Indiana 2023 Regular Session Status: Enacted 8 R cosponsors

SB 400 — Health care matters.

Last action — Public Law 190

  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 19, 2023. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 82% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 9 sponsors

    4 primary, 5 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (8 R).

  • Cleared a recorded vote

    Passed 1 recorded vote so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.

Bill Text

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

Read SB 400 on the official Indiana source →

Action History

  1. Public Law 190

  2. Signed by the Governor

  3. Signed by the Speaker

  4. Signed by the President of the Senate

  5. Signed by the President Pro Tempore

  6. Conference Committee Report 1: adopted by the Senate; Roll Call 492: yeas 50, nays 0

  7. Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 509: yeas 90, nays 1

  8. CCR # 1 filed in the House

  9. CCR # 1 filed in the Senate

  10. Senate advisors appointed: Melton and Garten

  11. Senate conferees appointed: Brown L and Yoder

  12. House advisors appointed: Barrett, Carbaugh, Zent, Hatfield and Porter

  13. House conferees appointed: King and Fleming

  14. Senate dissented from House amendments

  15. Motion to dissent filed

  16. Concurrence withdrawn

  17. Motion to concur filed

  18. Returned to the Senate with amendments

  19. Third reading: passed; Roll Call 388: yeas 97, nays 0

  20. Second reading: amended, ordered engrossed

  21. Amendment #1 (Summers) failed; Roll Call 375: yeas 28, nays 67

  22. Amendment #2 (King) prevailed; voice vote

  23. Committee report: amend do pass, adopted

  24. Referred to the Committee on Ways and Means pursuant to House Rule 127

  25. Committee report: amend do pass, adopted

  26. First reading: referred to Committee on Public Health

  27. Referred to the House

  28. Cosponsors: Representatives Barrett, Carbaugh, Fleming

  29. House sponsor: Representative King

  30. Third reading: passed; Roll Call 201: yeas 48, nays 0

  31. Second reading: amended, ordered engrossed

  32. Amendment #1 (Brown L) prevailed; voice vote

  33. Committee report: amend do pass, adopted

  34. Committee report: amend do pass adopted; reassigned to Committee on Appropriations

  35. Senators Johnson and Rogers added as coauthors

  36. Senator Garten added as third author

  37. Senator Charbonneau added as second author

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

  39. Authored by Senator Brown L

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

4 sponsors · 5 co-sponsors · 141 not signed on

Sponsors (4)

Co-sponsors (5)

Not signed on (141)

141 members have not signed on to this bill.

Show all 141 →

"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

Votes

SB 400 - Brown L - 3rd Reading

Passed 48 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Republican 32001
Democrat 8000
Unaffiliated 8001
Total 48002
% of votes cast 96%0%0%4%
How each member voted (50)
Member Party Vote
Crane — Yea
Johnson — Yea
Sandlin — Yea
Melton — Yea
Messmer — Yea
Perfect — Yea
Zay — Yea
Breaux — Not Voting
Ford Jon — Yea
Andrea Hunley Democrat Yea
David Niezgodski Democrat Yea
Fady Qaddoura Democrat Yea
Greg Taylor Democrat Yea
J.D. Ford Democrat Yea
Lonnie Randolph Democrat Yea
Rodney Pol Democrat Yea
Shelli Yoder Democrat Yea
Aaron Freeman Republican Yea
Blake Doriot Republican Yea
Brian Buchanan Republican Yea
Chris Garten Republican Yea
Dan Dernulc Republican Yea
Ed Charbonneau Republican Yea
Eric Bassler Republican Yea
Eric Koch Republican Yea
Gary Byrne Republican Yea
Greg Walker Republican Yea
James Buck Republican Yea
James Tomes Republican Yea
Jean Leising Republican Yea
Jeff Raatz Republican Yea
Justin Busch Republican Yea
Kyle Walker Republican Yea
Linda Rogers Republican Yea
Liz Brown Republican Yea
Michael Crider Republican Yea
Michael Young Republican Yea
Mike Bohacek Republican Yea
Mike Gaskill Republican Yea
Rick Niemeyer Republican Yea
Rodric Bray Republican Yea
Ron Alting Republican Yea
Ryan Mishler Republican Not Voting
Scott Alexander Republican Yea
Scott Baldwin Republican Yea
Spencer Deery Republican Yea
Stacey Donato Republican Yea
Susan Glick Republican Yea
Travis Holdman Republican Yea
Vaneta Becker Republican Yea

Official roll call →

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 400 do?
Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.
Who sponsors SB 400?
SB 400 is sponsored by Rita Fleming, Martin Carbaugh (Republican), Brad Barrett (Republican), Joanna King (Republican), Linda Rogers (Republican), Tyler Johnson (Republican), Chris Garten (Republican), Ed Charbonneau (Republican), and Liz Brown (Republican).
What is the current status of SB 400?
This bill has been enacted into law. Introduced January 19, 2023. Enacted.
Where can I track SB 400?
Track SB 400 free on One Click Politics — get push/email alerts when it moves.

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