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Premiums return for Indiana's HIP, CHIP Medicaid enrollees • Indiana Capital Chronicle

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Premiums return for Indiana's HIP, CHIP Medicaid enrollees • Indiana Capital Chronicle


For the first time in years, certain Indiana Medicaid beneficiaries will start paying premiums again — a concern for advocates who say that enrollees are unprepared and point to federal concerns about the rule’s effectiveness. 

The state waived the cost-sharing requirement, otherwise known as POWER Accounts, in early 2020 during the COVID-19 pandemic. During that time, the state’s Medicaid rolls swelled as the federal government incentivized states not to cut off coverage during an unprecedented public health emergency. 

But on July 1, Medicaid beneficiaries in the Healthy Indiana Plan (HIP), Children’s Health Insurance Program (CHIP) and MedWorks will get a bill — many of them for the first time if they enrolled during or after the pandemic.

Adam Mueller, one such advocate, pointed to surveys finding beneficiaries didn’t understand the premiums, which can fluctuate monthly and sometimes are rolled over to other months. Even those who tried to do everything right could fall short due to an external factor, he said. 

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“If you’ve ever put $1 in a vending machine, and you see the bag of chips and it comes in halfway and just stops. You’re like, ‘What do I do? That was the only dollar I had. How do I get my chips?’ But in this case, it’s health care. The whole system could trip up based on whether you paid $1 or not,” said Mueller. 

“It’s really, really scary to me that people could lose access to coverage — life-saving coverage, life-sustaining coverage — over paperwork errors.”

Lawsuit and FSSA response

Former Gov. Mitch Daniels first introduced the consumer-driven, cost-sharing approach in 2007 when the state expanded Medicaid to moderate income workers. Then Gov. Mike Pence developed the program even further.

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Mueller is an attorney with the Indiana Justice Project, a nonprofit currently suing the federal government for approving several waivers that allowed the Family and Social Services Administration (FSSA) to tailor specific aspects of its Medicaid program. 

In particular, the U.S. Department of Health and Human Services approved waivers to impose the work requirements, require premiums, strike retroactive coverage and bar payment for certain non-emergency medical transportation. Plaintiffs represented by Mueller’s group revived the lawsuit in January after a pandemic pause, when premiums were suspended. 

In June 2021, the federal government removed work requirements, which were dropped from the case, but left the other three waivers in place during a review published in December 2023. 

The presiding judge is under no deadline to decide the case, though the state government filed to dismiss in April. 

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FSSA says that Indiana law requires the agency to implement cost-sharing across the three programs, which ranges from $1 to $187 for single enrollees depending on household income.

Instead, the agency pointed to its advertising campaign in multiple languages as evidence of its efforts to educate members about the premiums restart. 

“FSSA has used a robust outreach plan to ensure that members, their families and friends, and stakeholders are aware of the cost-share restart and when, how, and where to pay,” an agency spokesperson said in a statement. 

“FSSA has equipped them with tools in multiple languages that are designed to raise overall awareness, help members easily transition into cost-share and help third parties that want to pay contributions on behalf of members,” the agency continued. “This has included multiple stakeholder meetings, an advertising campaign, a 9-week social media toolkit designed for stakeholder use and guides for how to pay.”

Notably, Hoosiers who make enough money to purchase an insurance plan on the federal marketplace don’t pay any premiums.

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Details about cost-sharing

For a new enrollees first month, qualifying beneficiaries will have conditional coverage, meaning their coverage will be “active” once they make their first payment, FSSA’s Nonis Spinner shared in an April meeting detailing the reintroduction of premiums. 

Paying immediately or when you apply is the surest way to maintain coverage, Spinner said, but each plan offers additional options. 

“If they don’t make the payment within 60 days … those with over 100% (of the Federal Poverty Level income, or $31,200 for a family of four) will be disenrolled and they won’t have coverage. However, there is no lockout — they can reapply at any time,” Spinner said.

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For those making under that threshold, they’ll be put on a “basic” coverage plan with the option to choose a different plan during their renewal period. 

“The main difference between basic and plus is that in basic coverage, you pay co-payments at the time of service for most of your services. And in the plus coverage, you pay a monthly contribution instead,” Spinner summarized. 

The state has some exceptions for someone who is determined to be medically frail or pregnant. Additionally, tobacco users are subject to a premium surcharge starting in 2026. 

Hoosier Medicaid recipients report higher program dissatisfaction than peers

The General Assembly approved continuous eligibility for children in 2023, meaning that even if parents don’t make the payment, Hoosiers under 19 will still be covered for a full year. 

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After a full year without payments, those children can be locked out for up to three months until coverage can be reactivated — potentially disrupting crucial health care for the state’s youngest Hoosiers. 

Meanwhile, someone with a disability covered by the MedWorks plan can be locked out for two years due to nonpayment if they make 150% of the federal poverty level, or $46,800 for a family of four. 

But Mueller pointed to some evidence, first heard from enrollees, about the ineffectiveness of premiums and documentation about the added programming expenses.

“… we started to see a lot of people lose coverage for what I would describe as … paperwork reasons. They were still eligible (and) they thought they had paid their power account. Some people didn’t know they had a power account,” Mueller said. 

These anecdotes were later confirmed by reports documenting the confusion of enrollees and administrative burden on the private entities overseeing HIP, further complicated because third-party nonprofits or churches often paid part or all of the premiums on behalf of beneficiaries. 

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FSSA reported that third parties paid for 11,000 members in 2019 alone but Mueller and others noted that the network of aid has dissolved during the COVID-19 pandemic pause. 

The Centers for Medicare and Medicaid Services (CMS) has their own concerns about the cost-sharing tool, as detailed in a December letter allowing the state to continue to practice. 

“Evidence on the effects of premiums in Medicaid … suggest that premiums beyond those authorized under Medicaid statute may reduce access to coverage and care among the population that Medicaid is designed to serve,” read the letter from CMS to FSSA’s Medicaid Director Cora Steinmetz. “Beneficiaries who are subject to premiums appear to experience greater disruptions in Medicaid coverage and exhibit lower initial rates of enrollment.”

CMS Letter to Indiana 12.22.23

Ultimately, the agency allowed the state to continue with POWER Accounts over these concerns, noting that disenrollment issues disproportionately impact Black Hoosiers, in order to minimize disruptions to FSSA’s other projects. 

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Mueller additionally added that FSSA and the private entities administering the programs ultimately reported saving money during the COVID-19 pandemic, even as enrollment swelled and the state paused premiums collections. 

“So many people that are on HIP right now have never had to pay POWER Accounts, that’s going to be a foreign process to them,” Mueller said. “And then a lot of the workers — both at some of the managed care organizations and also at FSSA — have not have to administer this as well. We already know that they’re overworked and their caseloads are high and there’s a lot of turnover there as well.”

As for the argument that enrollees need “skin in the game” to incentivize them to make healthier choices, Mueller pointed to their participation as evidence of their conviction.

“People are on this program because they care about their health care. So, clearly, they already have ‘skin in the game,’” Mueller said. “I don’t know what else you need from somebody other than that.”

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Pedestrian, driver seriously injured in I-65 crash in Hobart, Indiana State Police say

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Pedestrian, driver seriously injured in I-65 crash in Hobart, Indiana State Police say


ByABC7 Chicago Digital Team

Tuesday, November 25, 2025 4:29AM

2 seriously hurt in I-65 crash in Hobart: Indiana State Police

Two people suffered serious injuries in a crash along Interstate 65 in northwest Indiana on Monday afternoon.

HOBART, Ind. (WLS) — Two people suffered serious injuries in a crash along Interstate 65 in northwest Indiana on Monday afternoon.

Indiana State Police said troopers responded to the crash on southbound I-65, about 1 mile north of 61st Avenue, in Hobart around 2:30 p.m.

ABC7 Chicago is now streaming 24/7. Click here to watch

Police said a roadway contractor’s white 2021 Ford F150, pulling a utility trailer, was parked on the right shoulder while a pedestrian collected debris in a ditch.

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The driver of a white 2006 Chevrolet Silverado was traveling in the right lane when they left the lane and struck the F-150, police said.

Police said the crash pushed the F-150 into the pedestrian. The Silverado then overturned before stopping in the right lane.

The pedestrian had to be airlifted to the University of Chicago Medical Center. The driver was also hurt in the crash and was taken to an Indiana hospital.

Copyright © 2025 WLS-TV. All Rights Reserved.



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Shots, blocks & boards: Vote for IndyStar girls basketball players of the week (Nov. 17-22)

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Shots, blocks & boards: Vote for IndyStar girls basketball players of the week (Nov. 17-22)


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IndyStar will be recognizing the top girls basketball players in Indiana with our players of the week poll.

Scroll to the bottom of the article to vote. Voting is open until noon Friday.

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Congratulations to Plainfield’s Abrielle Dugan on being voted Player of the Week for Nov. 10-15! The junior led the Quakers to a hard-fought win over Brownsburg, scoring a team-high 18 points in the six-point win. She went for five points, dished out two assists and pulled in four rebounds in a win over county foe Danville.

Here were the top performers from the past week.

Precious Anuka, Cathedral

Anuka went for 18 points, six steals and three assists to spark a 57-56 win over Jennings County on Friday.

Konley Ault, Bluffton

The 5-8 wing/guard scored 33 points on 14-of-17 shooting in a 78-25 win over Mississinewa, then went for 15 in a 15-point win over Huntington North. Ault also totaled seven rebounds, six assists and 10 steals for the week.

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Ava Emberton, Brownsburg

The freshman scored 18 points on six 3-pointers and dished out five assists in a win over Noblesville, then dropped 19 points on Pendleton Heights in a 78-58 win on Saturday.

Mollie Ernstes, Jennings County

The senior Kansas commit dropped 31 points in a 64-59 upset of 4A’s Warsaw on Saturday. Ernstes was a guest on The Scorers Table this week. Watch here.

Gracyn Gilliard, Center Grove

Gilliard led the Trojans to their third consecutive Johnson County tournament, totaling 77 points over three games. She set a school record with 37 points in a 49-42 win over Indian Creek that also saw her convert a school-record 17 free throws. She followed that with 20 points and and a couple steals vs. Whiteland, then 20 more points and three steals vs. Franklin in the final. She did not play the fourth quarter against Whiteland or Franklin.

Lilly Maple, East Central

Maple kicked off her week by scoring 16 points on 5-of-9 shooting vs. Columbus East, then tallied 15 points on 6-of-8 shooting vs. Hammond Central on Saturday at Pike. She also totaled 14 rebounds (11 vs. Columbus East), nine steals, seven assists and seven blocks (five vs. Hammond Central).

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Mia Miller, Scecina

Miller went for 12 points, 20 rebounds, five steals, two assists and a block vs. Purdue Broad Ripple, then notched 32 points, nine rebounds and six steals in a win over Herron.

Carley Moellering, Homestead

After being limited to five points in a loss to Norwell, Moellering went for 14 points in a blowout win over Plainfield on Saturday at Sneakers For Santa. 

Addison Norris, Norwell

The senior standout helped spark a win over Homestead, generating 24 points with three triples and a 7-for-9 mark at the line. Norris (and teammate Vanessa Rosswurm) were guests on The Scorers Table last week. Watch here.

Paige Schnaus, Gibson Southern

Schnaus scored 24 points and pulled in 18 rebounds to lead Gibson Southern to a 14-point win over Princeton. She converted 10-of-18 shots from the field and hit a 3-pointer. She also tallied 18 points, six rebounds, three steals and two blocks in a blowout win over Forest Park.

Amelia Story, Purdue Poly

Story scored 21 points to lead Purdue Poly to victory over Heritage Christian. She went 7-for-10 from 3 and also dished out six assists in the win.

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Jordyn Suggs, Lawrence North

Suggs continued her strong debut campaign, scoring 16 points on 6-of-7 shooting in a 62-57 win over North Central. The freshman also picked up a steal.

Aleia Sultzer, Ben Davis

The senior scored 19 points on 8-of-16 shooting in a 62-50 win over Plainfield. She also picked up seven rebounds, three assists, two steals and a block. Sultzer tallied 11 points, five rebounds, an assist and two steals in a loss to Warren Central.

Follow Brian Haenchen on Twitter at @Brian_Haenchen. Get IndyStar’s high school coverage sent directly to your inbox with the High School Sports newsletter.





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‘Fortunate’ Indiana high school reflects on thwarted school attack | CNN

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‘Fortunate’ Indiana high school reflects on thwarted school attack | CNN


Like any American school, Mooresville High School in Indiana had long since set up security protocols and mental health services to try to prevent violence on campus.

Yet those policies didn’t fully prepare them psychologically for the arrest in February of an 18-year-old senior accused of planning “Parkland part two.”

“Our reaction – and the community’s – was one of shock,” Matt Saner, the president of the Mooresville Schools board of trustees, told CNN in an email. “These aren’t just nameless students that we are responsible for keeping safe, these are our neighbors. Our friends. Our family. Our own kids.”

The Mooresville student’s arrest was just one of the many instances around the country, from New York City to Washington state, in which security measures worked as intended, thwarting a potential explosion of violence.

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CNN and other media outlets have long explored the aftermath of horrific school shootings: The funerals, the physical and psychic damage to survivors, the investigations into what went wrong and the efforts to rebuild.

Less explored is what happens when a potential school shooting is successfully thwarted – how the community reacts to the near-tragedy and the lessons learned from a successful intervention.

The Mooresville student, Trinity Shockley, now 19, is expected to plead guilty to conspiracy to commit murder on Monday in an Indiana courtroom as part of a plea deal with prosecutors. The “contested” plea hearing – the debate is over the length of the sentence – will include presentations of evidence, prosecutors said.

Shockley’s attorney declined to comment.

Ahead of the hearing, CNN reviewed the available information about the case and spoke with school officials to better understand what happened and the lessons for other school districts.

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“After going through something this serious – and knowing how fortunate we were to avoid a tragedy – my biggest advice to other districts is to learn everything you can from the experience and share those lessons with others,” said Jake Allen, the superintendent of Mooresville Schools.

“It is critical to take an honest, comprehensive look at what worked well and what did not.”

Shockley, then an 18-year-old senior at Mooresville High, was arrested in February and accused of planning to carry out a mass shooting at the school on Valentine’s Day. The arrest stemmed from an anonymous tip to law enforcement and a concerning conversation with a school counselor, according to an affidavit obtained by CNN affiliate WISH.

The tip to the Sandy Hook tip line on February 11 stated Shockley had access to an AR-15 rifle, had just ordered a bulletproof vest and admired Nikolas Cruz, the gunman who murdered 17 people at Marjory Stoneman Douglas High School in Parkland, Florida, officials said.

“Parkland part two,” Shockley wrote in a Discord chat. “I’ve been planning this for a YEAR.”

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The FBI traced the IP address associated with the Discord account back to Shockley, and the tip was forwarded to local law enforcement, the affidavit says.

Earlier that same day, Shockley “asked to speak with a school counselor” and at that meeting spoke about an “obsession” and sexual attraction to the Parkland shooter, including a heart-locket necklace with his photo, according to the affidavit. The counselor notified the school administration and a response plan was scheduled for prior to the next school day, Mooresville Schools said.

The following day, a SWAT team surrounded Shockley’s home and took the student in for questioning before police executed a search warrant and found in Shockley’s bedroom further evidence of a fascination with mass shooters, according to the affidavit.

Shockley told police in an interview about having a “breakdown” at school on February 11 because of the student’s mother’s recent death, the affidavit states. Shockley spoke extensively about a shooting plan and expressed a deep interest in school shootings, according to the affidavit.

At the end of the interview, Shockley was placed in restraints and taken into custody, the affidavit states.

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Shockley is charged under the name Trinity but is transgender and goes by the name Jamie, according to the affidavit.

Last month, Shockley agreed to plead guilty to conspiracy to commit murder as part of a plea deal and will be sentenced to 20 years in prison with 12.5 years in custody and the rest suspended. The plea also states Shockley cannot possess a gun, set foot on school property, or “be allowed to research, look at or view in any way materials relating to school shooters,” the agreement states.

In an email to CNN, several Mooresville school officials said the school’s safety policies worked as intended. They particularly praised the counselor’s decision to report the concerning conversation with the student and the school’s relationships with law enforcement.

“The information the student shared with a counselor, along with the FBI tip, all surfaced within hours,” Saner said. “Our staff responded without hesitation, exactly the way they’ve trained and prepared for, and our partnership with law enforcement made a tremendous difference in preventing something far worse.

“I was incredibly proud of how quickly and calmly our staff acted, and grateful for how fast law enforcement was able to act,” he added.

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Wes Upton, the Mooresville High School principal, said the school had been meeting monthly with local agencies, including fire, police, EMS and mental health providers. The student’s arrest added “reassurance to our efforts on that front,” he said.

“In February, our administrators and local law enforcement worked together exactly as our safety protocols are designed to function,” he said.

Speaking with concerned parents, students and the public was another challenge. In the aftermath of the arrest, “transparency and clear communication” with the community was “critical,” Saner said.

“The amount of positive feedback we have received from families, and the outpouring of support from the broader community, truly highlights how close-knit and caring our town is,” he said.

“Our community has expressed confidence in the processes we have in place,” Upton said.

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Principal’s one regret and ways to improve

Shockley had sought mental health resources from the school as a freshman and had expressed suicidal ideation, a school official told investigators, according to the affidavit.

The school official said when Shockley asked for help, the student’s father denied access to the resources because he “did not believe in mental health treatment and did not take his daughter’s conditions seriously,” the affidavit stated. Shockley signed up for mental health services in November 2024, two weeks after turning 18, the document says.

CNN has reached out to Timothy Shockley for comment.

Upton told CNN the counselor acted appropriately after the concerning conversation with Shockley.

“We are all thankful to have someone who saw concerning signs and spoke up right away,” he said. “We have a well-trained threat assessment team and our staff members know who to contact with concerns. Our counselor followed the threat assessment protocol, which helped us to get our plan in motion prior to our contact with law enforcement.”

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Still, he expressed regret that school officials couldn’t better help the student earlier.

“Our counselors and administrators have all expressed that we wish we could have provided the student with the mental health support we recommended to her and her family long before this incident,” he said. “Unfortunately, the school could not get parent permission to provide those services, despite the student asking for help after experiencing traumatic events. We will never know what those services could have changed.”

In addition, Saner said, the district, school, and law enforcement conducted a debrief reviewing the entire incident. They identified “valuable insights” into “navigating” the many different law enforcement jurisdictions as well as how to handle sensitive information while keeping the public informed.

“Every event teaches you something, and the board fully supports our administrators’ ongoing efforts to strengthen threat prevention and keep our schools as safe as possible,” Saner said.

Allen, the superintendent, offered recommendations to other school districts in a similar position: Examine what worked and what didn’t, share takeaways with others and don’t forget about the human side of it all.

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“Finally, the aftermath isn’t just about systems and procedures, it’s about people. Make plans to support your students, your staff, your families, and your community as you move forward,” he said. “At the end of the day, we were prepared as well as we could have been and extremely fortunate and blessed to have avoided what could have been a devastating event.”



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