Overview

In the 2018 legislative term, Indiana introduced several legislation aimed at promoting price transparency, lowering healthcare costs, and expanding healthcare markets. Although most of those bills introduced died in committee, the state legislature passed HB 1317, a price transparency bill which would make it easier for pharmacists to discuss more affordable alternatives with patients. In addition, the state passed legislation to establish a comprehensive care health facility Certificate of Need (CON) program to be administered by the sate department.

The State Database

The Source tracks state activities impacting healthcare price and competition in both legislation and litigation in a searchable database to help stakeholders at the state level understand their legal and regulatory environment as they make efforts to improve access, quality, and efficiency, and reduce costs in healthcare.

LEGISLATION: The Database of State Laws Impacting Healthcare Cost and Quality (SLIHCQ), created by The Source on Healthcare Price & Competition and Catalyst for Payment Reform, catalogues state legislation governing price transparency, provider market power, provider payment, provider networks, and benefit design. The database also includes pharmaceutical legislation beginning in the 2017-2018 legislative session. *Note: Current legislative session bill updates are ongoing. Check back weekly for updates.

LITIGATION: The Source tracks major litigation and antitrust enforcement action by federal entities (FTC or DOJ), state attorney generals, and private parties in the main provider and insurer markets, particularly legal challenges of healthcare consolidation and anticompetitive contract provisions. Additionally, the database contains major pharmaceutical cases including legislation challenges and significant appellate cases.

Search the database across all jurisdictions on the State Overview page, or view and filter existing legislation or litigation on individual state pages. The database allows customized search and filter by keyword, status, and/or key issue category. *Multiple filter/selections enabled. Click here for User Guide.

Recent Legislation

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HB 1001 – Indiana
Introduced: 2019 Status: Enacted
State budget. Appropriates money for capital expenditures, the operation of the state, K-12 and higher education, the delivery of Medicaid and other services, and various other distributions and purposes. Renames the build Indiana fund the …

HB 1011 – Indiana
Introduced: 2017 Status: Inactive / Dead
HEALTHCARE CHARGES: Beginning in 2018, requires healthcare providers to publish and provide to patients the chargers for procedures rendered by the health care provider. Beginning in 2020, requires healthcare providers to publish and provide to …

HB 1029 – Indiana
Introduced: 2019 Status: Enacted
Prescription drug pricing study committee. Urges the legislative council to assign to the interim study committee on public health, behavioral health, and human services the task of studying issues consumers face related to prescription drug …

HB 1097 – Indiana
Introduced: 2019 Status: Enacted
Advanced practice registered nurses. Allows an advanced practice registered nurse who: (1) had primary responsibility for the treatment and care of a deceased individual for a period longer than six months; and (2) pronounced the …

HB 1117 – Indiana
Introduced: 2019 Status: Inactive / Dead
Medicaid nursing facility services. Extends the prohibition on the office of Medicaid policy and planning from including certain Medicaid recipients who receive nursing facility services in a Medicaid risk based managed care program or a …

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Enacted Laws

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HB 1317 – Indiana
Introduced: 2018 Status: Enacted
HEALTH MATTERS:Would permit a pharmacy or pharmacist to provide individuals with information concerning the individuals cost share for a prescription drug. Would prohibit a third party administrator, health insurer or a health maintenance organization from …

HB 1546 – Indiana
Introduced: 2019 Status: Enacted
Prior authorization and Medicaid. Specifies that after December 31, 2020 the prior authorization for health care services statute applies to the risk based managed care Medicaid program. Requires, after December 31, 2020, that a Medicaid …

HB 1588 – Indiana
Introduced: 2019 Status: Enacted
Insurance matters. Requires a pharmacy benefit manager doing business in Indiana to, at least every seven days, update and make available to pharmacies maximum allowable cost list information. Repeals the law providing for availability of …

HB 1631 – Indiana
Introduced: 2019 Status: Enacted
Short term insurance plans. Specifies certain coverage and disclosures that must be provided with respect to a short term insurance plan. Requires an insurer that issues a short term insurance plan to offer at least …
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Ind. Code § 11-10-3-5. Copayment requirements; exceptions: Medical Care – Indiana
Introduced: Status: Enacted
Except as provided in subsection (c), a person committed to the department may be required to make a copayment in an amount of not more than ten dollars ($10) for each provision of any of …
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Key Litigation

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In Re: Generic Pharmaceuticals Pricing Antitrust Litigation – Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin
District Court: Eastern District of Pennsylvania Status: Pending
Plaintiffs are attorney generals from 48 states, Puerto Rico, and the District of Columbia, as well as classes of private plaintiffs that filed an antitrust …

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Additional Resources

LEGISLATIVE CALENDAR

Indiana’s latest legislative term ran from 1/3/2019 – 4/29/2019. Indiana’s next legislative session will convene on January 6, 2020.

FY 2019-2021 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. The budget for the FY 2019 to 2021 can be seen here.