Indiana 2024 Regular Session Status: In Committee Bipartisan · 18 R · 4 D cosponsors

SB 3 — Prior authorization.

Last action — Senator Randolph added as coauthor

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

This bill died with 2024 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Provides that a utilization review entity may only impose prior authorization requirements on less than 1% of any given specialty or health care service and 1% of health care providers overall in a calendar year. Prohibits a utilization review entity from requiring prior authorization for: (1) a health care service that is part of the usual and customary standard of care; (2) a prescription drug that is approved by the federal Food and Drug Administration; (3) medication for opioid use disorder; (4) pre-hospital transportation; or (5) the provision of an emergency health care service. Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Provides that all adverse determinations and appeals must be reviewed by a physician who meets certain conditions. Requires a utilization review entity to provide an exemption from prior authorization requirements if in the most recent 12 month period the utilization review entity has approved or would have approved at least 80% of the prior authorization requests submitted by the health care provider for a particular health care service. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.

Bill Text

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

Read SB 3 on the official Indiana source →

Action History

  1. Senator Randolph added as coauthor

  2. Senator Niezgodski added as coauthor

  3. Senators Buck and Zay added as coauthors

  4. Committee report: do pass, adopted

  5. Senators Alting and Doriot added as coauthors

  6. Senator Donato added as coauthor

  7. Senator Ford J.D. added as coauthor

  8. Senator Yoder added as coauthor

  9. Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations

  10. Senators Walker K and Alexander added as coauthors

  11. Senator Leising added as coauthor

  12. Senators Busch and Koch added as coauthors

  13. Senator Bohacek added as coauthor

  14. Senator Crider added as coauthor

  15. Senator Becker added as coauthor

  16. Senators Baldwin and Messmer added as coauthors

  17. Senators Brown L and Rogers added as coauthors

  18. Senator Garten added as third author

  19. Senator Charbonneau added as second author

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

  21. Authored by Senator Johnson T

Sponsors

Sponsorship breakdown

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3 sponsors · 21 co-sponsors · 126 not signed on

Sponsors (3)

Co-sponsors (21)

Not signed on (126)

126 members have not signed on to this bill.

Show all 126 →

"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
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Frequently asked questions

What does SB 3 do?
Provides that a utilization review entity may only impose prior authorization requirements on less than 1% of any given specialty or health care service and 1% of health care providers overall in a calendar year. Prohibits a utilization review entity from requiring prior authorization for: (1) a health care service that is part of the usual and customary standard of care; (2) a prescription drug that is approved by the federal Food and Drug Administration; (3) medication for opioid use disorder; (4) pre-hospital transportation; or (5) the provision of an emergency health care service. Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Provides that all adverse determinations and appeals must be reviewed by a physician who meets certain conditions. Requires a utilization review entity to provide an exemption from prior authorization requirements if in the most recent 12 month period the utilization review entity has approved or would have approved at least 80% of the prior authorization requests submitted by the health care provider for a particular health care service. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.
Who sponsors SB 3?
SB 3 is sponsored by Lonnie Randolph (Democrat), David Niezgodski (Democrat), Andy Zay, James Buck (Republican), Shelli Yoder (Democrat), J.D. Ford (Democrat), Stacey Donato (Republican), Blake Doriot (Republican), Ron Alting (Republican), Scott Alexander (Republican), Kyle Walker (Republican), Jean Leising (Republican), Michael Crider (Republican), Eric Koch (Republican), Justin Busch (Republican), Mike Bohacek (Republican), Vaneta Becker (Republican), Mark Messmer, Scott Baldwin (Republican), Linda Rogers (Republican), Liz Brown (Republican), Chris Garten (Republican), Ed Charbonneau (Republican), and Tyler Johnson (Republican).
What is the current status of SB 3?
This bill died with 2024 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 3?
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Last checked for changes 3 months ago · updated continuously

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