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Committee advances bill to carve out long-stay nursing home residents from Pathways managed care
Summary
The House Public Health Committee voted to advance HB 1277, which would carve out long-stay nursing home residents from the state's Pathways managed-care waiver, set individual cost limits and create a standalone assisted-living waiver. Supporters say changes would cut Medicaid administrative costs; the administration raised implementation and fiscal questions. (Committee vote: 12-0.)
Chair Brad Barrett convened the House Public Health Committee to consider House Bill 12 77, a bill aimed at reshaping parts of the Pathways managed-care rollout for long-term services and supports. The committee approved the bill in a roll-call vote, 12 to 0, advancing it to follow-up fiscal review.
Nick Goodwin, director of government affairs for the Indiana Healthcare Association, told the committee the measure targets specific populations and program rules to reduce costs and administrative burden. "The intent here is to save hundreds of millions in Medicaid costs," Goodwin said, and he described four principal changes: carving out residents with 100 consecutive days in a nursing home from managed care, setting an individual cost limit for waiver…
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