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SB 480 IN
Became Law

Prior authorization.

IN · session 2025 · Senate · bill

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Introduced Jan 13, 2025

Latest action (May 1, 2025) Signed by the Governor

Summary

Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.

Sponsors (4)

43 coauthors / cosponsors

Action history (42)

  1. Jan 13, 2025 Authored by Senator Johnson T · upper
  2. Jan 13, 2025 Coauthored by Senators Charbonneau, Brown L, Rogers, Crider, Becker, Leising, Hunley · upper
  3. Jan 13, 2025 First reading: referred to Committee on Health and Provider Services · upper
  4. Jan 16, 2025 Senator Ford J.D. added as coauthor · upper
  5. Jan 23, 2025 Committee report: do pass adopted; reassigned to Committee on Appropriations · upper
  6. Jan 23, 2025 Senator Randolph added as coauthor · upper
  7. Jan 23, 2025 Senators Alexander, Bassler, Bohacek, Buchanan, Byrne, Dernulc, Donato, Koch, Maxwell added as coauthors · upper
  8. Jan 27, 2025 Senators Buck, Busch, Doriot, Walker K, Yoder added as coauthors · upper
  9. Jan 28, 2025 Senator Pol added as coauthor · upper
  10. Jan 28, 2025 Senator Zay added as coauthor · upper
  11. Jan 28, 2025 Senator Brown L added as third author · upper
  12. Jan 28, 2025 Senator Charbonneau added as second author · upper
  13. Jan 28, 2025 Senator Brown L removed as coauthor · upper
  14. Jan 28, 2025 Senator Charbonneau removed as coauthor · upper
  15. Jan 29, 2025 Senators Clark and Qaddoura added as coauthors · upper
  16. Jan 30, 2025 Senator Alting added as coauthor · upper
  17. Jan 30, 2025 Senators Deery, Glick, Holdman, Jackson L, Niemeyer, Niezgodski added as coauthors · upper
  18. Jan 30, 2025 Senator Tomes added as coauthor · upper
  19. Jan 30, 2025 Senators Raatz, Spencer, Taylor G, Walker G added as coauthors · upper
  20. Feb 3, 2025 Senator Schmitt added as coauthor · upper
  21. Feb 3, 2025 Senator Carrasco added as coauthor · upper
  22. Feb 3, 2025 Senator Young M added as coauthor · upper
  23. Feb 13, 2025 Committee report: amend do pass, adopted · upper
  24. Feb 17, 2025 Second reading: ordered engrossed · upper
  25. Feb 20, 2025 Third reading: passed; Roll Call 203: yeas 47, nays 2 · upper
  26. Feb 20, 2025 Cosponsors: Representatives Carbaugh, McGuire, King · upper
  27. Feb 20, 2025 House sponsor: Representative Barrett · upper
  28. Feb 21, 2025 Referred to the House · upper
  29. Mar 3, 2025 First reading: referred to Committee on Insurance · lower
  30. Apr 8, 2025 Committee report: amend do pass, adopted · lower
  31. Apr 10, 2025 Second reading: amended, ordered engrossed · lower
  32. Apr 10, 2025 Amendment #2 (Mayfield) prevailed; voice vote · lower
  33. Apr 10, 2025 Amendment #1 (Barrett) prevailed; voice vote · lower
  34. Apr 14, 2025 Third reading: passed; Roll Call 443: yeas 94, nays 0 · lower
  35. Apr 15, 2025 Returned to the Senate with amendments · lower
  36. Apr 15, 2025 Motion to concur filed · upper
  37. Apr 16, 2025 Senate concurred with House amendments; Roll Call 466: yeas 39, nays 2 · upper
  38. Apr 17, 2025 Signed by the President Pro Tempore · upper
  39. Apr 22, 2025 Signed by the Speaker · lower
  40. Apr 23, 2025 Signed by the President of the Senate · upper
  41. May 1, 2025 Public Law 144 · upper
  42. May 1, 2025 Signed by the Governor · executive
Subjects
ADDICTION SERVICES; Illicit Drugs, Prescription Drugs, Substances, and AlcoholHEALTH CARE FACILITIES; GenerallyHEALTH CARE PROFESSIONALS; ChiropractorsHEALTH CARE PROFESSIONALS; Doctors and PhysiciansHEALTH; Billing and CostsHEALTH; GenerallyHEALTH; MedicaidHEALTH; Prescription Drugs and MedicationsINSURANCE; Health Insurance

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