Indiana House Bill 1004 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Republican 7-2)
Status: Passed on March 30 2020 - 100% progression
Action: 2020-03-30 - Public Law 93
Text: Latest bill text (Enrolled) [PDF]

Health matters. 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.

Health matters.

Rep. Ben Smaltz [R]	Rep. Bradford Barrett [R]	Rep. Matthew Lehman [R]	Rep. Martin Carbaugh [R]
Sen. Ed Charbonneau [R]	Sen. Eric Bassler [R]	Sen. Jean Breaux [D]	Sen. Lonnie Randolph [D]
Sen. Victoria Spartz [R]

2020-03-11 - House - House - Rules Suspended. Conference Committee Report 1 (Y: 59 N: 32 NV: 0 Abs: 9) [PASS]
2020-03-11 - Senate - Senate - Rules Suspended. Conference Committee Report 1 (Y: 46 N: 2 NV: 1 Abs: 1) [PASS]
2020-03-03 - Senate - Senate - Third reading (Y: 49 N: 1 NV: 0 Abs: 0) [PASS]
2020-02-26 - Senate - Senate - Committee Vote (Y: 8 N: 4 NV: 0 Abs: 0) [PASS]
2020-01-28 - House - House - Third reading (Y: 99 N: 0 NV: 0 Abs: 1) [PASS]
2020-01-27 - House - House - Amendment #1 (Shackleford) failed (Y: 31 N: 62 NV: 2 Abs: 5) [FAIL]
2020-01-22 - House - House - Committee Vote (Y: 12 N: 0 NV: 0 Abs: 1) [PASS]

Date	Chamber	Action
2020-03-30	House	Public Law 93
2020-03-18	House	Signed by the Governor
2020-03-18	Senate	Signed by the President of the Senate
2020-03-16	House	Signed by the Speaker
2020-03-12	Senate	Signed by the President Pro Tempore
2020-03-11	Senate	Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 401: yeas 46, nays 2
2020-03-11	House	Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 397: yeas 59, nays 32
2020-03-11	Senate	CCR # 1 filed in the Senate
2020-03-11	House	CCR # 1 filed in the House
2020-03-11	House	Representative Schaibley added as conferee
2020-03-11	House	Representative Austin removed as conferee
2020-03-11	House	Representative Schaibley removed as advisor
2020-03-05	Senate	Senator Ford Jon added as advisor
2020-03-05	Senate	Senate advisors appointed: Brown L and Melton
2020-03-05	Senate	Senate conferees appointed: Charbonneau and Breaux
2020-03-05	House	Representative Fleming added as advisor
2020-03-05	House	Representative Austin added as conferee
2020-03-05	House	Representative Fleming removed as conferee
2020-03-04	House	House advisors appointed: Carbaugh, Schaibley, Lehman, Judy, Shackleford, Bauer and Campbell
2020-03-04	House	House conferees appointed: Smaltz and Fleming
2020-03-04	House	House dissented from Senate amendments
2020-03-04	House	Motion to dissent filed
2020-03-04	Senate	Returned to the House with amendments
2020-03-03	Senate	Senator Spartz added as cosponsor
2020-03-03	Senate	Third reading: passed; Roll Call 271: yeas 49, nays 1
2020-03-02	Senate	Senator Randolph added as cosponsor
2020-03-02	Senate	Amendment #5 (Charbonneau) prevailed; voice vote
2020-03-02	Senate	Amendment #4 (Charbonneau) prevailed; voice vote
2020-03-02	Senate	Second reading: amended, ordered engrossed
2020-02-27	Senate	Senator Breaux added as cosponsor
2020-02-27	Senate	Committee report: amend do pass, adopted
2020-02-05	Senate	First reading: referred to Committee on Health and Provider Services
2020-01-29	House	Referred to the Senate
2020-01-28	House	Representatives Lehman and Carbaugh added as coauthors
2020-01-28	House	Representative Barrett added as coauthor
2020-01-28	House	Senate sponsors: Senators Charbonneau and Bassler
2020-01-28	House	Third reading: passed; Roll Call 75: yeas 99, nays 0
2020-01-27	House	Amendment #3 (Austin) motion withdrawn
2020-01-27	House	Amendment #1 (Shackleford) failed; Roll Call 67: yeas 31, nays 62
2020-01-27	House	Second reading: ordered engrossed
2020-01-23	House	Committee report: amend do pass, adopted
2020-01-06	House	First reading: referred to Committee on Insurance
2020-01-06	House	Authored by Representative Smaltz

Type	Source
Summary	https://iga.in.gov/legislative/2020/bills/house/1004/details
Text	http://iga.in.gov/static-documents/2/3/1/7/2317f763/HB1004.01.INTR.pdf
Text	http://iga.in.gov/static-documents/c/a/0/8/ca08932b/HB1004.01.INTR.pdf
Text	http://iga.in.gov/static-documents/b/3/e/3/b3e31e0f/HB1004.02.COMH.pdf
Text	http://iga.in.gov/static-documents/6/3/b/5/63b5fd65/HB1004.02.COMH.pdf
Text	http://iga.in.gov/static-documents/d/3/b/8/d3b8482f/HB1004.03.COMS.pdf
Text	http://iga.in.gov/static-documents/d/3/4/d/d34d90cd/HB1004.03.COMS.pdf
Text	http://iga.in.gov/static-documents/7/5/c/c/75cc38bc/HB1004.04.ENGS.pdf
Text	http://iga.in.gov/static-documents/7/b/2/d/7b2d22db/HB1004.04.ENGS.pdf
Text	http://iga.in.gov/static-documents/5/8/6/1/5861a895/HB1004.05.ENRS.pdf
Roll Call	http://iga.in.gov/static-documents/e/a/c/d/eacd3464/HB1004.01.INTR.03.pdf
Roll Call	http://iga.in.gov/static-documents/a/8/8/e/a88e5f79/HB1004.67_H.pdf
Roll Call	http://iga.in.gov/static-documents/5/f/5/9/5f592fae/HB1004.75_H.pdf
Roll Call	http://iga.in.gov/static-documents/9/9/d/0/99d00543/HB1004.02.COMH.01.pdf
Roll Call	http://iga.in.gov/static-documents/b/c/a/6/bca630d8/HB1004.271_S.pdf
Roll Call	http://iga.in.gov/static-documents/2/8/8/8/28887e13/HB1004.401_S.pdf
Roll Call	http://iga.in.gov/static-documents/7/a/8/5/7a85ec81/HB1004.397_H.pdf