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/sb-225.md

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+---
+type: "Bill"
+title: "Health matters."
+description: "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."
+jurisdiction: "us/states/in"
+legislature: "Indiana General Assembly"
+session: "2026"
+identifier: "SB 225"
+citation: "Indiana SB 225 (2026)"
+classification: ["bill"]
+subjects: ["AGENCIES; Department of Health (IDOH)", "HEALTH CARE FACILITIES; Generally", "HEALTH CARE FACILITIES; Hospitals", "HEALTH CARE PROFESSIONALS; Dentistry", "HEALTH CARE PROFESSIONALS; Doctors and Physicians", "HEALTH; Billing and Costs", "STATE ELECTED OFFICIALS; Attorney General"]
+status: "enacted"
+primary_sponsors: ["Brad Barrett", "Ed Charbonneau", "Fady Qaddoura", "Justin Busch"]
+version_count: 5
+action_count: 27
+vote_count: 3
+first_action: "2026-01-08"
+last_action: "2026-03-05"
+source: "openstates"
+source_identifier: "ocd-bill/9bc84603-5f81-4d54-b0aa-c19bb852a8db"
+source_url: "https://api.iga.in.gov/2026/bills/sb0225"
+source_hash: "c28e9ab00b1f3136da9e67dd663ccee55aacf1cb706cd33f4917e561d72b4855"
+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 SB 225 (2026) — Health matters.
+
+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.
+
+## Version chain
+
+The bill's text revisions, in order — the diff chain from filing to enrollment.
+
+1. **Engrossed Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.03.ENGS.pdf)
+2. **Enrolled Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.06.ENRH.pdf)
+3. **Introduced Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.01.INTR.pdf)
+4. **Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.04.COMH.pdf)
+5. **Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.05.COMH.pdf)
+
+## Votes
+
+- SB 225 - Busch — **49–0** (pass) · upper
+- SB 225 - Busch - 3rd Reading — **43–1** (pass) · upper
+- SB 225 - Barrett - 3rd Reading — **94–1** (pass) · lower
+
+## Sponsors
+
+- Brad Barrett — primary (person)
+- Ed Charbonneau — primary (person)
+- Fady Qaddoura — primary (person)
+- Justin Busch — primary (person)
+- Joanna King — cosponsor (person)
+- Julie McGuire — cosponsor (person)
+- Martin Carbaugh — cosponsor (person)
+- Shelli Yoder — coauthor (person)
+
+## Timeline
+
+The legislative action history — every referral, reading, and vote.
+
+- **2026-01-08** Authored by Senator Busch
+- **2026-01-08** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
+- **2026-01-12** Senator Charbonneau added as second author
+- **2026-01-22** Committee report: amend do pass, adopted `committee-passage`
+- **2026-01-26** Second reading: amended, ordered engrossed `reading-2`
+- **2026-01-26** Amendment #1 (Busch) prevailed; voice vote `amendment-passage`
+- **2026-01-27** Senator Yoder added as coauthor
+- **2026-01-27** Cosponsor: Representative Carbaugh
+- **2026-01-27** Senator Qaddoura added as third author
+- **2026-01-27** House sponsor: Representative Barrett
+- **2026-01-27** Third reading: passed; Roll Call 111: yeas 43, nays 1 `passage, reading-3, reading-3`
+- **2026-01-28** Referred to the House `referral`
+- **2026-01-29** First reading: referred to Committee on Public Health `reading-1, referral-committee`
+- **2026-02-10** Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
+- **2026-02-10** Committee report: amend do pass, adopted `committee-passage`
+- **2026-02-17** Committee report: amend do pass, adopted `committee-passage`
+- **2026-02-19** Second reading: ordered engrossed `reading-2`
+- **2026-02-23** Third reading: passed; Roll Call 307: yeas 94, nays 1 `passage, reading-3, reading-3`
+- **2026-02-23** Representatives McGuire, King added as cosponsors
+- **2026-02-24** Returned to the Senate with amendments `receipt`
+- **2026-02-25** Motion to concur filed `filing`
+- **2026-02-26** Senate concurred with House amendments; Roll Call 300: yeas 49, nays 0
+- **2026-02-27** Signed by the President of the Senate `passage`
+- **2026-03-05** Signed by the Governor `executive-signature`
+- **2026-02-27** Signed by the President Pro Tempore `passage`
+- **2026-03-05** Public Law 124 `became-law`
+- **2026-02-27** Signed by the Speaker `passage`
+
+## Source
+
+OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9bc84603-5f81-4d54-b0aa-c19bb852a8db`. Confidence: reported (aggregated from official Indiana legislature records).
+