Indiana § 25-1-8.5-2 "Health care entity"

Indiana Statutes

§ 25-1-8.5-2 — "Health care entity"

Indiana § 25-1-8.5-2

Title 25PROFESSIONS AND OCCUPATIONS

Art. 1GENERAL PROVISIONS

Ch. 8.5Reporting of Health Care Entity Mergers and

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Bluebook

Ind. Code § 25-1-8.5-2 (2026).

Text

(a)As used in this chapter, "health care entity" means any of the following:

(1)Except as provided in subsection (b), an organization or business that provides diagnostic, medical, surgical, dental treatment, or rehabilitative care.

(2)An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:

(A)Accident only, credit, dental, vision, long term care, or disability income insurance.

(B)Coverage issued as a supplement to liability insurance.

(C)Automobile medical payment insurance.

(D)A specified disease policy.

(E)A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:

(i)hospital confinement, critical illness, or intensive

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(a) As used in this chapter, "health care entity"
means any of the following:
(1) Except as provided in subsection (b), an organization or
business that provides diagnostic, medical, surgical, dental
treatment, or rehabilitative care.
(2) An insurer that issues a policy of accident and sickness
insurance (as defined in IC 27-8-5-1), except for the following
types of coverage:
(A) Accident only, credit, dental, vision, long term care, or
disability income insurance.
(B) Coverage issued as a supplement to liability insurance.
(C) Automobile medical payment insurance.
(D) A specified disease policy.
(E) A policy that provides indemnity benefits not based on any
expense incurred requirements, including a plan that provides
coverage for:
(i) hospital confinement, critical illness, or intensive care; or
(ii) gaps for deductibles or copayments.
(F) Worker's compensation or similar insurance.
(G) A student health plan.
(H) A supplemental plan that always pays in addition to other
coverage.
(3) A health maintenance organization (as defined in IC 27-13-1-19).
(4) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).
(5) An administrator (as defined in IC 27-1-25-1).
(6) A private equity partnership, regardless of where the private
equity partnership is located, seeking to enter into a merger or
acquisition with an entity described in subdivisions (1) through
(5).
(b) The term does not include:
(1) a health care provider (as defined by IC 4-6-14-2) that is
majority owned, or that would be majority owned after the merger
or acquisition, by practitioners who:
(A) are licensed in Indiana; and
(B) routinely provide health care services in the practitioner
owned practice;
(2) the Medicaid program; or
(3) the Medicare program.