§ 27-1-37-6.5 — "Health plan"; study on commercial physician reimbursement rate requirement; report

Indiana § 27-1-37-6.5

• Jurisdiction: Indiana
• Title 27: INSURANCE
• Art. 1: DEPARTMENT OF INSURANCE
• Ch. 37: Health Provider Contracts

Text

5. (a) As used in this section, "health plan"
means any of the following that provides coverage for health care
services:
(1) A policy of accident and sickness insurance (as defined in IC 27-8-5-1). However, the term does not include the coverages
described in IC 27-8-5-2.5(a).
(2) A contract with a health maintenance organization (as defined
in IC 27-13-1-19) that provides coverage for basic health care
services (as defined in IC 27-13-1-4).
(b) Before July 1, 2026, the office of management and budget shall
study the effect, including the fiscal impact, of requiring physician
reimbursement rates under a commercial health plan to be at a
minimum rate.
(c) The office of management and budget shall report the findings
of the study under this section to:
(1) the governor; and
(2) the general assembly in an electronic format under IC 5-14-6.
(d) This section expires December 31, 2026.

Legislative History

As added by P.L.216-2025, SEC.44.