Executive Summary
Indiana residents enrolled in Medicaid filed a lawsuit against the Trump administration challenging its extension of a Section 1115 project (HIP 2.0) allowing the State to condition Medicaid eligibility on compliance with work requirements. The approval also permits Indiana to charge enrollees premiums; terminate coverage and prohibit re-enrollment in Medicaid for failure to pay; impose a lockout penalty for failure to complete the redetermination process on time; eliminate retroactive eligibility; and eliminate NEMT. These changes have caused and will continue to cause tens of thousands of low-income individuals to lose access to Medicaid coverage and services.