Latest Braun orders take aim at abortion, healthcare costs and Medicaid
Jan 22, 2025
INDIANAPOLIS (WISH) — Governor Mike Braun signed multiple executive orders Wednesday. The orders range from affordable health insurance to abortion to Medicaid.
News 8 previously reported on the Braun’s direction that healthcare providers no longer advertise Medicaid programs and how that order will affect Black and Hispanic communities.
Braun has issued multiple executive orders in the opening weeks of his administration.
On Wednesday, Braun signed nine more. They include:
Executive Order 25-20FAITHFUL EXECUTION OF PRO-LIFE LAWS
Executive Order 25-21IMPROVE PRICE TRANSPARENCY
Executive Order 25-22HOSPITAL CHARITY CARE
Executive Order 25-23HEALTHCARE AFFORDABILITY MEASURES
Executive Order 25-24ASSESSING WASTE, FRAUD, AND ABUSE
Executive Order 25-25HEALTH AND FAMILY SERVICES DASHBOARD
Executive Order 25-26AGENCY DATA SHARING
Executive Order 25-27340B PROGRAM
Executive Order 25-28SPLIT RISK POOLS
Enforcing abortion laws
The executive order on pro-life laws directs state agencies to ensure Indiana’s abortion laws are ‘fully and faithfully executed.’ And further directs the Office of the Attorney General in the ‘investigation and enforcement of the State of Indiana’s abortion laws.’ The order further directs the Secretary of Health and Family Services and the Commissioner of the Indiana Department of Health to ‘fully evaluate the historical operations of IDOH with respect to enforcement of the State of Indiana’s abortion laws.’ The order requires a report to be delivered to the governor by July 1.
Price transparency in healthcare
The executive order directs state agencies that utilize state funds to pay for or reimburse healthcare services to evaluate and assess practices that affect healthcare pricing. The order also directs agencies to identify opportunities for increase clarity and accessibility of pricing information. The order directs every executive agency that utilizes any funds for healthcare payment or reimbursement submit a report by November 30.
Investigating non-profit hospitals
This order directs the Secretary of Health and Family Services to conduct an investigation and provide an analysis of the amount of free care proved by each non-profit hospitals in the state. The order directs the analysis be compared to the amount of tax-exempt benefits each of those hospitals receives. The order further states ‘an exploration into any practices of non-profit hospitals operating in the State of Indiana that permit such hospitals to avoid providing charity care to the truly needy in their community while continuing to enjoy the benefits of tax-exempt status.
Affordable healthcare
This orders the Indiana Department of Insurance to review existing protections and proposed recommendations for additional safeguards against surprise medical bills. The order also directs the IDOI to review the practices of ‘pharmacy benefit managers,’ or PBMs that operate in the state. The order directs a review of PBMs charging patients retroactive fees and ‘anticompetitive steering practices.’ The order also directs state government agencies to conduct a review of polices and strategies to lower prescription drug prices.
Combating Medicaid waste
This order directs the Indiana Family and Social Services Administration to conduct an audit of Medicaid Care Entities and a review of the way claims are electronically paid. The order also directs the FSSA to utilize the results of the audit to develop new best practices, safeguards and accountability mechanisms to prevent payment and processing errors to mitigate waste and reduce fraud and abuse. Furthermore, it directs the FSSA to find more cost-efficient ‘pharmacy benefit manager’ or PBM services to reduce Medicaid payments and ensure value for taxpayers.
Creating a Health and Family Services Dashboard
The order directs the Indiana Secretary of Health and Family Services to develop a data dashboard that provides a variety of data to Hoosiers, such as programs within the HFS organized by agency and division, budget information, key performance metrics for each agency and division and other healthcare information.
Information sharing across state agencies
This order authorizes and encourages all executive branch state agencies to share information with other executive branch state agencies provided that the sharing is documented and privacy safeguards and protocols are followed.
Overhaul of drug pricing program
This order directs the Secretary of Health and Family Services to conduct an investigation and prepare a report on the state’s use of a federal drug pricing program, 340B, through Medicaid. The order further requires a report on how hospitals and off-site outpatient facilities meet eligibility requirements for the program. The 340B program helps vulnerable patients access medicines through manufacturer discounts to specific non-profit hospitals and federally funded clinics. The order says that many of these programs were allowed flexibilities during the COVID-19 pandemic. This order directs the state HFS agency to identify these flexibilities and the entities using them and report them to the Secretary of Health and Family Services.
Lowering the cost of health insurance by ‘splitting pools’
This order attempts to reform practices within the Affordable Care Act that group persons with certain risk factors into groups or ‘pools,’ leading to reduced costs of health insurance.
The order directs the Indiana Department of Insurance to ‘evaluate all changes necessary to policies, procedures, regulations, and statutes to enable a health insurance provider to consider enrollees who enroll in health plans offered in the individual market through the Health Insurance Marketplace (“Exchange”) to be members of a separate risk pool as enrollees who enroll in health plans offered in the individual market outside of the Exchange.”