5941153bb7
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
97 lines
7.1 KiB
Markdown
97 lines
7.1 KiB
Markdown
---
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type: "Bill"
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title: "Health matters."
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description: "Amends the definition of \"ambulatory outpatient surgical center\" to remove the requirement that a surgical procedure is permitted to be performed only by a physician, dentist, or podiatrist who has certain hospital privileges. Prohibits a hospital, debt collector, or other third party from pursuing medical debt collection if the hospital is noncompliant with specified statutes. Requires the Indiana department of health (state department) to determine on a semiannual basis whether a hospital is in compliance with the statutes and notify a hospital concerning the state department's compliance determination. Authorizes the attorney general to suspend the authority of a hospital to pursue medical debt collection when the state department has made a final determination that the hospital is noncompliant. Creates an affirmative defense for a debtor if the collection attempt occurred while the hospital was noncompliant. Requires a hospital to provide the state department with 60 days written notice if the hospital plans to: (1) close and permanently terminate all hospital operations; or (2) completely eliminate a service line for longer than 90 days. Allows for a waiver of the notification requirements in specified circumstances."
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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: "SB 225"
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citation: "Indiana SB 225 (2026)"
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classification: ["bill"]
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subjects: ["AGENCIES; Department of Health (IDOH)", "HEALTH CARE FACILITIES; Generally", "HEALTH CARE FACILITIES; Hospitals", "HEALTH CARE PROFESSIONALS; Dentistry", "HEALTH CARE PROFESSIONALS; Doctors and Physicians", "HEALTH; Billing and Costs", "STATE ELECTED OFFICIALS; Attorney General"]
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status: "enacted"
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primary_sponsors: ["Brad Barrett", "Ed Charbonneau", "Fady Qaddoura", "Justin Busch"]
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version_count: 5
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action_count: 27
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vote_count: 3
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first_action: "2026-01-08"
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last_action: "2026-03-05"
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source: "openstates"
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source_identifier: "ocd-bill/9bc84603-5f81-4d54-b0aa-c19bb852a8db"
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source_url: "https://api.iga.in.gov/2026/bills/sb0225"
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source_hash: "c28e9ab00b1f3136da9e67dd663ccee55aacf1cb706cd33f4917e561d72b4855"
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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 SB 225 (2026) — Health matters.
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Amends the definition of "ambulatory outpatient surgical center" to remove the requirement that a surgical procedure is permitted to be performed only by a physician, dentist, or podiatrist who has certain hospital privileges. Prohibits a hospital, debt collector, or other third party from pursuing medical debt collection if the hospital is noncompliant with specified statutes. Requires the Indiana department of health (state department) to determine on a semiannual basis whether a hospital is in compliance with the statutes and notify a hospital concerning the state department's compliance determination. Authorizes the attorney general to suspend the authority of a hospital to pursue medical debt collection when the state department has made a final determination that the hospital is noncompliant. Creates an affirmative defense for a debtor if the collection attempt occurred while the hospital was noncompliant. Requires a hospital to provide the state department with 60 days written notice if the hospital plans to: (1) close and permanently terminate all hospital operations; or (2) completely eliminate a service line for longer than 90 days. Allows for a waiver of the notification requirements in specified circumstances.
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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 Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.03.ENGS.pdf)
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2. **Enrolled Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.06.ENRH.pdf)
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3. **Introduced Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.01.INTR.pdf)
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4. **Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.04.COMH.pdf)
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5. **Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2026/senate/bills/SB0225/SB0225.05.COMH.pdf)
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## Votes
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- SB 225 - Busch — **49–0** (pass) · upper
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- SB 225 - Busch - 3rd Reading — **43–1** (pass) · upper
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- SB 225 - Barrett - 3rd Reading — **94–1** (pass) · lower
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## Sponsors
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- Brad Barrett — primary (person)
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- Ed Charbonneau — primary (person)
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- Fady Qaddoura — primary (person)
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- Justin Busch — primary (person)
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- Joanna King — cosponsor (person)
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- Julie McGuire — cosponsor (person)
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- Martin Carbaugh — cosponsor (person)
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- Shelli Yoder — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2026-01-08** Authored by Senator Busch
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- **2026-01-08** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
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- **2026-01-12** Senator Charbonneau added as second author
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- **2026-01-22** Committee report: amend do pass, adopted `committee-passage`
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- **2026-01-26** Second reading: amended, ordered engrossed `reading-2`
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- **2026-01-26** Amendment #1 (Busch) prevailed; voice vote `amendment-passage`
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- **2026-01-27** Senator Yoder added as coauthor
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- **2026-01-27** Cosponsor: Representative Carbaugh
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- **2026-01-27** Senator Qaddoura added as third author
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- **2026-01-27** House sponsor: Representative Barrett
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- **2026-01-27** Third reading: passed; Roll Call 111: yeas 43, nays 1 `passage, reading-3, reading-3`
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- **2026-01-28** Referred to the House `referral`
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- **2026-01-29** First reading: referred to Committee on Public Health `reading-1, referral-committee`
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- **2026-02-10** Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
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- **2026-02-10** Committee report: amend do pass, adopted `committee-passage`
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- **2026-02-17** Committee report: amend do pass, adopted `committee-passage`
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- **2026-02-19** Second reading: ordered engrossed `reading-2`
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- **2026-02-23** Third reading: passed; Roll Call 307: yeas 94, nays 1 `passage, reading-3, reading-3`
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- **2026-02-23** Representatives McGuire, King added as cosponsors
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- **2026-02-24** Returned to the Senate with amendments `receipt`
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- **2026-02-25** Motion to concur filed `filing`
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- **2026-02-26** Senate concurred with House amendments; Roll Call 300: yeas 49, nays 0
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- **2026-02-27** Signed by the President of the Senate `passage`
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- **2026-03-05** Signed by the Governor `executive-signature`
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- **2026-02-27** Signed by the President Pro Tempore `passage`
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- **2026-03-05** Public Law 124 `became-law`
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- **2026-02-27** Signed by the Speaker `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/9bc84603-5f81-4d54-b0aa-c19bb852a8db`. Confidence: reported (aggregated from official Indiana legislature records).
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