All Roll Calls
Yes: 180 • No: 4
Sponsored By: Tyler Johnson (Republican)
Signed by Governor
Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.
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8 provisions identified: 7 benefits, 1 costs, 0 mixed.
Beginning July 1, 2025, reviewers must answer urgent care approval requests within 24 hours and other care or drug requests within 48 hours. Weekends and state and federal holidays do not count. Decisions denying, reducing, or ending coverage for medical need, effectiveness, care setting, or experimental status fall under these protections. Denials must explain specific reasons and suggest alternatives. Providers have 48 hours to correct typing, clerical, or spelling errors, accept an alternative, or notify reviewers of an appeal; reviewers then have 48 hours to respond. Reviewers must also offer peer-to-peer review and, once needed information arrives, make every effort to hold it within 48 hours, excluding those same days.
Beginning July 1, 2025, reviewers must cover emergency services needed to screen and stabilize covered patients. Patients or providers get at least 24 hours after emergency admission or service to give notice. A provider’s written certification within 72 hours after admission creates a presumption that emergency care was medically needed. Weekends and state and federal holidays do not count toward either period; overturning that presumption requires clear and convincing evidence. Medical need cannot depend on network status, and out-of-network emergency providers cannot face stricter coverage or reimbursement limits.
Beginning July 1, 2025, the law covers more approval reviewers, including those working for employers, health plans, and preferred provider organizations. It also reaches reviewers for other organizations providing or managing covered health benefits and requires self-insured public employer programs established under IC 5-10-8-7(b) to follow applicable approval rules. Legally authorized representatives can use these rights on patients’ behalf. Conflicting insurance terms are void in policies or contracts entered into, amended, or renewed after June 30, 2025. Reviewers’ violations count as unfair or deceptive insurance practices.
Beginning July 1, 2025, providers must send non-drug approval requests securely online or through a software connection; reviewers must accept them and issue tracking codes. Written agreements allow non-electronic requests using the state’s standard form for financial hardship, poor internet access, or too few patients to justify costs. Reviewers must make current approval rules, restrictions, and clinical criteria easy to find and understand. Before new or changed requirements take effect, reviewers must update their websites and give patients and providers at least 60 days’ written notice. They must post approval and denial statistics by specialty, service or drug, medical reason, denial reason, appeals, and timing, and report annually to Indiana’s insurance department by December 31.
Beginning July 1, 2025, reviewers cannot revoke, limit, or add conditions to approvals when care starts within 45 days of provider receipt. Weekends and state and federal holidays do not count toward those 45 days. For approvals requested after June 30, 2025, claims matching the approval can be denied only for listed reasons. These include intentional material misrepresentation to obtain unlawful payment, lost service coverage or provider contract, late filing, no reviewer liability, or no patient coverage on the service date; providers can correct unintentional information mismatches and resubmit. Reviewers also cannot demand review after care or deny payment solely for missing approval when unexpected, medically necessary care arises during approved care—or care needing no approval—and the provider documents the need.
Beginning July 1, 2025, reviewers cannot require prior approval for the first 12 physical therapy visits in each new episode. The same protection covers the first 12 chiropractic visits in each new episode of care. This approval exemption does not apply to Medicaid or state employee health plans.
Beginning July 1, 2025, clinical peers must decide medical-need denials and appeals under an Indiana-licensed physician’s clinical direction. Physician reviewers generally must match the requesting physician’s specialty and, when applicable, subspecialty. Primary care reviewers need matching general-practice certification and at least three years of general medicine practice. Advanced practice nurse reviewers need a similar patient population focus and role specialty; reviewers must meet applicable licensing, reciprocity, or interstate compact rules. Appeal reviewers cannot have a financial stake or have joined the original decision, and clinical peers owe patients the applicable standard of care.
Beginning July 1, 2025, the prior approval chapter excludes services under Indiana’s Pathways for Aging and Health and Wellness Medicaid waivers. It also excludes the named step-therapy exception procedures under IC 5-10-8-17, IC 27-8-5-30, and IC 27-13-7-23. The chapter does not apply where federal Medicaid law or rules override it. Patients do not receive this chapter’s protections for those excluded services or procedures.
Tyler Johnson
Republican • Senate
Andrea Hunley
Democratic • Senate
Andy Zay
Affiliation unavailable
Blake Doriot
Republican • Senate
Brad Barrett
Republican • House
Brett Clark
Republican • Senate
Brian Buchanan
Republican • Senate
Cyndi Carrasco
Republican • Senate
Dan Dernulc
Republican • Senate
Daryl Schmitt
Republican • Senate
David Niezgodski
Democratic • Senate
Ed Charbonneau
Republican • Senate
Eric Bassler
Republican • Senate
Eric Koch
Republican • Senate
Fady Qaddoura
Democratic • Senate
Gary Byrne
Republican • Senate
Greg Taylor
Democratic • Senate
Greg Walker
Republican • Senate
J.D. Ford
Democratic • Senate
James Buck
Republican • Senate
James Tomes
Republican • Senate
Jean Leising
Republican • Senate
Jeff Raatz
Republican • Senate
Joanna King
Republican • House
Julie McGuire
Republican • House
Justin Busch
Republican • Senate
Kyle Walker
Republican • Senate
La Keisha Jackson
Democratic • Senate
Linda Rogers
Republican • Senate
Liz Brown
Republican • Senate
Lonnie Randolph
Democratic • Senate
Mark Spencer
Democratic • Senate
Martin Carbaugh
Republican • House
Michael Crider
Republican • Senate
Michael Young
Republican • Senate
Mike Bohacek
Republican • Senate
Randy Maxwell
Republican • Senate
Rick Niemeyer
Republican • Senate
Rodney Pol
Democratic • Senate
Ron Alting
Republican • Senate
Scott Alexander
Republican • Senate
Shelli Yoder
Democratic • Senate
Spencer Deery
Republican • Senate
Stacey Donato
Republican • Senate
Susan Glick
Republican • Senate
Travis Holdman
Republican • Senate
Vaneta Becker
Republican • Senate
All Roll Calls
Yes: 180 • No: 4
Senate vote • 4/16/2025
Senate concurred with House amendments
Yes: 39 • No: 2
House vote • 4/14/2025
Third reading: passed
Yes: 94 • No: 0
Senate vote • 2/20/2025
Third reading: passed
Yes: 47 • No: 2
Signed by the Governor
Public Law 144
Signed by the President of the Senate
Signed by the Speaker
Signed by the President Pro Tempore
Senate concurred with House amendments; Roll Call 466: yeas 39, nays 2
Motion to concur filed
Returned to the Senate with amendments
Third reading: passed; Roll Call 443: yeas 94, nays 0
Amendment #1 (Barrett) prevailed; voice vote
Amendment #2 (Mayfield) prevailed; voice vote
Second reading: amended, ordered engrossed
Committee report: amend do pass, adopted
First reading: referred to Committee on Insurance
Referred to the House
House sponsor: Representative Barrett
Cosponsors: Representatives Carbaugh, McGuire, King
Third reading: passed; Roll Call 203: yeas 47, nays 2
Second reading: ordered engrossed
Committee report: amend do pass, adopted
Senator Young M added as coauthor
Senator Carrasco added as coauthor
Senator Schmitt added as coauthor
Senators Raatz, Spencer, Taylor G, Walker G added as coauthors
Senator Tomes added as coauthor
Engrossed Senate Bill (S)
Enrolled Senate Bill (S)
Introduced Senate Bill (S)
Senate Bill (H)
Senate Bill (S)
SB 231, Various corrections matters.
Eliminates requirements that the department of correction: (1) maintain farm programs for offenders committed to the department; and (2) prepare a report calculating the savings realized as a result of sentencing changes. Replaces a reference to a rule repealed by the department of correction with a requirement that the custody and treatment of juveniles meet the standards and licensing requirements adopted in the administrative rules of the department.
SB 324, Criminal procedures.
Increases the penalty levels of crimes related to fentanyl. Provides that a court shall consider requiring certain persons charged with a crime of domestic violence to wear a monitoring device as a condition of bail. Requires that a bail hearing for a violent arrestee or a repeat violent arrestee be held in open court and provides that before releasing a violent arrestee or a repeat violent arrestee on bail the court must review the probable cause affidavit or arrest warrant and impose money bail payable by surety bond or cash deposit. Provides that in accordance with IC 27-10-2-4.5(g)(2), a charitable bail organization may not pay money bail on behalf of a violent arrestee or a repeat violent arrestee. Makes conforming changes.
SB 80, Code publication.
Makes Indiana Code publication amendments. Repeals and relocates specific Indiana Code definitions chapters for organization of the defined terms by alphabetical order and to provide for future expansion of the chapters. Makes conforming cross-reference updates. Makes technical amendments to remove tabulation designations from the certain criminal law and procedure sections for consistency with similar statutes and to streamline amendment of those sections. Resolves technical conflicts between various enrolled acts passed during the 2025 legislative session.
SB 453, Various tax matters.
Amends estimated quarterly tax payment provisions. Restructures tax collection requirements for kerosene to eliminate specialized tax filing. Streamlines the filing requirements for gasoline use tax to eliminate multiple filing requirements. Specifies the liability and remittance requirements for the gross retail tax, gasoline use tax, and other listed taxes in certain circumstances. Amends provisions that apply to passenger and household goods carriers. Amends the college savings tax credit. Replaces the term "college choice 529 education savings plan" with "Indiana529 plan". Makes a clarifying change to the closed system cartridge tax. Extends the renewal period from one year to two years for businesses licensed to collect the electronic cigarettes tax, closed systems cartridge tax, and other tobacco products tax. Specifies that the fiscal officer of an entity that has adopted an innkeeper's tax, a food and beverage tax, or an admissions tax must enter into an agreement with the department of state revenue (department) before the department provides certain information to the fiscal officer as required under current law. Specifies when certain tax information may be disclosed by the department. Provides for the transfer of certain funds from the bureau of motor vehicles commission fund to the motor carrier regulation fund. Provides that a person who commits a violation involving a consumer transaction entailing the transportation of passengers or household goods commits a deceptive act that is actionable by the attorney general and is subject to certain remedies and penalties. Specifies remittance procedures for the gasoline use tax. Specifies recapture procedures for certain reduced estimated tax payments. Makes corresponding changes.
SB 464, Financial institutions and consumer credit.
Provides that a reference to federal law in: (1) the First Lien Mortgage Lending Act; (2) the Uniform Consumer Credit Code (UCCC); or (3) the Indiana Code title governing financial institutions; is a reference to the law as in effect December 31, 2024 (rather than December 31, 2023, under current law). Amends the definition of "principal" for purposes of the UCCC provisions governing consumer loans to specify that the term does not include any loan proceeds held as security for the loan. Makes a technical change to the Indiana Code provision governing the prepayment of consumer loans to incorporate a cross reference to the Indiana Code provision setting forth the authorized nonrefundable prepaid finance charge for supervised loans. (Current law references only the authorized nonrefundable prepaid finance charge for consumer loans other than supervised loans.) Amends the definition of "consumer transaction" for purposes of the deceptive consumer sales act (act) to include the provision of a product or service to a: (1) state law enforcement agency; or (2) local law enforcement agency; in Indiana. Amends the definition of "supplier" for purposes of the act to include an entity that provides a product or service to a state or local law enforcement agency in Indiana. Provides that an action that arises from a transaction involving: (1) a state law enforcement agency may be brought and enforced only by the attorney general; and (2) a local law enforcement agency may be brought and enforced only by an attorney acting on behalf of the local law enforcement agency involved in the transaction, unless the local unit of government served by the local law enforcement agency requests the attorney general to bring and enforce an action on behalf of the local unit. Amends the Indiana Code provision governing audit requirements for credit unions to provide that department of financial institutions may establish by policy or rule accounting and auditing standards necessary to define the audit requirements.
SB 371, Workforce matters.
Amends the definitions of "discharge for just cause", "employment", and "gross misconduct" for purposes of unemployment insurance. Provides that an unemployment claimant: (1) is required to verify the claimant's identity before a claim can be filed, and as a condition for continued eligibility; and (2) has the right to request a wage investigation and to appeal the results of the investigation to a liability administrative law judge. Allows an unemployment claimant or employing unit to appeal regarding the claimant's status as an insured worker. Requires that all hearings before an administrative law judge or the unemployment insurance review board concerning disputed unemployment claims be set as telephone hearings, unless an objection is made. Allows a disputed unemployment claim to be directly filed with a liability administrative law judge. Provides that administrative records of the department of workforce development (department) are self-authenticating and admissible in an administrative hearing. Provides that the department may release certain confidential records to the extent permitted by federal law. Makes certain changes regarding the reemployment service and eligibility assessment program. Makes various changes regarding extended unemployment benefits. Provides that repayment of a benefits overpayment may be waived if certain conditions are met. Alters certain fee and payment provisions. Removes or alters notice and delivery requirements and extends certain deadlines. Requires the department to issue a written notice of violation to a person who fails to comply with certain authorization requirements. Provides that the department may assess a civil penalty against a person under certain circumstances. Requires civil penalties collected by the department to be deposited in the proprietary educational institution authorization fund. Establishes the unemployment insurance modernization fund (fund). Requires the department to annually submit a report to the budget committee detailing the expenditures made from the fund during the previous state fiscal year. Requires the department to annually submit a report to the budget committee concerning the status of the department's unemployment insurance program. Provides that the department may establish a reemployment pilot program. Makes conforming changes.