§ 16-51-1-1 — Applicability

Indiana § 16-51-1-1

• Jurisdiction: Indiana
• Title 16: HEALTH
• Art. 51: HEALTH CARE REQUIREMENTS
• Ch. 1: Health Care Billing

Text

Note: This version of section amended by P.L.216-2025, SEC.37,
effective 5-6-2025. See also following version of this section amended
by P.L.213-2025, SEC.156, effective 7-1-2025.
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 established under IC 16-22-8.
(2) A critical access hospital that meets the criteria under 42 CFR
485.601 through 42 CFR 485.647.
(3) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).
(4) A federally qualified health center (as defined in 42 U.S.C.
1396d(l)(2)(B)).
(5) An oncology treatment facility, even if owned or operated by
a hospital.
(6) A health facility licensed under IC 16-28.
(7) A community mental health center certified under IC 12-21-2-3(5)(C).
(8) A private mental health institution licensed under IC 12-25,
including a service facility location for a private mental health
institution and reimbursed as a hospital-based outpatient service
site.
(9) A facility that:
(A) has a place of service code 20, as published in the place of
service code set maintained by the federal Centers for Medicare
and Medicaid Services; and
(B) is located in a municipality with a population of less than
twenty thousand (20,000).
(10) Services provided for the treatment of individuals with
psychiatric disorders or chronic addiction disorders in:
(A) any part of a hospital, whether or not a distinct part; or
(B) an outpatient off campus site that is within thirty-five (35)
miles of a hospital.
(11) Billing under the Medicare program or a Medicare advantage
plan.
(12) Billing under the Medicaid program.

Legislative History

As added by P.L.203-2023, SEC.18. Amended by P.L.216-2025, SEC.37.