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 1^st.

KEY RESOURCES

• Indiana State General Assembly
• Indiana Office of the Attorney General

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.