Legislation: batch B — IL IN KS KY LA MA MD ME MI MN

Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>

legislation/us/states/in/2026/hb-1271.md

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+---
+type: "Bill"
+title: "Payment of health claims."
+description: "Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization."
+jurisdiction: "us/states/in"
+legislature: "Indiana General Assembly"
+session: "2026"
+identifier: "HB 1271"
+citation: "Indiana HB 1271 (2026)"
+classification: ["bill"]
+subjects: ["AGENCIES; Department of Insurance (IDOI)", "FINANCIAL SERVICES; Collection Agencies", "HEALTH CARE FACILITIES; Hospitals", "HEALTH; Billing and Costs", "INSURANCE; Generally", "INSURANCE; Health Insurance", "INSURANCE; Health Maintenance Organizations (HMOs)", "TRADE REGULATIONS; Consumer Credit and Consumer Protection (Including the Uniform Consumer Credit Code (UCCC))"]
+status: "enacted"
+primary_sponsors: ["Julie McGuire", "Liz Brown", "Michael Crider", "Tyler Johnson"]
+version_count: 6
+action_count: 31
+vote_count: 3
+first_action: "2026-01-06"
+last_action: "2026-03-04"
+source: "openstates"
+source_identifier: "ocd-bill/70f39fd9-c441-4500-8fb0-ed640fa17065"
+source_url: "https://api.iga.in.gov/2026/bills/hb1271"
+source_hash: "ccce45fc49190f39feabbd8549ea8dfb7e3bb8ae8ad1f754d4fbeafe6adb3de6"
+vintage: "2026-07-01"
+source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
+retrieved_at: "2026-07-06"
+confidence: "reported"
+tags: ["legislation", "bill", "us-in"]
+---
+
+# Indiana HB 1271 (2026) — Payment of health claims.
+
+Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Engrossed House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.06.ENGS.pdf)
+2. **Engrossed House Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.03.ENGH.pdf)
+3. **Enrolled House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.07.ENRS.pdf)
+4. **House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.02.COMH.pdf)
+5. **House Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.05.COMS.pdf)
+6. **Introduced House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.01.INTR.pdf)
+
+## Votes
+
+- HB 1271 - McGuire - 3rd Reading — **85–0** (pass) · lower
+- HB 1271 - McGuire — **87–0** (pass) · lower
+- HB 1271 - Brown L - 3rd Reading — **46–1** (pass) · upper
+
+## Sponsors
+
+- Julie McGuire — primary (person)
+- Liz Brown — primary (person)
+- Michael Crider — primary (person)
+- Tyler Johnson — primary (person)
+- Lonnie Randolph — cosponsor (person)
+- Lori Goss-Reaves — coauthor (person)
+- Martin Carbaugh — coauthor (person)
+- Victoria Garcia Wilburn — coauthor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-01-06** Authored by Representative McGuire
+- **2026-01-06** First reading: referred to Committee on Insurance `reading-1, referral-committee`
+- **2026-01-08** Representative Goss-Reaves added as coauthor
+- **2026-01-12** Representative Garcia Wilburn added as coauthor
+- **2026-01-13** Representative Campbell added as coauthor
+- **2026-01-20** Committee report: amend do pass, adopted `committee-passage`
+- **2026-01-22** Representatives Goss-Reaves, Garcia Wilburn, Campbell removed as coauthors
+- **2026-01-27** Representatives Goss-Reaves, Carbaugh, Garcia Wilburn added as coauthors
+- **2026-01-29** Second reading: amended, ordered engrossed `reading-2`
+- **2026-01-29** Amendment #4 (McGuire) prevailed; voice vote `amendment-passage`
+- **2026-02-02** Third reading: passed; Roll Call 179: yeas 85, nays 0 `passage, reading-3, reading-3`
+- **2026-02-02** Senate sponsors: Senators Brown L, Crider, Johnson T
+- **2026-02-03** Referred to the Senate `referral`
+- **2026-02-05** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
+- **2026-02-12** Committee report: amend do pass, adopted `committee-passage`
+- **2026-02-12** Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations `referral-committee`
+- **2026-02-19** Committee report: amend do pass, adopted `committee-passage`
+- **2026-02-19** Senator Randolph added as cosponsor
+- **2026-02-19** Committee report: Rules Committee Report; adopted voice vote
+- **2026-02-19** Pursuant to Senate Rule 68(b); reassigned to Committee on Rules and Legislative Procedure `referral-committee`
+- **2026-02-23** Second reading: amended, ordered engrossed `reading-2`
+- **2026-02-23** Amendment #4 (Brown L) prevailed; voice vote `amendment-passage`
+- **2026-02-24** Third reading: passed; Roll Call 248: yeas 46, nays 1 `passage, reading-3, reading-3`
+- **2026-02-25** Returned to the House with amendments `receipt`
+- **2026-02-25** Motion to concur filed `filing`
+- **2026-02-26** Signed by the Speaker `passage`
+- **2026-02-26** House concurred with Senate amendments; Roll Call 391: yeas 87, nays 0
+- **2026-02-27** Signed by the President of the Senate `passage`
+- **2026-03-04** Signed by the Governor `executive-signature`
+- **2026-03-04** Public Law 88 `became-law`
+- **2026-02-27** Signed by the President Pro Tempore `passage`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/70f39fd9-c441-4500-8fb0-ed640fa17065`. Confidence: reported (aggregated from official Indiana legislature records).
+