1. (a) The office of the secretary shall prepare a report on the provision of Medicaid services, including Medicaid home and community based waiver services, to recipients who have medically complex conditions. The report must include the following, categorized by whether the recipient was less than, or at least, eighteen (18) years of age:

   1. (1) The number of recipients, by county, who received Medicaid services through:

      1. (A) the state plan;
      2. (B) a Medicaid waiver; or
      3. (C) services under both clauses (A) and (B).
   2. (2) A list of the specific services provided to the recipients, by county, and the number of recipients who received each service.

   3. (3) The median length of time recipients have received Medicaid, by county, through the following:

      1. (A) The state plan.
      2. (B) A Medicaid waiver.
      3. (C) Services under both clauses (A) and (B).

2. (b) Not later than September 1, 2025, and each September 1 thereafter, the office of the secretary shall submit the report described in subsection (a) to the following:

   1. (1) The Medicaid advisory commission, established by IC 12-15-33-2 .
   2. (2) The Medicaid oversight committee, in an electronic format under IC 5-14-6 .
   3. (3) The budget committee.
   4. (4) The legislative council, in an electronic format under IC 5-14-6 .
   5. (5) The division of disability and rehabilitative services advisory council established under IC 12-9-4 .

3. (c) The division of disability and rehabilitative services advisory council established under IC 12-9-4 shall provide the following recommendations to the division of disability, aging, and rehabilitative services to ensure the delivery of appropriate high quality services to recipients, including an evaluation of models of care for complex care assistants used in other states:

   1. (1) The potential benefits and risks to recipients and family caregivers.
   2. (2) Training and certification requirements.
   3. (3) Implementation challenges and strategies to address the challenges.
   4. (4) Any potential fiscal impact of implementing a complex care assistant program in Indiana.

As added by P.L.243-2025, SEC.10. Amended by P.L.23-2026, SEC.80; P.L.122-2026, SEC.56.