Introduced Version HOUSE BILL No. 1588 _____ DIGEST OF INTRODUCED BILL Citations Affected: IC 5-28-45; IC 6-3.1; IC 6-8-16. Synopsis: Long term care savings accounts. Establishes the primary care access revolving fund (fund) for the purpose of making loans to primary care medical practices in Indiana. Specifies the purposes for which money in the fund may be loaned. Provides that the Indiana finance authority shall administer the fund. Requires the Indiana economic development corporation (IEDC) to transfer $15,000,000 to the fund from the amount appropriated to the IEDC by the general assembly in the 2025-2026 state fiscal year. Increases the employee threshold for purposes of eligibility for the health reimbursement arrangement income tax credit. Increases the maximum amount of tax credits that may be granted in a year. Specifies the procedure for claiming the credit. Allows an employer to establish a long term care savings account program that allows an employee to save with favorable tax treatment for services required when the employee's or the employee's dependents' functional capacities become chronically impaired due to advanced age or other circumstances. Expands the physician practice ownership tax credit (tax credit) against state tax liability to practicing physicians (instead of only primary care physicians) who have an ownership interest in a physician practice and meet other eligibility criteria. Requires a taxpayer claiming the tax credit to certify that each physician with an ownership interest provides health care services to patients. Provides that the total amount of tax credits awarded in a state fiscal year may not exceed $20,000,000. Effective: January 1, 2025 (retroactive); July 1, 2025. Barrett January 21, 2025, read first time and referred to Committee on Ways and Means. 2025 IN 1588—LS 7709/DI 134 Introduced First Regular Session of the 124th General Assembly (2025) 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 2024 Regular Session of the General Assembly. HOUSE BILL No. 1588 A BILL FOR AN ACT to amend the Indiana Code concerning state and local administration and to make an appropriation. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 5-28-45 IS ADDED TO THE INDIANA CODE AS 2 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY 3 1, 2025]: 4 Chapter 45. Primary Care Access Revolving Fund 5 Sec. 1. As used in this chapter, "fund" refers to the primary 6 care access revolving fund established by section 5 of this chapter. 7 Sec. 2. As used in this chapter, "physician" means an individual 8 who is licensed to practice medicine in Indiana under IC 25-22.5. 9 Sec. 3. As used in this chapter, "primary care medical practice" 10 includes: 11 (1) a physician practicing as a primary care physician; 12 (2) a hospital providing primary health care services to 13 patients; and 14 (3) any other corporation, limited liability company, 15 partnership, or other legal entity organized and licensed to 16 provide primary health care services to patients; 17 in Indiana. 2025 IN 1588—LS 7709/DI 134 2 1 Sec. 4. As used in this chapter, "primary care physician" refers 2 to a physician practicing in one (1) or more of the following: 3 (1) Family medicine. 4 (2) General pediatric medicine. 5 (3) General internal medicine. 6 (4) The general practice of medicine. 7 Sec. 5. (a) The primary care access revolving fund is established 8 for the purpose of making loans to primary care medical practices 9 as set forth in this chapter. The fund is a nonlapsing, revolving 10 fund. The Indiana finance authority shall administer the fund. The 11 fund consists of the following: 12 (1) Money appropriated by the general assembly. 13 (2) Money deposited in the fund under subsection (b). 14 (3) The repayment proceeds of loans made to primary care 15 medical practices from the fund. 16 (4) Money received from any other source. 17 (b) Of the money appropriated by the general assembly to the 18 Indiana economic development corporation for the state fiscal year 19 beginning after June 30, 2025, and ending before July 1, 2026, 20 fifteen million dollars ($15,000,000) of that amount shall be 21 deposited by the Indiana economic development corporation in the 22 fund to be used for the purposes of the fund. 23 Sec. 6. (a) The Indiana finance authority may make loans from 24 the fund to primary care medical practices in Indiana. A loan 25 under this section may be made for the following purposes: 26 (1) To finance facility capital improvements and expansion. 27 (2) To purchase equipment used in the primary care medical 28 practice. 29 (3) To meet the primary care medical practice's working 30 capital needs. 31 (4) Any other purpose of a primary care medical practice that 32 serves to increase local access to primary health care services. 33 (b) Priority for a loan from the fund may be given to a primary 34 care medical practice: 35 (1) that has secured funding from other sources for the 36 project or purpose for which the loan from the fund is made; 37 or 38 (2) that is located in a: 39 (A) a medically underserved area; 40 (B) a rural area; or 41 (C) a health professional shortage area. 42 Sec. 7. The recipient of a loan under this chapter must enter into 2025 IN 1588—LS 7709/DI 134 3 1 a loan agreement with the Indiana finance authority. The loan 2 agreement must contain the following terms: 3 (1) A requirement that the loan proceeds be used for specified 4 purposes consistent with this chapter. 5 (2) The term of the loan. 6 (3) The repayment schedule. 7 (4) The interest rate or rates of the loan, which may include 8 variations in the rate but may not be less than the amount 9 necessary to cover all expenses in making the loan. 10 (5) Any other terms and provisions deemed necessary. 11 SECTION 2. IC 6-3.1-38-1.5 IS ADDED TO THE INDIANA 12 CODE AS A NEW SECTION TO READ AS FOLLOWS 13 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 1.5. As 14 used in this chapter, "pass through entity" has the meaning set 15 forth in IC 6-3-1-35. 16 SECTION 3. IC 6-3.1-38-4, AS ADDED BY P.L.203-2023, 17 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 18 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 4. (a) Subject to 19 subsection (c) and section 7 of this chapter, a qualified taxpayer may 20 claim a credit against the qualified taxpayer's state tax liability for a 21 qualified contribution for a qualified taxpayer with less than fifty (50) 22 seventy-five (75) employees, if the amount provided toward the 23 health reimbursement arrangement is equal to or greater than 24 either the level of benefits provided in the previous benefit year, or 25 if the amount the employer contributes toward the health 26 reimbursement arrangement equals the same amount contributed 27 per covered individual toward the employer provided health 28 insurance plan during the previous benefit year. up to four hundred 29 dollars ($400) in the first year per covered employee if the amount 30 provided toward the health reimbursement arrangement is equal to or 31 greater than either the level of benefits provided in the previous benefit 32 year, or if the amount the employer contributes toward the health 33 reimbursement arrangement equals the same amount contributed per 34 covered individual toward the employer provided health insurance plan 35 during the previous benefit year. The credit under this section 36 decreases to two hundred dollars ($200) per covered employee in the 37 second year. 38 (b) The amount of the credit is the lesser of: 39 (1) the amount contributed by the employer toward the health 40 reimbursement arrangement during the taxable year; or 41 (2) the following: 42 (A) For the taxable year in which the employer establishes 2025 IN 1588—LS 7709/DI 134 4 1 the health reimbursement arrangement, four hundred 2 dollars ($400). 3 (B) For the taxable year that immediately follows the 4 taxable year in which the employer establishes the health 5 reimbursement arrangement, two hundred dollars ($200). 6 (C) For a taxable year following a taxable year described 7 in clause (A) or (B), zero dollars ($0). 8 (c) A qualified taxpayer may not claim a credit under this 9 chapter for a health reimbursement arrangement established in a 10 taxable year beginning before January 1, 2024. 11 SECTION 4. IC 6-3.1-38-4.5 IS ADDED TO THE INDIANA 12 CODE AS A NEW SECTION TO READ AS FOLLOWS 13 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 4.5. For 14 a taxable year beginning after December 31, 2024, if a pass through 15 entity is entitled to a credit under section 4 of this chapter but does 16 not have state tax liability against which the tax credit may be 17 applied, a shareholder, partner, or member of the pass through 18 entity is entitled to a tax credit equal to: 19 (1) the tax credit determined for the pass through entity for 20 the taxable year; multiplied by 21 (2) the percentage of the pass through entity's distributive 22 income to which the shareholder, partner, or member is 23 entitled. 24 SECTION 5. IC 6-3.1-38-6, AS ADDED BY P.L.203-2023, 25 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 26 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 6. Subject to section 7 27 of this chapter, to receive the credit provided by this chapter, a 28 qualified taxpayer must claim the credit on the qualified taxpayer's 29 state tax return or returns in the manner prescribed by the department. 30 SECTION 6. IC 6-3.1-38-7, AS ADDED BY P.L.203-2023, 31 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 32 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 7. (a) The amount of tax 33 credits granted under this chapter may not exceed ten million dollars 34 ($10,000,000) fifteen million dollars ($15,000,000) in any taxable 35 state fiscal year. 36 (b) For state fiscal years ending before July 1, 2025, the 37 department shall record the time of filing of each return claiming a 38 credit under section 6 of this chapter and shall approve the claims if 39 they otherwise qualify for a tax credit under this chapter, in the 40 chronological order in which the claims are filed in the state fiscal year. 41 (c) For state fiscal years beginning after June 30, 2025, to claim 42 the credit, a qualified taxpayer must submit a claim for the credit 2025 IN 1588—LS 7709/DI 134 5 1 after the end of the qualified taxpayer's taxable year. The 2 department shall record the claimant and the amount of allowable 3 credit in the order in which the department receives the 4 application from the taxpayer. 5 (c) (d) The department may not approve a claim for a tax credit after 6 the date on which the total credits approved under this section equal the 7 maximum amount allowable in a particular state fiscal year. 8 SECTION 7. IC 6-3.1-40-1.5 IS ADDED TO THE INDIANA 9 CODE AS A NEW SECTION TO READ AS FOLLOWS 10 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 1.5. As 11 used in this chapter, "pass through entity" has the meaning set 12 forth in IC 6-3-1-35. 13 SECTION 8. IC 6-3.1-40-3 IS REPEALED [EFFECTIVE 14 JANUARY 1, 2025 (RETROACTIVE)]. Sec. 3. As used in this 15 chapter, "primary care physician" refers to a physician practicing in one 16 (1) or more of the following: 17 (1) Family medicine. 18 (2) General pediatric medicine. 19 (3) General internal medicine. 20 (4) The general practice of medicine. 21 SECTION 9. IC 6-3.1-40-5, AS ADDED BY P.L.203-2023, 22 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 23 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 5. As used in this 24 chapter, "taxpayer" means an individual who: 25 (1) is a physician practicing as a primary care physician; engaged 26 in the practice of medicine; 27 (2) has an ownership interest in a corporation, limited liability 28 company, partnership, or other legal entity organized to provide 29 primary health care services as a physician owned entity; 30 (3) is not employed by a health system (as defined in 31 IC 16-18-2-168.5); and 32 (4) has any state income tax liability. 33 SECTION 10. IC 6-3.1-40-6, AS ADDED BY P.L.203-2023, 34 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 35 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 6. If a taxpayer: 36 (1) has an ownership interest in a physician owned medical 37 practice described in section 5(2) of this chapter that: 38 (1) (A) is established as a legal entity under Indiana law after 39 December 31, 2023; 40 (2) (B) opens and begins to provide primary health care 41 services to patients in a particular taxable year beginning after 42 December 31, 2023; and 2025 IN 1588—LS 7709/DI 134 6 1 (3) (C) has billed for health care services described in 2 subdivision (2) for at least six (6) months of that a taxable 3 year; 4 (2) has an ownership interest in the income of the physician 5 owned medical practice that is at least: 6 (A) for a physician owned medical practice with not more 7 than ten (10) owners, five percent (5%) of the physician 8 owned medical practice's income; and 9 (B) for a physician owned medical practice with more than 10 ten (10) owners, fifty percent (50%) of the physician owned 11 medical practice's income; and 12 (3) provided health care services in the physician owned 13 medical practice for at least six (6) months of a taxable year; 14 the taxpayer may, subject to section sections 7 and 9.5 of this chapter, 15 claim a credit against the taxpayer's state income tax liability. Subject 16 to section sections 8 and 11 of this chapter, the amount of the credit 17 allowed under this chapter for a taxpayer in the particular taxable year 18 is twenty thousand dollars ($20,000). 19 SECTION 11. IC 6-3.1-40-7, AS ADDED BY P.L.203-2023, 20 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 21 JANUARY 1, 2025 (RETROACTIVE)]: Sec. 7. A taxpayer may claim 22 a tax credit under this chapter for the a taxable year described in 23 section 6 of this chapter and the two (2) immediately following taxable 24 years. 25 SECTION 12. IC 6-3.1-40-8.5 IS ADDED TO THE INDIANA 26 CODE AS A NEW SECTION TO READ AS FOLLOWS 27 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 8.5. If a 28 pass through entity is entitled to a credit under section 6 of this 29 chapter but does not have state tax liability against which the tax 30 credit may be applied, a shareholder, partner, or member of the 31 pass through entity is entitled to a tax credit equal to: 32 (1) the tax credit determined for the pass through entity for 33 the taxable year; multiplied by 34 (2) the percentage of the pass through entity's distributive 35 income to which the shareholder, partner, or member is 36 entitled. 37 SECTION 13. IC 6-3.1-40-9 IS REPEALED [EFFECTIVE 38 JANUARY 1, 2025 (RETROACTIVE)]. Sec. 9. To obtain a credit 39 under this chapter, a taxpayer must claim the credit on the taxpayer's 40 annual state income tax return in the manner prescribed by the 41 department. The taxpayer shall submit to the department all 42 information that the department determines is necessary to verify the 2025 IN 1588—LS 7709/DI 134 7 1 taxpayer's eligibility for the credit provided by this chapter. 2 SECTION 14. IC 6-3.1-40-9.5 IS ADDED TO THE INDIANA 3 CODE AS A NEW SECTION TO READ AS FOLLOWS 4 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 9.5. (a) To 5 receive a credit under this chapter, a taxpayer must: 6 (1) subject to subsection (d), apply for the department's 7 approval of the tax credit in the manner prescribed by the 8 department after June 30 of a calendar year, but not later 9 than July 1 of the subsequent calendar year; 10 (2) submit with the application a certified list of each of the 11 physicians who has an ownership interest in the legal entity 12 described in section 6 of this chapter and any additional 13 information that the department determines is necessary for 14 the calculation of the credit under this chapter; 15 (3) attach proof of the department's approval of the tax credit 16 to the taxpayer's state tax return or returns; and 17 (4) claim the approved tax credit on the taxpayer's state tax 18 return or returns in the manner prescribed by the 19 department. 20 (b) The department shall record the time of filing of each 21 application for the department's approval of a tax credit and shall, 22 except as provided in subsection (c), approve granting the credit to 23 the taxpayer, if the taxpayer otherwise qualifies for a credit under 24 this chapter, in the chronological order in which the application for 25 the department's approval is filed in the year. 26 (c) If the total credits approved under this section equal the 27 maximum amount allowable in the year, the department may not 28 approve an application for the credit filed later in that year. 29 (d) A taxpayer may not file an application for a credit under this 30 chapter after the due date of the taxpayer's tax return for a taxable 31 year, or another date specified by the department. 32 SECTION 15. IC 6-3.1-40-11 IS ADDED TO THE INDIANA 33 CODE AS A NEW SECTION TO READ AS FOLLOWS 34 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 11. (a) 35 Subject to subsection (b), the total amount of tax credits awarded 36 under this chapter may not exceed twenty million dollars 37 ($20,000,000) in the state fiscal year beginning July 1, 2025, and 38 ending June 30, 2026, and in each state fiscal year thereafter. 39 However, any amounts carried forward under section 8(a) of this 40 chapter shall first be deducted from the total amount of tax credits 41 that may be awarded for the succeeding state fiscal year. 42 (b) For a taxable year beginning after December 31, 2024, and 2025 IN 1588—LS 7709/DI 134 8 1 before January 1, 2026, only that part of a taxpayer's tax credit 2 that is attributable to the period of time beginning after June 30, 3 2025, and before January 1, 2026, is subject to the maximum 4 amount provided in subsection (a). 5 SECTION 16. IC 6-3.1-40-12 IS ADDED TO THE INDIANA 6 CODE AS A NEW SECTION TO READ AS FOLLOWS 7 [EFFECTIVE JANUARY 1, 2025 (RETROACTIVE)]: Sec. 12. The 8 department, on a website used by the department to provide 9 information to the public, shall provide the following information: 10 (1) The application for the credit provided in this chapter. 11 (2) A timeline for receiving the credit provided in this chapter. 12 (3) The total amount of credits awarded under this chapter 13 during the current state fiscal year. 14 SECTION 17. IC 6-8-16 IS ADDED TO THE INDIANA CODE AS 15 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY 16 1, 2025]: 17 Chapter 16. Long Term Care Savings Account 18 Sec. 1. As used in this chapter, "deductible" means the total 19 deductible for an employee and all dependents of the employee for 20 a calendar year. 21 Sec. 2. As used in this chapter, "dependent" means any of the 22 following: 23 (1) The spouse of an employee. 24 (2) An employee's child who is one (1) of the following: 25 (A) Less than nineteen (19) years of age. 26 (B) Less than twenty-three (23) years of age and enrolled 27 as a full-time student at an accredited college or university. 28 (C) Legally entitled to the provision by the employee of 29 proper or necessary subsistence, education, medical care, 30 or other care necessary for the child's health, guidance, or 31 well-being, and not otherwise emancipated, 32 self-supporting, married, or a member of the armed forces 33 of the United States. 34 (D) Mentally or physically incapacitated to the extent that 35 the child is not self-sufficient. 36 Sec. 3. As used in this chapter, "eligible long term care expense" 37 means an expense paid for the provision of long term care. 38 Sec. 4. As used in this chapter, "employee" means the 39 individual: 40 (1) for whose benefit; or 41 (2) for the benefit of whose dependents; 42 a long term care savings account is established. 2025 IN 1588—LS 7709/DI 134 9 1 Sec. 5. (a) As used in this chapter, for 2026, "higher deductible" 2 means a deductible of: 3 (1) not less than one thousand dollars ($1,000); and 4 (2) not more than five thousand dollars ($5,000). 5 (b) For years after 2026, the term means a deductible of: 6 (1) not less than the amount set forth in subsection (a)(1), 7 adjusted under subsection (c); and 8 (2) not more than the amount set forth in subsection (a)(2), 9 adjusted under subsection (c). 10 (c) The adjustments referred to in subsection (b)(1) and (b)(2): 11 (1) may reflect increases in the general level of prices since 12 2025; and 13 (2) must be based on: 14 (A) the Consumer Price Index updated monthly by the 15 Bureau of Labor Statistics of the United States Department 16 of Labor; or 17 (B) other figures issued by the United States government 18 to indicate increases in the general level of prices in the 19 United States. 20 Sec. 6. As used in this chapter, "long term care" means the 21 provision of the following services in a setting other than an acute 22 care wing of a hospital to enable individuals whose functional 23 capacities are chronically impaired due to advanced age or other 24 circumstances: 25 (1) Physician's services. 26 (2) Nursing services. 27 (3) Diagnostic services. 28 (4) Therapeutic services, including physical therapy, speech 29 therapy, and occupational therapy. 30 (5) Rehabilitative services. 31 (6) Maintenance services. 32 (7) Personal care services, including companion services and 33 assistance in bathing, dressing, and other skills of daily living. 34 (8) Transportation services. 35 (9) Day care services. 36 (10) Home health care services. 37 (11) Respite care services. 38 (12) Services provided in a facility licensed under IC 16-28. 39 (13) Services provided by chiropractors, podiatrists, and 40 optometrists. 41 Sec. 7. As used in this chapter, "long term care savings account" 42 or "account" means an account established in Indiana under a long 2025 IN 1588—LS 7709/DI 134 10 1 term care savings account program to pay the eligible long term 2 care expenses of an employee and dependents of the employee. 3 Sec. 8. As used in this chapter, "long term care savings account 4 program" means a program established under this chapter to pay 5 the eligible long term care expenses of employees and dependents 6 of employees through long term care savings accounts. 7 Sec. 9. As used in this chapter, "qualified higher deductible long 8 term care plan" means a long term care coverage policy, 9 certificate, or contract that: 10 (1) provides for the payment of eligible long term care 11 expenses that exceed a higher deductible; 12 (2) is purchased by an employer for the benefit of employees 13 and dependents of employees; and 14 (3) is part of a long term care savings account program 15 established under this chapter. 16 Sec. 10. (a) Except as otherwise provided by statute, contract, or 17 a collective bargaining agreement, an employer may establish a 18 long term care savings account program for the employer's 19 employees. 20 (b) An employer that establishes a long term care savings 21 account program under this chapter shall, before making any 22 contributions to long term care savings accounts under the 23 program, inform all employees in writing of the federal tax status 24 of contributions made under this chapter. 25 (c) Except as provided in sections 18 and 24 of this chapter, the: 26 (1) principal contributed by an employer to a long term care 27 savings account; 28 (2) interest earned on money on deposit in a long term care 29 savings account; and 30 (3) money: 31 (A) paid out of a long term care savings account for eligible 32 long term care expenses; or 33 (B) used to reimburse an employee for eligible long term 34 care expenses; 35 are exempt from taxation as income of the employee. 36 Sec. 11. (a) A long term care savings account program 37 established by an employer under this chapter must include all of 38 the following: 39 (1) The purchase by the employer of a qualified higher 40 deductible long term care plan for the benefit of one (1) or 41 more employees and dependents of the employees. 42 (2) The contribution by the employer, and the deposit into the 2025 IN 1588—LS 7709/DI 134 11 1 long term care savings account established on behalf of each 2 employee, of all or part of the difference between: 3 (A) the cost to the employer of purchasing a qualified 4 higher deductible long term care plan for the benefit of the 5 employee; and 6 (B) the cost previously incurred by the employer to pay the 7 eligible long term care expenses of the employee through 8 a long term care coverage policy, certificate, or contract. 9 (3) The designation of an account administrator to administer 10 the long term care savings accounts of employees. 11 (b) Notwithstanding subsection (a)(2), if an employer, before 12 establishing a long term care savings account program under this 13 chapter, did not pay the eligible long term care expenses of the 14 employer's employees through a long term care coverage policy, 15 certificate, or contract, the employer may contribute all or part of 16 the deductible of the qualified higher deductible long term care 17 plan purchased by the employer to establish the long term care 18 savings account program. 19 (c) The contribution under subsection (b) must not exceed the 20 following: 21 (1) For 2026, five thousand dollars ($5,000). 22 (2) For years after 2026, the figure set forth in subdivision (1), 23 adjusted under subsection (d). 24 (d) The adjustments referred to in subsection (c): 25 (1) may reflect increases in the general level of prices since 26 2025; and 27 (2) must be based on: 28 (A) the Consumer Price Index updated monthly by the 29 Bureau of Labor Statistics of the United States Department 30 of Labor; or 31 (B) other figures issued by the United States government 32 to indicate increases in the general level of prices in the 33 United States. 34 Sec. 12. (a) A long term care savings account program 35 established by an employer under this chapter may allow an 36 employee to contribute money to the long term care savings 37 account established for the employee. However, an employee may 38 not contribute an amount larger than necessary to make the 39 balance in the account equal the deductible. 40 (b) Notwithstanding sections 18 and 24 of this chapter, if an 41 employee contributes money to an account under this section: 42 (1) the money may be withdrawn from the account by the 2025 IN 1588—LS 7709/DI 134 12 1 employee at any time and for any purpose without a penalty; 2 (2) the withdrawal of the money by the employee is not 3 income to the employee that is subject to taxation under 4 IC 6-3-1 through IC 6-3-7; and 5 (3) income earned on the money while it is in the account is 6 not income to the employee that is subject to taxation under 7 IC 6-3-1 through IC 6-3-7. 8 Sec. 12.5. If an employer contributes money to an account under 9 this chapter after December 31, 2025, for which no exemption 10 applies under Indiana law and for which no exemption or exclusion 11 applies under the Internal Revenue Code at the time of 12 contribution: 13 (1) the money may be withdrawn from the account by the 14 employee at any time and for any purpose without a penalty; 15 and 16 (2) the withdrawal of the principal amount contributed by the 17 employer is not income to the employee that is subject to 18 taxation under IC 6-3-1 through IC 6-3-7. 19 Sec. 13. The following may be an account administrator under 20 this chapter: 21 (1) A federal or state chartered: 22 (A) bank; 23 (B) savings association; 24 (C) savings bank; or 25 (D) credit union. 26 (2) A trust company authorized to act as a fiduciary. 27 (3) An insurance company or a health maintenance 28 organization authorized to do business in Indiana under 29 IC 27. 30 (4) A broker-dealer, an agent, or an investment adviser 31 registered under IC 23-19. 32 (5) A person that is licensed as an administrator under 33 IC 27-1-25. 34 (6) An employee welfare benefit plan that is governed by the 35 federal Employee Retirement Income Security Act, 29 U.S.C. 36 1001 et seq. 37 Sec. 14. An account administrator shall use the funds held in a 38 long term care savings account exclusively for the purpose of 39 paying the eligible long term care expenses of the employee or the 40 employee's dependents. 41 Sec. 15. (a) Funds held in a long term care savings account shall 42 not be used to cover long term care expenses of the employee or the 2025 IN 1588—LS 7709/DI 134 13 1 employee's dependents that are otherwise covered. 2 (b) Long term care expenses that are "otherwise covered", for 3 purposes of this section, include expenses covered by: 4 (1) an automobile insurance policy; 5 (2) a worker's compensation insurance policy or self-insured 6 plan; or 7 (3) another long term care coverage policy, certificate, or 8 contract. 9 Sec. 16. If an employee submits documentation to the account 10 administrator concerning eligible long term care expenses that the 11 employee has incurred and paid for long term care for the 12 employee or a dependent of the employee, the account 13 administrator shall reimburse the employee from the employee's 14 account for the eligible long term care expenses paid by the 15 employee. 16 Sec. 17. An employer that makes contributions to a long term 17 care savings account program on a periodic installment basis may 18 advance to an employee, interest free, an amount necessary to 19 cover unpaid eligible long term care expenses that exceed the 20 amount in the employee's long term care savings account if the 21 employee agrees to repay the advance: 22 (1) from future installments; or 23 (2) when the employee ceases to be an employee of the 24 employer. 25 Sec. 18. (a) An employee may, under this section, withdraw 26 money from the employee's long term care savings account for a 27 purpose other than the purposes set forth in section 6 of this 28 chapter. 29 (b) Except as provided in sections 12(b) and 12.5 of this chapter, 30 if an employee withdraws money from the employee's long term 31 care savings account on the last business day of the account 32 administrator's business year for a purpose not set forth in section 33 6 of this chapter: 34 (1) the money withdrawn is income to the individual that is 35 subject to taxation; but 36 (2) the withdrawal does not: 37 (A) subject the employee to a penalty; or 38 (B) make the interest earned on the account during the tax 39 year taxable as income of the employee. 40 (c) Except as provided in sections 12(b) and 12.5 of this chapter, 41 if an employee withdraws money for a purpose not set forth in 42 section 6 of this chapter at any time other than the last business 2025 IN 1588—LS 7709/DI 134 14 1 day of the account administrator's business year, all of the 2 following apply: 3 (1) The amount of the withdrawal is income to the individual 4 that is subject to taxation. 5 (2) The administrator shall withhold and, on behalf of the 6 employee, pay a penalty to the department of state revenue 7 equal to ten percent (10%) of the amount of the withdrawal. 8 (3) All interest earned on the balance in the account during 9 the tax year in which a withdrawal under this subsection is 10 made is income to the individual that is subject to taxation. 11 (d) Money paid to the department of state revenue as a penalty 12 under this section shall be deposited in the local public health fund 13 established by IC 16-46-10-1. 14 Sec. 19. (a) For purposes of section 18(b) of this chapter, an 15 account administrator that begins to administer a long term care 16 savings account shall, in writing, notify the employee for whose 17 benefit the account was established of the date of the last business 18 day of the administrator's business year. 19 (b) The notice required by this section must be given not more 20 than thirty (30) days after the account administrator begins to 21 administer the long term care savings account. 22 Sec. 20. Money in a long term care savings account established 23 under this chapter is exempt from execution under IC 34-55-10-2. 24 Sec. 21. (a) This section applies only to an employee who has no 25 dependents who are covered under the long term care savings 26 account established for the benefit of the employee. 27 (b) Upon the death of the employee for whose benefit a long 28 term care savings account was established, the account 29 administrator shall distribute the principal and accumulated 30 interest of the account to the estate of the employee by mailing a 31 check to the personal representative of the employee (as defined in 32 IC 29-1-1-3). 33 (c) The distribution of the balance in a long term care savings 34 account under this section is not income to the individual or to the 35 estate of the individual that is subject to taxation under IC 6-3-1 36 through IC 6-3-7. 37 Sec. 22. If an individual: 38 (1) who was employed by an employer that participated in a 39 long term care savings account program; and 40 (2) whose employment was terminated; 41 becomes employed with a different employer that participates in 42 a long term care savings account program, the individual may 2025 IN 1588—LS 7709/DI 134 15 1 transfer the long term care savings account that was established 2 for the individual's benefit by the former employer to the account 3 administrator of the new employer. 4 Sec. 23. If the employment of an individual by an employer that 5 participates in a long term care savings account program is 6 terminated, the money in the individual's long term care savings 7 account may continue to be used for the benefit of the individual 8 and the individual's dependents and remains exempt from taxation 9 as provided under this chapter if, not more than sixty (60) days 10 after the individual's final day of employment: 11 (1) the individual transfers the individual's long term care 12 savings account to a new account administrator; or 13 (2) the individual requests in writing that the former 14 employer's account administrator remain the administrator 15 of the individual's account, and the account administrator 16 agrees to retain the account. 17 Sec. 24. (a) This section applies when the employment of an 18 individual by an employer that participates in a long term care 19 savings account program is terminated. 20 (b) If the former employer is not informed, within ninety (90) 21 days after the former employee's final day of employment, of the 22 name and address of an account administrator to which the former 23 employee is transferring the former employee's long term care 24 savings account under section 22 of this chapter, the former 25 employer shall pay the money in the former employee's long term 26 care savings account to the former employee under subsection (d). 27 (c) If: 28 (1) the former employee, under section 23(2) of this chapter, 29 requests in writing that the former employer's account 30 administrator remain the administrator of the individual's 31 long term care savings account; and 32 (2) the account administrator does not agree to retain the 33 account; 34 the former employer shall, within ninety (90) days after the former 35 employee's final day of employment, pay the money in the former 36 employee's long term care savings account to the former employee 37 under subsection (d). 38 (d) An employer that is required under this section to pay the 39 money in a former employee's long term care savings account to 40 the former employee shall mail to the former employee, at the 41 former employee's last known address, a check for the balance in 42 the account on the ninety-first day after the employee's final day 2025 IN 1588—LS 7709/DI 134 16 1 of employment. 2 (e) Except as provided in sections 12(b) and 12.5 of this chapter, 3 money that is paid to a former employee under subsection (d): 4 (1) is subject to taxation under IC 6-3-1 through IC 6-3-7 as 5 income of the individual; but 6 (2) is not subject to the penalty referred to in section 18(c)(2) 7 of this chapter. 8 Sec. 25. (a) This section applies if an individual: 9 (1) whose employer participates in a long term care savings 10 account program; and 11 (2) who has one (1) or more dependents who are covered 12 under the account established for the benefit of the individual; 13 dies. 14 (b) After the death of an individual described in subsection (a), 15 the money in the individual's long term care savings account may 16 continue to be used for the benefit of the individual's dependents 17 and remains exempt from taxation as provided under this chapter 18 if, not more than sixty (60) days after the individual's death: 19 (1) the deceased individual's long term care savings account 20 is transferred to a new account administrator; or 21 (2) the dependents of the individual request in writing that the 22 account administrator of the deceased individual's employer 23 remain the administrator of the account, and the account 24 administrator agrees to retain the account. 25 (c) If the former employer of an individual described in 26 subsection (a) is not informed, within ninety (90) days after the 27 individual's death, of the name and address of an account 28 administrator to which the long term care savings account has 29 been transferred under subsection (b)(1), the former employer 30 shall pay the money in the long term care savings account to the 31 estate of the individual under subsection (e). 32 (d) If: 33 (1) the dependents of an individual described in subsection (a), 34 under subsection (b)(2), request in writing that the former 35 employer's account administrator remain the administrator 36 of the individual's long term care savings account; and 37 (2) the account administrator does not agree to retain the 38 account; 39 the former employer shall, within ninety (90) days after the 40 individual's death, pay the money in the individual's long term care 41 savings account to the estate of the individual under subsection (e). 42 (e) Under the circumstances described in subsection (c) or (d), 2025 IN 1588—LS 7709/DI 134 17 1 the account administrator shall distribute the principal and 2 accumulated interest in the account to the estate of the individual 3 by mailing a check to the personal representative of the individual 4 (as defined in IC 29-1-1-3). 5 (f) The distribution of the balance in a long term care savings 6 account under subsection (e) is not income to the individual or to 7 the estate of the individual that is subject to taxation under 8 IC 6-3-1 through IC 6-3-7. 9 Sec. 26. (a) The insurance commissioner appointed under 10 IC 27-1-1-2 and the department of state revenue may adopt rules 11 under IC 4-22-2 necessary to implement this chapter. 12 (b) The rules adopted under this section must include a 13 procedure for the adjustment of amounts required by sections 5 14 and 11 of this chapter. 15 SECTION 18. [EFFECTIVE JULY 1, 2025] (a) IC 6-8-16, as 16 added by this act, applies to taxable years beginning after 17 December 31, 2025. 18 (b) This SECTION expires June 30, 2028. 19 SECTION 19. [EFFECTIVE JANUARY 1, 2025 20 (RETROACTIVE)] (a) IC 6-3.1-40-1.5, IC 6-3.1-40-8.5, 21 IC 6-3.1-40-9.5, IC 6-3.1-40-11, and IC 6-3.1-40-12, all as added by 22 this act, apply to taxable years beginning after December 31, 2024. 23 (b) IC 6-3.1-40-5, IC 6-3.1-40-6, and IC 6-3.1-40-7, all as 24 amended by this act, apply to taxable years beginning after 25 December 31, 2024. 26 (c) The repeal of IC 6-3.1-40-3 and IC 6-3.1-40-9 by this act 27 applies to taxable years beginning after December 31, 2024. 28 (d) This SECTION expires July 1, 2028. 29 SECTION 20. [EFFECTIVE JANUARY 1, 2025 30 (RETROACTIVE)] (a) IC 6-3.1-38-4, IC 6-3.1-38-6, and 31 IC 6-3.1-38-7, all as amended by this act, apply to taxable years 32 beginning after December 31, 2024. 33 (b) IC 6-3.1-38-1.5 and IC 6-3.1-38-4.5, both as added by this 34 act, apply to taxable years beginning after December 31, 2024. 35 (c) This SECTION expires July 1, 2028. 36 SECTION 21. An emergency is declared for this act. 2025 IN 1588—LS 7709/DI 134