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Senate approves hospital-pricing study and reporting changes after heated debate over possible price controls

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Summary

Senators approved Amendment 23 to House Bill 1004, directing the Office of Management and Budget to study hospital pricing statewide and requiring insurers and TPAs to report commissions to the all-payer claims database; the amendment passed after a roll-call division, 34-12.

INDIANAPOLIS — The Indiana Senate adopted a contentious amendment to House Bill 1004 that strips proposed price caps and penalties from the bill and instead directs the Office of Management and Budget (OMB) to conduct a statewide hospital-pricing study.

Sponsor Senator Erin Garten described Amendment 23 as a compromise that removes the bill’s earlier price-limit provisions and creates a data-driven study to determine a statewide aggregate average of inpatient and outpatient hospital prices based on at least 85% of paid claims. Garten said the study would be completed by June 30, 2026, and would calculate a statewide average price expressed as a percentage of Medicare that could be used for future policy discussions.

"What it does is it puts a hospital pricing study under the Office of Management…

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