Indiana 2025 Regular Session Status: Enacted Bipartisan · 5 R · 1 D cosponsors

HB 1003 — Health matters.

Last action — Public Law 215

  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.

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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 78% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 6 sponsors

    3 primary, 3 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (5 R · 1 D) — cross-party backing.

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

Summary

Specifies that the Medicaid fraud control unit's (MFCU) investigation of Medicaid fraud may include the investigation of provider fraud, insurer fraud, duplicate billing, and other instances of fraud. Permits the attorney general to enter into a data sharing agreement with specified state agencies and authorizes the MFCU to analyze this data to carry out its investigative duties. Provides that all complaints made to the MFCU are confidential until an action is filed concerning the complaint. Requires the office of the secretary of family and social services to establish: (1) metrics to assess the quality of care and patient outcomes; and (2) transparency and accountability safeguards; for a specified long term care risk based managed care program. Requires, not later than July 31, 2026, a clinical laboratory and diagnostic imaging facility to post certain pricing information for services determined by the department of insurance. Allows: (1) a manufacturer to provide; and (2) a patient to receive; individualized investigational treatment if certain conditions are met. Requires an Indiana nonprofit hospital system to report a list of facilities that may submit a bill on an institutional provider form and report the facility code for each facility. Adds provisions concerning payments by insurers, health maintenance organizations, employers, and other responsible persons to qualified providers that are providing services in an office setting. Requires good faith estimates for health care services to be provided at least two business days (rather than five business days) before the health care services are scheduled to be provided. Removes language concerning the disclosure of a trade secret from provisions that allow for a health plan sponsor to access and audit claims data. Provides that when a health carrier is in the process of negotiating a health provider contract with a health provider facility or provider, the health carrier must provide certain information to the health provider facility or provider. Prohibits certain provisions from being included in a health provider contract. Allows the department of insurance to: (1) enter into partnerships and joint ventures to encourage best practices in the appropriate and effective use of prior authorization in health care; and (2) receive information regarding prior authorization disputes. Requires the department of insurance to prepare a report with findings and recommendations related to the prior authorization dispute information. Requires, not later than September 1, 2025, the department of insurance to issue a request for information concerning ways to better enable medical consumers to compare and shop for medical and health care services. Provides that an insurer or a health maintenance organization may not deny a claim for reimbursement on the sole basis that the referring provider is an out of network provider. Requires, if a fully credentialed physician becomes employed with another employer or establishes or relocates a medical practice in Indiana, an insurer and health maintenance organization to provisionally credential the physician for 60 days or until the physician is fully credentialed, whichever is earlier. Requires the Indiana department of health, in consultation with the office of technology, to study the feasibility of developing certain standards regarding medical records and data.

Bill Text

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

Read HB 1003 on the official Indiana source →

Action History

  1. Public Law 215

  2. Signed by the Governor

  3. Signed by the President of the Senate

  4. Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 513: yeas 30, nays 20

  5. Signed by the President Pro Tempore

  6. Signed by the Speaker

  7. Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 544: yeas 67, nays 25

  8. Representative McGuire added as conferee

  9. CCR # 1 filed in the Senate

  10. Representative Campbell removed as conferee

  11. CCR # 1 filed in the House

  12. Senator Yoder removed as conferee

  13. Senator Johnson T removed as advisor

  14. Senator Johnson T added as conferee

  15. Senate advisors appointed: Jackson L and Johnson T

  16. House advisors appointed: Lehman, Isa, Carbaugh, Bauer and Dant Chesser

  17. House conferees appointed: Barrett and Campbell

  18. Senate conferees appointed: Charbonneau and Yoder

  19. House dissented from Senate amendments

  20. Motion to dissent filed

  21. Returned to the House with amendments

  22. Third reading: passed; Roll Call 421: yeas 48, nays 1

  23. Amendment #11 (Johnson T) prevailed; voice vote

  24. Amendment #8 (Johnson T) prevailed; voice vote

  25. Second reading: amended, ordered engrossed

  26. Amendment #16 (Brown L) prevailed; voice vote

  27. Amendment #13 (Johnson T) prevailed; voice vote

  28. Amendment #19 (Charbonneau) prevailed; voice vote

  29. Senator Randolph added as cosponsor

  30. Committee report: amend do pass, adopted

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

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

  33. Pursuant to Senate Rule 68(b); reassigned to Committee on Health and Provider Services

  34. Referred to the Senate

  35. Third reading: passed; Roll Call 201: yeas 66, nays 32

  36. Senate sponsors: Senators Charbonneau and Johnson T

  37. Amendment #8 (Barrett) prevailed; voice vote

  38. Second reading: amended, ordered engrossed

  39. Committee report: amend do pass, adopted

  40. Committee report: amend do pass, adopted

  41. Recommitted to Committee on Ways and Means pursuant to House Rule 126.3

  42. First reading: referred to Committee on Insurance

  43. Authored by Representative Barrett

  44. Coauthored by Representatives Lehman and Isa

Sponsors

Sponsorship breakdown

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3 sponsors · 3 co-sponsors · 144 not signed on

Sponsors (3)

Co-sponsors (3)

Not signed on (144)

144 members have not signed on to this bill.

Show all 144 →

"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 HB 1003 do?
Specifies that the Medicaid fraud control unit's (MFCU) investigation of Medicaid fraud may include the investigation of provider fraud, insurer fraud, duplicate billing, and other instances of fraud. Permits the attorney general to enter into a data sharing agreement with specified state agencies and authorizes the MFCU to analyze this data to carry out its investigative duties. Provides that all complaints made to the MFCU are confidential until an action is filed concerning the complaint. Requires the office of the secretary of family and social services to establish: (1) metrics to assess the quality of care and patient outcomes; and (2) transparency and accountability safeguards; for a specified long term care risk based managed care program. Requires, not later than July 31, 2026, a clinical laboratory and diagnostic imaging facility to post certain pricing information for services determined by the department of insurance. Allows: (1) a manufacturer to provide; and (2) a patient to receive; individualized investigational treatment if certain conditions are met. Requires an Indiana nonprofit hospital system to report a list of facilities that may submit a bill on an institutional provider form and report the facility code for each facility. Adds provisions concerning payments by insurers, health maintenance organizations, employers, and other responsible persons to qualified providers that are providing services in an office setting. Requires good faith estimates for health care services to be provided at least two business days (rather than five business days) before the health care services are scheduled to be provided. Removes language concerning the disclosure of a trade secret from provisions that allow for a health plan sponsor to access and audit claims data. Provides that when a health carrier is in the process of negotiating a health provider contract with a health provider facility or provider, the health carrier must provide certain information to the health provider facility or provider. Prohibits certain provisions from being included in a health provider contract. Allows the department of insurance to: (1) enter into partnerships and joint ventures to encourage best practices in the appropriate and effective use of prior authorization in health care; and (2) receive information regarding prior authorization disputes. Requires the department of insurance to prepare a report with findings and recommendations related to the prior authorization dispute information. Requires, not later than September 1, 2025, the department of insurance to issue a request for information concerning ways to better enable medical consumers to compare and shop for medical and health care services. Provides that an insurer or a health maintenance organization may not deny a claim for reimbursement on the sole basis that the referring provider is an out of network provider. Requires, if a fully credentialed physician becomes employed with another employer or establishes or relocates a medical practice in Indiana, an insurer and health maintenance organization to provisionally credential the physician for 60 days or until the physician is fully credentialed, whichever is earlier. Requires the Indiana department of health, in consultation with the office of technology, to study the feasibility of developing certain standards regarding medical records and data.
Who sponsors HB 1003?
HB 1003 is sponsored by Lonnie Randolph (Democrat), Tyler Johnson (Republican), Ed Charbonneau (Republican), Tony Isa (Republican), Matt Lehman (Republican), and Brad Barrett (Republican).
What is the current status of HB 1003?
This bill has been enacted into law. Introduced January 21, 2025. Enacted.
Where can I track HB 1003?
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