Indiana House Bill 1004 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Republican 8-1)
Status: Passed on May 4 2023 - 100% progression
Action: 2023-05-04 - Public Law 203
Text: Latest bill text (Enrolled) [PDF]

Health care matters. 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.

Health care matters.

Rep. Donna Schaibley [R]	Rep. Matthew Lehman [R]	Rep. Kyle Pierce [R]	Rep. Julie McGuire [R]
Sen. Ed Charbonneau [R]	Sen. Chris Garten [R]	Sen. Elizabeth Brown [R]	Sen. Mike Bohacek [R]
Sen. Jean Breaux [D]

2023-04-28 - Senate - Senate - Rules Suspended. Conference Committee Report 1 (Y: 45 N: 5 NV: 0 Abs: 0) [PASS]
2023-04-27 - House - House - Rules Suspended. Conference Committee Report 1 (Y: 90 N: 7 NV: 0 Abs: 3) [PASS]
2023-04-18 - Senate - Senate - Third reading (Y: 49 N: 1 NV: 0 Abs: 0) [PASS]
2023-02-27 - House - House - Third reading (Y: 85 N: 11 NV: 0 Abs: 4) [PASS]
2023-02-23 - House - House - Amendment #1 (DeLaney) failed (Y: 27 N: 65 NV: 4 Abs: 4) [FAIL]

Date	Chamber	Action
2023-05-04	House	Public Law 203
2023-05-04	House	Signed by the Governor
2023-05-01	House	Signed by the Speaker
2023-04-28	Senate	Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 532: yeas 45, nays 5
2023-04-28	Senate	Signed by the President of the Senate
2023-04-28	Senate	Signed by the President Pro Tempore
2023-04-27	House	Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 559: yeas 90, nays 7
2023-04-27	Senate	CCR # 1 filed in the Senate
2023-04-27	House	CCR # 1 filed in the House
2023-04-27	House	Representative Lehman added as conferee
2023-04-27	House	Representative Hatfield removed as conferee
2023-04-27	House	Representative Lehman removed as advisor
2023-04-27	Senate	Senator Garten added as conferee
2023-04-27	Senate	Senator Yoder removed as conferee
2023-04-27	Senate	Senator Garten removed as advisor
2023-04-20	Senate	Senate advisors appointed: Breaux and Garten
2023-04-20	Senate	Senate conferees appointed: Charbonneau and Yoder
2023-04-19	House	House advisors appointed: Lehman, Barrett, Carbaugh, Snow and Fleming
2023-04-19	House	House conferees appointed: Schaibley and Hatfield
2023-04-19	House	House dissented from Senate amendments
2023-04-19	House	Motion to dissent filed
2023-04-18	Senate	Returned to the House with amendments
2023-04-18	Senate	Senator Breaux added as cosponsor
2023-04-18	Senate	Third reading: passed; Roll Call 431: yeas 49, nays 1
2023-04-17	Senate	Senator Bohacek added as cosponsor
2023-04-17	Senate	Second reading: amended, ordered engrossed
2023-04-17	Senate	Amendment #4 (Garten) prevailed; voice vote
2023-04-13	Senate	Committee report: amend do pass, adopted
2023-04-06	Senate	Committee report: amend do pass adopted; reassigned to Committee on Appropriations
2023-03-01	Senate	First reading: referred to Committee on Health and Provider Services
2023-02-28	House	Referred to the Senate
2023-02-27	House	Senate sponsors: Senators Charbonneau, Garten, Brown L
2023-02-27	House	Third reading: passed; Roll Call 237: yeas 85, nays 11
2023-02-23	House	Second reading: ordered engrossed
2023-02-23	House	Amendment #1 (DeLaney) failed; Roll Call 207: yeas 27, nays 65
2023-02-21	House	Committee report: do pass, adopted
2023-02-20	House	Referred to the Committee on Ways and Means pursuant to House Rule 127
2023-02-20	House	Committee report: amend do pass, adopted
2023-02-06	House	Representative McGuire J added as coauthor
2023-01-26	House	Representative Shackleford removed as coauthor
2023-01-23	House	Representative Shackleford added as coauthor
2023-01-12	House	First reading: referred to Committee on Public Health
2023-01-12	House	Authored by Representative Schaibley
2023-01-12	House	Coauthored by Representatives Lehman, K Pierce, and Shackleford

Type	Source
Summary	https://iga.in.gov/legislative/2023/bills/house/1004/details
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#1.INTR
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#2.COMH
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#3.COMH
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#4.COMS
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#5.COMS
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#6.ENGS
Text	https://iga.in.gov/legislative/2023/bills/house/1004/#7.ENRS
Roll Call	https://iga.in.gov/legislative/2023/bills/house/1004/#H207
Roll Call	https://iga.in.gov/legislative/2023/bills/house/1004/#H237
Roll Call	https://iga.in.gov/legislative/2023/bills/house/1004/#S431
Roll Call	https://iga.in.gov/legislative/2023/bills/house/1004/#H559
Roll Call	https://iga.in.gov/legislative/2023/bills/house/1004/#S532