Title 16, TITLE 16. HEALTH

Sec. 9. Any information, including prescription drug prices and discounts, provided to the state or the state's contractor under this chapter is confidential and is exempt from disclosure under IC 5-14-3. As added by P.L.50-2004, SEC.5.

Sec. 0.5. (a) This chapter may not be construed to apply to an anatomic pathology service that is: (1) billed to a hospital by a clinical laboratory; or (2) billed by the hospital for an inpatient or outpatient facility of the hospital. (b) This chapter may not be construed to pr…

Sec. 1. As used in this chapter, "anatomic pathology service" means any of the following performed by a physician or under the supervision of a physician on a sample taken from a human body: (1) Histopathology or surgical pathology, meaning the gross and microscopic examination a…

Sec. 3. As used in this chapter, "provider" means a health care provider or a clinical laboratory. As added by P.L.222-2011, SEC.1.

Sec. 4. As used in this chapter, "second opinion" means consultation, histologic processing, or additional testing performed on a sample by a second provider after an anatomic pathology service is performed on the sample by a first provider. As added by P.L.222-2011, SEC.1.

service; second opinion Sec. 5. (a) Except as provided in subsection (b), a provider shall not present a bill, claim, or other demand for payment for an anatomic pathology service unless the anatomic pathology service was performed: (1) within the provider's office; (2) by a phys…

anatomic pathology service Sec. 6. (a) Except as provided in subsection (b), a bill, claim, or other demand for payment permitted by section 5 of this chapter may be presented only to the following: (1) The patient. (2) The patient's insurer or other third party payer. (3) A gove…

Sec. 7. A person is not required to reimburse a provider for charges or claims submitted in violation of this chapter. As added by P.L.222-2011, SEC.1.

Sec. 8. If a provider violates this chapter, the state entity that has jurisdiction over licensing or certification of the provider may revoke, suspend, or refuse to renew the license or certification of the provider. As added by P.L.222-2011, SEC.1.

Sec. 9. This chapter does not require assignment of benefits for an anatomic pathology service. As added by P.L.222-2011, SEC.1.

Sec. 1. The definitions in this chapter apply throughout this article. As added by P.L.119-2013, SEC.3.

Sec. 10. "Statewide child fatality review committee" refers to the statewide child fatality review committee established by IC 16-49-4-1. As added by P.L.119-2013, SEC.3.

Sec. 2. "Child" means an individual less than eighteen (18) years of age. As added by P.L.119-2013, SEC.3.

Sec. 3. "Child fatality committee" means a child fatality committee established under IC 16-49-2-1. As added by P.L.119-2013, SEC.3.

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. 12. This article expires June 30, 2027. As added by P.L.48-2018, SEC.3. Amended by P.L.65-2021, SEC.6; P.L.179-2022(ss), SEC.39.

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…

duties; authority 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 publ…

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 …

confidentiality; review for abortion 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 …

Sec. 9. (a) The statewide maternal mortality review committee shall, before July 1 of each year, submit a report to the state department that includes the following information: (1) A summary of the data collected regarding the reviews conducted by the statewide maternal mortalit…

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 owned in whole or in part 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.

Sec. 11. (a) A bill for health care services provided by a qualified provider in an office setting: (1) may not be submitted on an institutional provider form; and (2) must be submitted on an individual provider form. (b) An insurer, health maintenance organization, employer, or …

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. 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. 9. 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 nonp…

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.