Indiana 2020 Regular Session Status: Enacted Bipartisan · 3 R · 2 D cosponsors

SB 5 — Health provider contracts.

Last action — Signed by the President of the Senate

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 09, 2020. Enacted.

Prognosis

Likely to advance 78% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 10 sponsors

    3 primary, 7 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (3 R · 2 D) — cross-party backing.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met.

Bill Text

We don't have the full text on file for this bill yet.

Read SB 5 on the official Indiana source →

Action History

  1. Signed by the President of the Senate

  2. Public Law 50

  3. Signed by the Governor

  4. Signed by the Speaker

  5. Signed by the President Pro Tempore

  6. Senator Spartz added as coauthor

  7. Senate concurred in House amendments; Roll Call 346: yeas 48, nays 0

  8. Motion to concur filed

  9. Returned to the Senate with amendments

  10. Third reading: passed; Roll Call 266: yeas 94, nays 0

  11. Second reading: amended, ordered engrossed

  12. Amendment #4 (Schaibley) prevailed; voice vote

  13. Committee report: amend do pass, adopted

  14. Representative Shackleford added as cosponsor

  15. First reading: referred to Committee on Public Health

  16. Referred to the House

  17. Cosponsors: Representatives Barrett and Kirchhofer

  18. House sponsor: Representative Schaibley

  19. Third reading: passed; Roll Call 107: yeas 47, nays 0

  20. Second reading: amended, ordered engrossed

  21. Amendment #1 (Charbonneau) prevailed; voice vote

  22. Senator Randolph added as coauthor

  23. Senator Glick added as coauthor

  24. Senator Ruckelshaus added as second author

  25. Committee report: do pass, adopted

  26. Senator Stoops added as coauthor

  27. First reading: referred to Committee on Health and Provider Services

  28. Authored by Senator Charbonneau

Sponsors

Sponsorship breakdown

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3 sponsors · 7 co-sponsors · 140 not signed on

Sponsors (3)

Co-sponsors (7)

Not signed on (140)

140 members have not signed on to this bill.

Show all 140 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 5 do?
Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met.
Who sponsors SB 5?
SB 5 is sponsored by Robin Shackleford (Democrat), Cindy Kirchhofer, Brad Barrett (Republican), Donna Schaibley, Victoria Spartz, Lonnie Randolph (Democrat), Susan Glick (Republican), Mark Stoops, John Ruckelshaus, and Ed Charbonneau (Republican).
What is the current status of SB 5?
This bill has been enacted into law. Introduced January 09, 2020. Enacted.
Where can I track SB 5?
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Last checked for changes 3 months ago · updated continuously

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