# Indiana SB 189: Nonparticipating providers. Indiana SB 189, Nonparticipating providers., is a Second Regular Session 124th General Assembly (2026) Senate bill sponsored by Scott Baldwin (Republican); status signed, last action 2026-03-05 (Signed by the Governor) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IN-SB189-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Indiana SB 189 - State: Indiana - Session: Second Regular Session 124th General Assembly (2026) - Title: Nonparticipating providers. - Status: signed - Chamber: Senate - Introduced: 2026-01-06 - Last action: 2026-03-05, Signed by the Governor - Sponsor: Scott Baldwin (Republican) - Cosponsors: 9 - Subjects: insurance and financial institutions, the house, insurance - Touches household money: no - Roll calls: 3 (189 yes, 1 no in all) - Economic provisions PRIA read: 2 ## Summary Requires an initiating party that submits a request for independent dispute resolution to provide written notice to the facility not later than three business days after submitting the request. Allows a health carrier to provide notice to an out of network provider and a facility if, during any 90 day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include 25 or more qualified disputes. Provides that if a health carrier provides the notice, the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution. Prohibits a health carrier from assessing a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider. Provides that if a health carrier assesses a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider, the health carrier commits an unfair and deceptive act or practice in the business of insurance. ## Bill overview: provisions PRIA read - Insurers cannot penalize out-of-network care providers: benefit, low. Effective on passage, insurers cannot charge facilities or providers administrative fees or penalties for care involving an out-of-network provider. Violations count as unfair or deceptive insurance practices and face enforcement under Indiana insurance law. This protects facilities and providers f… - New notice rules for medical payment disputes: mixed, low. Effective on passage, Indiana requires insurers and out-of-network providers requesting federal payment dispute resolution to notify the facility within 3 business days. They must include a copy of the request. Licensing boards can enforce provider failures, with penalties for repeated or persisten… ## Sponsors and cosponsors - Sponsor: Scott Baldwin (Republican), Senate - Cosponsor: Brad Barrett (Republican), House - Cosponsor: Chris Campbell (Democratic), House - Cosponsor: Chris Garten (Republican), Senate - Cosponsor: Craig Snow (Republican), House - Cosponsor: Eric Koch (Republican), Senate - Cosponsor: Liz Brown (Republican), Senate - Cosponsor: Lonnie Randolph (Democratic), Senate - Cosponsor: Martin Carbaugh (Republican), House - Cosponsor: Tyler Johnson (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-26 | Senate | Senate concurred with House amendments | pass | 49 | 0 | | | 2026-02-23 | House | Third reading: passed | pass | 96 | 0 | | | 2026-01-27 | Senate | Third reading: passed | pass | 44 | 1 | | ## Actions (30) - 2026-03-05: Signed by the Governor (Senate) - 2026-03-05: Public Law 119 (Senate) - 2026-02-27: Signed by the Speaker (House) - 2026-02-27: Signed by the President of the Senate (Senate) - 2026-02-27: Signed by the President Pro Tempore (Senate) - 2026-02-26: Senate concurred with House amendments; Roll Call 299: yeas 49, nays 0 (Senate) - 2026-02-25: Dissent rescinded (Senate) - 2026-02-25: Motion to concur filed (Senate) - 2026-02-25: Senate dissented from House amendments (Senate) - 2026-02-25: House conferees appointed: Barrett, Campbell (House) - 2026-02-25: House advisors appointed: Carbaugh, Shackleford (House) - 2026-02-24: Motion to dissent filed (Senate) - 2026-02-24: Returned to the Senate with amendments (House) - 2026-02-23: Representatives Snow, Campbell added as cosponsors (House) - 2026-02-23: Third reading: passed; Roll Call 306: yeas 96, nays 0 (House) - 2026-02-19: Second reading: ordered engrossed (House) - 2026-02-17: Committee report: amend do pass, adopted (House) - 2026-01-29: First reading: referred to Committee on Insurance (House) - 2026-01-28: Referred to the House (Senate) - 2026-01-27: Third reading: passed; Roll Call 103: yeas 44, nays 1 (Senate) - 2026-01-27: Senators Koch, Brown L added as coauthors (Senate) - 2026-01-27: Senator Johnson T added as third author (Senate) - 2026-01-27: House sponsor: Representative Barrett (Senate) - 2026-01-27: Cosponsor: Representative Carbaugh (Senate) - 2026-01-26: Second reading: ordered engrossed (Senate) - 2026-01-26: Senator Garten added as second author (Senate) - 2026-01-22: Committee report: amend do pass, adopted (Senate) - 2026-01-15: Senator Randolph added as coauthor (Senate) - 2026-01-06: Authored by Senator Baldwin (Senate) - 2026-01-06: First reading: referred to Committee on Insurance and Financial Institutions (Senate) ## Bill text - Enrolled Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.04.ENRH?format=pdf) - Introduced Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.01.INTR?format=pdf) - Senate Bill (H): [PDF](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.02.COMS?format=pdf) - Senate Bill (S): [PDF](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.03.COMH?format=pdf) ## Related bills - SB 179: Indiana department of transportation. (signed) - SB 204: Various education matters. (signed) - SB 185: Alcohol and tobacco matters. (signed) - SB 80: Code publication. (signed) - HB 1424: Farm and homestead food sales. (signed) - HB 1406: Tax and fiscal matters. (signed) ## Sources - [Enrolled Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.04.ENRH?format=pdf) - [Introduced Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.01.INTR?format=pdf) - [Senate Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.02.COMS?format=pdf) - [Senate Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/SB0189/versions/SB0189.03.COMH?format=pdf) ## Related - [SB 179: Indiana department of transportation.](https://policyrisk.com/state-bill/IN-SB179-2026) - [SB 204: Various education matters.](https://policyrisk.com/state-bill/IN-SB204-2026) - [SB 185: Alcohol and tobacco matters.](https://policyrisk.com/state-bill/IN-SB185-2026) - [SB 80: Code publication.](https://policyrisk.com/state-bill/IN-SB80-2026) - [HB 1424: Farm and homestead food sales.](https://policyrisk.com/state-bill/IN-HB1424-2026) - [HB 1406: Tax and fiscal matters.](https://policyrisk.com/state-bill/IN-HB1406-2026) - [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-SB189-2026 (as of 2026-11-01).