LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS FISCAL IMPACT STATEMENT LS 6858 NOTE PREPARED: Feb 11, 2025 BILL NUMBER: HB 1169 BILL AMENDED: Feb 11, 2025 SUBJECT: Access to Birth Control Program. FIRST AUTHOR: Rep. Lucas BILL STATUS: CR Adopted - 1 st House FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State & Local XDEDICATED FEDERAL Summary of Legislation: (Amended) The bill establishes the Access to Birth Control Program administered by the Indiana Department of Health (IDOH) for the purpose of increasing access to birth control and information concerning fertility awareness based methods by Indiana residents who are eligible for Medicaid. It sets forth requirements of the program. Effective Date: July 1, 2025. Explanation of State Expenditures: (Revised) Access to Birth Control Program: The bill increases workload at the IDOH and the Family and Social Services Administration (FSSA) to establish the new program in collaboration with local health departments. The bill requires IDOH to develop and disseminate educational materials on fertility awareness based methods and to train health care providers on fertility awareness based methods. [The IDOH's administrative expenditures are currently paid from the Tobacco Master Settlement Fund, a dedicated fund.] (Revised) Additional Information: Any potential impact of the bill on birth rates is indeterminate at this time. Currently, 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. HB 1169 1 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/ Fiscal Analyst: Allison Leeuw, 317-234-9465. HB 1169 2