SB 5 Indiana Senate · 2020 Regular Session

Health provider contracts.

Summary
Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met.
Bill status signed all 5 stages cleared
Introduction
Mar 2020
Committee Review
Feb 2020
Senate Passage
Feb 2020
House Passage
Mar 2020
Signed into Law
Mar 2020
Introduced Mar 5, 2020 Signed Mar 18, 2020
Floor votes · Senate Feb 3, 2020 · House Mar 3, 2020

How they voted

380
Passed · 3 other
Total votes 41
Feb 3, 2020
D Democratic8
7 Yea 1
87% Yea
R Republican33
31 Yea 2
93% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
30
Key actions
7
Committee
3
Amendments
4
Mar 18, 2020
Signed into law
Signed by the Governor
executive
Mar 9, 2020
Amended
Senate concurred in House amendments; Roll Call 346: yeas 48, nays 0
upper
Mar 5, 2020
Introduced
Motion to concur filed
upper
Mar 4, 2020
Amended
Returned to the Senate with amendments
lower
Mar 3, 2020
House · Passed
House Vote: pass (86-0-6)
house
Mar 2, 2020
Lower · Passed
Amendment #4 (Schaibley) prevailed; voice vote
lower
Feb 27, 2020
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 4, 2020
Committee
Referred to the House
upper
Feb 3, 2020
Senate · Passed
Senate Vote: pass (38-0-3)
senate
Jan 30, 2020
Upper · Passed
Amendment #1 (Charbonneau) prevailed; voice vote
upper
Jan 23, 2020
Upper · Passed
Committee report: do pass, adopted
upper
3 primary · 7 co-sponsors

Sponsors