Sponsored by:
Forvis Mazars
Our Advocacy
From the Indiana General Assembly to the United States Congress, our team advocates for you, your communities and residents. We track and develop policy impacting skilled nursing facilities and assisted living facilities, and connect you to state and federal policymakers. It is critical that our leaders hear directly from you, both as providers of care and as constituents. Our team can help make these connections and have a positive impact on public policy.
2025 Active Issues
Making PathWays Viable
The proposed solutions in IHCA/INCAL’s 2025 legislative agenda intend to make the PathWays program viable long-term, mitigating many of the challenges FSSA and providers are currently experiencing today, in addition to known pain points providers will face in the future (i.e. extending any willing provider, ensuring the state sets Medicaid rates, etc.). Enacting policy changes will create some minimal parity between providers and insurers compared to the significantly lopsided favorability to MCEs currently under managed care. Additionally, the reforms will help maintain current high-quality outcomes in Indiana’s long-term care sector[1] and reduce the likelihood of rural facility closures and marketplace consolidation.
[1] SNFs have the eight best quality measures score in the country according to CMS data.
Growing and Improving the Long-Term Care Workforce
During the pandemic, nursing homes lost nearly 250,000 caregivers, which is worse than any other health-care sector. In fact, nursing homes still need more than 124,000 workers to return to pre-pandemic levels. Indiana is not immune from these staffing challenges. While we lead the nation in the number of quality award recipients and significantly outpace other states when evaluated against CMS Quality Measures standards, we continue to face a workforce shortage.
Protect Not-for-Profit SNF Status
Here’s How:
Clarify non-profit property tax exemption to prevent more frivolous assessor tax challenges.
Clarify personal property tax exemption for county hospital equipment used in SNFs.
Reauthorize QAF
Keep QAF at current rate and structure, extending sunset provisions by another two years.