1. (a) If:

   1. (1) the sums appropriated by the general assembly in the biennial budget to the family and social services administration for the Medicaid assistance, Medicaid administration, public assistance (TANF), and the IMPACT (JOBS) work program are insufficient to enable the office of the secretary to meet its obligations; and

   2. (2) the failure to appropriate additional funds would:

      1. (A) violate a provision of federal law; or

      2. (B) jeopardize the state's share of federal financial participation applicable to the state appropriations contained in the biennial budget for Medicaid assistance, Medicaid administration, public assistance (TANF), or the IMPACT (JOBS) work program;

         then there are appropriated further sums as may be necessary to remedy a situation described in this subsection, subject to the approval of the budget director and the unanimous recommendation of the members of the budget committee. However, before approving a further appropriation under this subsection, the budget director shall explain to the budget committee the factors indicating that a condition described in subdivision (2) would be met.

2. (b) If:

   1. (1) the sums appropriated by the general assembly in the biennial budget to the family and social services administration for Medicaid assistance, Medicaid administration, public assistance (TANF), and the IMPACT (JOBS) work program are insufficient to enable the family and social services administration to meet its obligations; and

   2. (2) neither of the conditions in subsection (a)(2) would result from a failure to appropriate additional funds;

      then there are appropriated further sums as may be necessary to remedy a situation described in this subsection, subject to the approval of the budget director and the unanimous recommendation of the members of the budget committee. However, before approving a further appropriation under this subsection, the budget director shall explain to the budget committee the factors indicating that a condition described in subdivision (2) would be met.

3. (c) Notwithstanding IC 12-14 and IC 12-15 (except for a clinical advisory panel established under IC 12-15 ), and except as provided in subsection (d), the office of the secretary may by rule adjust programs, eligibility standards, and benefit levels to limit expenditures from Medicaid assistance, Medicaid administration, public assistance (TANF), and the IMPACT (JOBS) work program. The office of the secretary may adopt rules under IC 4-22-2 to make an adjustment authorized by this subsection. However, adjustments under this subsection may not:

   1. (1) violate a provision of federal law; or
   2. (2) jeopardize the state's share of federal financial participation applicable to the state appropriations contained in the biennial budget for Medicaid assistance, Medicaid administration, public assistance (TANF), and the IMPACT (JOBS) work program.

4. (d) Subject to IC 12-15-21-3 , any adjustments made under subsection (c) must:

   1. (1) allow for a licensed provider under IC 12-15 to deliver services within the scope of the provider's license if the benefit is covered under IC 12-15 ; and
   2. (2) provide access to services under IC 12-15 from a provider under IC 12-15-12 .

As added by P.L.160-2012, SEC.16. Amended by P.L.93-2024, SEC.105.