republic-os/legislation/us/states/in/2021/sb-416.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Hospitals and certificates of public advantage.	Establishes a certificate of public advantage (certificate) pertaining to mergers between hospitals located in counties that meet certain requirements to be issued by the state department of health (state department). Provides that a hospital that has been issued a certificate may not be purchased by another hospital or system of hospitals unless the purchase has been approved by the Federal Trade Commission. Sets forth the procedure and standards for obtaining a certificate and maintaining the certificate. Requires the state department to establish fees for the application of a certificate and the monitoring of an entity holding a certificate in an amount reasonably sufficient to fully fund the costs of the review and supervision of the application. Provides that for the first five years that a hospital is operating under a certificate the hospital: (1) may not increase the charge for each individual service that the hospital offers by more than the increase in the Consumer Price Index for Medical Care; and (2) must invest the realized cost savings for the benefit of the community. Requires a hospital the has been issued a certificate to file an annual report. Allows the office of the attorney general to issue an investigative demand concerning the issuance or maintenance of a certificate. Provides for an appeal of a determination made by the state department concerning the issuance or maintenance of a certificate.	us/states/in	Indiana General Assembly	2021	SB 416	Indiana SB 416 (2021)	bill	ATTORNEY GENERAL HEALTH State Department and Agencies HOSPITALS AND MEDICAL FACILITIES	enacted	Alan Morrison Ed Charbonneau Jon Ford	4	22	1	2021-01-25	2021-04-22	openstates	ocd-bill/d0de6e06-2a08-45eb-9e36-6b9ea4d779c5	http://iga.in.gov/legislative/2021/bills/senate/416	0cf63deb0edb5222641d650f83bb7fc2097ab00da4f792a58101ab0e24dd1dff	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-in

Indiana SB 416 (2021) — Hospitals and certificates of public advantage.

Establishes a certificate of public advantage (certificate) pertaining to mergers between hospitals located in counties that meet certain requirements to be issued by the state department of health (state department). Provides that a hospital that has been issued a certificate may not be purchased by another hospital or system of hospitals unless the purchase has been approved by the Federal Trade Commission. Sets forth the procedure and standards for obtaining a certificate and maintaining the certificate. Requires the state department to establish fees for the application of a certificate and the monitoring of an entity holding a certificate in an amount reasonably sufficient to fully fund the costs of the review and supervision of the application. Provides that for the first five years that a hospital is operating under a certificate the hospital: (1) may not increase the charge for each individual service that the hospital offers by more than the increase in the Consumer Price Index for Medical Care; and (2) must invest the realized cost savings for the benefit of the community. Requires a hospital the has been issued a certificate to file an annual report. Allows the office of the attorney general to issue an investigative demand concerning the issuance or maintenance of a certificate. Provides for an appeal of a determination made by the state department concerning the issuance or maintenance of a certificate.

Version chain

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

1. Enrolled Senate Bill (S) (committee substitute) — source
2. Introduced Senate Bill (S) (committee substitute) — source
3. Senate Bill (H) (committee substitute) — source
4. Senate Bill (S) (committee substitute) — source

Votes

• SB 416 - Morrison - 3rd Reading — 94–3 (pass) · lower

Sponsors

• Alan Morrison — primary (person)
• Ed Charbonneau — primary (person)
• Jon Ford — primary (person)
• Beau Baird — cosponsor (person)
• Robert Heaton — cosponsor (person)

Timeline

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

• 2021-01-25 Authored by Senator Ford Jon
• 2021-01-25 First reading: referred to Committee on Health and Provider Services reading-1, referral-committee
• 2021-01-28 Senator Charbonneau added as second author
• 2021-02-18 Committee report: amend do pass, adopted committee-passage
• 2021-02-22 Second reading: ordered engrossed reading-2
• 2021-02-23 House sponsor: Representative Morrison
• 2021-02-23 Cosponsor: Representative Baird
• 2021-02-23 Third reading: passed; Roll Call 205: yeas 47, nays 0 passage, reading-3
• 2021-02-24 Referred to the House
• 2021-03-04 First reading: referred to Committee on Public Health reading-1, referral-committee
• 2021-03-29 Representative Heaton added as cosponsor
• 2021-04-08 Committee report: amend do pass, adopted committee-passage
• 2021-04-12 Second reading: ordered engrossed reading-2
• 2021-04-13 Third reading: passed; Roll Call 429: yeas 94, nays 3 passage, reading-3
• 2021-04-14 Returned to the Senate with amendments amendment-failure
• 2021-04-14 Motion to concur filed
• 2021-04-15 Senate concurred in House amendments; Roll Call 448: yeas 42, nays 0 amendment-failure
• 2021-04-20 Signed by the President Pro Tempore
• 2021-04-21 Signed by the President of the Senate
• 2021-04-21 Signed by the Speaker
• 2021-04-22 Public Law 104
• 2021-04-22 Signed by the Governor executive-signature

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/d0de6e06-2a08-45eb-9e36-6b9ea4d779c5. Confidence: reported (aggregated from official Indiana legislature records).