LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
200 W. Washington St., Suite 301
Indianapolis, IN 46204
(317) 233-0696
iga.in.gov
FISCAL IMPACT STATEMENT
LS 6667 NOTE PREPARED: Mar 26, 2021
BILL NUMBER: SB 91 BILL AMENDED:
SUBJECT: Hyperbaric Oxygen Treatment Pilot Program.
FIRST AUTHOR: Sen. Tomes BILL STATUS: Enrolled
FIRST SPONSOR: Rep. Frye R
FUNDS AFFECTED: X GENERAL IMPACT: State
X DEDICATED
FEDERAL
Summary of Legislation: This bill extends the expiration date of the Hyperbaric Oxygen Treatment Pilot
Program for Veterans from June 30, 2021, to June 30, 2025. It provides that certain: (1) billing
documentation; or (2) attendance documentation; may be used to authenticate the receipt of hyperbaric
oxygen treatments for the purpose of payment approval by the Department of Veterans' Affairs. The bill
removes a provision that requires the State Department of Health to request proposals concerning hyperbaric
oxygen treatment from certain geographic areas of Indiana. It also specifies that a certain appropriation does
not revert to the state General Fund until July 1, 2025.
Effective Date: Upon passage; June 29, 2021.
Explanation of State Expenditures: This bill requires proof of treatment to be provided as a condition of
payment to medical facilities participating in the Hyperbaric Oxygen Treatment Pilot Program (Pilot
Program). This change will require the State Department of Health (ISDH) to change existing rules that
govern the administration of the Pilot Program. The bill also relieves the ISDH of the requirement to request
proposals on these treatments from across the state, which will reduce the overall workload associated with
the program. These changes should be able to be implemented with no additional appropriations, assuming
near customary agency staffing and resource levels.
This bill is also likely to increase participation in the program, which could potentially result in more rapid
expenditure of the funds already allocated to the Pilot Program. There will be no increase in total
expenditures related to the Pilot Program, to which $1 M was appropriated during the FY 2018-FY 2019
biennium. Approximately $728,000 of this appropriation remains, with approximately $404,000 encumbered
but unspent. Under this bill, these funds will remain available and will not revert to the General Fund until
SB 91 1
July 1, 2025.
Explanation of State Revenues:
Explanation of Local Expenditures:
Explanation of Local Revenues:
State Agencies Affected: Indiana State Department of Health; Indiana Department of Veterans’ Affairs.
Local Agencies Affected:
Information Sources: Mike Aichele, Indiana Department of Veterans’ Affairs; Daniel Glass, Indiana State
Department of Health.
Fiscal Analyst: Alexander Raggio, 317-234-9485.
SB 91 2

Statutes affected:
1. Introduced Senate Bill (S): 10-17-13.5-6
2. Senate Bill (S): 10-17-13.5-6
3. Senate Bill (S): 10-17-13.5-6
4. Senate Bill (H): 10-17-13.5-6
5. Enrolled Senate Bill (S): 10-17-13.5-6