HB 1004 Indiana House · 2020 Regular Session

Health matters.

Summary
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 status signed all 5 stages cleared
Introduction
Mar 2020
Committee Review
Mar 2020
House Passage
Jan 2020
Senate Passage
Mar 2020
Signed into Law
Mar 2020
Introduced Mar 4, 2020 Signed Mar 18, 2020
Floor votes · Senate Mar 3, 2020 · House Jan 28, 2020

How they voted

401
Passed
Total votes 41
Mar 3, 2020
D Democratic8
8 Yea
100% Yea
R Republican33
32 Yea 1 Nay
96% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
45
Key actions
9
Committee
5
Amendments
6
Mar 18, 2020
Signed into law
Signed by the Governor
executive
Mar 11, 2020
Lower · Passed
Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 397: yeas 59, nays 32
lower
Mar 11, 2020
Upper · Passed
Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 401: yeas 46, nays 2
upper
Mar 11, 2020
Introduced
CCR # 1 filed in the Senate
upper
Mar 11, 2020
Introduced
CCR # 1 filed in the House
lower
Mar 4, 2020
Amended
House dissented from Senate amendments
lower
Mar 4, 2020
Introduced
Motion to dissent filed
lower
Mar 4, 2020
Amended
Returned to the House with amendments
upper
Mar 3, 2020
Senate · Passed
Senate Vote: pass (40-1)
senate
Mar 2, 2020
Upper · Passed
Amendment #5 (Charbonneau) prevailed; voice vote
upper
Mar 2, 2020
Upper · Passed
Amendment #4 (Charbonneau) prevailed; voice vote
upper
Feb 27, 2020
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 29, 2020
Committee
Referred to the Senate
lower
Jan 28, 2020
House · Passed
House Vote: pass (91-0-1)
house
Jan 27, 2020
Amended
Amendment #3 (Austin) motion withdrawn
lower
Jan 27, 2020
Amended
Amendment #1 (Shackleford) failed; Roll Call 67: yeas 31, nays 62
lower
Jan 23, 2020
Lower · Passed
Committee report: amend do pass, adopted
lower
3 primary · 6 co-sponsors

Sponsors