Indiana lawmakers have introduced House Bill 1391, a significant legislative measure aimed at enhancing community and home care options for the elderly and disabled. Set to take effect on July 1, 2025, the bill establishes a comprehensive program designed to provide essential services while reducing reliance on institutional care.

At the heart of House Bill 1391 is the creation of the Community and Home Options to Institutional Care for the Elderly and Disabled program. This initiative will be administered by the state’s division responsible for aging services, which will oversee the allocation of both state and federal funds. Key provisions include the development of local management processes through area agencies on aging, approval of service providers, and the establishment of self-directed care options for eligible individuals.

Notably, the bill allows for flexibility in provider certification. While most providers will not need Medicaid certification to offer services, those providing critical care—such as attendant care, nursing services, and clinical therapeutic services—will still be required to meet Medicaid standards. This distinction aims to ensure quality care while expanding access to services.

The introduction of House Bill 1391 has sparked discussions among lawmakers and advocacy groups. Proponents argue that the bill addresses a pressing need for more personalized care options, potentially alleviating the burden on institutional facilities. Critics, however, express concerns about the adequacy of oversight for non-certified providers, fearing that it may compromise service quality.

The implications of this bill are far-reaching. By facilitating community-based care, Indiana could see a shift in how elderly and disabled residents receive support, promoting independence and improving quality of life. As the bill moves through the legislative process, stakeholders are closely monitoring its progress, anticipating both challenges and opportunities in the evolving landscape of healthcare services in the state.