# Indiana HB 1271: Payment of health claims.

Indiana HB 1271, Payment of health claims., is a Second Regular Session 124th General Assembly (2026) House bill sponsored by Julie McGuire (Republican); status signed, last action 2026-03-04 (Public Law 88); PRIA reads it as touching household money (as of 2026-11-01).

- Canonical: https://policyrisk.com/state-bill/IN-HB1271-2026
- As of: 2026-11-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Indiana HB 1271
- State: Indiana
- Session: Second Regular Session 124th General Assembly (2026)
- Title: Payment of health claims.
- Status: signed
- Chamber: House
- Introduced: 2026-01-06
- Last action: 2026-03-04, Public Law 88
- Sponsor: Julie McGuire (Republican)
- Cosponsors: 7
- Subjects: insurance, the senate, health and provider services, appropriations
- Touches household money: yes
- Roll calls: 3 (218 yes, 1 no in all)
- Economic provisions PRIA read: 3

## Summary

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.

## Bill overview: provisions PRIA read

- Hospital patients get help before collections: benefit, low. Beginning July 1, 2026, Indiana hospitals must explain available charity care, financial help, and payment plans. They must give patients or their representatives program details at registration or intake, discharge, or with the first bill. Notices must explain eligibility, how to apply, and where…
- Providers gain limits on payment clawbacks: benefit, low. The law limits insurers and health maintenance organizations when they take back provider payments or cut payment rates. These rules take effect July 1, 2026, with coverage tied to plan years beginning after December 31, 2026. They cover accident and sickness policies issued, delivered, amended, or…
- Providers gain protections against claim reductions: benefit, low. Beginning July 1, 2026, insurers face new limits on downcoding—changing a claim's service code to reduce payment. These rules cover health plans under the chapter, but exclude Medicaid and Medicaid managed care. Insurers cannot use downcoding to block providers from billing or collecting payment fo…

## Sponsors and cosponsors

- Sponsor: Julie McGuire (Republican), House
- Cosponsor: Liz Brown (Republican), Senate
- Cosponsor: Lonnie Randolph (Democratic), Senate
- Cosponsor: Lori Goss-Reaves (Republican), House
- Cosponsor: Martin Carbaugh (Republican), House
- Cosponsor: Michael Crider (Republican), Senate
- Cosponsor: Tyler Johnson (Republican), Senate
- Cosponsor: Victoria Garcia Wilburn (Democratic), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-02-26 | House | House concurred with Senate amendments | pass | 87 | 0 |   |
| 2026-02-24 | Senate | Third reading: passed | pass | 46 | 1 |   |
| 2026-02-02 | House | Third reading: passed | pass | 85 | 0 |   |

## Actions (31)

- 2026-03-04: Public Law 88 (House)
- 2026-03-04: Signed by the Governor (House)
- 2026-02-27: Signed by the President Pro Tempore (Senate)
- 2026-02-27: Signed by the President of the Senate (Senate)
- 2026-02-26: House concurred with Senate amendments; Roll Call 391: yeas 87, nays 0 (House)
- 2026-02-26: Signed by the Speaker (House)
- 2026-02-25: Motion to concur filed (House)
- 2026-02-25: Returned to the House with amendments (Senate)
- 2026-02-24: Third reading: passed; Roll Call 248: yeas 46, nays 1 (Senate)
- 2026-02-23: Amendment #4 (Brown L) prevailed; voice vote (Senate)
- 2026-02-23: Second reading: amended, ordered engrossed (Senate)
- 2026-02-19: Pursuant to Senate Rule 68(b); reassigned to Committee on Rules and Legislative Procedure (Senate)
- 2026-02-19: Committee report: Rules Committee Report; adopted voice vote (Senate)
- 2026-02-19: Senator Randolph added as cosponsor (Senate)
- 2026-02-19: Committee report: amend do pass, adopted (Senate)
- 2026-02-12: Pursuant to Senate Rule 68(b); reassigned to Committee on Appropriations (Senate)
- 2026-02-12: Committee report: amend do pass, adopted (Senate)
- 2026-02-05: First reading: referred to Committee on Health and Provider Services (Senate)
- 2026-02-03: Referred to the Senate (House)
- 2026-02-02: Senate sponsors: Senators Brown L, Crider, Johnson T (House)
- 2026-02-02: Third reading: passed; Roll Call 179: yeas 85, nays 0 (House)
- 2026-01-29: Amendment #4 (McGuire) prevailed; voice vote (House)
- 2026-01-29: Second reading: amended, ordered engrossed (House)
- 2026-01-27: Representatives Goss-Reaves, Carbaugh, Garcia Wilburn added as coauthors (House)
- 2026-01-22: Representatives Goss-Reaves, Garcia Wilburn, Campbell removed as coauthors (House)
- 2026-01-20: Committee report: amend do pass, adopted (House)
- 2026-01-13: Representative Campbell added as coauthor (House)
- 2026-01-12: Representative Garcia Wilburn added as coauthor (House)
- 2026-01-08: Representative Goss-Reaves added as coauthor (House)
- 2026-01-06: First reading: referred to Committee on Insurance (House)
- 2026-01-06: Authored by Representative McGuire (House)

## Bill text

- Engrossed House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.06.ENGS?format=pdf)
- Engrossed House Bill (S): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.03.ENGH?format=pdf)
- Enrolled House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.07.ENRS?format=pdf)
- House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.02.COMH?format=pdf)
- House Bill (S): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.04.COMS?format=pdf), [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.05.COMS?format=pdf)
- Introduced House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.01.INTR?format=pdf)

## Related bills

- HB 1266: Department of education and education matters. (signed)
- HB 1277: Health and human services matters. (signed)
- HB 1210: Department of local government finance. (signed)
- HB 1249: Various criminal law matters. (signed)
- HB 1200: Bureau of motor vehicles. (signed)
- HB 1115: Homeowners association governance. (signed)

## Sources
- [Engrossed House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.06.ENGS?format=pdf)
- [Engrossed House Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.03.ENGH?format=pdf)
- [Enrolled House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.07.ENRS?format=pdf)
- [House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.02.COMH?format=pdf)
- [House Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.04.COMS?format=pdf)
- [House Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.05.COMS?format=pdf)
- [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1271/versions/HB1271.01.INTR?format=pdf)

## Related
- [HB 1266: Department of education and education matters.](https://policyrisk.com/state-bill/IN-HB1266-2026)
- [HB 1277: Health and human services matters.](https://policyrisk.com/state-bill/IN-HB1277-2026)
- [HB 1210: Department of local government finance.](https://policyrisk.com/state-bill/IN-HB1210-2026)
- [HB 1249: Various criminal law matters.](https://policyrisk.com/state-bill/IN-HB1249-2026)
- [HB 1200: Bureau of motor vehicles.](https://policyrisk.com/state-bill/IN-HB1200-2026)
- [HB 1115: Homeowners association governance.](https://policyrisk.com/state-bill/IN-HB1115-2026)
- [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-HB1271-2026 (as of 2026-11-01).