Review of administrative and judicial rules. Establishes the administrative rules review committee. Requires: (1) an agency to submit a rule and the latest version of the regulatory analysis with any supporting documents; and (2) the supreme court to submit a rule and any economic impact statement, with supporting documents; to the office of fiscal management and analysis of the legislative services agency to estimate the fiscal impact on state and local government. Provides that if the fiscal impact is estimated to be greater than $300,000, the rule and supporting documents shall be provided to the administrative rules review committee for review. Provides that the rule described may not take effect unless authorized by a bill enacted by the general assembly.

Telephone assistance line for mothers. Establishes the telephone assistance line for mothers program for the purpose of providing a telephone assistance line for mothers who are experiencing behavioral health issues to connect with health care providers to obtain behavioral health resources.

Maternal health matters. Prohibits step therapy protocol for prescription drugs prescribed for the treatment of postpartum mental health conditions. Requires a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide coverage for: (1) postpartum mental health conditions; (2) a tubal ligation procedure; and (3) a vasectomy procedure; for certain individuals. Establishes a grant program to promote the installation of lactation rooms in public buildings. Requires the Indiana housing and community development authority (IHCDA) to administer the grant program. Authorizes public agencies to apply for grants. Establishes the Officer Breann Leath Memorial Prison Nursery (nursery) within a correctional facility determined by the commissioner of the department of correction (DOC). Specifies the criteria for operation, design, and implementation of the nursery and minimum standards that govern the nursery. Requires the DOC to provide an annual report to the legislative council concerning the nursery. Amends the statute requiring the DOC to adopt rules governing minimum standards for county jails to include the provision of menstrual discharge collection devices to inmates. Establishes the incarcerated women's maternal health fund to provide funds to support the nursery. Provides for Medicaid reimbursement for certified medical interpretation services for Medicaid recipients who have limited English proficiency when receiving Medicaid covered services from a Medicaid provider. Requires Medicaid pregnancy services to include reimbursement for doula services. Establishes the telephone assistance line for mothers program for the purpose of providing a telephone assistance line for mothers who are experiencing behavioral health issues to connect with health care practitioners to obtain behavioral health resources. Establishes the stillbirth prevention through fetal movement pilot program (program) for the purpose of providing evidence based information on the importance of tracking fetal movement in the third trimester of pregnancy to prevent stillbirths, to be administered by the Indiana department of health (state department). Allows the state department to award grants to increase education and the distribution of materials on tracking fetal movement in the third trimester of pregnancy. Requires grantees to report specified information on a quarterly and annual basis. Creates a fund and appropriates $250,000 for the program. Expires the program on December 31, 2027. Appropriates $5,000,000 to the IHCDA for deposit in the lactation room grant fund. Makes a continuing appropriation.

Law enforcement officer impeachment evidence. Establishes the procedure for placing a law enforcement officer's name on a Giglio list. Provides notice and reconsideration procedures. Provides requirements for prosecuting attorneys and law enforcement officers. Provides civil immunity to prosecuting attorneys for acts related to a Giglio list.

Adoption incentive programs. Creates the Indiana adoption services authority (authority) and establishes the board of directors of the authority. Sets forth the duties and powers of the authority and the board. Establishes the zero cost adoption fund (fund) to provide financial assistance, benefits, services, or other assistance for specified purposes pertaining to foster care, adoption, and postadoption assistance, including assistance with college savings and arrangements for reduced college tuition for an adopted child. Provides that money in the fund may not be used to pay the general operating, administrative, and capital expenses and establishes a separate, general operating fund for the authority to pay those expenses. Specifies that assistance provided from the fund is supplemental to adoption assistance payments or an adoption subsidy. Provides a tax credit for contributions made to the fund in an amount equal to 50% of the contribution. Specifies that the total amount of tax credits allowed may not exceed $18,500,000 for each state fiscal year. Makes conforming changes. Makes an appropriation.

Postpartum care for new mothers on Medicaid. Requires that certain health care providers and hospitals ensure that a Medicaid recipient who gives birth schedules a follow-up appointment for postpartum care not later than 60 days from the date the woman gives birth.

Annexation of residential development. Allows the town of Plainfield in Hendricks County to annex: (1) a noncontiguous residential development; and (2) the right-of-way of a public highway connecting the development to the town. Provides that the annexation is initiated by: (1) the homeowner's association board petitioning the town legislative body for annexation of the residential development; and (2) the town legislative body adopting a resolution approving initiation of the annexation process. Provides that the Town of Plainfield redevelopment commission may only enact a housing tax increment financing district in Liberty Township in Hendricks County if the district is approved by a resolution passed by the Mill Creek School Corporation.

Alcohol misuse prevention and treatment fund. Changes the name of the addiction services fund to the alcohol misuse prevention and treatment fund (fund) and makes corresponding changes. Provides for the transfer of the first 6% of the excise taxes collected on alcoholic beverages to the fund before the allocation and distribution of that alcoholic beverage excise tax revenue to the state general fund and to cities and towns. Provides for the transfer of the first 6% of the excise taxes collected on certain alcoholic beverages to the fund before the transfer of that excise tax revenue to the state construction fund. Specifies that the division of mental health and addiction (division) shall set aside the transfers of alcoholic beverage tax revenue deposited into the fund for use in making grants to local coordinating councils for substance use prevention and treatment and mental health related purposes. Requires the division to adopt guidelines and standards for awarding grants, prescribe the form used to apply for a grant, establish a maximum grant amount, and establish annual reporting requirements.

Indiana-Ireland trade commission. Establishes the Indiana-Ireland trade commission (commission) to advance bilateral trade and investment between Indiana and Ireland and other related matters. Specifies the membership of the commission and certain requirements for the operations of the commission. Requires the commission to provide an annual report of its activities. Provides for the expiration of the commission.

Adoption of research animals. Requires research facilities to offer for adoption dogs or cats no longer required for research purposes.

Health care matters. Establishes: (1) a state directed payment program (program) for hospitals; and (2) a managed care assessment fee. Changes disproportionate share payments when a state directed payment program is in effect. Allows the incremental hospital fee fund to be used to fund the Medicaid program. Requires a nonprofit hospital system to submit audited financial statements. Provides for a $10,000 per day penalty for failure to submit the hospital's financial statements. Requires the office of management and budget (office) to: (1) develop a methodology to be used in conducting a study of commercial inpatient hospital prices and outpatient hospital prices; and (2) upon budget committee review, conduct the study to determine Indiana's statewide average inpatient and outpatient hospital prices. Requires the office to submit a report of the study to the governor and general assembly. Before June 30, 2029, requires an Indiana nonprofit hospital system's aggregate average inpatient and outpatient hospital prices to at least be equal to or less than the statewide average. States that a violation by the Indiana nonprofit hospital system results in a forfeiture of its nonprofit status. Requires, before October 1 of each year, every nonprofit hospital to provide the Indiana department of health with specified federally filed forms and specified data used to complete the forms. Requires the Indiana department of health to submit these forms to the health care cost oversight task force and impose a fine of $10,000 per day on a nonprofit hospital for failure to submit the nonprofit hospital's forms. Provides an exemption from health care billing requirements for a facility located in a specified populated municipality. Requires a third party administrator to disclose commissions and fees to policyholders in a separate notification. Requires an insurer and a health maintenance organization to submit specified data information to the all payer claims data base. Requires an insurance producer or third party administrator to, before or at the time of sale, provide the plan sponsor with a statement from the insurer or health maintenance organization, disclosing commissions and fees that the insurance producer or third party administrator will receive. Changes the time frame in which certain information and claims data must be submitted to a contract holder as part of an audit or claims data request. Sets requirements for certain hospitals concerning a direct to employer health care arrangement. Beginning January 1, 2026, requires a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide a plan sponsor with the national average drug acquisition cost of a generic drug. States that if an agreement between a health plan and a pharmacy benefit manager provides that less than 85% of the estimated rebates will be deducted from the cost of prescription drugs before a covered individual's cost sharing requirement is determined, the pharmacy benefit manager must provide the policyholder with an annual notice that includes: (1) an explanation of what a rebate is; (2) an explanation of how rebates accrue to the health plan from the manufacturer; and (3) the aggregate amount of rebates that accrued to the health plan for prescription drugs dispensed under the policyholder's health plan for the previous year. Places limitations on hospital health provider contracts linking to or negotiating reimbursement or terms under a separate hospital health care provider contract or product. Requires the office to: (1) study the effect, including the fiscal impact, of requiring physician reimbursement rates under a commercial policy to be set at a minimum reimbursement rate; and (2) report its findings under the study. Requires certain health carriers to provide claims data to a contract holder not more than four times per year (current law allows for the provision of the data twice annually). Requires certain insurers and health maintenance organizations to file specified information concerning changes in hospital reimbursement to the department of insurance.

Low water crossings. Authorizes a local county road and bridge board to undertake low water crossing projects. Requires the commissioner of the department of transportation (department) to ensure that the department makes information available to county boards of commissioners and county highway departments about funding from federal and private sources that might be available to the counties for low water crossing projects. Amends the law on the local road and bridge matching grant fund: (1) to allow grants to local units to be used for low water crossing projects; and (2) to provide that funds allocated for grants to local units having a population of less than 50,000 can be used to make grants to counties below the population limit as well as to municipalities located in counties that are below the population limit.

Appointed officials. Requires disclosure of the appointing authority and term of an appointed public officer: (1) in the meeting notice and agenda of the board on which the public officer is appointed to serve; and (2) on the board's website or appointing authority's website, if any. Provides that if the appointing authority or board does not have a website, the information must be published on the Internet through the computer gateway administered by the office of technology.

Annexation. Allows the Town of Plainfield in Hendricks County (town) to annex a noncontiguous residential development that meets certain requirements. Provides that the annexation is initiated by: (1) the homeowner's association board petitioning the town legislative body for annexation of the residential development; and (2) the town legislative body adopting a resolution approving initiation of the annexation process. Provides that the town may not do the following: (1) Use the annexation territory to annex additional territory. (2) Annex additional territory within the unincorporated area extending 1/2 mile from the boundaries of the annexation territory, unless the annexation is with the consent of all of the landowners within the area to be annexed. (3) Annex, under any type of annexation, within the area that extends from the boundary of the 1/2 mile area to the town. Provides that the town's redevelopment commission may only enact a housing tax increment financing district in Liberty Township in Hendricks County if the district is approved by a resolution passed by the Mill Creek School Corporation.

Coverage for treatment of chronic diseases. Requires a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide coverage for anti-obesity medication and intensive behavioral and lifestyle therapy.