SB 480 Indiana Senate · 2025 Regular Session

Prior authorization.

Summary
Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Apr 2025
Senate Passage
Apr 2025
House Passage
Apr 2025
Signed into Law
May 2025
Introduced Jan 13, 2025 Signed May 1, 2025
Maddy AI version diff · 4 comparisons

What changed between versions

Senate Bill (S) Senate Bill (H) · 6 edits
MODERATE
This bill was amended to update its digest and sponsor list, reflecting new co-sponsors and revised legislative history. The substantive policy content regarding prior authorization requirements and out-of-network reimbursement protections remains unchanged from the previous version.
TECHNICAL

Bill number updated from SB0480.1 to SB0480.2 to reflect amendment status.

Digest update date changed from January 22, 2025 to February 13, 2025, with digest ID number updated from DI 140 to DI 120.

New co-sponsors added to the sponsor list including Buck, Busch, Doriot, Walker K, Yoder, Pol Jr., Zay, Clark, Qaddoura, Alting, Deery, Glick, Holdman, Jackson L, Niemeyer, Niezgodski, Raatz, Spencer, Taylor G, Walker G, Tomes, Carrasco, Schmitt, and Young M.

Digest synopsis text was reorganized to remove specific prior authorization thresholds (less than 1% of services and 1% of providers) and step therapy provisions, though these substantive policy elements remain in the bill text.

TIMELINE

Digest date header updated from January 24, 2025 to February 14, 2025.

New legislative action recorded: February 13, 2025, bill was amended and reported favorably by the Committee on Appropriations.

Floor votes · Senate Feb 20, 2025 · House Apr 14, 2025

How they voted

472
Passed · 1 other
Total votes 50
Feb 20, 2025
D Democratic10
9 Yea 1
90% Yea
R Republican40
38 Yea 2 Nay
95% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
42
Key actions
12
Committee
3
Amendments
2
May 1, 2025
Signed into law
Signed by the Governor
executive
Apr 23, 2025
Upper · Passed
Signed by the President of the Senate
upper
Apr 22, 2025
Lower · Passed
Signed by the Speaker
lower
Apr 17, 2025
Upper · Passed
Signed by the President Pro Tempore
upper
Apr 16, 2025
Upper · Passed
Senate concurred with House amendments; Roll Call 466: yeas 39, nays 2
upper
Apr 14, 2025
Lower · Passed
Third reading: passed; Roll Call 443: yeas 94, nays 0
lower
Apr 10, 2025
Lower · Passed
Amendment #1 (Barrett) prevailed; voice vote
lower
Apr 10, 2025
Lower · Passed
Amendment #2 (Mayfield) prevailed; voice vote
lower
Apr 8, 2025
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 20, 2025
Upper · Passed
Third reading: passed; Roll Call 203: yeas 47, nays 2
upper
Feb 13, 2025
Upper · Passed
Committee report: amend do pass, adopted
upper
Jan 23, 2025
Upper · Passed
Committee report: do pass adopted; reassigned to Committee on Appropriations
upper
4 primary · 43 co-sponsors

Sponsors