All Roll Calls
Yes: 189 • No: 1
IndianaSB 189Second Regular Session 124th General Assembly (2026)SenateWALLET
Nonparticipating providers.
Sponsored By: Scott Baldwin (Republican)
Signed by Governor
insurance and financial institutionsthe houseinsurance
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 0 costs, 1 mixed.
Insurers banned from charging provider fees
The law bans health insurers from charging providers or facilities any administrative fee or penalty tied to out-of-network care. Charging these fees is an unfair insurance practice and can be punished. This helps keep extra carrier fees from being pushed onto patients’ bills.
New rules for out-of-network billing fights
The law sets Indiana procedures for federal out-of-network billing disputes. The filer must notify the facility in writing within 3 business days and include the IDR form. Missing notice can trigger discipline; for providers, repeated violations are capped at $5,000 per year. If 25+ qualified disputes are filed in any 90 days, the insurer can require talks within 30 days and at least one conference, but no claim is decided there and meetings happen no more than once per quarter. Each conference creates a memo with the disputes, initial payment, the carrier’s offer, the provider’s ask, and the federal QPA; it is filed with the Insurance Department, and claim details stay confidential while only total memo counts are posted.
Sponsors & Cosponsors
Sponsor
Scott Baldwin
Republican • Senate
Cosponsors
Brad Barrett
Republican • House
Chris Campbell
Democratic • House
Chris Garten
Republican • Senate
Craig Snow
Republican • House
Eric Koch
Republican • Senate
Liz Brown
Republican • Senate
Lonnie Randolph
Democratic • Senate
Martin Carbaugh
Republican • House
Tyler Johnson
Republican • Senate
Roll Call Votes
Senate vote • 2/26/2026
Roll Call 299 on SB0189.03.COMH.CON01
Yes: 49 • No: 0 • Other: 1
House vote • 2/23/2026
Roll Call 306 on SB0189.03.COMH
Yes: 96 • No: 0
Senate vote • 1/27/2026
Roll Call 103 on SB0189.02.COMS
Yes: 44 • No: 1 • Other: 1
Actions Timeline
Signed by the Governor
3/5/2026SenatePublic Law 119
3/5/2026SenateSigned by the Speaker
2/27/2026HouseSigned by the President of the Senate
2/27/2026SenateSigned by the President Pro Tempore
2/27/2026SenateSenate concurred with House amendments; Roll Call 299: yeas 49, nays 0
2/26/2026SenateSenate dissented from House amendments
2/25/2026SenateDissent rescinded
2/25/2026SenateMotion to concur filed
2/25/2026SenateHouse conferees appointed: Barrett, Campbell
2/25/2026HouseHouse advisors appointed: Carbaugh, Shackleford
2/25/2026HouseReturned to the Senate with amendments
2/24/2026HouseMotion to dissent filed
2/24/2026SenateThird reading: passed; Roll Call 306: yeas 96, nays 0
2/23/2026HouseRepresentatives Snow, Campbell added as cosponsors
2/23/2026HouseSecond reading: ordered engrossed
2/19/2026HouseCommittee report: amend do pass, adopted
2/17/2026HouseFirst reading: referred to Committee on Insurance
1/29/2026HouseReferred to the House
1/28/2026SenateThird reading: passed; Roll Call 103: yeas 44, nays 1
1/27/2026SenateSenators Koch, Brown L added as coauthors
1/27/2026SenateSenator Johnson T added as third author
1/27/2026SenateHouse sponsor: Representative Barrett
1/27/2026SenateCosponsor: Representative Carbaugh
1/27/2026SenateSecond reading: ordered engrossed
1/26/2026Senate
Bill Text
Enrolled Senate Bill (S)
Introduced Senate Bill (S)
Senate Bill (H)
Senate Bill (S)