Indiana 2025 Regular Session Status: Enacted Bipartisan · 8 R · 6 D cosponsors

HB 1604 — Cost sharing; out-of-pocket expense credit.

Last action — Public Law 237

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

This bill has been enacted into law. Introduced January 21, 2025. Enacted.

Signed by Governor Mike Braun (Republican) on May 06, 2025.

Odds of enactment

High chance

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

Upgrade to see the exact probability and what's driving it.

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

Prognosis

Likely to advance 98% · high confidence

  • Enacted

    Current position in the legislative process.

  • 14 sponsors

    4 primary, 10 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (8 R · 6 D) — cross-party backing.

  • Cleared a recorded vote

    Passed 4 recorded votes 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 an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1) to prescription drugs that: (1) are covered under a health plan; (2) are life-saving or intended to manage chronic pain; and (3) do not have an approved generic version. Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network. Requires a health plan to: (1) establish a procedure by which a covered individual may claim a credit; and (2) identify documentation necessary to support a claim for a credit.

Bill Text

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

Read HB 1604 on the official Indiana source →

Action History

  1. Public Law 237

  2. Signed by the Governor

  3. Signed by the President of the Senate

  4. Signed by the President Pro Tempore

  5. Conference Committee Report 1: adopted by the Senate; Roll Call 493: yeas 45, nays 2

  6. Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 521: yeas 91, nays 0

  7. Signed by the Speaker

  8. CCR # 1 filed in the House

  9. CCR # 1 filed in the Senate

  10. Senate conferees appointed: Carrasco and Qaddoura

  11. Senate advisors appointed: Randolph Lonnie M and Walker K

  12. House dissented from Senate amendments

  13. House conferees appointed: McGuire and Shackleford

  14. Motion to dissent filed

  15. House advisors appointed: King, Barrett, Campbell and Dant Chesser

  16. Returned to the House with amendments

  17. Senator Bohacek added as cosponsor

  18. Third reading: passed; Roll Call 293: yeas 44, nays 3

  19. Senator Rogers added as cosponsor

  20. Senator Yoder added as cosponsor

  21. Second reading: ordered engrossed

  22. Committee report: amend do pass, adopted

  23. Senator Qaddoura added as cosponsor

  24. Senator Ford J.D. added as cosponsor

  25. Senator Hunley added as cosponsor

  26. Senator Randolph added as cosponsor

  27. First reading: referred to Committee on Insurance and Financial Institutions

  28. Referred to the Senate

  29. Third reading: passed; Roll Call 187: yeas 95, nays 0

  30. Senate sponsors: Senators Carrasco, Walker K, Freeman

  31. Second reading: ordered engrossed

  32. Committee report: amend do pass, adopted

  33. Representative Shackleford added as coauthor

  34. Coauthored by Representatives King and Morris

  35. Authored by Representative McGuire

  36. First reading: referred to Committee on Insurance

Sponsors

Sponsorship breakdown

Export CSV (upgrade) →

4 sponsors · 10 co-sponsors · 136 not signed on · 4 voted No

Sponsors (4)

Co-sponsors (10)

Not signed on (136)

136 members have not signed on to this bill.

Show all 136 →

"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

HB 1604 - McGuire

Passed 91 Yea · 0 Nay · 9 Other
Party YeaNayPresentNot Voting
Republican 66005
Democrat 23003
Unaffiliated 2001
Total 91009
% of votes cast 91%0%0%9%
How each member voted (100)
Member Party Vote
Boy — Yea
Dant Chesser — Yea
Garcia Wilburn — Not Voting
Alex Burton Democrat Yea
Carey Hamilton Democrat Yea
Carolyn Jackson Democrat Not Voting
Cherrish Pryor Democrat Yea
Chris Campbell Democrat Yea
Chuck Moseley Democrat Yea
Earl Harris Democrat Yea
Edward DeLaney Democrat Yea
Gregory Porter Democrat Yea
John Bartlett Democrat Yea
Justin Moed Democrat Yea
Kyle Miller Democrat Yea
Matt Pierce Democrat Yea
Maureen Bauer Democrat Yea
Mike Andrade Democrat Yea
Mitch Gore Democrat Yea
Philip GiaQuinta Democrat Yea
Ragen Hatcher Democrat Yea
Renee Pack Democrat Not Voting
Robin Shackleford Democrat Yea
Ryan Dvorak Democrat Yea
Sheila Klinker Democrat Yea
Sue Errington Democrat Yea
Tonya Pfaff Democrat Yea
Vanessa Summers Democrat Not Voting
Vernon Smith Democrat Yea
Alaina Shonkwiler Republican Yea
Alex Zimmerman Republican Yea
Andrew Ireland Republican Yea
Beau Baird Republican Yea
Becky Cash Republican Yea
Ben Smaltz Republican Yea
Brad Barrett Republican Yea
Bruce Borders Republican Yea
Chris Jeter Republican Yea
Chris Judy Republican Not Voting
Chris May Republican Yea
Cindy Ledbetter Republican Yea
Cory Criswell Republican Yea
Craig Haggard Republican Yea
Craig Snow Republican Yea
Dale DeVon Republican Yea
Danny Lopez Republican Yea
Dave Hall Republican Yea
Dave Heine Republican Yea
David Abbott Republican Yea
Doug Miller Republican Yea
Edmond Soliday Republican Yea
Edward Clere Republican Yea
Elizabeth Rowray Republican Yea
Ethan Lawson Republican Yea
Ethan Manning Republican Yea
Garrett Bascom Republican Yea
Gregory Steuerwald Republican Yea
Harold Slager Republican Yea
Heath VanNatter Republican Yea
Hunter Smith Republican Yea
J.D. Prescott Republican Yea
Jack Jordan Republican Yea
Jake Teshka Republican Yea
Jeffrey Thompson Republican Yea
Jennifer Meltzer Republican Yea
Jim Lucas Republican Yea
Jim Pressel Republican Yea
Joanna King Republican Yea
Julie McGuire Republican Yea
Julie Olthoff Republican Yea
Karen Engleman Republican Yea
Kendell Culp Republican Yea
Kyle Pierce Republican Yea
Lindsay Patterson Republican Yea
Lori Goss-Reaves Republican Yea
Lorissa Sweet Republican Yea
Mark Genda Republican Yea
Martin Carbaugh Republican Yea
Matt Commons Republican Yea
Matt Hostettler Republican Yea
Matt Lehman Republican Yea
Michael Karickhoff Republican Yea
Michelle Davis Republican Yea
Mike Aylesworth Republican Yea
Peggy Mayfield Republican Yea
Robb Greene Republican Yea
Robert Behning Republican Yea
Robert Heaton Republican Yea
Robert Morris Republican Not Voting
Ryan Lauer Republican Yea
Shane Lindauer Republican Yea
Steve Bartels Republican Yea
Tim Yocum Republican Yea
Timothy O'Brien Republican Yea
Timothy Wesco Republican Yea
Todd Huston Republican Not Voting
Tony Isa Republican Yea
Tyler Johnson Republican Not Voting
Wendy McNamara Republican Yea
Zach Payne Republican Not Voting

Official roll call →

HB 1604 - Carrasco

Passed 45 Yea · 2 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 36102
Democrat 8101
Unaffiliated 1000
Total 45203
% of votes cast 90%4%0%6%
How each member voted (50)
Member Party Vote
Zay — Yea
Andrea Hunley Democrat Yea
David Niezgodski Democrat Yea
Fady Qaddoura Democrat Yea
Greg Taylor Democrat Nay
J.D. Ford Democrat Yea
La Keisha Jackson Democrat Yea
Lonnie Randolph Democrat Not Voting
Mark Spencer Democrat Yea
Rodney Pol Democrat Yea
Shelli Yoder Democrat Yea
Aaron Freeman Republican Yea
Blake Doriot Republican Not Voting
Brett Clark Republican Yea
Brian Buchanan Republican Yea
Chris Garten Republican Yea
Cyndi Carrasco Republican Yea
Dan Dernulc Republican Yea
Daryl Schmitt Republican Yea
Ed Charbonneau Republican Yea
Eric Bassler Republican Yea
Eric Koch Republican Yea
Gary Byrne Republican Yea
Greg Goode 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 Not Voting
Mike Bohacek Republican Yea
Mike Gaskill Republican Nay
Randy Maxwell Republican Yea
Rick Niemeyer Republican Yea
Rodric Bray Republican Yea
Ron Alting Republican Yea
Ryan Mishler Republican Yea
Scott Alexander Republican Yea
Scott Baldwin Republican Yea
Spencer Deery Republican Yea
Stacey Donato Republican Yea
Susan Glick Republican Yea
Travis Holdman Republican Yea
Tyler Johnson Republican Yea
Vaneta Becker Republican Yea

Official roll call →

HB 1604 - Carrasco - 3rd Reading

Passed 44 Yea · 3 Nay · 3 Other
Party YeaNayPresentNot Voting
Republican 35301
Democrat 8002
Unaffiliated 1000
Total 44303
% of votes cast 88%6%0%6%
How each member voted (50)
Member Party Vote
Zay — Yea
Andrea Hunley Democrat Yea
David Niezgodski Democrat Yea
Fady Qaddoura Democrat Yea
Greg Taylor Democrat Yea
J.D. Ford Democrat Yea
La Keisha Jackson Democrat Yea
Lonnie Randolph Democrat Not Voting
Mark Spencer Democrat Not Voting
Rodney Pol Democrat Yea
Shelli Yoder Democrat Yea
Aaron Freeman Republican Yea
Blake Doriot Republican Yea
Brett Clark Republican Yea
Brian Buchanan Republican Yea
Chris Garten Republican Yea
Cyndi Carrasco Republican Yea
Dan Dernulc Republican Yea
Daryl Schmitt Republican Nay
Ed Charbonneau Republican Yea
Eric Bassler Republican Not Voting
Eric Koch Republican Yea
Gary Byrne Republican Yea
Greg Goode Republican Yea
Greg Walker Republican Yea
James Buck Republican Yea
James Tomes Republican Yea
Jean Leising Republican Yea
Jeff Raatz Republican Nay
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 Nay
Randy Maxwell Republican Yea
Rick Niemeyer Republican Yea
Rodric Bray Republican Yea
Ron Alting Republican Yea
Ryan Mishler Republican Yea
Scott Alexander Republican Yea
Scott Baldwin Republican Yea
Spencer Deery Republican Yea
Stacey Donato Republican Yea
Susan Glick Republican Yea
Travis Holdman Republican Yea
Tyler Johnson Republican Yea
Vaneta Becker Republican Yea

Official roll call →

HB 1604 - McGuire - 3rd Reading

Passed 95 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Republican 67004
Democrat 25001
Unaffiliated 3000
Total 95005
% of votes cast 95%0%0%5%
How each member voted (100)
Member Party Vote
Boy — Yea
Dant Chesser — Yea
Garcia Wilburn — Yea
Alex Burton Democrat Yea
Carey Hamilton Democrat Yea
Carolyn Jackson Democrat Yea
Cherrish Pryor Democrat Yea
Chris Campbell Democrat Yea
Chuck Moseley Democrat Yea
Earl Harris Democrat Yea
Edward DeLaney Democrat Yea
Gregory Porter Democrat Yea
John Bartlett Democrat Yea
Justin Moed Democrat Yea
Kyle Miller Democrat Yea
Matt Pierce Democrat Yea
Maureen Bauer Democrat Yea
Mike Andrade Democrat Yea
Mitch Gore Democrat Yea
Philip GiaQuinta Democrat Yea
Ragen Hatcher Democrat Yea
Renee Pack Democrat Not Voting
Robin Shackleford Democrat Yea
Ryan Dvorak Democrat Yea
Sheila Klinker Democrat Yea
Sue Errington Democrat Yea
Tonya Pfaff Democrat Yea
Vanessa Summers Democrat Yea
Vernon Smith Democrat Yea
Alaina Shonkwiler Republican Yea
Alex Zimmerman Republican Yea
Andrew Ireland Republican Yea
Beau Baird Republican Yea
Becky Cash Republican Yea
Ben Smaltz Republican Yea
Brad Barrett Republican Yea
Bruce Borders Republican Yea
Chris Jeter Republican Yea
Chris Judy Republican Yea
Chris May Republican Yea
Cindy Ledbetter Republican Yea
Cory Criswell Republican Yea
Craig Haggard Republican Yea
Craig Snow Republican Yea
Dale DeVon Republican Yea
Danny Lopez Republican Yea
Dave Hall Republican Yea
Dave Heine Republican Yea
David Abbott Republican Yea
Doug Miller Republican Yea
Edmond Soliday Republican Yea
Edward Clere Republican Yea
Elizabeth Rowray Republican Yea
Ethan Lawson Republican Yea
Ethan Manning Republican Yea
Garrett Bascom Republican Yea
Gregory Steuerwald Republican Yea
Harold Slager Republican Yea
Heath VanNatter Republican Yea
Hunter Smith Republican Yea
J.D. Prescott Republican Not Voting
Jack Jordan Republican Yea
Jake Teshka Republican Yea
Jeffrey Thompson Republican Yea
Jennifer Meltzer Republican Yea
Jim Lucas Republican Yea
Jim Pressel Republican Yea
Joanna King Republican Not Voting
Julie McGuire Republican Yea
Julie Olthoff Republican Yea
Karen Engleman Republican Yea
Kendell Culp Republican Yea
Kyle Pierce Republican Not Voting
Lindsay Patterson Republican Yea
Lori Goss-Reaves Republican Yea
Lorissa Sweet Republican Yea
Mark Genda Republican Yea
Martin Carbaugh Republican Yea
Matt Commons Republican Yea
Matt Hostettler Republican Yea
Matt Lehman Republican Yea
Michael Karickhoff Republican Yea
Michelle Davis Republican Yea
Mike Aylesworth Republican Yea
Peggy Mayfield Republican Yea
Robb Greene Republican Yea
Robert Behning Republican Yea
Robert Heaton Republican Yea
Robert Morris Republican Yea
Ryan Lauer Republican Yea
Shane Lindauer Republican Yea
Steve Bartels Republican Yea
Tim Yocum Republican Yea
Timothy O'Brien Republican Yea
Timothy Wesco Republican Yea
Todd Huston Republican Not Voting
Tony Isa Republican Yea
Tyler Johnson Republican Yea
Wendy McNamara Republican Yea
Zach Payne 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 HB 1604 do?
Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1) to prescription drugs that: (1) are covered under a health plan; (2) are life-saving or intended to manage chronic pain; and (3) do not have an approved generic version. Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network. Requires a health plan to: (1) establish a procedure by which a covered individual may claim a credit; and (2) identify documentation necessary to support a claim for a credit.
Who sponsors HB 1604?
HB 1604 is sponsored by Shelli Yoder (Democrat), Linda Rogers (Republican), Mike Bohacek (Republican), Fady Qaddoura (Democrat), J.D. Ford (Democrat), Andrea Hunley (Democrat), Lonnie Randolph (Democrat), Aaron Freeman (Republican), Kyle Walker (Republican), Cyndi Carrasco (Republican), Robin Shackleford (Democrat), Robert Morris (Republican), Joanna King (Republican), and Julie McGuire (Republican).
What is the current status of HB 1604?
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Where can I track HB 1604?
Track HB 1604 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on HB 1604

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of HB 1604

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →