On October 9, 2026, Indiana submitted a request for a new five-year Medicaid section 1115(a) demonstration entitled “Healthy Indiana Plan 3.0.” This demonstration aims to cover Indiana’s Medicaid expansion population through a standalone demonstration rather than the state plan. The demonstration would include a simplified benefit design, featuring a single benefit package and point-of-service copayments, with the opportunity for beneficiaries to reduce their copayments by completing preventive care and chronic disease management activities. The federal comment period will be open from October 20, 2026 through November 19, 2026.