HB 1300-1_ Filed 03/25/2009, 14:57
The Senate Committee on Health and Provider Services, to which was referred House Bill No. 1300,
has had the same under consideration and begs leave to report the same back to the Senate with the
recommendation that said bill be AMENDED as follows:
Delete the tile and insert the following:
A BILL FOR AN ACT to amend the Indiana Code concerning
SOURCE: Page 1, line 1; (09)AM130003.1. -->
Page 1, between the enacting clause and line 1, begin a new
paragraph and insert:
SOURCE: IC 27-1-3-31; (09)AM130003.1. -->
"SECTION 1. IC 27-1-3-31 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE
UPON PASSAGE]: Sec. 31. (a) Not later than July 1, 2009, each
insurer that issues accident and sickness insurance policies (as
defined in IC 27-8-14.2-1) and each health maintenance
organization shall provide the commissioner with the following
information concerning the savings and costs of implementing
direct reimbursement for a health care service provider that is
out-of-network and that provides services to an insured or
(1) The costs incurred or savings experienced by the insurer
or health maintenance organization in implementing direct
reimbursement for providers described in this section.
(2) Operational costs incurred or savings experienced in
implementing direct reimbursement for the providers
described in this section.
(3) The number of additional health care service providers, by
specialty, that would be reimbursed by the insurer or health
maintenance organization after the insurer or health
maintenance organization implemented direct
(4) Any other costs or savings that the insurer, health
maintenance organization, or commissioner determines to be
relevant to direct reimbursement.
(b) This section expires December 31, 2009.".
SOURCE: Page 2, line 18; (09)AM130003.2. -->
Page 2, line 18, after "(c)" insert " The health finance commission
shall, during the 2009 interim, study whether an insurer should be
required to directly reimburse a provider that is out-of-network
for services provided to an insured or enrollee. In consideration of
this issue, the commissioner of the department of insurance shall
provide the health commission with the actuarial information
collected under IC 27-1-3-31, as added by this act.
Renumber all SECTIONS consecutively.
(Reference is to HB 1300 as printed February 20, 2009.)
and when so amended that said bill do pass .
Committee Vote: Yeas 9, Nays 0.
Senator Miller, Chairperson
AM 130003/DI 104 2009