republic-os/legislation/us/states/in/2021/hb-1447.md

---
type: "Bill"
title: "Good faith health care estimates."
description: "Revises the definition of \"practitioner\" in the laws concerning good faith estimates of costs for health care services. Postpones, from July 1, 2021, to January 1, 2022, the effective date of the requirement that a practitioner provide a good faith estimate of the amount the practitioner intends to charge for a health care service. Requires that the communication by a provider facility and a practitioner to a patient about the patient's right to request a good faith estimate be conspicuous and be provided by at least three of eight specified potential means. Provides that the written notice that a practitioner provides to an individual about a scheduled or ordered nonemergency health care service must state that a good faith estimate of cost need not be provided if the service is scheduled to be performed within five business days of the date of the patient's request. Provides that certain written statements must be in \"conspicuous\" type instead of in type at least as large as 14 point type. Requires a practitioner or facility to provide a written explanation if the charge for a health care service exceeds the practitioner's or facility's good faith estimate by the greater of: (1) $100; or (2) 5%. Revises the content of the written statement that an out of network practitioner providing health care services at an in network facility must give to a covered individual in order to be reimbursed more for the health care services than allowed according to the rate established by the covered individual's network plan. Provides that a practitioner can comply with the requirement to provide a good faith estimate of the amount that the practitioner intends to charge a covered individual by complying with the requirements of the new federal No Surprises Act (Act). Provides that a health carrier may satisfy certain requirements concerning good faith estimates by complying with the Act."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2021"
identifier: "HB 1447"
citation: "Indiana HB 1447 (2021)"
classification: ["bill"]
subjects: ["HEALTH", "Health Care Costs; Health Insurance", "HEALTH", "Health Care Professionals", "LICENSES AND LICENSING"]
status: "enacted"
primary_sponsors: ["Andy Zay", "Ann Vermilion", "Ed Charbonneau"]
version_count: 5
action_count: 35
vote_count: 1
first_action: "2021-01-14"
last_action: "2021-04-29"
source: "openstates"
source_identifier: "ocd-bill/c64caff5-bc1e-410a-8684-00c986ee3553"
source_url: "http://iga.in.gov/legislative/2021/bills/house/1447"
source_hash: "575872be62f6514b85478d10130e3f9c82450c9e2b9cfa89592c4fe906facc40"
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 1447 (2021) — Good faith health care estimates.

Revises the definition of "practitioner" in the laws concerning good faith estimates of costs for health care services. Postpones, from July 1, 2021, to January 1, 2022, the effective date of the requirement that a practitioner provide a good faith estimate of the amount the practitioner intends to charge for a health care service. Requires that the communication by a provider facility and a practitioner to a patient about the patient's right to request a good faith estimate be conspicuous and be provided by at least three of eight specified potential means. Provides that the written notice that a practitioner provides to an individual about a scheduled or ordered nonemergency health care service must state that a good faith estimate of cost need not be provided if the service is scheduled to be performed within five business days of the date of the patient's request. Provides that certain written statements must be in "conspicuous" type instead of in type at least as large as 14 point type. Requires a practitioner or facility to provide a written explanation if the charge for a health care service exceeds the practitioner's or facility's good faith estimate by the greater of: (1) $100; or (2) 5%. Revises the content of the written statement that an out of network practitioner providing health care services at an in network facility must give to a covered individual in order to be reimbursed more for the health care services than allowed according to the rate established by the covered individual's network plan. Provides that a practitioner can comply with the requirement to provide a good faith estimate of the amount that the practitioner intends to charge a covered individual by complying with the requirements of the new federal No Surprises Act (Act). Provides that a health carrier may satisfy certain requirements concerning good faith estimates by complying with the Act.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Engrossed House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1447/versions/HB1447.03.ENGH)
2. **Enrolled House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1447/versions/HB1447.05.ENRS)
3. **House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1447/versions/HB1447.02.COMH)
4. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1447/versions/HB1447.04.COMS)
5. **Introduced House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1447/versions/HB1447.01.INTR)

## Votes

- HB 1447 - Zay - 3rd Reading — **47–0** (pass) · upper

## Sponsors

- Andy Zay — primary (person)
- Ann Vermilion — primary (person)
- Ed Charbonneau — primary (person)
- Donna Schaibley — coauthor (person)
- Lonnie Randolph — cosponsor (person)
- Martin Carbaugh — coauthor (person)
- Terri Jo Austin — coauthor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-01-14** Coauthored by Representative Schaibley
- **2021-01-14** Authored by Representative Vermilion
- **2021-01-14** First reading: referred to Committee on Financial Institutions and Insurance `reading-1, referral-committee`
- **2021-02-11** Committee report: amend do pass, adopted `committee-passage`
- **2021-02-15** Second reading: ordered engrossed `reading-2`
- **2021-02-15** Representative Carbaugh added as coauthor
- **2021-02-15** Representative Austin added as coauthor
- **2021-02-17** Third reading: passed; Roll Call 153: yeas 95, nays 0 `passage, reading-3`
- **2021-02-17** Senate sponsors: Senators Zay and Charbonneau
- **2021-02-18** Referred to the Senate
- **2021-03-02** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
- **2021-04-01** Committee report: amend do pass, adopted `committee-passage`
- **2021-04-06** Second reading: ordered engrossed `reading-2`
- **2021-04-08** Third reading: passed; Roll Call 368: yeas 47, nays 0 `passage, reading-3`
- **2021-04-08** Senator Randolph added as cosponsor
- **2021-04-09** Returned to the House with amendments `amendment-failure`
- **2021-04-12** Motion to dissent filed
- **2021-04-12** House dissented from Senate amendments `amendment-failure`
- **2021-04-13** House conferees appointed: Vermilion and Austin
- **2021-04-13** House advisors appointed: Schaibley, Carbaugh and Shackleford
- **2021-04-13** Senate conferees appointed: Zay and Yoder
- **2021-04-13** Senate advisors appointed: Charbonneau and Breaux
- **2021-04-14** Representative Fleming added as advisor
- **2021-04-14** Representative Shackleford removed as advisor
- **2021-04-14** Representative Austin removed as conferee
- **2021-04-14** Representative Shackleford added as conferee
- **2021-04-15** CCR # 1 filed in the Senate
- **2021-04-15** CCR # 1 filed in the House
- **2021-04-19** Conference Committee Report 1: adopted by the House; Roll Call 459: yeas 79, nays 0
- **2021-04-20** Conference Committee Report 1: adopted by the Senate; Roll Call 464: yeas 48, nays 0
- **2021-04-22** Signed by the Speaker
- **2021-04-23** Signed by the President Pro Tempore
- **2021-04-28** Signed by the President of the Senate
- **2021-04-29** Signed by the Governor `executive-signature`
- **2021-04-29** Public Law 202

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/c64caff5-bc1e-410a-8684-00c986ee3553`. Confidence: reported (aggregated from official Indiana legislature records).