SB 147 Indiana Senate · 2025 Regular Session

Physician referrals and reimbursement rates.

Summary

Prohibits, in accordance with the federal Stark Law (42 U.S.C. 1395nn), a referring physician from receiving compensation or an incentive from a health care entity or another physician, who is in the same health care network as the referring physician, for referring a patient to the health care entity or other physician. Provides that the attorney general may investigate certain complaints. Provides that the attorney general may cooperate with federal, state, and local law enforcement agencies in the investigation of certain complaints. Provides that the attorney general may take certain actions when conducting an investigation of certain complaints. Requires the all payer claims data base to publish the physician reimbursement rates as a separate line item for each contract instead of in the aggregate.

Bill status passed 3 of 5 stages cleared

Introduction

Jan 2025

Committee Review

Jan 2025

Senate Passage

Feb 2025

House Passage

Governor

Introduced Jan 8, 2025 Last action Mar 3, 2025

Maddy AI version diff · 2 comparisons

What changed between versions

Engrossed Senate Bill (H) → Senate Bill (S) · 6 edits

MODERATE

The bill was amended to remove references to the Stark Law and attorney general enforcement powers, while adding requirements for the department of insurance to adopt rules governing how health payers report physician reimbursement rates. The bill also expanded the types of facilities included in the public data portal and added provisions for civil penalties against non-compliant payers.

Scope change

The bill's scope shifted from primarily Stark Law compliance and attorney general enforcement to department of insurance rulemaking and data reporting requirements.

ENFORCEMENT

Removed provisions allowing the attorney general to investigate Stark Law violations and enforce compliance with federal Stark Law requirements.

Added authority for the department to impose civil penalties on health payers that fail to submit required information.

REQUIREMENT

Added requirement that the department of insurance must adopt rules requiring health payers to report physician reimbursement rates for each contract separately.

Added requirement for the department to establish a fee formula for data licensing and claims data collection.

Expanded the list of facilities included in the public data portal to include additional types like imaging centers, laboratories, infusion clinics, pharmacies, and other health care locations.

Changed the citation from IC 25-22.5 (Stark Law section) to IC 27-1-44.5 (data base section) for the reimbursement rate reporting requirement.

Floor votes · Senate Feb 17, 2025

How they voted

45–2

Passed · 3 other

Total votes 50

Feb 17, 2025

D Democratic10

9 Yea 1

90% Yea

R Republican40

36 Yea 2 Nay 2

90% Yea

Vote distribution

All Yea All Nay Mixed No data

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Feb 17, 2025

Upper · Passed

Third reading: passed; Roll Call 137: yeas 45, nays 2

upper

Feb 13, 2025

Upper · Passed

Amendment #3 (Busch) prevailed; voice vote

upper

Jan 23, 2025

Upper · Passed

Committee report: do pass, adopted

upper

4 primary · 2 co-sponsors