House Bill 1003, introduced in Indiana on April 16, 2025, aims to reform the billing process for health care services provided by qualified providers in office settings. The bill seeks to ensure that claims for these services are submitted using individual provider forms rather than institutional provider forms, a change intended to streamline billing and enhance transparency in health care costs.

Key provisions of the bill include a prohibition against accepting institutional provider forms for services rendered by qualified providers in office settings. Additionally, the bill mandates that these providers cannot include facility fees or charges on individual provider forms, nor can they bill for services using specific place of service codes associated with institutional settings. This aims to clarify the billing process and prevent potential overcharging for services that should be billed at a lower rate.

The bill has sparked notable debate among lawmakers, with a committee vote reflecting a split opinion—10 in favor and 3 against. Supporters argue that the bill will simplify the billing process and protect patients from unexpected charges, while opponents raise concerns about the potential impact on providers who may face increased administrative burdens.

The implications of House Bill 1003 extend beyond administrative changes; it could significantly affect the financial dynamics between health care providers and payors, including insurers and employers. By enforcing a clearer billing structure, the bill may lead to more predictable health care costs for patients and payors alike.

As the bill progresses through the legislative process, its potential to reshape health care billing practices in Indiana remains a focal point of discussion. If passed, the changes are set to take effect on July 1, 2025, marking a significant shift in how health care services are billed in the state.