SB 400 IN

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Became Law

Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.

• Liz Brown Republican · author
• Ed Charbonneau Republican · author
• Chris Garten Republican · author
• Joanna King Republican · sponsor

1. Jan 19, 2023 Authored by Senator Brown L · upper
2. Jan 19, 2023 First reading: referred to Committee on Health and Provider Services · upper
3. Jan 19, 2023 Senator Charbonneau added as second author · upper
4. Jan 19, 2023 Senator Garten added as third author · upper
5. Jan 26, 2023 Senators Johnson and Rogers added as coauthors · upper
6. Feb 16, 2023 Committee report: amend do pass adopted; reassigned to Committee on Appropriations · upper
7. Feb 23, 2023 Committee report: amend do pass, adopted · upper
8. Feb 27, 2023 Amendment #1 (Brown L) prevailed; voice vote · upper
9. Feb 27, 2023 Second reading: amended, ordered engrossed · upper
10. Feb 28, 2023 Third reading: passed; Roll Call 201: yeas 48, nays 0 · upper
11. Feb 28, 2023 House sponsor: Representative King · upper
12. Feb 28, 2023 Cosponsors: Representatives Barrett, Carbaugh, Fleming · upper
13. Mar 1, 2023 Referred to the House · upper
14. Mar 6, 2023 First reading: referred to Committee on Public Health · lower
15. Mar 28, 2023 Committee report: amend do pass, adopted · lower
16. Mar 28, 2023 Referred to the Committee on Ways and Means pursuant to House Rule 127 · lower
17. Apr 6, 2023 Committee report: amend do pass, adopted · lower
18. Apr 10, 2023 Amendment #2 (King) prevailed; voice vote · lower
19. Apr 10, 2023 Amendment #1 (Summers) failed; Roll Call 375: yeas 28, nays 67 · lower
20. Apr 10, 2023 Second reading: amended, ordered engrossed · lower
21. Apr 11, 2023 Third reading: passed; Roll Call 388: yeas 97, nays 0 · lower
22. Apr 12, 2023 Returned to the Senate with amendments · lower
23. Apr 12, 2023 Motion to concur filed · upper
24. Apr 13, 2023 Concurrence withdrawn · upper
25. Apr 13, 2023 Motion to dissent filed · upper
26. Apr 13, 2023 Senate dissented from House amendments · upper
27. Apr 18, 2023 House conferees appointed: King and Fleming · lower
28. Apr 18, 2023 House advisors appointed: Barrett, Carbaugh, Zent, Hatfield and Porter · lower
29. Apr 18, 2023 Senate conferees appointed: Brown L and Yoder · upper
30. Apr 18, 2023 Senate advisors appointed: Melton and Garten · upper
31. Apr 25, 2023 CCR # 1 filed in the Senate · upper
32. Apr 25, 2023 CCR # 1 filed in the House · lower
33. Apr 26, 2023 Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 509: yeas 90, nays 1 · lower
34. Apr 26, 2023 Conference Committee Report 1: adopted by the Senate; Roll Call 492: yeas 50, nays 0 · upper
35. Apr 28, 2023 Signed by the President Pro Tempore · upper
36. Apr 28, 2023 Signed by the President of the Senate · upper
37. May 1, 2023 Signed by the Speaker · lower
38. May 4, 2023 Signed by the Governor · executive
39. May 4, 2023 Public Law 190 · upper

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Enrolled Senate Bill (S) · Apr 26, 2023 · PDF
• Introduced Senate Bill (S) · Jan 18, 2023 · PDF
• Senate Bill (S) · Feb 16, 2023 · PDF
• Senate Bill (S) · Feb 23, 2023 · PDF
• Engrossed Senate Bill (S) · Feb 27, 2023 · PDF
• Senate Bill (H) · Mar 28, 2023 · PDF
• Senate Bill (H) · Apr 6, 2023 · PDF
• Engrossed Senate Bill (H) · Apr 10, 2023 · PDF