Introduced Version
SENATE BILL No. 242
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-15-13-10.
Synopsis: Medicaid pregnancy related reimbursement rates. Sets forth
increases in Medicaid reimbursement rates for: (1) prenatal obstetric
and gynecological services; (2) pregnancy delivery care services; and
(3) postnatal care services.
Effective: July 1, 2024.
Bohacek
January 10, 2024, read first time and referred to Committee on Health and Provider
Services.
2024 IN 242—LS 6326/DI 104 Introduced
Second Regular Session of the 123rd General Assembly (2024)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
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between statutes enacted by the 2023 Regular Session of the General Assembly.
SENATE BILL No. 242
A BILL FOR AN ACT to amend the Indiana Code concerning
Medicaid.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 12-15-13-10 IS ADDED TO THE INDIANA
2 CODE AS A NEW SECTION TO READ AS FOLLOWS
3 [EFFECTIVE JULY 1, 2024]: Sec. 10. (a) This section is:
4 (1) subject to the availability of federal matching funds; and
5 (2) in addition to, and does not include, outlier payments
6 made by the office for the services described in this section.
7 (b) Beginning July 1, 2024, and subject to subsection (e), the
8 office shall increase reimbursement rates for prenatal obstetric
9 and gynecological services as follows:
10 (1) By increasing the rate by at least forty-four percent (44%)
11 from the reimbursement rate for the service on December 31,
12 2023.
13 (2) On January 1 of each year, by adjusting the rate described
14 in subdivision (1) by the most recent reported Social Security
15 cost of living adjustment rate.
16 (c) Beginning July 1, 2024, and subject to subsection (e), the
17 office shall increase reimbursement rates for pregnancy delivery
2024 IN 242—LS 6326/DI 104 2
1 care services as follows:
2 (1) By increasing the rate by at least ten percent (10%) from
3 the reimbursement rate for the service on December 31, 2023.
4 (2) On January 1 of each year, by adjusting the rate described
5 in subdivision (1) by the most recent reported Social Security
6 cost of living adjustment rate.
7 (d) Beginning July 1, 2024, and subject to subsection (e), the
8 office shall increase reimbursement rates for postnatal care
9 services as follows:
10 (1) By increasing the rate by at least ten percent (10%) from
11 the reimbursement rate for the service on December 31, 2023.
12 (2) On January 1 of each year, by adjusting the rate described
13 in subdivision (1) by the most recent reported Social Security
14 cost of living adjustment rate.
15 (e) If the office determines that the increase in reimbursement
16 rates described in this section would result in the state not being
17 able to obtain federal matching funds, the office shall increase the
18 reimbursement to the greatest amount that would allow for federal
19 matching funds.
2024 IN 242—LS 6326/DI 104