Fabio
102 lines
8.2 KiB
Markdown
102 lines
8.2 KiB
Markdown
---
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type: "Bill"
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title: "Payment of health claims."
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description: "Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization."
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jurisdiction: "us/states/in"
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legislature: "Indiana General Assembly"
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session: "2026"
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identifier: "HB 1271"
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citation: "Indiana HB 1271 (2026)"
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classification: ["bill"]
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subjects: ["AGENCIES; Department of Insurance (IDOI)", "FINANCIAL SERVICES; Collection Agencies", "HEALTH CARE FACILITIES; Hospitals", "HEALTH; Billing and Costs", "INSURANCE; Generally", "INSURANCE; Health Insurance", "INSURANCE; Health Maintenance Organizations (HMOs)", "TRADE REGULATIONS; Consumer Credit and Consumer Protection (Including the Uniform Consumer Credit Code (UCCC))"]
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status: "enacted"
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primary_sponsors: ["Julie McGuire", "Liz Brown", "Michael Crider", "Tyler Johnson"]
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version_count: 6
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action_count: 31
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vote_count: 3
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first_action: "2026-01-06"
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last_action: "2026-03-04"
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source: "openstates"
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source_identifier: "ocd-bill/70f39fd9-c441-4500-8fb0-ed640fa17065"
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source_url: "https://api.iga.in.gov/2026/bills/hb1271"
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source_hash: "ccce45fc49190f39feabbd8549ea8dfb7e3bb8ae8ad1f754d4fbeafe6adb3de6"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-in"]
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---
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# Indiana HB 1271 (2026) — Payment of health claims.
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Requires a hospital to: (1) disclose information concerning payment assistance programs; (2) post signs concerning the programs in specified locations of the hospital; and (3) make information concerning the programs available to individuals through the hospital's patient portal. Requires a hospital to make a reasonable effort to notify individuals of available payment assistance programs before beginning a collection action against the individual. Prohibits the use of downcoding in a specified manner. Prohibits a provider from using an automated process, system, or tool to submit a health benefits claim without the review of a provider or other person involved in the development of the claim for submission. Prohibits an insurer that issues a policy of accident and sickness insurance (insurer) and a health maintenance organization from retroactively reducing the reimbursement rate for any CPT code. Sets forth limitations on the time frame in which an insurer and a health maintenance organization: (1) may request repayment of an overpayment, adjust a subsequent claim, recoup a paid claim, or retroactively audit a paid claim; and (2) is required to correct a payment error to a provider. Provides that if an insurer or a health maintenance organization recoups payment from a provider due to an error in coordination of benefits, the provider may submit a claim for the same services to the appropriate insurer or health maintenance organization.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **Engrossed House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.06.ENGS.pdf)
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2. **Engrossed House Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.03.ENGH.pdf)
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3. **Enrolled House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.07.ENRS.pdf)
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4. **House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.02.COMH.pdf)
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5. **House Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.05.COMS.pdf)
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6. **Introduced House Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/house/bills/HB1271/HB1271.01.INTR.pdf)
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## Votes
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- HB 1271 - McGuire - 3rd Reading — **85–0** (pass) · lower
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- HB 1271 - McGuire — **87–0** (pass) · lower
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- HB 1271 - Brown L - 3rd Reading — **46–1** (pass) · upper
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## Sponsors
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- Julie McGuire — primary (person)
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- Liz Brown — primary (person)
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- Michael Crider — primary (person)
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- Tyler Johnson — primary (person)
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- Lonnie Randolph — cosponsor (person)
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- Lori Goss-Reaves — coauthor (person)
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- Martin Carbaugh — coauthor (person)
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- Victoria Garcia Wilburn — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-01-06** Authored by Representative McGuire
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- **2026-01-06** First reading: referred to Committee on Insurance `reading-1, referral-committee`
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- **2026-01-08** Representative Goss-Reaves added as coauthor
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- **2026-01-12** Representative Garcia Wilburn added as coauthor
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- **2026-01-13** Representative Campbell added as coauthor
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- **2026-01-20** Committee report: amend do pass, adopted `committee-passage`
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- **2026-01-22** Representatives Goss-Reaves, Garcia Wilburn, Campbell removed as coauthors
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- **2026-01-27** Representatives Goss-Reaves, Carbaugh, Garcia Wilburn added as coauthors
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- **2026-01-29** Second reading: amended, ordered engrossed `reading-2`
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- **2026-01-29** Amendment #4 (McGuire) prevailed; voice vote `amendment-passage`
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- **2026-02-02** Third reading: passed; Roll Call 179: yeas 85, nays 0 `passage, reading-3, reading-3`
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- **2026-02-02** Senate sponsors: Senators Brown L, Crider, Johnson T
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- **2026-02-03** Referred to the Senate `referral`
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- **2026-02-05** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
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- **2026-02-12** Committee report: amend do pass, adopted `committee-passage`
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- **2026-02-12** Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations `referral-committee`
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- **2026-02-19** Committee report: amend do pass, adopted `committee-passage`
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- **2026-02-19** Senator Randolph added as cosponsor
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- **2026-02-19** Committee report: Rules Committee Report; adopted voice vote
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- **2026-02-19** Pursuant to Senate Rule 68(b); reassigned to Committee on Rules and Legislative Procedure `referral-committee`
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- **2026-02-23** Second reading: amended, ordered engrossed `reading-2`
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- **2026-02-23** Amendment #4 (Brown L) prevailed; voice vote `amendment-passage`
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- **2026-02-24** Third reading: passed; Roll Call 248: yeas 46, nays 1 `passage, reading-3, reading-3`
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- **2026-02-25** Returned to the House with amendments `receipt`
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- **2026-02-25** Motion to concur filed `filing`
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- **2026-02-26** Signed by the Speaker `passage`
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- **2026-02-26** House concurred with Senate amendments; Roll Call 391: yeas 87, nays 0
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- **2026-02-27** Signed by the President of the Senate `passage`
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- **2026-03-04** Signed by the Governor `executive-signature`
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- **2026-03-04** Public Law 88 `became-law`
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- **2026-02-27** Signed by the President Pro Tempore `passage`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/70f39fd9-c441-4500-8fb0-ed640fa17065`. Confidence: reported (aggregated from official Indiana legislature records).
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