# Indiana HB 1003: Health matters. Indiana HB 1003, Health matters., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Brad Barrett (Republican); status signed, last action 2025-05-06 (Public Law 215); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/IN-HB1003-2025 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Indiana HB 1003 - State: Indiana - Session: First Regular Session 124th General Assembly (2025) - Title: Health matters. - Status: signed - Chamber: House - Introduced: 2025-01-21 - Last action: 2025-05-06, Public Law 215 - Sponsor: Brad Barrett (Republican) - Cosponsors: 5 - Subjects: insurance, the senate, health and provider services, insurance and financial institutions, appropriations - Touches household money: yes - Roll calls: 4 (211 yes, 78 no in all) - Economic provisions PRIA read: 16 ## Summary Specifies that the Medicaid fraud control unit's (MFCU) investigation of Medicaid fraud may include the investigation of provider fraud, insurer fraud, duplicate billing, and other instances of fraud. Permits the attorney general to enter into a data sharing agreement with specified state agencies and authorizes the MFCU to analyze this data to carry out its investigative duties. Provides that all complaints made to the MFCU are confidential until an action is filed concerning the complaint. Requires the office of the secretary of family and social services to establish: (1) metrics to assess the quality of care and patient outcomes; and (2) transparency and accountability safeguards; for a specified long term care risk based managed care program. Requires, not later than July 31, 2026, a clinical laboratory and diagnostic imaging facility to post certain pricing information for services determined by the department of insurance. Allows: (1) a manufacturer to provide; and (2) a patient to receive; individualized investigational treatment if certain conditions are met. Requires an Indiana nonprofit hospital system to report a list of facilities that may submit a bill on an institutional provider form and report the facility code for each facility. Adds provisions concerning payments by insurers, health maintenance organizations, employers, and other responsible persons to qualified providers that are providing services in an office setting. Requires good faith estimates for health care services to be provided at least two business days (rather than five business days) before the health care services are scheduled to be provided. Removes language concerning the disclosure of a trade secret from provisions that allow for a health plan sponsor to access and audit claims data. Provides that when a health carrier is in the process of negotiating a health provider contract with a health provider facility or provider, the health carrier must provide certain information to the health provider facility or provider. Prohibits certain provisions from being included in a health provider contract. Allows the department of insurance to: (1) enter into partnerships and joint ventures to encourage best practices in the appropriate and effective use of prior authorization in health care; and (2) receive information regarding prior authorization disputes. Requires the department of insurance to prepare a report with findings and recommendations related to the prior authorization dispute information. Requires, not later than September 1, 2025, the department of insurance to issue a request for information concerning ways to better enable medical consumers to compare and shop for medical and health care services. Provides that an insurer or a health maintenance organization may not deny a claim for reimbursement on the sole basis that the referring provider is an out of network provider. Requires, if a fully credentialed physician becomes employed with another employer or establishes or relocates a medical practice in Indiana, an insurer and health maintenance organization to provisionally credential the physician for 60 days or until the physician is fully credentialed, whichever is earlier. Requires the Indiana department of health, in consultation with the office of technology, to study the feasibility of developing certain standards regarding medical records and data. ## Bill overview: provisions PRIA read - Patients gain out-of-network payment protections: benefit, medium. Insurers and health maintenance organizations cannot deny payment for covered care solely because the referring provider is out of network. This applies to policies and contracts issued or entered into, delivered, changed, or renewed after June 30, 2025. Separately, out-of-network practitioners can… - Seriously ill patients gain treatment pathway: benefit, medium. Beginning July 1, 2025, Indiana establishes a pathway for individualized investigational drugs, biological products, and devices. A physician must confirm a life-threatening or severely debilitating disease and document eligibility. Patients must consider FDA-approved options, receive a recommendat… - Hospitals must post prices for patients: benefit, low. Hospitals and outpatient surgery centers must post required prices online by December 31, 2025. Lists must include services they offer among 70 federally named services, plus their 30 most common additional services. Centers offering fewer than 30 additional services must list all of them. Each ent… - Insurers must answer cost requests faster: benefit, low. Beginning July 1, 2025, health insurers must answer requested estimates for ordered nonemergency care within two business days, down from five. The deadline starts when the insurer receives the needed information. Estimates are free and valid for 30 days. Network plans must identify whether the fac… - Patients and providers gain price disclosures: benefit, low. Provider contracts entered into, changed, or renewed after June 30, 2025 cannot block sharing prices and out-of-pocket costs with members. Allowed payment amounts and service fees can also be shared with treating providers. Insurers must give providers proposed service fees, statewide payment amoun… - Patients get faster medical cost estimates: benefit, low. Beginning July 1, 2025, practitioners and facilities must provide requested nonemergency estimates within two business days after receiving needed information, down from five. Estimates are free, valid for 30 days, and not binding; medical needs can change the final cost. The request-based requirem… - Patients get imaging and lab prices: benefit, low. Covered imaging centers and clinical labs must post prices online by July 31, 2026. Indiana’s insurance department must publish separate lists of 50 imaging services and 50 lab services by May 1, 2026. Entries must include plain-language descriptions, discounted cash prices, and applicable lowest a… - Insurers face stronger provider network oversight: benefit, low. Beginning July 1, 2025, Indiana must require insurer networks to meet standards at least as strict as federal Medicare agency standards. Reviews must consider the availability and variety of independent specialists serving in-network facilities. The insurance department can form partnerships to imp… - Patients get free digital health records: benefit, low. Beginning July 1, 2025, providers cannot charge for digital copies of electronic health records. They also cannot charge for digital access through platforms that let health record systems share information. Covered records include medical history and may include electronic billing and administrati… - Patients get free X-ray copies: benefit, low. Beginning July 1, 2025, patients or their designees get free access to or copies of X-ray images. Patients must make a written request and give reasonable notice; original mammograms are excluded. Providers must keep images, including digital and microfilm images, for at least five years. Providers… - Medicaid gains fraud and quality oversight: benefit, low. Beginning July 1, 2025, Indiana’s Medicaid fraud unit gains broader authority over provider fraud, insurer fraud, and duplicate billing. Its authority also covers misuse of patients’ private funds and abuse or neglect, including federally permitted investigations in board-and-care facilities. The a… - Health plans gain fuller audit records: benefit, low. Beginning July 1, 2025, covered contracts must give plan sponsors ownership of claims data, subject to federal health privacy rules. Covered contracts include those entered into, issued, changed, or renewed after June 30, 2024. Health-plan and pharmacy benefit audits can no longer hide claim or pay… - Doctors keep temporary insurer approval: benefit, low. Beginning July 1, 2025, insurers and health maintenance organizations must temporarily approve certain doctors already fully approved by them. This applies when doctors change Indiana employers or start or move an Indiana practice. Doctors must hold an Indiana license, Indiana reciprocity granted b… - Experimental treatment brings costs and protections: mixed, medium. Manufacturers operating in eligible facilities can offer individualized investigational treatment under federal law, but do not have to supply it. They can provide it free or charge patients manufacturing costs. Written consent must explain approved options, why they are unlikely to help, treatment… - Hospital-employed providers face office billing rules: mixed, low. Beginning July 1, 2025, covered providers are legally authorized individuals or entities employed by Indiana nonprofit hospital systems. Covered offices provide routine exams, diagnosis, or non-invasive treatment more than 250 yards from a partly or wholly system-owned hospital’s main building. Hos… - Insurers and hospitals face contract limits: mixed, low. Provider contracts entered into, changed, or renewed after June 30, 2025 cannot block insurers from creating or changing select or tiered networks. Contracts cannot force all facilities into one tier or require all-or-nothing participation. Providers must have an opt-out right at least 60 days befo… ## Sponsors and cosponsors - Sponsor: Brad Barrett (Republican), House - Cosponsor: Ed Charbonneau (Republican), Senate - Cosponsor: Lonnie Randolph (Democratic), Senate - Cosponsor: Matt Lehman (Republican), House - Cosponsor: Tony Isa (Republican), House - Cosponsor: Tyler Johnson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-04-24 | House | Rules Suspended. Conference Committee Report 1: adopted by the House | pass | 67 | 25 | | | 2025-04-24 | Senate | Rules Suspended. Conference Committee Report 1: adopted by the Senate | pass | 30 | 20 | | | 2025-04-15 | Senate | Third reading: passed | pass | 48 | 1 | | | 2025-02-18 | House | Third reading: passed | pass | 66 | 32 | | ## Actions (44) - 2025-05-06: Public Law 215 (House) - 2025-05-06: Signed by the Governor (House) - 2025-04-29: Signed by the President of the Senate (Senate) - 2025-04-24: Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 513: yeas 30, nays 20 (Senate) - 2025-04-24: Signed by the President Pro Tempore (Senate) - 2025-04-24: Signed by the Speaker (House) - 2025-04-24: Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 544: yeas 67, nays 25 (House) - 2025-04-23: Representative McGuire added as conferee (House) - 2025-04-23: CCR # 1 filed in the Senate (Senate) - 2025-04-23: Representative Campbell removed as conferee (House) - 2025-04-23: CCR # 1 filed in the House (House) - 2025-04-23: Senator Yoder removed as conferee (Senate) - 2025-04-23: Senator Johnson T removed as advisor (Senate) - 2025-04-23: Senator Johnson T added as conferee (Senate) - 2025-04-21: Senate advisors appointed: Jackson L and Johnson T (Senate) - 2025-04-21: House advisors appointed: Lehman, Isa, Carbaugh, Bauer and Dant Chesser (House) - 2025-04-21: House conferees appointed: Barrett and Campbell (House) - 2025-04-21: Senate conferees appointed: Charbonneau and Yoder (Senate) - 2025-04-21: House dissented from Senate amendments (House) - 2025-04-17: Motion to dissent filed (House) - 2025-04-16: Returned to the House with amendments (Senate) - 2025-04-15: Third reading: passed; Roll Call 421: yeas 48, nays 1 (Senate) - 2025-04-14: Amendment #11 (Johnson T) prevailed; voice vote (Senate) - 2025-04-14: Amendment #8 (Johnson T) prevailed; voice vote (Senate) - 2025-04-14: Second reading: amended, ordered engrossed (Senate) - 2025-04-14: Amendment #16 (Brown L) prevailed; voice vote (Senate) - 2025-04-14: Amendment #13 (Johnson T) prevailed; voice vote (Senate) - 2025-04-14: Amendment #19 (Charbonneau) prevailed; voice vote (Senate) - 2025-04-10: Senator Randolph added as cosponsor (Senate) - 2025-04-10: Committee report: amend do pass, adopted (Senate) - 2025-04-03: Committee report: amend do pass adopted; reassigned to Committee on Appropriations (Senate) - 2025-03-03: First reading: referred to Committee on Insurance and Financial Institutions (Senate) - 2025-03-03: Pursuant to Senate Rule 68(b); reassigned to Committee on Health and Provider Services (Senate) - 2025-02-19: Referred to the Senate (House) - 2025-02-18: Third reading: passed; Roll Call 201: yeas 66, nays 32 (House) - 2025-02-18: Senate sponsors: Senators Charbonneau and Johnson T (House) - 2025-02-17: Amendment #8 (Barrett) prevailed; voice vote (House) - 2025-02-17: Second reading: amended, ordered engrossed (House) - 2025-02-13: Committee report: amend do pass, adopted (House) - 2025-02-04: Committee report: amend do pass, adopted (House) - 2025-02-04: Recommitted to Committee on Ways and Means pursuant to House Rule 126.3 (House) - 2025-01-21: First reading: referred to Committee on Insurance (House) - 2025-01-21: Authored by Representative Barrett (House) - 2025-01-21: Coauthored by Representatives Lehman and Isa (House) ## Bill text - Engrossed House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.07.ENGS?format=pdf) - Engrossed House Bill (S): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.04.ENGH?format=pdf) - Enrolled House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.08.ENRS?format=pdf) - House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.02.COMH?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.03.COMH?format=pdf) - House Bill (S): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.05.COMS?format=pdf), [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.06.COMS?format=pdf) - Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.01.INTR?format=pdf) ## Related bills - SB 231: Various corrections matters. (signed) - SB 324: Criminal procedures. (signed) - SB 80: Code publication. (signed) - SB 453: Various tax matters. (signed) - SB 464: Financial institutions and consumer credit. (signed) - SB 371: Workforce matters. (signed) ## Sources - [Engrossed House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.07.ENGS?format=pdf) - [Engrossed House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.04.ENGH?format=pdf) - [Enrolled House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.08.ENRS?format=pdf) - [House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.02.COMH?format=pdf) - [House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.03.COMH?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.05.COMS?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.06.COMS?format=pdf) - [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1003/versions/HB1003.01.INTR?format=pdf) ## Related - [SB 231: Various corrections matters.](https://policyrisk.com/state-bill/IN-SB231-2025) - [SB 324: Criminal procedures.](https://policyrisk.com/state-bill/IN-SB324-2025) - [SB 80: Code publication.](https://policyrisk.com/state-bill/IN-SB80-2025) - [SB 453: Various tax matters.](https://policyrisk.com/state-bill/IN-SB453-2025) - [SB 464: Financial institutions and consumer credit.](https://policyrisk.com/state-bill/IN-SB464-2025) - [SB 371: Workforce matters.](https://policyrisk.com/state-bill/IN-SB371-2025) - [Indiana bills](https://policyrisk.com/states/indiana/bills) - [Indiana state hub](https://policyrisk.com/states/indiana) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IN-HB1003-2025 (as of 2026-10-17).