Indiana legislation · 2026 Regular Session
Indiana SB189: Nonparticipating providers.
Status: Signed into law, March 5, 2026
Requires an initiating party that submits a request for independent dispute resolution to provide written notice to the facility not later than three business days after submitting the request. Allows a health carrier to provide notice to an out of network provider and a facility if, during any 90 day period, an initiating party submits requests for independent dispute resolutions that, in the aggregate, include 25 or more qualified disputes. Provides that if a health carrier provides the notice, the health carrier, the out of network provider, and the facility shall engage in good faith efforts to negotiate a resolution. Prohibits a health carrier from assessing a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider. Provides that if a health carrier assesses a facility or a provider an administrative fee or penalty related to the provision of care to an individual that involves an out of network provider, the health carrier commits an unfair and deceptive act or practice in the business of insurance.
What the bill says
An act to amend the Indiana Code concerning insurance.
From the enrolled text:
AN ACT to amend the Indiana Code concerning insurance. SECTION 1. IC 27-1-45.2 IS ADDED TO THE INDIANA CODE AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE UPON PASSAGE]: Chapter 45.2. Independent Dispute Resolution Sec. 1. This chapter applies to any dispute subject to the federal independent dispute resolution process established under Section 2799A-1 of the Public Health Service Act (42 U.S.C. 300gg-111) and its implementing regulations. Sec. 2. (a) As used in this chapter, "claim specific payment information" means billed charges, allowed amounts, payment amounts, cost sharing amounts, and any other monetary amounts associated with the adjudication of an identifiable health care claim. (b) The term does not include aggregated or de-identified data that cannot reasonably be used to identify a specific claim, patient, or provider. Sec. 3. As used in this chapter, "facility" means a licensed health care facility in which health care services are provided to individuals. Sec. 4. (a) As used in this chapter, "health carrier" means an entity: (1) that is subject to this title and the administrative rules SEA 189 -- Concur adopted under this title; and (2) that enters into a contract (B) deliver health care services; (C) arrange for health care services; or (D) pay for or reimburse any of the cost of health care services. (b) The term includes the …
Sponsors
- Scott Baldwin (R, SD-020) · primary sponsor
- Chris Garten (R, SD-045)
- Tyler Johnson (R, SD-014)
- Lonnie Randolph (D, SD-002)
- Eric Koch (R, SD-044)
- Brown, Liz (R)
Latest actions
- : Signed by the Governor
- : Public Law 119
- : Signed by the Speaker
- : Signed by the President of the Senate
- : Signed by the President Pro Tempore
- : Senate concurred with House amendments; Roll Call 299: yeas 49, nays 0
- : Dissent rescinded
- : Motion to concur filed
- : Senate dissented from House amendments
- : House conferees appointed: Barrett, Campbell
Votes
- SB0189.03.COMH.CON01 (February 26, 2026): 49 yea, 0 nay, passed
- SB0189.03.COMH (February 23, 2026): 96 yea, 0 nay, passed
- SB0189.02.COMS (January 27, 2026): 44 yea, 1 nay, passed
Subjects: INSURANCE; Health Insurance, AGENCIES; Department of Insurance (IDOI), HEALTH CARE FACILITIES; Generally, HEALTH; Billing and Costs, CIVIL LAW AND PROCEDURE; Liabilities, Damages, and Penalties
Common questions
- What is SB189?
- SB189 is a bill in the Indiana Legislature (2026 Regular Session): Nonparticipating providers.
- What does SB189 do?
- In its own words: An act to amend the Indiana Code concerning insurance.
- What is the status of SB189?
- Signed into law as of March 5, 2026. Latest action: Signed by the Governor (March 5, 2026).
- Who sponsored SB189?
- Scott Baldwin (R, SD-020), with 5 co-sponsors.
- Where is the official record for SB189?
- On the Indiana Legislature website: https://iga.in.gov/legislative/2026/bills/senate/189
Source: official Indiana record. Tracked by Delilah, AI for legislation across all 50 states and Congress.