---
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).