HB 1004

  • Indiana House Bill
  • 2020 Regular Session
  • Introduced in House
  • Passed House Jan 28, 2020
  • Passed Senate Mar 03, 2020
  • Signed by Governor Mar 18, 2020

Health matters.

Abstract

States that the office of the secretary of family and social services and a managed care organization may not prohibit a provider from participating in another insurance network. Defines "weighted average negotiated charge" and requires the weighted average negotiated charge per service per provider type for Medicaid to be reported by hospitals and ambulatory outpatient surgical centers. Requires certain health care providers, beginning July 1, 2021, to provide a good faith estimate to individuals of the price for nonemergency health care services to be provided to the individual by the health care provider and sets forth requirements. Allows an individual to request a good faith estimate from a health care provider for the total price for nonemergency services that have been ordered, scheduled, or referred. and requires the health care provider to provide the good faith estimate. Sets forth requirements for the good faith estimate. Provides that an out of network practitioner who provides health care services to a covered individual in an in network facility may not charge more for the health care services provided to a covered individual than allowed according to the rate or amount of compensation established by the covered individual's network plan unless: (1) at least five days before the health care services are scheduled to be provided, the covered individual is provided a statement that: (A) informs the covered individual that the facility or practitioner intends to charge more than allowed under the network plan; and (B) sets forth an estimate of the charge; and (2) the covered individual signs the statement, signifying the covered individual's consent to the charge. Sets forth notice requirements. Sets forth provisions that a physician noncompete agreement must include in order to be enforceable. Provides for information and notification that an employer must give to a physician who leaves the employment of the provider. Allows an individual to request from a health carrier a good faith estimate of the amount of the cost of nonemergency health care services that the health carrier will pay for or reimburse and the applicable benefit limitations of the nonemergency health care service. Sets forth requirements of a good faith estimate by a health carrier and sets penalties for violations.

Bill Sponsors (9)

Votes


Actions


Mar 30, 2020

House

Public Law 93

Mar 18, 2020

Senate

Signed by the President of the Senate

Office of the Governor

Signed by the Governor

Mar 16, 2020

House

Signed by the Speaker

Mar 12, 2020

Senate

Signed by the President Pro Tempore

Mar 11, 2020

House

Representative Schaibley added as conferee

House

Representative Schaibley removed as advisor

House

Representative Austin removed as conferee

House

Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 397: yeas 59, nays 32

Senate

Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 401: yeas 46, nays 2

Senate

CCR # 1 filed in the Senate

House

CCR # 1 filed in the House

Mar 05, 2020

House

Representative Austin added as conferee

Senate

Senator Ford Jon added as advisor

Senate

Senate advisors appointed: Brown L and Melton

Senate

Senate conferees appointed: Charbonneau and Breaux

House

Representative Fleming added as advisor

House

Representative Fleming removed as conferee

Mar 04, 2020

House

Motion to dissent filed

Senate

Returned to the House with amendments

House

House dissented from Senate amendments

House

House conferees appointed: Smaltz and Fleming

House

House advisors appointed: Carbaugh, Schaibley, Lehman, Judy, Shackleford, Bauer and Campbell

Mar 03, 2020

Senate

Senator Spartz added as cosponsor

Senate

Third reading: passed; Roll Call 271: yeas 49, nays 1

Mar 02, 2020

Senate

Amendment #4 (Charbonneau) prevailed; voice vote

Senate

Senator Randolph added as cosponsor

Senate

Second reading: amended, ordered engrossed

Senate

Amendment #5 (Charbonneau) prevailed; voice vote

Feb 27, 2020

Senate

Senator Breaux added as cosponsor

Senate

Committee report: amend do pass, adopted

Feb 05, 2020

Senate

First reading: referred to Committee on Health and Provider Services

  • Reading-1
  • Referral-Committee
health and provider services

Jan 29, 2020

House

Referred to the Senate

Jan 28, 2020

House

Third reading: passed; Roll Call 75: yeas 99, nays 0

House

Representatives Lehman and Carbaugh added as coauthors

House

Representative Barrett added as coauthor

House

Senate sponsors: Senators Charbonneau and Bassler

Jan 27, 2020

House

Amendment #1 (Shackleford) failed; Roll Call 67: yeas 31, nays 62

House

Second reading: ordered engrossed

House

Amendment #3 (Austin) motion withdrawn

Jan 23, 2020

House

Committee report: amend do pass, adopted

Jan 06, 2020

House

Authored by Representative Smaltz

House

First reading: referred to Committee on Insurance

  • Reading-1
  • Referral-Committee
insurance

Bill Text

Bill Text Versions Format
Introduced House Bill (H) PDF
House Bill (S) PDF
House Bill (S) PDF
Engrossed House Bill (H) PDF
Enrolled House Bill (H) PDF

Related Documents

Document Format
Fiscal Note: HB1004.05.ENRS.FN001 PDF
Committee Report: HB1004.04.ENGS.CCS001 PDF
Committee Report: HB1004.04.ENGS.CCH001 PDF
Fiscal Note: HB1004.04.ENGS.FN001 PDF
Fiscal Note: HB1004.04.ENGS.FN002 PDF
Fiscal Note: HB1004.03.COMS.FN001 PDF
Floor Amendment: HB1004.03.COMS.AMS001 PDF
Floor Amendment: HB1004.03.COMS.AMS002 PDF
Floor Amendment: HB1004.03.COMS.AMS006 PDF
Floor Amendment: HB1004.03.COMS.AMS007 PDF
Floor Amendment: HB1004.03.COMS.AMS004 PDF
Floor Amendment: HB1004.03.COMS.AMS005 PDF
Committee Amendment: HB1004.03.COMS.AMS003 PDF
Committee Report: HB1004.02.COMH.CRS001 PDF
Fiscal Note: HB1004.02.COMH.FN001 PDF
Fiscal Note: HB1004.02.COMH.FN002 PDF
Fiscal Note: HB1004.02.COMH.FN003 PDF
Floor Amendment: HB1004.02.COMH.AMH002 PDF
Floor Amendment: HB1004.02.COMH.AMH001 PDF
Floor Amendment: HB1004.02.COMH.AMH003 PDF
Committee Amendment: HB1004.02.COMH.AMS05 PDF
Committee Report: HB1004.01.INTR.CRH001 PDF
Fiscal Note: HB1004.01.INTR.FN001 PDF
Committee Amendment: HB1004.01.INTR.AMH04 PDF

Sources

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