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

---
type: "Bill"
title: "Hospitals and certificates of public advantage."
description: "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."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2021"
identifier: "SB 416"
citation: "Indiana SB 416 (2021)"
classification: ["bill"]
subjects: ["ATTORNEY GENERAL", "HEALTH", "State Department and Agencies", "HOSPITALS AND MEDICAL FACILITIES"]
status: "enacted"
primary_sponsors: ["Alan Morrison", "Ed Charbonneau", "Jon Ford"]
version_count: 4
action_count: 22
vote_count: 1
first_action: "2021-01-25"
last_action: "2021-04-22"
source: "openstates"
source_identifier: "ocd-bill/d0de6e06-2a08-45eb-9e36-6b9ea4d779c5"
source_url: "http://iga.in.gov/legislative/2021/bills/senate/416"
source_hash: "0cf63deb0edb5222641d650f83bb7fc2097ab00da4f792a58101ab0e24dd1dff"
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 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](http://in-proxy.openstates.org/2021/bills/SB0416/versions/SB0416.04.ENRH)
2. **Introduced Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/SB0416/versions/SB0416.01.INTR)
3. **Senate Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/SB0416/versions/SB0416.03.COMH)
4. **Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/SB0416/versions/SB0416.02.COMS)

## 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](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d0de6e06-2a08-45eb-9e36-6b9ea4d779c5`. Confidence: reported (aggregated from official Indiana legislature records).