HB 1385 IN

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Became Law

Establishes the community cares initiative grant pilot program for the purpose of assisting in the costs of starting or expanding mobile integrated health care programs and mobile crisis teams in Indiana. Establishes the community cares initiative fund. Requires a health plan operator to provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual: (1) at a rate not to exceed the rates set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated; (2) at the rate of 400% of the published rate for ambulance services established under the Medicare law for the same ambulance service provided in the same geographic area; or (3) according to the nonparticipating ambulance provider's billed charges; whichever is less. Provides that if a health plan operator makes payment to a nonparticipating ambulance service provider in compliance with these requirements: (1) the payment shall be considered payment in full, except for any copayment, coinsurance, deductible, and other cost sharing amounts that the health plan requires the covered individual to pay; and (2) the nonparticipating ambulance service provider is prohibited from billing the covered individual for any additional amount. Provides that the copayment, coinsurance, deductible, and other cost sharing amounts that a covered individual is required to pay in connection with ambulance service provided by a nonparticipating ambulance service provider shall not exceed the copayment, coinsurance, deductible, and other cost sharing amounts that the covered individual would be required to pay if the ambulance service had been provided by a participating ambulance service provider. Requires a health plan operator that receives a clean claim from a nonparticipating ambulance service provider to remit payment to the nonparticipating ambulance service provider not more than 30 days after receiving the clean claim. Provides that if a claim received by a health plan operator for ambulance service provided by a nonparticipating ambulance service provider is not a clean claim, the health plan operator, not more than 30 days after receiving the claim, shall: (1) remit payment; or (2) send a written notice that: (A) acknowledges the date of receipt of the claim; and (B) either explains why the health plan operator is declining to pay the claim or states that additional information is needed for a determination whether to pay the claim. Removes the requirement that a health plan operator negotiate rates and terms with any ambulance service provider willing to become a participating provider, but retains the requirement that the state negotiate rates and terms with any ambulance service provider willing to become a participating provider.

• Brad Barrett Republican · author
• Tyler Johnson Republican · sponsor
• Ed Charbonneau Republican · sponsor
• Scott Baldwin Republican · sponsor

1. Jan 11, 2024 Authored by Representative Barrett · lower
2. Jan 11, 2024 First reading: referred to Committee on Insurance · lower
3. Jan 25, 2024 Committee report: do pass, adopted · lower
4. Jan 29, 2024 Second reading: ordered engrossed · lower
5. Jan 29, 2024 Representatives Carbaugh, Snow C, Shackleford added as coauthors · lower
6. Jan 30, 2024 Senate sponsor: Senator Johnson T · lower
7. Jan 30, 2024 Third reading: passed; Roll Call 101: yeas 94, nays 1 · lower
8. Jan 31, 2024 Referred to the Senate · lower
9. Feb 5, 2024 First reading: referred to Committee on Insurance and Financial Institutions · upper
10. Feb 5, 2024 Senator Charbonneau added as second sponsor · upper
11. Feb 6, 2024 Senator Baldwin added as third sponsor · upper
12. Feb 12, 2024 Senator Freeman added as cosponsor · upper
13. Feb 13, 2024 Senator Walker K added as cosponsor · upper
14. Feb 15, 2024 Committee report: amend do pass, adopted · upper
15. Feb 19, 2024 Senator Randolph added as cosponsor · upper
16. Feb 19, 2024 Amendment #2 (Johnson T) prevailed; voice vote · upper
17. Feb 19, 2024 Second reading: amended, ordered engrossed · upper
18. Feb 20, 2024 Third reading: passed; Roll Call 175: yeas 44, nays 5 · upper
19. Feb 21, 2024 Returned to the House with amendments · upper
20. Mar 4, 2024 House advisors appointed: Schaibley, Zent and Fleming · lower
21. Mar 4, 2024 House dissented from Senate amendments · lower
22. Mar 4, 2024 Motion to dissent filed · lower
23. Mar 4, 2024 House conferees appointed: Barrett and Shackleford · lower
24. Mar 6, 2024 Senate advisors appointed: Qaddoura and Charbonneau · upper
25. Mar 6, 2024 Senate conferees appointed: Johnson T and Randolph Lonnie M · upper
26. Mar 11, 2024 Signed by the President Pro Tempore · upper
27. Mar 8, 2024 Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 325: yeas 45, nays 2 · upper
28. Mar 11, 2024 Signed by the Speaker · lower
29. Mar 13, 2024 Signed by the Governor · executive
30. Mar 12, 2024 Signed by the President of the Senate · upper
31. Mar 8, 2024 CCR # 1 filed in the Senate · upper
32. Mar 8, 2024 CCR # 1 filed in the House · lower
33. Mar 8, 2024 Senator Qaddoura added as conferee · upper
34. Mar 8, 2024 Senator Qaddoura removed as advisor · upper
35. Mar 8, 2024 Senator Randolph Lonnie M removed as conferee · upper
36. Mar 13, 2024 Public Law 163 · lower
37. Mar 8, 2024 Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 342: yeas 97, nays 0 · lower