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27 03, 2024

SB 276

This bill introduces new regulations for hospitals' billing practices and financial disclosures to patients in Indiana. It prohibits the garnishment of a consumer's unpaid earnings in satisfaction of any amount of healthcare debt. It also bars healthcare providers from sharing information related to healthcare debt to consumer reporting agencies, and requires them to include a provision in their contracts to prevent third-party furnishers from reporting or sharing such information. If healthcare debt information is reported or shared against these prohibitions, the consumer is relieved from any liability to pay the amount of debt reported, [...]

SB 276
20 02, 2024

HB 1359

Provides that if a party to a health provider contract intends to terminate the contractual relationship with another party to the health provider contract as of January 1 of the following calendar year, the terminating party must provide written notice to the other party before September 1. Provides that if a party intending to terminate a health provider contract fails to provide the required written notice before September 1 of a particular calendar year, the health provider contract remains in effect and is binding upon the parties in the following calendar year. Allows a [...]

HB 1359
20 02, 2024

HB 1414

Requires the budget committee to review certain contracts with managed care organizations for the Medicaid program. Allows a managed care organization and a Medicaid provider to enter into a value based health care reimbursement agreement in writing providing for a reimbursement rate that is different than an established reimbursement rate for that service. Defines "value based health care reimbursement agreement". Prohibits a managed care organization from imposing a different rate or payment methodology through a notice of contract change to a provider. Requires a managed care organization to notify the office of the secretary [...]

HB 1414
20 02, 2024

SB 3

Provides that a utilization review entity may only impose prior authorization requirements on less than 1% of any given specialty or health care service and 1% of health care providers overall in a calendar year. Prohibits a utilization review entity from requiring prior authorization for: (1) a health care service that is part of the usual and customary standard of care; (2) a prescription drug that is approved by the federal Food and Drug Administration; (3) medication for opioid use disorder; (4) pre-hospital transportation; or (5) the provision of an emergency health care service. [...]

SB 3
5 02, 2024

HB 1091

Requires, on or after January 1, 2026, health plans (plan) to allow health professionals who have at least an 85% approval rate of prior authorization requests through a plan to receive a one year exemption from the plan's prior authorization requirements. Provides that health professionals have a right to an appeal of a prior authorization denial or rescission. Provides that the appeal is to be conducted by a health professional of the same or similar specialty as the health professional who has or is being considered for an exemption. 

HB 1091
29 01, 2024

HB 1327

Requires a hospital, physician group practice, insurer, third party administrator, and pharmacy benefit manager to file with the Indiana department of health (department) a report that includes information regarding each person or entity that has an ownership interest, in whole or in part, or a controlling interest in the hospital, physician group practice, insurer, third party administrator, or pharmacy benefit manager. Requires the department to publicly post a searchable consolidated document on the department's website that contains the information. Sets forth penalties for a violation of the reporting requirements. Requires the department to submit [...]

HB 1327
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