Title 27, INSURANCE

Sec. 11. (a) Except as provided in subsection (c), the department shall adopt rules under IC 4-22-2 to implement this chapter. The rules must include a requirement that health payer data sources submit necessary information to the administrator. Rules enacted under this subsectio…

Sec. 12. (a) Except as provided in subsections (b), (c), and (e), the fee schedule for each type of unrestricted data request is as follows: Non-program Affiliated Individual Data Set Per Quarter Per Year Member Eligibility $1,000 $4,000 Medical Claims $1,500 $6,000 Pharmacy Clai…

Sec. 2. As used in this chapter, "health payer" includes the following: (1) Medicare. (2) Medicaid or a managed care organization (as defined in IC 12-7-2.1-218) that has contracted with Medicaid to provide services to a Medicaid recipient. (3) An insurer that issues a policy of …

Sec. 3. (a) Before July 1, 2020, the department shall issue a request for information in compliance with IC 5-23-4.5 concerning the creation, operation, and maintenance of a data base. (b) The request for information must include the following questions: (1) How the person would …

Sec. 3.5. (a) Not later than September 1, 2025, the department shall issue a request for information in compliance with IC 5-23-4.5 concerning ways to better enable medical consumers to compare and shop for medical and health care services using real time price and health quality…

Sec. 4. (a) After December 31, 2021, the department shall issue a request for an entity that is not a state agency or political subdivision to create, operate, and maintain the data base under this chapter. In addition to the requirements of IC 5-22-9, the request for proposals m…

Sec. 5. A health payer shall begin submitting the required data in a format specified by the administrator of the data base not later than three (3) months from the first day the department declares the data base to be fully operational. As added by P.L.50-2020, SEC.6. Amended by…

Sec. 7. The administrator, with input from the executive director and the advisory board: (1) shall ensure the security of the data; (2) shall protect the privacy of the data in compliance with state and federal law; (3) shall incorporate and utilize publicly available data other…

Sec. 8. The data base must do the following: (1) Provide an online, public web portal that is free to use and allows the public to view the average negotiated charges by each health carrier for specific health care services provided by an individual health care provider, as well …

Sec. 9. (a) The executive director shall do the following: (1) Report to the governor and, in an electronic format under IC 5-14-6, to the general assembly not later than September 1 of each year on the following: (A) The status of the operations of the data base. (B) The financi…