IndianaPrior authorization.
What it does
Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider.
More detail
Repeals superseded provisions regarding prior authorization. Makes corresponding changes.
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Where it stands
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- May 1Signed by the Governor Mike BraunBecame Law
- May 1Public Law 144Major
- Apr 23Signed by the President of the SenateMajor
- Apr 22Signed by the SpeakerMajor
- Apr 17Signed by the President Pro TemporeMajor
- Apr 16Senate concurred with House amendments; Roll Call 466: yeas 39, nays 2
- Vote recorded SB 480 - Johnson T. Result: pass.Upper
- Apr 15Motion to concur filedMinor
- Apr 15Returned to the Senate with amendmentsMinor
- Apr 14Third reading: passed; Roll Call 443: yeas 94, nays 0Passed House
- Vote recorded SB 480 - Barrett - 3rd Reading. Result: pass.Lower
- Apr 10Amendment #1 (Barrett) prevailed; voice voteMajor
- Apr 10Amendment #2 (Mayfield) prevailed; voice voteMajor
- Apr 10Second reading: amended, ordered engrossedMinor
- Apr 8Committee report: amend do pass, adoptedMinor
- Mar 3First reading: referred to Committee on InsuranceMinor
- Feb 21Referred to the HouseMinor
- Feb 20House sponsor: Representative Barrett
- Vote recorded SB 480 - Johnson T - 3rd Reading. Result: pass.Upper
- Feb 20Cosponsors: Representatives Carbaugh, McGuire, King
- Feb 20Third reading: passed; Roll Call 203: yeas 47, nays 2Passed Senate
- Feb 17Second reading: ordered engrossedMinor
- Feb 13Committee report: amend do pass, adoptedMinor
- Feb 3Senator Young M added as coauthor
- Feb 3Senator Carrasco added as coauthor
- Feb 3Senator Schmitt added as coauthor
- Jan 30Senators Raatz, Spencer, Taylor G, Walker G added as coauthors
- Jan 30Senator Tomes added as coauthor
- Jan 30Senators Deery, Glick, Holdman, Jackson L, Niemeyer, Niezgodski added as coauthors
- Jan 30Senator Alting added as coauthor
- Jan 29Senators Clark and Qaddoura added as coauthors
- Jan 28Senator Charbonneau removed as coauthor
- Jan 28Senator Brown L removed as coauthor
- Jan 28Senator Charbonneau added as second author
- Jan 28Senator Brown L added as third author
- Jan 28Senator Zay added as coauthor
- Jan 28Senator Pol added as coauthor
- Jan 27Senators Buck, Busch, Doriot, Walker K, Yoder added as coauthors
- Jan 23Senators Alexander, Bassler, Bohacek, Buchanan, Byrne, Dernulc, Donato, Koch, Maxwell added as coauthors
- Jan 23Senator Randolph added as coauthor
- Jan 23Committee report: do pass adopted; reassigned to Committee on AppropriationsMinor
- Jan 16Senator Ford J.D. added as coauthor
- Jan 13First reading: referred to Committee on Health and Provider ServicesMinor
- Jan 13Coauthored by Senators Charbonneau, Brown L, Rogers, Crider, Becker, Leising, Hunley
- Jan 13Authored by Senator Johnson TIntroduced