HB 1004 IN

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Became Law

Establishes the health care cost oversight task force and sets forth duties of the task force. Provides a credit against state tax liability to certain physicians who have an ownership interest in a physician practice and meet other eligibility criteria. Allows a credit against the state tax liability of an employer with fewer than 50 employees if the employer has adopted a health reimbursement arrangement in lieu of a traditional employer provided health insurance plan and if the employer's contribution toward the health reimbursement arrangement meets a certain standard. Requires the office of the secretary of family and social services to research and compile data concerning Medicaid reimbursement rates for Indiana and all other states and the national reimbursement rate average. Requires the submission of a report to the health care cost oversight task force and the general assembly. Establishes the payer affordability penalty fund. Specifies additional information that a hospital must report to the Indiana department of health in the hospital's annual report and establishes a fine for a hospital that fails to timely file the report. Provides that a bill for health care services provided by certain qualified providers in an office setting must be submitted on an individual provider form. Prohibits an insurer, health maintenance organization, employer, or other person responsible for the payment of the cost of health care services from accepting a bill that is submitted on an institutional provider form. Repeals language requiring a hospital to hold a public forum. Requires the department of insurance to contract with a third party to calculate an Indiana nonprofit hospital system's prices from certain health plans for specified calendar years. Before November 1, 2024, and before November 1 each subsequent year, requires the department's third party contractor to compare certain Indiana nonprofit hospital system facility pricing information with 285% of Medicare. Requires the calculations to be submitted as a report for review. Provides that a health care provider that enters into: (1) a value-based health care reimbursement agreement; and (2) an electronic medical records access agreement; with a health plan may qualify to participate in the health plan's program to reduce or eliminate prior authorization requirements. Requires a health plan that establishes a program to reduce or eliminate prior authorization requirements to provide certain information to health care providers concerning the program. Requires a third party administrator, insurer, or health maintenance organization that has contracted with a person to administer a self-funded insurance plan or a fully insured group plan to provide claims data to the person not later than 15 days from a request for the data. Specifies certain claims data to be provided and establishes a fine for a failure to timely provide the claims data. Requires the all payer claims data base advisory board to discuss specified issues concerning reimbursement rates. Allows for the provisional credentialing of physicians who establish or join an independent primary care practice.

• Donna Schaibley · author
• Ed Charbonneau Republican · sponsor
• Chris Garten Republican · sponsor
• Liz Brown Republican · sponsor

1. Jan 12, 2023 Coauthored by Representatives Lehman, K Pierce, and Shackleford · lower
2. Jan 12, 2023 Authored by Representative Schaibley · lower
3. Jan 12, 2023 First reading: referred to Committee on Public Health · lower
4. Jan 26, 2023 Representative Shackleford removed as coauthor · lower
5. Feb 6, 2023 Representative McGuire J added as coauthor · lower
6. Feb 20, 2023 Committee report: amend do pass, adopted · lower
7. Feb 20, 2023 Referred to the Committee on Ways and Means pursuant to House Rule 127 · lower
8. Feb 21, 2023 Committee report: do pass, adopted · lower
9. Feb 23, 2023 Amendment #1 (DeLaney) failed; Roll Call 207: yeas 27, nays 65 · lower
10. Feb 23, 2023 Second reading: ordered engrossed · lower
11. Feb 27, 2023 Third reading: passed; Roll Call 237: yeas 85, nays 11 · lower
12. Feb 27, 2023 Senate sponsors: Senators Charbonneau, Garten, Brown L · lower
13. Feb 28, 2023 Referred to the Senate · lower
14. Mar 1, 2023 First reading: referred to Committee on Health and Provider Services · upper
15. Apr 6, 2023 Committee report: amend do pass adopted; reassigned to Committee on Appropriations · upper
16. Apr 13, 2023 Committee report: amend do pass, adopted · upper
17. Apr 17, 2023 Amendment #4 (Garten) prevailed; voice vote · upper
18. Apr 17, 2023 Second reading: amended, ordered engrossed · upper
19. Apr 17, 2023 Senator Bohacek added as cosponsor · upper
20. Apr 18, 2023 Third reading: passed; Roll Call 431: yeas 49, nays 1 · upper
21. Apr 18, 2023 Senator Breaux added as cosponsor · upper
22. Apr 18, 2023 Returned to the House with amendments · upper
23. Apr 19, 2023 Motion to dissent filed · lower
24. Apr 19, 2023 House dissented from Senate amendments · lower
25. Apr 19, 2023 House conferees appointed: Schaibley and Hatfield · lower
26. Apr 19, 2023 House advisors appointed: Lehman, Barrett, Carbaugh, Snow and Fleming · lower
27. Apr 20, 2023 Senate conferees appointed: Charbonneau and Yoder · upper
28. Apr 20, 2023 Senate advisors appointed: Breaux and Garten · upper
29. Apr 27, 2023 Senator Garten removed as advisor · upper
30. Apr 27, 2023 Senator Yoder removed as conferee · upper
31. Apr 27, 2023 Senator Garten added as conferee · upper
32. Apr 27, 2023 Representative Lehman removed as advisor · lower
33. Apr 27, 2023 Representative Hatfield removed as conferee · lower
34. Apr 27, 2023 Representative Lehman added as conferee · lower
35. Apr 27, 2023 CCR # 1 filed in the House · lower
36. Apr 27, 2023 CCR # 1 filed in the Senate · upper
37. Apr 27, 2023 Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 559: yeas 90, nays 7 · lower
38. Apr 28, 2023 Signed by the President of the Senate · upper
39. Apr 28, 2023 Signed by the President Pro Tempore · upper
40. Apr 28, 2023 Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 532: yeas 45, nays 5 · upper
41. May 1, 2023 Signed by the Speaker · lower
42. May 4, 2023 Signed by the Governor · executive
43. May 4, 2023 Public Law 203 · lower

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 House Bill (H) · Apr 28, 2023 · PDF
• Introduced House Bill (H) · Jan 12, 2023 · PDF
• House Bill (H) · Feb 20, 2023 · PDF
• House Bill (H) · Feb 21, 2023 · PDF
• House Bill (S) · Apr 6, 2023 · PDF
• House Bill (S) · Apr 13, 2023 · PDF
• Engrossed House Bill (S) · Apr 17, 2023 · PDF