Files
2026-07-06 17:27:20 -04:00

100 lines
8.2 KiB
Markdown
Raw Permalink Blame History

This file contains ambiguous Unicode characters
This file contains Unicode characters that might be confused with other characters. If you think that this is intentional, you can safely ignore this warning. Use the Escape button to reveal them.
---
type: "Bill"
title: "Health provider contracts."
description: "Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2020"
identifier: "SB 5"
citation: "Indiana SB 5 (2020)"
classification: ["bill"]
subjects: ["HEALTH", "Health Care Costs; Health Insurance", "INSURANCE", "Insurance Companies", "Agents", "and Brokers"]
status: "enacted"
primary_sponsors: ["Donna Schaibley", "Ed Charbonneau", "John Ruckelshaus"]
version_count: 6
action_count: 28
vote_count: 2
first_action: "2020-01-09"
last_action: "2020-03-18"
source: "openstates"
source_identifier: "ocd-bill/03d6e3de-c1dc-4965-9f7d-12f36344638a"
source_url: "http://iga.in.gov/legislative/2020/bills/senate/5"
source_hash: "4058bdcfdfc44efff4f9bd4e9653dd5c0c03a48fc878d5026db812d80be0094a"
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 5 (2020) — Health provider contracts.
Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Engrossed Senate Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.03.ENGS)
2. **Engrossed Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.05.ENGH)
3. **Enrolled Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.06.ENRH)
4. **Introduced Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.01.INTR)
5. **Senate Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.04.COMH)
6. **Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2020/bills/SB0005/versions/SB0005.02.COMS)
## Votes
- SB 5 - Schaibley - 3rd Reading — **940** (pass) · lower
- SB 5 - Charbonneau - 3rd Reading — **470** (pass) · upper
## Sponsors
- Donna Schaibley — primary (person)
- Ed Charbonneau — primary (person)
- John Ruckelshaus — primary (person)
- Brad Barrett — cosponsor (person)
- Cindy Kirchhofer — cosponsor (person)
- Lonnie Randolph — coauthor (person)
- Mark Stoops — coauthor (person)
- Robin Shackleford — cosponsor (person)
- Susan Glick — coauthor (person)
- Victoria Spartz — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2020-01-09** Authored by Senator Charbonneau
- **2020-01-09** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
- **2020-01-16** Senator Stoops added as coauthor
- **2020-01-23** Committee report: do pass, adopted `committee-passage`
- **2020-01-23** Senator Ruckelshaus added as second author
- **2020-01-27** Senator Glick added as coauthor
- **2020-01-27** Senator Randolph added as coauthor
- **2020-01-30** Amendment #1 (Charbonneau) prevailed; voice vote `amendment-passage, amendment-failure`
- **2020-01-30** Second reading: amended, ordered engrossed `reading-2`
- **2020-02-03** Third reading: passed; Roll Call 107: yeas 47, nays 0 `reading-3, passage`
- **2020-02-03** House sponsor: Representative Schaibley
- **2020-02-03** Cosponsors: Representatives Barrett and Kirchhofer
- **2020-02-04** Referred to the House
- **2020-02-10** First reading: referred to Committee on Public Health `reading-1, referral-committee`
- **2020-02-13** Representative Shackleford added as cosponsor
- **2020-02-27** Committee report: amend do pass, adopted `committee-passage`
- **2020-03-02** Amendment #4 (Schaibley) prevailed; voice vote `amendment-passage, amendment-failure`
- **2020-03-02** Second reading: amended, ordered engrossed `reading-2`
- **2020-03-03** Third reading: passed; Roll Call 266: yeas 94, nays 0 `reading-3, passage`
- **2020-03-04** Returned to the Senate with amendments `amendment-failure`
- **2020-03-05** Motion to concur filed
- **2020-03-09** Senate concurred in House amendments; Roll Call 346: yeas 48, nays 0 `amendment-failure`
- **2020-03-09** Senator Spartz added as coauthor
- **2020-03-12** Signed by the President Pro Tempore
- **2020-03-16** Signed by the Speaker
- **2020-03-18** Signed by the Governor `executive-signature`
- **2020-03-18** Public Law 50
- **2020-03-18** Signed by the President of the Senate
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/03d6e3de-c1dc-4965-9f7d-12f36344638a`. Confidence: reported (aggregated from official Indiana legislature records).