Indiana Senate Bill 400 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Moderate Partisan Bill (Republican 8-1)
Status: Passed on May 4 2023 - 100% progression
Action: 2023-05-04 - Public Law 190
Text: Latest bill text (Enrolled) [PDF]

Health care matters. Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.

Health care matters.

Sen. Elizabeth Brown [R]	Sen. Ed Charbonneau [R]	Sen. Chris Garten [R]	Sen. Tyler Johnson [R]
Sen. Linda Rogers [R]	Rep. Joanna King [R]	Rep. Bradford Barrett [R]	Rep. Martin Carbaugh [R]
Rep. Rita Fleming [D]

2023-04-26 - Senate - Senate - Conference Committee Report 1 (Y: 50 N: 0 NV: 0 Abs: 0) [PASS]
2023-04-26 - House - House - Rules Suspended. Conference Committee Report 1 (Y: 90 N: 1 NV: 1 Abs: 8) [PASS]
2023-04-11 - House - House - Third reading (Y: 97 N: 0 NV: 1 Abs: 2) [PASS]
2023-04-10 - House - House - Amendment #1 (Summers) failed (Y: 28 N: 67 NV: 2 Abs: 3) [FAIL]
2023-02-28 - Senate - Senate - Third reading (Y: 48 N: 0 NV: 1 Abs: 1) [PASS]

Date	Chamber	Action
2023-05-04	Senate	Public Law 190
2023-05-04	Senate	Signed by the Governor
2023-05-01	House	Signed by the Speaker
2023-04-28	Senate	Signed by the President of the Senate
2023-04-28	Senate	Signed by the President Pro Tempore
2023-04-26	Senate	Conference Committee Report 1: adopted by the Senate; Roll Call 492: yeas 50, nays 0
2023-04-26	House	Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 509: yeas 90, nays 1
2023-04-25	House	CCR # 1 filed in the House
2023-04-25	Senate	CCR # 1 filed in the Senate
2023-04-18	Senate	Senate advisors appointed: Melton and Garten
2023-04-18	Senate	Senate conferees appointed: Brown L and Yoder
2023-04-18	House	House advisors appointed: Barrett, Carbaugh, Zent, Hatfield and Porter
2023-04-18	House	House conferees appointed: King and Fleming
2023-04-13	Senate	Senate dissented from House amendments
2023-04-13	Senate	Motion to dissent filed
2023-04-13	Senate	Concurrence withdrawn
2023-04-12	Senate	Motion to concur filed
2023-04-12	House	Returned to the Senate with amendments
2023-04-11	House	Third reading: passed; Roll Call 388: yeas 97, nays 0
2023-04-10	House	Second reading: amended, ordered engrossed
2023-04-10	House	Amendment #1 (Summers) failed; Roll Call 375: yeas 28, nays 67
2023-04-10	House	Amendment #2 (King) prevailed; voice vote
2023-04-06	House	Committee report: amend do pass, adopted
2023-03-28	House	Referred to the Committee on Ways and Means pursuant to House Rule 127
2023-03-28	House	Committee report: amend do pass, adopted
2023-03-06	House	First reading: referred to Committee on Public Health
2023-03-01	Senate	Referred to the House
2023-02-28	Senate	Cosponsors: Representatives Barrett, Carbaugh, Fleming
2023-02-28	Senate	House sponsor: Representative King
2023-02-28	Senate	Third reading: passed; Roll Call 201: yeas 48, nays 0
2023-02-27	Senate	Second reading: amended, ordered engrossed
2023-02-27	Senate	Amendment #1 (Brown L) prevailed; voice vote
2023-02-23	Senate	Committee report: amend do pass, adopted
2023-02-16	Senate	Committee report: amend do pass adopted; reassigned to Committee on Appropriations
2023-01-26	Senate	Senators Johnson and Rogers added as coauthors
2023-01-19	Senate	Senator Garten added as third author
2023-01-19	Senate	Senator Charbonneau added as second author
2023-01-19	Senate	First reading: referred to Committee on Health and Provider Services
2023-01-19	Senate	Authored by Senator Brown L

Type	Source
Summary	https://iga.in.gov/legislative/2023/bills/senate/400/details
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#1.INTR
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#2.COMS
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#3.COMS
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#4.ENGS
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#5.COMH
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#6.COMH
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#7.ENGH
Text	https://iga.in.gov/legislative/2023/bills/senate/400/#8.ENRH
Roll Call	https://iga.in.gov/legislative/2023/bills/senate/400/#S201
Roll Call	https://iga.in.gov/legislative/2023/bills/senate/400/#H375
Roll Call	https://iga.in.gov/legislative/2023/bills/senate/400/#H388
Roll Call	https://iga.in.gov/legislative/2023/bills/senate/400/#H509
Roll Call	https://iga.in.gov/legislative/2023/bills/senate/400/#S492