Indiana legislation · 2026 Regular Session
Indiana HB1370: Payment of claims for emergency services.
Status: In committee, January 8, 2026
Prohibits a utilization review entity from requiring prior authorization for ambulance services provided: (1) to a covered individual; (2) by a nonparticipating ambulance service provider; and (3) within 12 hours after the ambulance services are requested. Prohibits a utilization review entity from requiring prior authorization for emergent response services or urgent response services that are provided: (1) to a covered individual; (2) in good faith; and (3) within 24 hours after the emergent response services or urgent response services are requested. Provides that a policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are, among other things, performed or provided during a response initiated through the 911 system or an equivalent telephone number, a texting system, or any other method of summoning emergency medical services. Provides that a policy of accident and sickness insurance that provides coverage for emergency medical services must provide reimbursement for emergency medical services that are, among other things, performed or provided when an individual is determined to require emergency medical services by a physician. Provides that an individual contract and a group contract that provide coverage for emergency medical services must provide reimbursement for emergency medical services that are, among other things, performed or provided during a response initiated through the 911 system or an equivalent telephone number, a texting system, or any other method of summoning emergency medical services. Provides that an individual contract and a group contract that provide coverage for emergency medical services must provide reimbursement for emergency medical services that are, among other things, performed or provided when an individual is determined to require emergency medical services by a physician. Repeals certain code provisions addressing advance
What the bill says
A bill FOR AN ACT to amend the Indiana Code concerning insurance.
From the introduced text:
A BILL FOR AN ACT to amend the Indiana Code concerning insurance. SECTION 1. IC 27-1-37.5-24, AS ADDED BY P.L.144-2025, SECTION 32, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2026]: Sec. 24. (a) A utilization review entity shall allow a covered individual and a covered individual's health care provider at least twenty-four (24) hours (excluding weekends and state and federal legal holidays) after an emergency admission or provision of emergency health care services for the covered individual or health care provider to notify the utilization review entity of the emergency admission or provision of the emergency health care service. (b) A utilization review entity shall cover emergency health care services necessary to screen and stabilize a covered individual. If a health care provider certifies in writing to a utilization review entity not later than seventy-two (72) hours (excluding weekends and state and federal legal holidays) after a covered individual's emergency admission that the covered individual's condition required the 2026 IN 1370--LS 6831/DI emergency health care service, the certification will create a presumption that the emergency health care service was medically necessary. The presumption may be rebutted only if the utilization review entity can establish, with clear and convincing evidence, that the emergency health care service was not medically necessary. (c) A utilization review entity shall not require prior …
Sponsors
- Tony Isa (R, HD-051) · primary sponsor
- Barrett, Brad (R)
Latest actions
- : Authored by Representative Isa
- : First reading: referred to Committee on Insurance
- : Coauthored by Representative Barrett
Subjects: HEALTH; Emergency Medical Services (EMS)
Common questions
- What is HB1370?
- HB1370 is a bill in the Indiana Legislature (2026 Regular Session): Payment of claims for emergency services.
- What does HB1370 do?
- In its own words: A bill FOR AN ACT to amend the Indiana Code concerning insurance.
- What is the status of HB1370?
- In committee as of January 8, 2026. Latest action: Authored by Representative Isa (January 8, 2026).
- Who sponsored HB1370?
- Tony Isa (R, HD-051), with 1 co-sponsor.
- Where is the official record for HB1370?
- On the Indiana Legislature website: https://iga.in.gov/legislative/2026/bills/house/1370
Source: official Indiana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.