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Indiana Bill HB 1385 Alters Hospital Fees, Medicaid Reimbursement Rates, and Pricing Study Deadlines

Original title: Various hospital matters.

Last action · January 8, 2026: First reading: referred to Committee on Public HealthSponsor: Brad Barrett

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Indiana House Bill 1385 mandates the development of programs to increase Medicaid reimbursement rates to at least Medicare levels and revises the rules governing hospital assessment fees, the , and hospital pricing studies.

Why it matters

Changes how hospital assessment fees and state funds are distributed for Medicaid reimbursement, sets strict payment floors linked to Medicare, and alters the timeline and data requirements for statewide hospital price studies.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

Hospitals

Hospitals are subject to new fee rules, revised Medicaid reimbursement rate floors tied to Medicare, hospital classifications, and participation in statewide pricing studies.

Directly affected

Medicaid Recipients

Medicaid recipients experience changes in hospital reimbursement programs and managed care capitation payment arrangements supporting their health coverage.

Directly affected

Managed Care Organizations

Managed care organizations contracted with the office must handle adjusted capitation payments and direct specific payments to hospitals under state directed payment programs.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What changes are made to hospital reimbursement rates under the bill?
The bill mandates that reimbursement rates must be at least equal to federal Medicare equivalent reimbursement rates and cannot exceed maximum federal limits.
Can money from the incremental hospital fee fund be used for regular Medicaid?
No, the bill explicitly prohibits money in the from being used to fund Medicaid.
When must the statewide hospital pricing study be completed?
The office of management and budget must conduct and complete the study before September 30, 2026.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in House committee.

Procedural history

2 actions
  1. Jan 8, 2026HouseIntroduced
    First reading: referred to Committee on Public Health
  2. Jan 8, 2026House
    Authored by Representative Barrett

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Mandatory vs. Optional Medicaid Programs

The legislation shifts state policy from allowing the development of programs to increase Medicaid reimbursement to strictly requiring them.

Connected Entities

United States Department of Health and Human Services, Brad Barrett, General Assembly and 1 more
OrganizationUnited States Department of Health and Human Services“Federal agency reviewing Medicaid state plan amendments and waiver requests”Map →
PersonBrad Barrett“Representative who sponsored House Bill 1385”Map →
OrganizationGeneral Assembly“Indiana General Assembly enacting the legislation”Map →
OrganizationOffice of Management and Budget“State office tasked with developing hospital price study methodology and conduct”Map →

Sources

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz25
    Current news / social attention level

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