Indiana HB 1666: Ownership of health care providers.

Bill Text

Introduced Version
HOUSE BILL No. 1666
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DIGEST OF INTRODUCED BILL
Citations Affected: IC 12-15-1-18.5; IC 16-18-2-79.1; IC 16-19-18;
IC 25-1-8.5-4; IC 25-22.5-18; IC 27-1-4.5.
Synopsis: Ownership of health care providers. Requires reporting of
certain ownership information by: (1) a hospital to the Indiana
department of health (state department); (2) a physician group practice
to the professional licensing agency; and (3) an insurer, a third party
administrator, and a pharmacy benefit manager to the department of
insurance. Requires the professional licensing agency and the
department of insurance to provide the ownership information to the
state department. Requires the state department to post the ownership
information on the state department's website. Sets forth penalties for
a violation of the ownership reporting requirements. Provides that an
Indiana health care entity merger or acquisition involving a private
equity partnership is subject to the approval of the attorney general,
regardless of the total assets, including combined entities and holdings,
of the parties involved. Allows the attorney general to deny the merger
or acquisition if the attorney general determines that the merger or
acquisition will result in adverse financial impacts or health care
outcomes for Indiana health care consumers. Provides that the attorney
general must provide a written determination approving or denying the
merger or acquisition not later than 45 days after notice of the merger
or acquisition is submitted to the attorney general.
Effective: July 1, 2025.
McGuire, Shackleford, Goss-Reaves
January 21, 2025, read first time and referred to Committee on Public Health.
2025 IN 1666—LS 7760/DI 92

Introduced
First Regular Session of the 124th General Assembly (2025)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
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a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2024 Regular Session of the General Assembly.
HOUSE BILL No. 1666
A BILL FOR AN ACT to amend the Indiana Code concerning
health.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 12-15-1-18.5, AS ADDED BY P.L.203-2023,
2 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
3 JULY 1, 2025]: Sec. 18.5. (a) The payer affordability penalty fund is
4 established for the purpose of receiving fines collected under
5 IC 16-19-18-4, IC 16-21-6-3, IC 25-22.5-18-5, IC 27-1-4.5-7, and
6 fines collected under IC 27-2-25.5 to be used for:
7 (1) the state's share of the Medicaid program; and
8 (2) a study of hospitals that are impacted by changes made in the
9 disproportionate share hospital methodology payments set forth
10 in Section 203 of the federal Consolidated Appropriations Act of
11 2021.
12 The office of the secretary shall perform the study and provide the
13 results of the study described in subdivision (2) to the budget
14 committee.
15 (b) The fund shall be administered by the office of the secretary.
16 (c) The expenses of administering the fund shall be paid from
17 money in the fund.
2025 IN 1666—LS 7760/DI 92

2
1 (d) The treasurer of state shall invest the money in the fund not
2 currently needed to meet the obligations of the fund in the same
3 manner as other public money may be invested. Interest that accrues
4 from these investments shall be deposited in the fund.
5 (e) Money in the fund at the end of a state fiscal year does not revert
6 to the state general fund.
7 (f) Money in the fund is continually appropriated.
8 SECTION 2. IC 16-18-2-79.1 IS ADDED TO THE INDIANA
9 CODE AS A NEW SECTION TO READ AS FOLLOWS
10 [EFFECTIVE JULY 1, 2025]: Sec. 79.1. "Controlling", for purposes
11 of IC 16-19-18, has the meaning set forth in IC 16-19-18-1.
12 SECTION 3. IC 16-19-18 IS ADDED TO THE INDIANA CODE
13 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
14 JULY 1, 2025]:
15 Chapter 18. Disclosure of Ownership Information
16 Sec. 1. As used in this chapter, "controlling" has the meaning set
17 forth in IC 23-1-43-8.
18 Sec. 2. (a) Beginning July 1, 2025, and each July 1 thereafter,
19 each hospital that does business in Indiana shall file with the state
20 department a report that includes the following information:
21 (1) The name of each person or entity that has:
22 (A) an ownership interest of at least five percent (5%);
23 (B) a controlling interest; or
24 (C) an interest as a private equity pa