IN SB0001

Establishes the Indiana Rural Health Transformation Fund effective January 1, 2026 (retroactive), funded by federal dollars under Public Law 119-21, with expenditures subject to budget committee review beginning December 1, 2026, and expiring December 31, 2032.

Terminates Indiana's participation in SNAP expanded categorical eligibility, requiring gross income and financial resource standards not to exceed federal limits under 7 U.S.C. 2014, and prohibits SNAP recipients from purchasing candy or soft drinks with benefits effective July 1, 2026.

Restricts SNAP eligibility to U.S. citizens, lawful permanent residents, Cuban/Haitian entrants, and Compact of Free Association residents, requiring verification through Social Security Administration or SAVE databases and mandating referral of unverified individuals to the Department of Homeland Security.

Increases Healthy Indiana Plan work requirements from 20 hours per week to 80 hours per month, requires semiannual (rather than annual) eligibility redetermination, raises the caretaker exemption threshold from children under 6 to children under 14, and implements copayments of $8-$35 for non-emergency use of emergency rooms.

Mandates Medicaid eligibility redetermination every six months for non-elderly adults (versus annually for others), prohibits self-attestation for income/residency/age verification, requires monthly data matching with lottery/gaming commissions to identify recipients with winnings of $3,000 or more, and limits retroactive Medicaid coverage to one month before application for most recipients.