Title 16, HEALTH

Sec. 4. "County child fatality review team" means a child fatality review team established by a child fatality committee under IC 16-49-2 for a county. As added by P.L.119-2013, SEC.3.

Sec. 5. "Emergency medical services" means the provision of emergency ambulance services or other services, including extrication and rescue services, used in serving an individual's need for immediate medical care in order to prevent loss of life or aggravation of physiological …

Sec. 6. "Local child fatality review team" refers to a county or regional child fatality review team established by a child fatality committee under IC 16-49-2. As added by P.L.119-2013, SEC.3.

Sec. 7. "Mental health provider" means any of the following: (1) A registered nurse or licensed practical nurse licensed under IC 25-23. (2) A clinical social worker licensed under IC 25-23.6-5. (3) A marriage and family therapist licensed under IC 25-23.6-8. (4) A psychologist l…

Sec. 8. "Regional child fatality review team" means a child fatality review team established by a child fatality committee under IC 16-49-2 for a region consisting of more than one (1) county. As added by P.L.119-2013, SEC.3.

Sec. 9. "State child fatality review coordinator" refers to the state child fatality review coordinator employed by the state department under IC 16-49-5-1. As added by P.L.119-2013, SEC.3.

Sec. 1. As used in this article, "maternal morbidity" refers to any health condition occurring to an individual in Indiana that is attributable to or aggravated by pregnancy and childbirth. As added by P.L.48-2018, SEC.3.

Sec. 10. (a) The statewide maternal mortality review committee members and individuals who attend a statewide maternal mortality review committee meeting at the invitation of the chairperson: (1) may discuss among themselves confidential matters that are before the statewide mate…

Sec. 11. Nothing in this chapter shall preclude any death, illness, or injury investigation or review to the extent authorized by other laws. As added by P.L.48-2018, SEC.3.

Sec. 2. As used in this article, "maternal mortality" refers to death, occurring in Indiana, of an individual during pregnancy through up to one (1) year after pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregna…

Sec. 3. (a) The state department shall establish a statewide maternal mortality review committee to: (1) review cases of maternal morbidity and maternal mortality; (2) determine factors contributing to maternal morbidity and maternal mortality; (3) identify public health and clin…

Sec. 4. (a) The state health commissioner or the commissioner's designee shall appoint members to the statewide maternal mortality review committee. (b) The membership of the statewide maternal mortality review committee must be multidisciplinary, be culturally diverse, and inclu…

Sec. 5. A member of the statewide maternal mortality review committee shall: (1) sign a confidentiality form prepared by the statewide maternal mortality review coordinator under IC 16-50-2-3; (2) review the purpose and goals of the statewide maternal mortality review committee; …

Sec. 6. (a) If a health care provider or a health care facility has a patient who suffers a death occurring during pregnancy, irrespective of the duration and site of the pregnancy, through one (1) year after the pregnancy and the health care provider or health care facility has …

Sec. 7. (a) The statewide maternal mortality review committee shall review all cases of maternal death reported to the statewide maternal mortality review committee under section 6 of this chapter. (b) The statewide maternal mortality review committee may do any of the following …

Sec. 8. (a) In conducting a review under this chapter, the statewide maternal mortality review committee shall review all applicable records and information related to the death, including the following: (1) Records held by the local or state health departments, including the dea…

Sec. 9. (a) The statewide maternal mortality review committee, through the state department, shall make maternal mortality information available on the state department's website, including the following information: (1) A summary of the data collected regarding the reviews condu…

Sec. 0.5. This chapter is effective beginning January 1, 2025. As added by P.L.203-2023, SEC.18.

Sec. 1. (a) This chapter applies to an Indiana nonprofit hospital system. (b) This chapter does not apply to the following: (1) A hospital licensed under IC 16-21-2 that is operated by: (A) a county; (B) a city pursuant to IC 16-23; or (C) the health and hospital corporation esta…

Sec. 10. As used in this chapter, "qualified provider" means an individual or entity employed by an Indiana nonprofit hospital system and that is duly licensed or legally authorized to provide health care services. As added by P.L.203-2023, SEC.18. Amended by P.L.215-2025, SEC.34…

Sec. 10.5. As used in this chapter, "services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders" means services to diagnose or treat a mental illness or substance-related or addictive disorder diagnosis under the Diagnostic and St…

Sec. 11. (a) As used in this section, "physician fee schedule" refers to the negotiated agreement between a payor and a qualified provider specifying reimbursement for services furnished in an office setting and billed on a CMS 1500 form or its electronic equivalent. (b) A bill f…

Sec. 11.1. (a) If, after making payment for health care services provided by a qualified provider, a payor discovers that a bill was submitted in violation of section 11 of this chapter, the payor may utilize the remedies set forth in either: (1) the contract or other arrangement…

Sec. 11.3. (a) Before July 1, 2025, and every two (2) years with licensure renewal, an Indiana nonprofit hospital system shall submit a complete list of facilities within the Indiana nonprofit hospital system that: (1) qualify as an institutional provider; and (2) may submit a bi…

Sec. 11.5. (a) A payor or an Indiana nonprofit hospital system may report a violation of this chapter to the state department on a form prescribed by the state department. (b) The state department may assess a civil penalty of one thousand dollars ($1,000) per day against a quali…

Sec. 12. The state department shall adopt rules under IC 4-22-2 for the enforcement of this chapter. As added by P.L.203-2023, SEC.18.

Sec. 13. Nothing in this chapter is intended to change any other billing or coding requirements that are not specifically addressed in this chapter. As added by P.L.215-2025, SEC.40.

Sec. 2. (a) As used in this chapter, "health care services" means health care related services or products rendered or sold by a provider within the scope of the provider's license or legal authorization. (b) The term includes hospital, medical, surgical, and pharmaceutical servi…

Sec. 3. As used in this chapter, "health maintenance organization" has the meaning set forth in IC 27-13-1-19. As added by P.L.203-2023, SEC.18.

Sec. 4. As used in this chapter, "Indiana nonprofit hospital system" means a hospital that: (1) is organized as a nonprofit corporation or a charitable trust under Indiana law or the laws of any other state or country and that is: (A) eligible for tax exempt bond financing; or (B…

Sec. 5. (a) As used in this chapter, "individual provider form" means a medical claim form that: (1) is accepted by the federal Centers for Medicare and Medicaid Services for use by individual providers or groups of providers; and (2) includes a claim field for disclosure of the …

Sec. 6. As used in this chapter, "institutional provider" means any of the following: (1) Except as provided in section 1 of this chapter, a hospital. (2) An end stage renal disease provider. (3) A home health agency. (4) A hospice organization. (5) An outpatient physical therapy…

Sec. 7. (a) As used in this chapter, "institutional provider form" means a medical claim form that: (1) is accepted by the federal Centers for Medicare and Medicaid Services for use by institutional providers; and (2) does not include a claim field for disclosure of the site at w…

Sec. 8. As used in this chapter, "insurer" has the meaning set forth in IC 27-8-11-1(e). As added by P.L.203-2023, SEC.18.

Sec. 8.5. As used in this chapter, "non-invasive treatment" means a treatment that is not included in the definition of surgery or other invasive procedure under 410 IAC 15-1.1-22. As added by P.L.215-2025, SEC.31.

Sec. 9. (a) As used in this chapter, "office setting" means a location of a qualified provider where health care services are provided and that: (1) is located more than two hundred fifty (250) yards from the main building of any hospital owned in whole or in part by the Indiana …

Sec. 9.5. As used in this chapter, "payor" means an insurer, health maintenance organization, employer, or other person responsible for the payment of the cost of health care services provided by a qualified provider. As added by P.L.215-2025, SEC.33.

Sec. 1. As used in this article, "director" refers to the director of the division of consumer protection appointed under IC 4-6-9-2. As added by P.L.149-2023, SEC.18.

Sec. 2. As used in this article, "division" refers to the division of consumer protection created by IC 4-6-9-1. As added by P.L.149-2023, SEC.18.

Sec. 3. As used in this article, "health care facility" includes the following: (1) A housing with services establishment (as defined in IC 12-10-15-3). (2) A private mental health institution licensed under IC 12-25. (3) An ambulatory outpatient surgical center licensed under IC…

Sec. 4. (a) As used in this article, "health care personnel" means the following: (1) A nurse aide (as defined in IC 16-28-13-1). (2) A registered nurse or licensed practical nurse licensed under IC 25-23. (3) An advanced practice registered nurse licensed under IC 25-23. (4) A q…

Sec. 5. (a) As used in this article, "temporary health care services agency" means a person engaged for hire in the business of providing or procuring temporary employment in health care facilities for health care personnel. (b) The term does not include an individual who only en…

Sec. 1. The definitions in this chapter apply throughout this article. [2007 Higher Education Recodification Citation: New.] As added by P.L.2-2007, SEC.191.

Sec. 10. "Indiana University hospitals" refers to the hospitals described in IC 16-23.5-3-1. [2007 Higher Education Recodification Citation: New.] As added by P.L.2-2007, SEC.191.

Sec. 11. "Medical center" includes a hospital building or complex of buildings in which medical education, internship programs, medical research, paramedical training, and any related or equivalent activities are systematically carried on in addition to the usual functions of hos…