HB 1277 IN

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Amends the duties of the office of the secretary of family and social services (office) concerning Medicaid home and community based services waivers (waiver). Requires: (1) a provider of waiver services to provide certain documentation to a waiver recipient; (2) a waiver recipient to review the documentation and report errors or inconsistencies; and (3) the recipient's case manager to provide assistance to the recipient in reviewing the documentation and reporting any errors or inconsistencies. Requires certain Medicaid recipients to choose the recipient's provider of integrated health care coordination. Provides that integrated health care coordination provided by a provider of assisted living services is not duplicative of certain other services. Establishes a time frame in which the bureau of disabilities services must review and approve or deny requests for an increase in service units provided to certain individuals with a disability. Requires the office to apply to the federal government for: (1) a new Medicaid waiver to provide assisted living services; and (2) an amendment to a specific Medicaid home and community based services waiver to establish an individual cost limit of not more than the institutional cost of nursing facility services. Specifies that provisions concerning reimbursement for assisted living services for individuals who are aged and disabled and receiving services under a Medicaid waiver apply to the new assisted living Medicaid waiver. Provides that, beginning July 1, 2027, an individual is no longer a member of the covered population upon receiving nursing facility services for 100 consecutive days. Provides that on the one hundredth day, the individual is not a member of the covered population and shall receive Medicaid services under a fee for service program. Provides that a provision prohibiting the office from reducing reimbursement for home health services expires June 30, 2027. Requires the office to collaborate with certain entities to develop a new reimbursement methodology for home health services. Specifies that public notice of at least six months (rather than one year) must be provided before a health facility service reimbursement that results in a reduction in reimbursement may be changed. Amends the definition of "bulk drug substance" for provisions concerning drug compounding. Provides that a claim by the estate recovery unit of the office of Medicaid policy and planning (estate recovery unit) is forever barred unless the estate recovery unit files a claim in the court in which the decedent's estate is being administered not later than nine months after the date of death of the decedent.

• Brad Barrett Republican · author
• Michael Crider Republican · sponsor
• Liz Brown Republican · sponsor

1. Jan 6, 2026 First reading: referred to Committee on Public Health · lower
2. Jan 6, 2026 Authored by Representative Barrett · lower
3. Jan 13, 2026 Recommitted to Committee on Ways and Means pursuant to House Rule 126.3 · lower
4. Jan 13, 2026 Representative Goss-Reaves added as coauthor · lower
5. Jan 13, 2026 Representative Porter added as coauthor · lower
6. Jan 13, 2026 Committee report: do pass, adopted · lower
7. Jan 14, 2026 Representative Slager added as coauthor · lower
8. Jan 27, 2026 Committee report: amend do pass, adopted · lower
9. Jan 29, 2026 Second reading: ordered engrossed · lower
10. Feb 2, 2026 Senate sponsor: Senator Crider · lower
11. Feb 2, 2026 Third reading: passed; Roll Call 180: yeas 93, nays 0 · lower
12. Feb 3, 2026 Referred to the Senate · lower
13. Feb 5, 2026 Senator Brown L added as second sponsor · upper
14. Feb 5, 2026 Senator Busch added as cosponsor · upper
15. Feb 5, 2026 Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations · upper
16. Feb 5, 2026 First reading: referred to Committee on Health and Provider Services · upper
17. Feb 10, 2026 Senator Becker added as cosponsor · upper
18. Feb 12, 2026 Senator Randolph added as cosponsor · upper
19. Feb 12, 2026 Senator Charbonneau added as cosponsor · upper
20. Feb 19, 2026 Committee report: amend do pass, adopted · upper
21. Feb 23, 2026 Amendment #8 (Brown L) prevailed; voice vote · upper
22. Feb 23, 2026 Amendment #3 (Crider) prevailed; voice vote · upper
23. Feb 23, 2026 Amendment #1 (Qaddoura) failed; voice vote · upper
24. Feb 23, 2026 Amendment #2 (Ford J.D.) failed; voice vote · upper
25. Feb 23, 2026 Second reading: amended, ordered engrossed · upper
26. Feb 24, 2026 Third reading: passed; Roll Call 250: yeas 47, nays 0 · upper
27. Feb 25, 2026 Motion to dissent filed · lower
28. Feb 25, 2026 House dissented from Senate amendments · lower
29. Feb 25, 2026 Senate conferees appointed: Crider, Jackson L · upper
30. Feb 25, 2026 Returned to the House with amendments · upper
31. Feb 25, 2026 House advisors appointed: Goss-Reaves, Slager, Lopez, Bauer, Porter · lower
32. Feb 25, 2026 House conferees appointed: Barrett, Shackleford · lower
33. Feb 25, 2026 Senate advisors appointed: Busch, Yoder, Brown L · upper
34. Mar 12, 2026 Public Law 160 · lower
35. Feb 27, 2026 Signed by the Speaker · lower
36. Mar 12, 2026 Signed by the Governor · executive
37. Mar 5, 2026 Signed by the President Pro Tempore · upper
38. Feb 27, 2026 CCR # 1 filed in the House · lower
39. Feb 27, 2026 CCR # 1 filed in the Senate · upper
40. Feb 27, 2026 Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 416: yeas 96, nays 0 · lower
41. Feb 27, 2026 Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 325: yeas 46, nays 4 · upper
42. Mar 2, 2026 Signed by the President of the Senate · upper