Overview
STATE BUDGET
Indiana operates on a biennial budget. Agencies submit their budget requests to the governor in August and the governor submits his or her budget to the legislature in February. The budget is usually effective beginning July 1st.
KEY RESOURCES
2025 LEGISLATIVE SUMMARY
Indiana enacted a number of important new bills in 2025. These include legislation (SB 0003) that creates fiduciary duties for third party administrators and pharmacy benefit managers working with health insurance plans to care for the best interests of the plan sponsor, including full cost and fee disclosures, contractual transparency and avoidance of potential conflicts of interest. HB 1004 requires nonprofit hospital systems’ aggregate average prices to be at or below the statewide average. Other legislation (HB 1666) will require hospitals, health care entities, insurers and pharmacy benefit managers to report ownership information, and allow the attorney general to investigate health care entity concentration. Additional new laws (SB 119) prohibit applications for certificates of public advantage, prevent insurers from denying claims from referring providers who are out of network, and require labs and imaging facilities to post pricing by service.
Indiana Laws
Ind. Code § 12-15-1.3-18. Increase of reimbursement rate for services: Medicaid Waivers and Plan Amendments – Indiana
Introduced: Status: Enacted
The amount of the increase in the reimbursement rate described in subsection (b) for a state fiscal year beginning July 1, 2017, or thereafter is the reimbursement rate in effect as of June 30, 2017, […]
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Ind. Code § 12-15-2-16.5. Assignment of rights to state: Medicaid — Eligibility – Indiana
Introduced: Status: Enacted
An individual who is applying for Medicaid or receiving Medicaid is considered to have automatically assigned to the state the individual’s rights, or the rights of any other person who is dependent upon the individual […]
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Ind. Code § 12-15-29-0.5. Pharmacy benefit manager: Medicaid — Insurance – Indiana
Introduced: Status: Enacted
As used in this chapter, “insurer” includes a pharmacy benefit manager.
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Ind. Code § 12-15-29-1. Insurers; authorization to release information: Medicaid — Insurance – Indiana
Introduced: Status: Enacted
An applicant for or a recipient of Medicaid is considered to have authorized an insurer to release to the office information needed by the office to secure or enforce the office’s rights under Medicaid.
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Ind. Code § 12-15-29-2. Requests for information from insurers; limitation: Medicaid — Insurance – Indiana
Introduced: Status: Enacted
Subject to subsection (b), an insurer shall furnish records or information pertaining to the coverage of an individual for the individual’s medical costs under an individual or a group policy or other obligation, or the […]
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