for funding the state share of
13 the costs of the plan.
14 For purposes of this subdivision, "costs of the plan" includes the
15 costs of the expenses listed in subdivision (1)(A) through (1)(G).
16 (1)(F).
17 The fees collected under subdivision (1)(A) through (1)(F) shall be
18 deposited into the incremental hospital fee fund established by section
19 13.5 of this chapter. Fees described in subdivision (1)(G) shall be
20 deposited into the phase out trust fund described in IC 12-15-44.5-7.
21 The fees used for purposes of funding the state share of expenses listed
22 in subdivision (1)(A) through (1)(F) may not be used to fund expenses
23 incurred on or after the commencement of a phase out period of the
24 plan.
25 (c) For each state fiscal year for which the fee authorized by this
26 section is used to fund the state share of the expenses described in
27 subsection (b)(1), the amount of fees shall be reduced by:
28 (1) the amount of funds annually designated by the general
29 assembly to be deposited in the healthy Indiana plan trust fund
30 established by IC 12-15-44.2-17; less
31 (2) the annual cigarette tax funds annually appropriated by the
32 general assembly for childhood immunization programs under
33 IC 12-15-44.2-17(a)(3).
34 (d) The incremental fee described in this section may not:
35 (1) be assessed before July 1, 2016; and
36 (2) be assessed or collected on or after the beginning of a phase
37 out period of the plan.
38 (e) This section is not intended to and may not be construed to
39 change or affect any component of the programs established under
40 section 8 of this chapter.
41 SECTION 20. IC 25-1-5.3-1, AS ADDED BY P.L.249-2023,
42 SECTION 80, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
SB 4—LS 6953/DI 92 21
1 JULY 1, 2024]: Sec. 1. The following definitions apply throughout this
2 chapter:
3 (1) "Agency" has the meaning set forth in IC 25-1-5-2.
4 (2) "Applicant" has the meaning set forth in IC 25-1-5-11.
5 (3) "Board" has the meaning set forth in IC 25-1-5-2.
6 (4) "Compliant", with respect to a licensure rule, means a
7 licensure rule that the agency or a board has adopted.
8 (5) "Enactment date" means the date on which a statute that
9 requires rulemaking for a licensure rule to become becomes
10 effective or otherwise requires rulemaking to commence.
11 (6) "Executive director" refers to the individual described in
12 IC 25-1-5-5.
13 (7) "Licensee" has the meaning set forth in IC 25-1-5-11.
14 (8) "Licensure rule" means a rule that:
15 (A) relates to the issuance of a license, certificate, registration,
16 or permit, or a requirement or prerequisite for obtaining a
17 license, or keeping a license in good standing; and
18 (B) is required by statute with an enactment date after January
19 1, 2023, to be adopted by the agency or a board.
20 (9) "Material detriment" means:
21 (A) an inability to obtain a license, certification, permit, or
22 other credential from the agency or a board;
23 (B) an inability to:
24 (i) practice;
25 (ii) perform a procedure; or
26 (iii) engage in a particular professional activity in Indiana or
27 another jurisdiction; or
28 (C) any other substantial burden to professional or business
29 interests.
30 (10) "Noncompliant", with respect to a licensure rule, means a
31 licensure rule that the agency or a board has not adopted as a
32 permanent rule under the procedures in IC 4-22-2-23 through
33 IC 4-22-2-36 or an interim rule under IC 4-22-2-37.2 within on
34 or before the later of the following:
35 (A) Six (6) months of from the enactment date.
36 (B) The date provided in a statute that requires
37 rulemaking for a licensure rule to become effective.
38 SECTION 21. IC 25-1-5.3-2, AS ADDED BY P.L.249-2023,
39 SECTION 80, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
40 JULY 1, 2024]: Sec. 2. (a) If a licensee or applicant believes that the
41 agency or a board has failed to adopt a licensure rule within six (6)
42 months of the enactment date or by the date provided in a statute
SB 4—LS 6953/DI 92 22
1 that requires rulemaking for a licensure rule to become effective,
2 whichever is later, an applicant or licensee who has suffered a
3 material detriment as a result of a noncompliant licensure rule may
4 seek damages from the agency or board by bringing an action in a court
5 of competent jurisdiction.
6 (b) A court shall not certify a class in any matter seeking damages
7 under this section.
8 (c) In a matter seeking damages under this section, a court may
9 order the following:
10 (1) An injunction requiring adoption of a compliant interim
11 licensure rule not earlier than six (6) months from the date of the
12 order.
13 (2) Damages equal to the amount of the material detriment caused
14 by the noncompliant licensure rule, including prospective
15 damages through the date established under subdivision (1).
16 (3) Court costs and attorney's fees.
17 (d) IC 34-13-3 applies to an action brought under this section.
18 SECTION 22. [EFFECTIVE UPON PASSAGE] (a) As used in this
19 SECTION, "drafting manual" refers to the Drafting Manual for
20 the Indiana General Assembly, as approved by the legislative
21 council from time to time.
22 (b) During the 2024 interim and in consultation with the budget
23 agency and the state comptroller, the legislative services agency
24 shall develop new templates for creating funds and drafting
25 appropriations. The legislative services agency shall submit the
26 templates developed under this SECTION to the code revision
27 commission before October 1, 2024. The code revision commission
28 shall consider whether to recommend that the legislative council
29 approve a revised drafting manual containing the new templates
30 for creating funds and drafting appropriations.
31 (c) This SECTION expires January 1, 2026.
32 SECTION 23. [EFFECTIVE UPON PASSAGE] (a) As used in this
33 SECTION, "drafting manual" refers to the Drafting Manual for
34 the Indiana General Assembly, as approved by the legislative
35 council from time to time.
36 (b) If the legislative council approves a revised drafting manual
37 containing the templates developed under SECTION 20 of this act,
38 the legislative services agency shall prepare legislation for
39 introduction in 2026 to conform the Indiana Code to the revised
40 drafting manual's instructions for creating funds and drafting
41 appropriations.
42 (c) The budget agency shall provide a suggested list of statutes
SB 4—LS 6953/DI 92 23
1 for amendment to the legislative services agency before September
2 1, 2025.
3 (d) This SECTION expires June 30, 2026.
4 SECTION 24. An emergency is declared for this act.
SB 4—LS 6953/DI 92 24
COMMITTEE REPORT
Madam President: The Senate Committee on Appropriations, to
which was referred Senate Bill No. 4, has had the same under
consideration and begs leave to report the same back to the Senate with
the recommendation that said bill be AMENDED as follows:
Page 2, line 33, delete "IC 12-15-44.5-7." and insert "IC
12-15-44.5-7 (before its expiration).".
Page 15, after line 42, begin a new paragraph and insert:
"SECTION 15. IC 12-15-44.5-6, AS AMENDED BY P.L.108-2019,
SECTION 198, IS AMENDED TO READ AS FOLLOWS
[EFFECTIVE UPON PASSAGE]: Sec. 6. (a) For a state fiscal year
beginning July 1, 2018, or thereafter, and before July 1, 2024, the
office, after review by the state budget committee, may determine that
no incremental fees collected under IC 16-21-10-13.3 are required to
be deposited into the phase out trust fund established under section 7
of this chapter. This subsection expires July 1, 2024.
(b) If the plan is to be terminated for any reason, the office shall:
(1) if required, provide notice of termination of the plan to the
United States Department of Health and Human Services and
begin the process of phasing out the plan; or
(2) if notice and a phase out plan is not required under federal
law, notify the hospital assessment fee committee (IC 16-21-10)
of the office's intent to terminate the plan and the plan shall be
phased out under a procedure approved by the hospital
assessment fee committee.
The office may not submit any phase out plan to the United States
Department of Health and Human Services or accept any phase out
plan proposed by the Department of Health and Human Services
without the prior approval of the hospital assessment fee committee.
(c) Before submitting:
(1) an extension of; or
(2) a material amendment to;
the plan to the United States Department of Health and Human
Services, the office shall inform the Indiana Hospital Association of the
extension or material amendment to the plan.".
Page 16, between lines 36 and 37, begin a new paragraph and insert:
"(i) This section expires July 1, 2024.".
Page 18, between lines 16 and 17, begin a new paragraph and insert:
"SECTION 19. IC 16-21-10-13.3, AS AMENDED BY
P.L.201-2023, SECTION 147, IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2024]: Sec. 13.3. (a) This section
SB 4—LS 6953/DI 92 25
is effective beginning February 1, 2015. As used in this section, "plan"
refers to the healthy Indiana plan established in IC 12-15-44.5.
(b) Subject to subsections (c) through (e), the incremental fee under
this section may be used to fund the state share of the expenses
specified in this subsection if, after January 31, 2015, but before the
collection of the fee under this section, the following occur:
(1) The committee establishes a fee formula to be used to fund the
state share of the following expenses described in this
subdivision:
(A) The state share of the capitated payments made to a
managed care organization that contracts with the office to
provide health coverage under the plan to plan enrollees other
than plan enrollees who are eligible for the plan under Section
1931 of the federal Social Security Act.
(B) The state share of capitated payments described in clause
(A) for plan enrollees who are eligible for the plan under
Section 1931 of the federal Social Security Act that are limited
to the difference between:
(i) the capitation rates effective September 1, 2014,
developed using Medicaid reimbursement rates; and
(ii) the capitation rates applicable for the plan developed
using the plan's Medicare reimbursement rates described in
IC 12-15-44.5-5(a)(2).
(C) The state share of the state's contributions to plan enrollee
accounts.
(D) The state share of amounts used to pay premiums for a
premium assistance plan implemented under
IC 12-15-44.2-20.
(E) The state share of the costs of increasing reimbursement
rates for physician services provided to individuals enrolled in
Medicaid programs other than the plan, but not to exceed the
difference between the Medicaid fee schedule for a physician
service that was in effect before the implementation of the plan
and the amount equal to seventy-five percent (75%) of the
previous year federal Medicare reimbursement rate for a
physician service. The incremental fee may not be used for the
amount that exceeds seventy-five percent (75%) of the federal
Medicare reimbursement rate for a physician service.
(F) The state share of the state's administrative costs that, for
purposes of this clause, may not exceed one hundred seventy
dollars ($170) per person per plan enrollee per year, and
adjusted annually by the Consumer Price Index.
SB 4—LS 6953/DI 92 26
(G) The money described in IC 12-15-44.5-6(a) for the phase
out period of the plan.
(2) The committee approves a process to be used for reconciling:
(A) the state share of the costs of the plan;
(B) the amounts used to fund the state share of the costs of the
plan; and
(C) the amount of fees assessed for funding the state share of
the costs of the plan.
For purposes of this subdivision, "costs of the plan" includes the
costs of the expenses listed in subdivision (1)(A) through (1)(G).
(1)(F).
The fees collected under subdivision (1)(A) through (1)(F) shall be
deposited into the incremental hospital fee fund established by section
13.5 of this chapter. Fees described in subdivision (1)(G) shall be
deposited into the phase out trust fund described in IC 12-15-44.5-7.
The fees used for purposes of funding the state share of expenses listed
in subdivision (1)(A) through (1)(F) may not be used to fund expenses
incurred on or after the commencement of a phase out period of the
plan.
(c) For each state fiscal year for which the fee authorized by this
section is used to fund the state share of the expenses described in
subsection (b)(1), the amount of fees shall be reduced by:
(1) the amount of funds annually designated by the general
assembly to be deposited in the healthy Indiana plan trust fund
established by IC 12-15-44.2-17; less
(2) the annual cigarette tax funds annually appropriated by the
general assembly for childhood immunization programs under
IC 12-15-44.2-17(a)(3).
(d) The incremental fee described in this section may not:
(1) be assessed before July 1, 2016; and
(2) be assessed or collected on or after the beginning of a phase
out period of the plan.
(e) This section is not intended to and may not be construed to
change or affect any component of the programs established under
section 8 of this chapter.".
Renumber all SECTIONS consecutively.
and when so amended that said bill do pass.
(Reference is to SB 4 as introduced.)
MISHLER, Chairperson
SB 4—LS 6953/DI 92 27
Committee Vote: Yeas 13, Nays 0.
SB 4—LS 6953/DI 92