Governor defends attendant care service changes as necessary

Protesters opposing cuts to the state Medicaid program for attendant care services gather outside the Whistle Stop Inn in downtown Indianapolis where Gov. Eric Holcomb signed a bill allowing alcohol "happy hours" on Thursday, March 14, 2024. (Credit: Tom Davies)

Protesters opposing cuts to the state Medicaid program for attendant care services gather outside the Whistle Stop Inn in downtown Indianapolis where Gov. Eric Holcomb signed a bill allowing alcohol "happy hours" on Thursday, March 14, 2024. (Credit: Tom Davies)

Mar 14, 2024

Gov. Eric Holcomb defended on Thursday his administration’s handling of contentious proposed cuts to a Medicaid program for children with severe medical troubles.

Holcomb’s comments came a day after he signed legislation on the issue that disappointed program advocates, some of whom gathered in protest outside a downtown Indianapolis event by the governor.

The Indiana Family and Social Services Administration has proposed payment cuts and eligibility reductions to a program under which parents provide attendant care for sometimes more than 60 hours a week to their children.

The proposals are part of an agency effort to curtail Medicaid spending after a nearly $1 billion expense forecasting error was announced in December.

Holcomb told reporters Thursday that he made a pledge that his administration would work to ensure needed services continued.

Gov. Eric Holcomb talks with reporters following a bill signing event at the Whistle Stop Inn in downtown Indianapolis on Thursday, March 14, 2024. (Credit: Tom Davies)
Gov. Eric Holcomb talks with reporters following a bill signing event at the Whistle Stop Inn in downtown Indianapolis on Thursday, March 14, 2024. (Credit: Tom Davies)

“First and foremost, we want to make sure folks that are receiving services get them, though they may be in a different way,” Holcomb said. “But we have to make sure that the program is sustainable and that we can provide those services down the road.”

Attendant care program advocates were a regular presence at the Statehouse for several weeks while legislators debated possible responses during the General Assembly’s session that ended Friday.

In the final version of House Bill 1120, which Holcomb signed Wednesday, lawmakers directed FSSA to present a policy on changes to the program to the State Budget Committee by the end of the year. 

Advocates said they were disappointed by what they regard as a lack of urgency by lawmakers to intervene on the planned cuts.

About a dozen people gathered to protest those cuts during a separate bill-signing event Holcomb held Thursday at a downtown Indianapolis restaurant.

Rachel Mattingly, who cares for her 14-month-old son Owen under the program, said she traveled from her family’s Evansville home in hopes of demonstrating to Holcomb her concerns about the proposed changes.

Mattingly said she was disappointed about the lack of collaboration between state officials and families on how to create a sustainable program.

“It’s going to be incredibly challenging to families who are already under incredible stress, just within their own circumstances with their children and with their medically complex loved ones,” Mattingly told State Affairs.

Reporters didn’t see Holcomb interact with the protesters before he left the event site, and his press secretary didn’t immediately reply to a message on whether he had done so.

Holcomb said that meetings about attendant care changes would continue with providers and others and that his office would be part of those talks.

“We’ve been involved daily, intimately, closely, and we will continue to be,” Holcomb said. “We want to make sure we get this right.”

Tom Davies is a Statehouse reporter for State Affairs Pro Indiana. Reach him at [email protected] or on X at @TomDaviesIND.

@StateAffairsIN
Facebook @stateaffairsin
Instagram @stateaffairsin
LinkedIn @stateaffairspro