republic-os/legislation/us/states/in/2026/sb-189.md

---
type: "Bill"
title: "Nonparticipating providers."
description: "Requires an initiating party that submits a request for independent dispute resolution to provide written notice to the facility not later than three business days after submitting the request. Allows a health carrier to provide notice to an out of network provider and a facility if, during any 90 day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include 25 or more qualified disputes. Provides that if a health carrier provides the notice, the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution. Prohibits a health carrier from assessing a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider. Provides that if a health carrier assesses a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider, the health carrier commits an unfair and deceptive act or practice in the business of insurance."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2026"
identifier: "SB 189"
citation: "Indiana SB 189 (2026)"
classification: ["bill"]
subjects: ["AGENCIES; Department of Insurance (IDOI)", "CIVIL LAW AND PROCEDURE; Liabilities", "Damages", "and Penalties", "HEALTH CARE FACILITIES; Generally", "HEALTH; Billing and Costs", "INSURANCE; Health Insurance"]
status: "enacted"
primary_sponsors: ["Brad Barrett", "Chris Garten", "Scott Baldwin", "Tyler Johnson"]
version_count: 4
action_count: 30
vote_count: 3
first_action: "2026-01-06"
last_action: "2026-03-05"
source: "openstates"
source_identifier: "ocd-bill/929577eb-64f1-4e8d-94ce-6c46770b91b5"
source_url: "https://api.iga.in.gov/2026/bills/sb0189"
source_hash: "a4dccc7385a6628722ceb04d7646145adf4d8378dcb52980227029e675ea4289"
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 189 (2026) — Nonparticipating providers.

Requires an initiating party that submits a request for independent dispute resolution to provide written notice to the facility not later than three business days after submitting the request. Allows a health carrier to provide notice to an out of network provider and a facility if, during any 90 day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include 25 or more qualified disputes. Provides that if a health carrier provides the notice, the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution. Prohibits a health carrier from assessing a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider. Provides that if a health carrier assesses a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider, the health carrier commits an unfair and deceptive act or practice in the business of insurance.

## Version chain

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

1. **Enrolled Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0189/SB0189.04.ENRH.pdf)
2. **Introduced Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0189/SB0189.01.INTR.pdf)
3. **Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0189/SB0189.02.COMS.pdf)
4. **Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0189/SB0189.03.COMH.pdf)

## Votes

- SB 189 - Barrett - 3rd Reading — **96–0** (pass) · lower
- SB 189 - Baldwin - 3rd Reading — **44–1** (pass) · upper
- SB 189 - Baldwin — **49–0** (pass) · upper

## Sponsors

- Brad Barrett — primary (person)
- Chris Garten — primary (person)
- Scott Baldwin — primary (person)
- Tyler Johnson — primary (person)
- Chris Campbell — cosponsor (person)
- Craig Snow — cosponsor (person)
- Eric Koch — coauthor (person)
- Liz Brown — coauthor (person)
- Lonnie Randolph — coauthor (person)
- Martin Carbaugh — cosponsor (person)

## Timeline

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

- **2026-01-06** First reading: referred to Committee on Insurance and Financial Institutions `reading-1, referral-committee`
- **2026-01-06** Authored by Senator Baldwin
- **2026-01-15** Senator Randolph added as coauthor
- **2026-01-22** Committee report: amend do pass, adopted `committee-passage`
- **2026-01-26** Senator Garten added as second author
- **2026-01-26** Second reading: ordered engrossed `reading-2`
- **2026-01-27** Cosponsor: Representative Carbaugh
- **2026-01-27** House sponsor: Representative Barrett
- **2026-01-27** Senator Johnson T added as third author
- **2026-01-27** Senators Koch, Brown L added as coauthors
- **2026-01-27** Third reading: passed; Roll Call 103: yeas 44, nays 1 `passage, reading-3, reading-3`
- **2026-01-28** Referred to the House `referral`
- **2026-01-29** First reading: referred to Committee on Insurance `reading-1, referral-committee`
- **2026-02-17** Committee report: amend do pass, adopted `committee-passage`
- **2026-02-19** Second reading: ordered engrossed `reading-2`
- **2026-02-23** Third reading: passed; Roll Call 306: yeas 96, nays 0 `passage, reading-3, reading-3`
- **2026-02-23** Representatives Snow, Campbell added as cosponsors
- **2026-02-24** Returned to the Senate with amendments `receipt`
- **2026-02-24** Motion to dissent filed `filing`
- **2026-02-25** House advisors appointed: Carbaugh, Shackleford
- **2026-02-25** House conferees appointed: Barrett, Campbell
- **2026-02-25** Senate dissented from House amendments
- **2026-02-25** Motion to concur filed `filing`
- **2026-02-25** Dissent rescinded
- **2026-02-26** Senate concurred with House amendments; Roll Call 299: yeas 49, nays 0
- **2026-02-27** Signed by the President Pro Tempore `passage`
- **2026-02-27** Signed by the President of the Senate `passage`
- **2026-03-05** Public Law 119 `became-law`
- **2026-02-27** Signed by the Speaker `passage`
- **2026-03-05** 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/929577eb-64f1-4e8d-94ce-6c46770b91b5`. Confidence: reported (aggregated from official Indiana legislature records).