# Indiana HB 1252: Limitation on cost sharing.

Indiana HB 1252, Limitation on cost sharing., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Ben Smaltz (Republican); status failed, last action 2025-01-09 (Coauthored by Representatives Lehman and McGuire) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/IN-HB1252-2025
- 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 1252
- State: Indiana
- Session: First Regular Session 124th General Assembly (2025)
- Title: Limitation on cost sharing.
- Status: failed
- Chamber: House
- Introduced: 2025-01-09
- Last action: 2025-01-09, Coauthored by Representatives Lehman and McGuire
- Sponsor: Ben Smaltz (Republican)
- Cosponsors: 2
- Subjects: insurance
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1). Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Ben Smaltz (Republican), House
- Cosponsor: Julie McGuire (Republican), House
- Cosponsor: Matt Lehman (Republican), House

## Actions (3)

- 2025-01-09: Coauthored by Representatives Lehman and McGuire (House)
- 2025-01-09: Authored by Representative Smaltz (House)
- 2025-01-09: First reading: referred to Committee on Insurance (House)

## Bill text

- Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1252/versions/HB1252.01.INTR?format=pdf)

## Related bills

- SB 324: Criminal procedures. (signed)
- SB 231: Various corrections matters. (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
- [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1252/versions/HB1252.01.INTR?format=pdf)

## Related
- [SB 324: Criminal procedures.](https://policyrisk.com/state-bill/IN-SB324-2025)
- [SB 231: Various corrections matters.](https://policyrisk.com/state-bill/IN-SB231-2025)
- [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)
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Source: PRIA, https://policyrisk.com/state-bill/IN-HB1252-2025 (as of 2026-10-17).