LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
FISCAL IMPACT STATEMENT
LS 6858 NOTE PREPARED: Jan 1, 2025
BILL NUMBER: HB 1169 BILL AMENDED:
SUBJECT: Access to Birth Control Program.
FIRST AUTHOR: Rep. Lucas BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED:XGENERAL IMPACT: State & Local
XDEDICATED
FEDERAL
Summary of Legislation: The bill establishes the Access to Birth Control Program administered by the
Indiana Department of Health for the purpose of increasing access to birth control by Indiana residents with
a specified maximum household income. It sets forth requirements of the program.
Effective Date: July 1, 2025.
Explanation of State Expenditures: Access to Birth Control Program: The bill provides no appropriation
or fund for the program. The Indiana Department of Health (IDOH) may apply for any state or federal
funding available for implementation. Potential program costs to provide birth control for qualifying
individuals at no charge are indeterminate, yet may be at $1.0 M annually.
The bill will also increase workload at the IDOH and the Family and Social Services Administration (FSSA)
to establish the new program in collaboration with local health departments. The program is to provide
increased access to birth control for individuals at or below 185% of the federal poverty level (FPL). In 2024,
185% of the FPL was $27,861 for an individual and $47,767 for a family of three. Ultimately, the source of
funds and resources required to satisfy the requirements of this bill will depend on legislative and
administrative actions. [The IDOH's administrative expenditures are currently paid from the Tobacco Master
Settlement Fund, a dedicated fund.]
Additional Information: If the program serves to distribute birth control to 2,500 individuals, program
contraceptive costs may be estimated at $1.0 M. This estimate is based on the most commonly prescribed
birth control pill form, with an average annual cost of $420. Program costs will ultimately depend on many
factors including administrative decisions, collaborative efforts at local health departments, and the method
of chosen contraceptives available to qualified individuals. The cost of birth control depends on the type of
contraceptive and common forms can range from $120 to $2,400 annually. The Indiana Family Health
Council (IFHC) is a not-for-profit organization that operates thirty public health clinics across the state with
primarily Federal Title X funding to provide family planning services, including contraceptives. The IFHC
serves an estimated 25,000 Hoosiers statewide.
HB 1169 1 The Affordable Care Act requires coverage for FDA approved contraceptive methods when prescribed by
a health care provider. This does not apply to health plans sponsored by employers with a religious
exemption. Indiana Medicaid provides coverage for contraceptive services, and the Family Planning
Eligibility Program administered by FSSA provides contraceptive coverage for US citizens at 141% of the
federal poverty level.
Explanation of State Revenues:
Explanation of Local Expenditures: The bill may impact workload at local health departments to
collaborate with the IDOH and the FSSA to meet the requirements of this bill.
Explanation of Local Revenues:
State Agencies Affected: Indiana Department of Health, Family and Social Services Administration.
Local Agencies Affected: Local health departments.
Information Sources: HealthCare.Gov: https://www.healthcare.gov/preventive-care-women/
FSSA: https://www.in.gov/medicaid/providers/files/modules/family-planning-eligibility-program.pdf
Indiana Family Health Council: https://www.ifhc.org/
GoodRx: https://www.goodrx.com/conditions/birth-control/annual-cost-of-birth-control
Fiscal Analyst: Allison Leeuw, 317-234-9465.
HB 1169 2