PRIA Logo™
IndianaSB 225Second Regular Session 124th General Assembly (2026)SenateWALLET

Health matters.

Sponsored By: Justin Busch (Republican)

Became Law

health and provider servicesthe housepublic health

Your PRIA Score

Score Hidden

Personalized for You

How does this bill affect your finances?

Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.

Free to start

Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 0 costs, 3 mixed.

No hospital collections unless compliant

Beginning July 1, 2026, hospitals and their collectors cannot collect hospital bills unless the hospital follows state charity‑care and reporting rules. The rule covers bills incurred after June 30, 2026 that are at least 120 days past due. If the state makes a final noncompliance finding, you can raise it as a defense in a debt case. The Attorney General can also stop collections until the hospital is found compliant.

Advance notice for hospital closures or cuts

Hospitals must give the state at least 60 days’ notice before closing or stopping a service for more than 90 days. The notice must list the date, services affected, and a plan to keep patient care going. Within 10 days, the state posts a summary online and alerts other agencies. The state can waive advance notice for disasters, major failures, or public health needs, and will post the waiver and reason. Breaking the notice rules can bring a civil fine up to $10,000. The law also defines “service line” for these rules.

Enforcement and your hospital debt rights

The Health Department checks hospital compliance twice a year and posts a list of noncompliant hospitals. The Attorney General can investigate, fine up to $10,000 per violation, order restitution, and stop collections. You can sue for actual losses and up to $1,000 in set damages, and ask the court to halt violations. When the Department says a hospital fixed the problem, the Attorney General ends any suspension, and the hospital may resume collecting bills from that period. These rules apply starting July 1, 2026.

New rules for outpatient surgery centers

The law updates the rules for outpatient surgery centers. It sets staffing and room minimums, requires physician supervision of anesthesia, and limits stays to 24 hours. It also requires surgeons to hold privileges at a nearby hospital. These standards affect how centers are licensed and run starting July 1, 2026.

Sponsors & Cosponsors

Sponsor

  • Justin Busch

    Republican • Senate

Cosponsors

  • Brad Barrett

    Republican • House

  • Ed Charbonneau

    Republican • Senate

  • Fady Qaddoura

    Democratic • Senate

  • Joanna King

    Republican • House

  • Julie McGuire

    Republican • House

  • Martin Carbaugh

    Republican • House

  • Shelli Yoder

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 186 • No: 2

Senate vote • 2/26/2026

Roll Call 300 on SB0225.05.COMH.CON01

Yes: 49 • No: 0 • Other: 1

House vote • 2/23/2026

Roll Call 307 on SB0225.05.COMH

Yes: 94 • No: 1

Senate vote • 1/27/2026

Roll Call 111 on SB0225.03.ENGS

Yes: 43 • No: 1 • Other: 2

Actions Timeline

  1. Public Law 124

    3/5/2026Senate

  2. Signed by the Governor

    3/5/2026Senate

  3. Signed by the President Pro Tempore

    2/27/2026Senate

  4. Signed by the Speaker

    2/27/2026House

  5. Signed by the President of the Senate

    2/27/2026Senate

  6. Senate concurred with House amendments; Roll Call 300: yeas 49, nays 0

    2/26/2026Senate

  7. Motion to concur filed

    2/25/2026Senate

  8. Returned to the Senate with amendments

    2/24/2026House

  9. Third reading: passed; Roll Call 307: yeas 94, nays 1

    2/23/2026House

  10. Representatives McGuire, King added as cosponsors

    2/23/2026House

  11. Second reading: ordered engrossed

    2/19/2026House

  12. Committee report: amend do pass, adopted

    2/17/2026House

  13. Committee report: amend do pass, adopted

    2/10/2026House

  14. Recommitted to Committee on Ways and Means pursuant to House Rule 126.3

    2/10/2026House

  15. First reading: referred to Committee on Public Health

    1/29/2026House

  16. Referred to the House

    1/28/2026Senate

  17. Third reading: passed; Roll Call 111: yeas 43, nays 1

    1/27/2026Senate

  18. House sponsor: Representative Barrett

    1/27/2026Senate

  19. Senator Qaddoura added as third author

    1/27/2026Senate

  20. Cosponsor: Representative Carbaugh

    1/27/2026Senate

  21. Senator Yoder added as coauthor

    1/27/2026Senate

  22. Amendment #1 (Busch) prevailed; voice vote

    1/26/2026Senate

  23. Second reading: amended, ordered engrossed

    1/26/2026Senate

  24. Committee report: amend do pass, adopted

    1/22/2026Senate

  25. Senator Charbonneau added as second author

    1/12/2026Senate

Bill Text

  • Engrossed Senate Bill (H)

    PDF

  • Enrolled Senate Bill (S)

    PDF

  • Introduced Senate Bill (S)

    PDF

  • Senate Bill (H)

    PDF

  • Senate Bill (S)

    PDFPDF

Related Bills

Back to State Legislation