Health matters.
Summary
Amends the definition of "ambulatory outpatient surgical center" to remove the requirement that a surgical procedure is permitted to be performed only by a physician, dentist, or podiatrist who has certain hospital privileges. Prohibits a hospital, debt collector, or other third party from pursuing medical debt collection if the hospital is noncompliant with specified statutes. Requires the Indiana department of health (state department) to determine on a semiannual basis whether a hospital is in compliance with the statutes and notify a hospital concerning the state department's compliance determination. Authorizes the attorney general to suspend the authority of a hospital to pursue medical debt collection when the state department has made a final determination that the hospital is noncompliant. Creates an affirmative defense for a debtor if the collection attempt occurred while the hospital was noncompliant. Requires a hospital to provide the state department with 60 days written notice if the hospital plans to: (1) close and permanently terminate all hospital operations; or (2) completely eliminate a service line for longer than 90 days. Allows for a waiver of the notification requirements in specified circumstances.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2026
Committee Review
Feb 2026
Senate Passage
Feb 2026
House Passage
Feb 2026
Signed into Law
Mar 2026
Introduced Jan 8, 2026
Signed Mar 5, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
Senate Bill (S)
→
Senate Bill (H)
·
4 edits
MODERATE
The bill was updated from a Senate version to an Engrossed version after passing both the Senate and House. Key substantive changes include expanding the bill's scope from 'hospital matters' to 'health matters,' adding new sponsors, and modifying the hospital closure notification period from 120 days to 60 days. The bill also now requires hospitals to notify the state department before completely eliminating a service line for over 90 days, whereas the previous version only required notice for reducing a service line.
Scope change
The bill's scope was broadened from 'hospital matters' to 'health matters,' and new duties were assigned to a nonprofit subsidiary corporation established by the state department.
REQUIREMENT
The required notice period for hospitals planning to close or terminate operations was reduced from 120 days to 60 days.
The requirement for notice regarding service line changes was updated to apply only when a service line is 'completely eliminated' for longer than 90 days, rather than when it is 'eliminated or reduced.'
SCOPE
The bill's synopsis was updated to include 'Health matters' and added provisions regarding the duties of a nonprofit subsidiary corporation.
TECHNICAL
New sponsors (Qaddoura, Yoder) were added, and the bill was formally engrossed after passing both chambers.
Floor votes · Senate Jan 27, 2026 · House Feb 23, 2026
How they voted
42–1
Passed · 5 other
Total votes 48
Jan 27, 2026
D
Democratic9
77% Yea
R
Republican39
89% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
27
Key actions
11
Committee
4
Amendments
1
Mar 5, 2026
Signed into law
Signed by the Governor
executive
Feb 27, 2026
Lower · Passed
Signed by the Speaker
lower
Feb 27, 2026
Upper · Passed
Signed by the President Pro Tempore
upper
Feb 27, 2026
Upper · Passed
Signed by the President of the Senate
upper
Feb 26, 2026
Upper · Passed
Senate concurred with House amendments; Roll Call 300: yeas 49, nays 0
upper
Feb 23, 2026
Lower · Passed
Third reading: passed; Roll Call 307: yeas 94, nays 1
lower
Feb 17, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 10, 2026
Lower · Passed
Committee report: amend do pass, adopted
lower
Feb 10, 2026
Committee
Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
lower
Jan 27, 2026
Upper · Passed
Third reading: passed; Roll Call 111: yeas 43, nays 1
upper
Jan 26, 2026
Upper · Passed
Amendment #1 (Busch) prevailed; voice vote
upper
Jan 22, 2026
Upper · Passed
Committee report: amend do pass, adopted
upper
4 primary · 4 co-sponsors
Sponsors
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