SENATE BILL No. 559
DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-7-2-137; IC 12-15-2-20.
Synopsis: Fraud. Sets forth the Medicaid ineligibility time frame for
a person who is convicted of forgery, fraud, legend drug deception, and
other deceptions related to the application for or receipt of Medicaid
Effective: July 1, 2013.
January 14, 2013, read first time and referred to Committee on Health and Provider
First Regular Session 118th General Assembly (2013)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
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between statutes enacted by the 2012 Regular Session of the General Assembly.
SENATE BILL No. 559
A BILL FOR AN ACT to amend the Indiana Code concerning
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 12-7-2-137; (13)IN0559.1.1. -->
SECTION 1. IC 12-7-2-137, AS AMENDED BY P.L.145-2006,
SECTION 56, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2013]: Sec. 137. (a) "Person", except as provided in
and (c), through (d), means an association, a
corporation, a limited liability company, a governmental entity, an
individual, or a partnership.
(b) "Person", for purposes of IC 12-13-14, has the meaning set forth
in IC 12-13-14-1.
(c) "Person", for purposes of IC 12-17.2, means an individual who
is at least twenty-one (21) years of age, a corporation, a partnership, a
voluntary association, or other entity.
(d) "Person", for purposes of IC 12-15-2-20, means an
individual who is:
(1) at least twenty-one (21) years of age; and
(2) applying for or receiving Medicaid assistance.
SOURCE: IC 12-15-2-20; (13)IN0559.1.2. -->
SECTION 2. IC 12-15-2-20 IS AMENDED TO READ AS
FOLLOWS [EFFECTIVE JULY 1, 2013]: Sec. 20.
(a) This section
does not apply to a provider (as defined in IC 12-7-2-149.1(2)).
(b) (a) A person convicted of an offense under: IC 35-43-5-7.1
(1) IC 35-43-5; or
(2) IC 35-43-10;
related to the application for or receipt of Medicaid assistance is
ineligible to receive Medicaid assistance under this article for the
(1) One (1) year if the conviction is for the person's first
(2) Two (2) years if the conviction is for the person's second
(3) Ten (10) years
after if the conviction is for the person's third
or subsequent offense.
(b) A person's ineligibility period for Medicaid assistance
described in subsection (a) begins either:
(1) on the date the person is sentenced, if the person's sentence
does not include incarceration; or
(2) on the date the individual is released from incarceration.
(c) Upon receipt of substantiated evidence that a person has
committed fraud concerning the application for or receipt of
Medicaid assistance, the office may remove the person from
receiving Medicaid assistance.
(d) The office may adopt rules under IC 4-22-2 to implement