republic-os/legislation/us/states/in/2021/hb-1421.md

---
type: "Bill"
title: "Various health care matters."
description: "Provides that the state employee health plan statute does not prohibit the state personnel department from directly contracting with health care providers for health care services for state employees. Provides that if a woman who is in premature labor presents to a hospital, the hospital must inform the woman of the hospital's capabilities of treating the born alive infant and managing a high risk pregnancy. Sets forth requirements that a hospital must meet concerning: (1) a woman who is in premature labor; and (2) a born alive infant. Changes the date that ambulatory outpatient surgical centers are required to begin posting certain pricing information from March 31, 2021, to December 31, 2021. Specifies that the pricing information posted is the standard charge rather than the weighted average negotiated charge and sets forth what is included in the standard charge. Specifies that if an ambulatory outpatient surgical center offers less than 30 additional services, the center is required to post all of the services the center provides. Requires a hospital to post pricing information in compliance with the federal Hospital Price Transparency Rule of the Centers for Medicare and Medicaid Services as in effect on January 1, 2021, if: (1) the federal Hospital Price Transparency Rule is repealed; or (2) federal enforcement of the federal Hospital Price Transparency Rule is stopped. Defines \"health carrier\" for purposes of the law on health provider contracts. Prohibits the inclusion in a health provider contract of any provision that would: (1) prohibit the disclosure of health care service claims data, including for use in the all payer claims data base; (2) limit the ability of a health carrier or health provider facility to disclose the allowed amount and fees of services to any insured or enrollee, or to the treating health provider facility or physician of the insured or enrollee; or (3) limit the ability of a health carrier or health provider facility to disclose out-of-pocket costs to an insured or an enrollee. Requires the department of insurance to issue a report to: (1) the legislative council; and (2) the interim study committees on financial institutions and insurance and public health, behavioral health, and human services; setting forth its suggestions for revising the department's administrative rules to reduce the regulatory costs incurred by employers seeking to provide health coverage for their employees through multiple employer welfare arrangements."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2021"
identifier: "HB 1421"
citation: "Indiana HB 1421 (2021)"
classification: ["bill"]
subjects: ["HEALTH", "Health Maintenance Organizations", "HOSPITALS AND MEDICAL FACILITIES", "WOMEN'S ISSUES"]
status: "enacted"
primary_sponsors: ["Andy Zay", "Donna Schaibley", "Ed Charbonneau", "Liz Brown"]
version_count: 7
action_count: 36
vote_count: 1
first_action: "2021-01-14"
last_action: "2021-04-29"
source: "openstates"
source_identifier: "ocd-bill/5b1305d5-07ab-40d4-9fc8-099cec1bbe04"
source_url: "http://iga.in.gov/legislative/2021/bills/house/1421"
source_hash: "430bcf3df8e061955cec4c1e375abce1defbd388f6b03fd566947aa95bd90e09"
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 1421 (2021) — Various health care matters.

Provides that the state employee health plan statute does not prohibit the state personnel department from directly contracting with health care providers for health care services for state employees. Provides that if a woman who is in premature labor presents to a hospital, the hospital must inform the woman of the hospital's capabilities of treating the born alive infant and managing a high risk pregnancy. Sets forth requirements that a hospital must meet concerning: (1) a woman who is in premature labor; and (2) a born alive infant. Changes the date that ambulatory outpatient surgical centers are required to begin posting certain pricing information from March 31, 2021, to December 31, 2021. Specifies that the pricing information posted is the standard charge rather than the weighted average negotiated charge and sets forth what is included in the standard charge. Specifies that if an ambulatory outpatient surgical center offers less than 30 additional services, the center is required to post all of the services the center provides. Requires a hospital to post pricing information in compliance with the federal Hospital Price Transparency Rule of the Centers for Medicare and Medicaid Services as in effect on January 1, 2021, if: (1) the federal Hospital Price Transparency Rule is repealed; or (2) federal enforcement of the federal Hospital Price Transparency Rule is stopped. Defines "health carrier" for purposes of the law on health provider contracts. Prohibits the inclusion in a health provider contract of any provision that would: (1) prohibit the disclosure of health care service claims data, including for use in the all payer claims data base; (2) limit the ability of a health carrier or health provider facility to disclose the allowed amount and fees of services to any insured or enrollee, or to the treating health provider facility or physician of the insured or enrollee; or (3) limit the ability of a health carrier or health provider facility to disclose out-of-pocket costs to an insured or an enrollee. Requires the department of insurance to issue a report to: (1) the legislative council; and (2) the interim study committees on financial institutions and insurance and public health, behavioral health, and human services; setting forth its suggestions for revising the department's administrative rules to reduce the regulatory costs incurred by employers seeking to provide health coverage for their employees through multiple employer welfare arrangements.

## 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/HB1421/versions/HB1421.03.ENGH)
2. **Engrossed House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.04.ENGH)
3. **Engrossed House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.06.ENGS)
4. **Enrolled House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.07.ENRS)
5. **House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.02.COMH)
6. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.05.COMS)
7. **Introduced House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2021/bills/HB1421/versions/HB1421.01.INTR)

## Votes

- HB 1421 - Brown L - 3rd Reading — **48–0** (pass) · upper

## Sponsors

- Andy Zay — primary (person)
- Donna Schaibley — primary (person)
- Ed Charbonneau — primary (person)
- Liz Brown — primary (person)
- Anthony Cook — coauthor (person)
- Lonnie Randolph — cosponsor (person)
- Robert Heaton — coauthor (person)
- Ryan Lauer — coauthor (person)

## Timeline

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

- **2021-01-14** Authored by Representative Schaibley
- **2021-01-14** First reading: referred to Committee on Public Health `reading-1, referral-committee`
- **2021-01-14** Reassigned to Committee on Financial Institutions and Insurance `referral-committee`
- **2021-02-11** Committee report: amend do pass, adopted `committee-passage`
- **2021-02-15** Representative Heaton added as coauthor
- **2021-02-15** Representatives Lauer and Cook added as coauthors
- **2021-02-17** Amendment #1 (Schaibley) prevailed; voice vote `amendment-failure, amendment-passage`
- **2021-02-17** Amendment #7 (Austin) prevailed; voice vote `amendment-failure, amendment-passage`
- **2021-02-17** Second reading: amended, ordered engrossed `reading-2`
- **2021-02-22** Third reading: passed; Roll Call 214: yeas 91, nays 0 `passage, reading-3`
- **2021-02-22** Senate sponsors: Senators Brown L, Charbonneau, Zay
- **2021-02-23** Referred to the Senate
- **2021-03-01** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
- **2021-03-11** Committee report: amend do pass, adopted `committee-passage`
- **2021-03-30** Amendment #3 (Brown L) prevailed; voice vote `amendment-failure, amendment-passage`
- **2021-03-30** Second reading: amended, ordered engrossed `reading-2`
- **2021-04-01** Third reading: passed; Roll Call 307: yeas 48, nays 0 `passage, reading-3`
- **2021-04-01** Senator Randolph added as cosponsor
- **2021-04-05** Returned to the House with amendments `amendment-failure`
- **2021-04-06** Motion to dissent filed
- **2021-04-06** House dissented from Senate amendments `amendment-failure`
- **2021-04-08** House conferees appointed: Schaibley and Austin
- **2021-04-08** House advisors appointed: Heaton, Lauer and Campbell
- **2021-04-08** Senate conferees appointed: Brown L and Yoder
- **2021-04-08** Senate advisors appointed: Charbonneau and Breaux
- **2021-04-19** Senator Yoder removed as conferee
- **2021-04-19** Senator Gaskill added as conferee
- **2021-04-19** CCR # 1 filed in the House
- **2021-04-19** CCR # 1 filed in the Senate
- **2021-04-20** Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 470: yeas 91, nays 0
- **2021-04-20** Conference Committee Report 1: adopted by the Senate; Roll Call 463: yeas 37, nays 11
- **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** Public Law 198
- **2021-04-29** 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/5b1305d5-07ab-40d4-9fc8-099cec1bbe04`. Confidence: reported (aggregated from official Indiana legislature records).