Indiana Price Transparency: Explaining Indiana House Bill 1004

The west side of the Indiana Statehouse where the Indiana price transparency law, Indiana House Bill 1004, was passed.
The west side of the Indiana Statehouse where the Indiana price transparency law, Indiana House Bill 1004, was passed.

While the federal Hospital Price Transparency Rule went into effect on January 1, 2021, a similar Indiana price transparency law, Indiana House Bill 1004, is set to go into effect on July 1, 2021.

Indiana House Bill 1004 (view on Indiana General Assembly official site) requires healthcare providers to give patients a good faith estimate of scheduled healthcare services 5 days prior to non-emergency services. It also requires that out-of-network practitioners do not charge more for healthcare services than the patient’s plan permits without this estimate.

There have been many legislative efforts across the country targeting surprise billing and other unfavorable practices that aim to limit patients access to critical information that can impact their ability to make more informed decisions.

Indiana House Bill 1004, along with others, comes at a time when patients have become responsible for more out of pocket costs due to the rise of high deductible health care plans. Because there has been a nationwide push towards greater price transparency, organizations that adapt quickly will have the edge with patients.

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