Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
11 KiB
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| Bill | Emergency medical services. | Establishes the community cares initiative grant pilot program for the purpose of assisting in the costs of starting or expanding mobile integrated health care programs and mobile crisis teams in Indiana. Establishes the community cares initiative fund. Requires a health plan operator to provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual: (1) at a rate not to exceed the rates set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated; (2) at the rate of 400% of the published rate for ambulance services established under the Medicare law for the same ambulance service provided in the same geographic area; or (3) according to the nonparticipating ambulance provider's billed charges; whichever is less. Provides that if a health plan operator makes payment to a nonparticipating ambulance service provider in compliance with these requirements: (1) the payment shall be considered payment in full, except for any copayment, coinsurance, deductible, and other cost sharing amounts that the health plan requires the covered individual to pay; and (2) the nonparticipating ambulance service provider is prohibited from billing the covered individual for any additional amount. Provides that the copayment, coinsurance, deductible, and other cost sharing amounts that a covered individual is required to pay in connection with ambulance service provided by a nonparticipating ambulance service provider shall not exceed the copayment, coinsurance, deductible, and other cost sharing amounts that the covered individual would be required to pay if the ambulance service had been provided by a participating ambulance service provider. Requires a health plan operator that receives a clean claim from a nonparticipating ambulance service provider to remit payment to the nonparticipating ambulance service provider not more than 30 days after receiving the clean claim. Provides that if a claim received by a health plan operator for ambulance service provided by a nonparticipating ambulance service provider is not a clean claim, the health plan operator, not more than 30 days after receiving the claim, shall: (1) remit payment; or (2) send a written notice that: (A) acknowledges the date of receipt of the claim; and (B) either explains why the health plan operator is declining to pay the claim or states that additional information is needed for a determination whether to pay the claim. Removes the requirement that a health plan operator negotiate rates and terms with any ambulance service provider willing to become a participating provider, but retains the requirement that the state negotiate rates and terms with any ambulance service provider willing to become a participating provider. | us/states/in | Indiana General Assembly | 2024 | HB 1385 | Indiana HB 1385 (2024) |
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enacted |
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4 | 37 | 4 | 2024-01-11 | 2024-03-13 | openstates | ocd-bill/a2a8bb5d-91b7-43e9-ac4e-6e39f8a379de | https://api.iga.in.gov/2024/bills/hb1385 | aaf1599e5e14ac3ae961967a31c4354c81f06e87abb2c8387b7675e6e6cbcd1f | 2026-07-01 | https://data.openstates.org/daily/2026-07-01/public.pgdump | 2026-07-06 | reported |
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Indiana HB 1385 (2024) — Emergency medical services.
Establishes the community cares initiative grant pilot program for the purpose of assisting in the costs of starting or expanding mobile integrated health care programs and mobile crisis teams in Indiana. Establishes the community cares initiative fund. Requires a health plan operator to provide payment to a nonparticipating ambulance service provider for ambulance service provided to a covered individual: (1) at a rate not to exceed the rates set or approved, by contract or ordinance, by the county or municipality in which the ambulance service originated; (2) at the rate of 400% of the published rate for ambulance services established under the Medicare law for the same ambulance service provided in the same geographic area; or (3) according to the nonparticipating ambulance provider's billed charges; whichever is less. Provides that if a health plan operator makes payment to a nonparticipating ambulance service provider in compliance with these requirements: (1) the payment shall be considered payment in full, except for any copayment, coinsurance, deductible, and other cost sharing amounts that the health plan requires the covered individual to pay; and (2) the nonparticipating ambulance service provider is prohibited from billing the covered individual for any additional amount. Provides that the copayment, coinsurance, deductible, and other cost sharing amounts that a covered individual is required to pay in connection with ambulance service provided by a nonparticipating ambulance service provider shall not exceed the copayment, coinsurance, deductible, and other cost sharing amounts that the covered individual would be required to pay if the ambulance service had been provided by a participating ambulance service provider. Requires a health plan operator that receives a clean claim from a nonparticipating ambulance service provider to remit payment to the nonparticipating ambulance service provider not more than 30 days after receiving the clean claim. Provides that if a claim received by a health plan operator for ambulance service provided by a nonparticipating ambulance service provider is not a clean claim, the health plan operator, not more than 30 days after receiving the claim, shall: (1) remit payment; or (2) send a written notice that: (A) acknowledges the date of receipt of the claim; and (B) either explains why the health plan operator is declining to pay the claim or states that additional information is needed for a determination whether to pay the claim. Removes the requirement that a health plan operator negotiate rates and terms with any ambulance service provider willing to become a participating provider, but retains the requirement that the state negotiate rates and terms with any ambulance service provider willing to become a participating provider.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
- Engrossed House Bill (H) (committee substitute) — source
- Enrolled House Bill (H) (committee substitute) — source
- House Bill (S) (committee substitute) — source
- Introduced House Bill (H) (committee substitute) — source
Votes
- HB 1385 - Barrett — 97–0 (pass) · lower
- HB 1385 - Johnson T - 3rd Reading — 44–5 (pass) · upper
- HB 1385 - Johnson T — 45–2 (pass) · upper
- HB 1385 - Barrett - 3rd Reading — 94–1 (pass) · lower
Sponsors
- Brad Barrett — primary (person)
- Ed Charbonneau — primary (person)
- Scott Baldwin — primary (person)
- Tyler Johnson — primary (person)
- Aaron Freeman — cosponsor (person)
- Craig Snow — coauthor (person)
- Kyle Walker — cosponsor (person)
- Lonnie Randolph — cosponsor (person)
- Martin Carbaugh — coauthor (person)
- Robin Shackleford — coauthor (person)
Timeline
The legislative action history — every referral, reading, and vote.
- 2024-01-11 Authored by Representative Barrett
- 2024-01-11 First reading: referred to Committee on Insurance
reading-1, referral-committee - 2024-01-25 Committee report: do pass, adopted
committee-passage - 2024-01-29 Second reading: ordered engrossed
reading-2 - 2024-01-29 Representatives Carbaugh, Snow C, Shackleford added as coauthors
- 2024-01-30 Senate sponsor: Senator Johnson T
- 2024-01-30 Third reading: passed; Roll Call 101: yeas 94, nays 1
passage, reading-3, reading-3 - 2024-01-31 Referred to the Senate
referral - 2024-02-05 First reading: referred to Committee on Insurance and Financial Institutions
reading-1, referral-committee - 2024-02-05 Senator Charbonneau added as second sponsor
- 2024-02-06 Senator Baldwin added as third sponsor
- 2024-02-12 Senator Freeman added as cosponsor
- 2024-02-13 Senator Walker K added as cosponsor
- 2024-02-15 Committee report: amend do pass, adopted
committee-passage - 2024-02-19 Senator Randolph added as cosponsor
- 2024-02-19 Amendment #2 (Johnson T) prevailed; voice vote
amendment-passage - 2024-02-19 Second reading: amended, ordered engrossed
reading-2 - 2024-02-20 Third reading: passed; Roll Call 175: yeas 44, nays 5
passage, reading-3, reading-3 - 2024-02-21 Returned to the House with amendments
receipt - 2024-03-04 House advisors appointed: Schaibley, Zent and Fleming
- 2024-03-04 House dissented from Senate amendments
- 2024-03-04 Motion to dissent filed
filing - 2024-03-04 House conferees appointed: Barrett and Shackleford
- 2024-03-06 Senate advisors appointed: Qaddoura and Charbonneau
- 2024-03-06 Senate conferees appointed: Johnson T and Randolph Lonnie M
- 2024-03-11 Signed by the President Pro Tempore
passage - 2024-03-08 Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 325: yeas 45, nays 2
- 2024-03-11 Signed by the Speaker
passage - 2024-03-13 Signed by the Governor
executive-signature - 2024-03-12 Signed by the President of the Senate
passage - 2024-03-08 CCR # 1 filed in the Senate
filing - 2024-03-08 CCR # 1 filed in the House
filing - 2024-03-08 Senator Qaddoura added as conferee
- 2024-03-08 Senator Qaddoura removed as advisor
- 2024-03-08 Senator Randolph Lonnie M removed as conferee
- 2024-03-13 Public Law 163
became-law - 2024-03-08 Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 342: yeas 97, nays 0
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/a2a8bb5d-91b7-43e9-ac4e-6e39f8a379de. Confidence: reported (aggregated from official Indiana legislature records).