# Indiana HB 1502: State employee health plan payment limits.

Indiana HB 1502, State employee health plan payment limits., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Julie McGuire (Republican); status failed, last action 2025-02-11 (Committee report: do pass, adopted) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/IN-HB1502-2025
- 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 1502
- State: Indiana
- Session: First Regular Session 124th General Assembly (2025)
- Title: State employee health plan payment limits.
- Status: failed
- Chamber: House
- Introduced: 2025-01-21
- Last action: 2025-02-11, Committee report: do pass, adopted
- Sponsor: Julie McGuire (Republican)
- Cosponsors: 1
- Subjects: insurance
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Limits the amount that a state employee health plan may pay for a medical facility service provided to a covered individual to: (1) the lesser of the amount of compensation established by the network plan or 200% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an in network provider; and (2) 185% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an out of network provider. Prohibits a provider from charging a covered individual an additional amount for a medical facility service, other than cost sharing amounts authorized by the terms of the state employee health plan. Requires a medical facility that provides drugs to a covered individual, in billing a state employee health plan for the cost of the drugs, to include in the billing the same "TB" or "JG" modifier that the medical facility would include in the billing if the medical facility were billing the Medicare program for the drugs.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Julie McGuire (Republican), House
- Cosponsor: Martin Carbaugh (Republican), House

## Actions (4)

- 2025-02-11: Committee report: do pass, adopted (House)
- 2025-01-21: First reading: referred to Committee on Insurance (House)
- 2025-01-21: Authored by Representative McGuire (House)
- 2025-01-21: Coauthored by Representative Carbaugh (House)

## Bill text

- House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1502/versions/HB1502.02.COMH?format=pdf)
- Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1502/versions/HB1502.01.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
- [House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1502/versions/HB1502.02.COMH?format=pdf)
- [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1502/versions/HB1502.01.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)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/IN-HB1502-2025 (as of 2026-10-17).