Restricts community benefits for nonprofit hospitals that are not a county owned hospital, critical access hospital, or a rural emergency hospital to only uncompensated care provided by the hospital when the service remains unpaid after 180 days and the hospital received less than the Medicaid reimbursement rate for the service; requires nonprofit hospitals to provide annual reports; forfeits nonprofit status if a nonprofit hospital charges an amount for service or item in excess of 200% of the Medicare reimbursement rate. UPDATE - AMENDED - requires nonprofit hospital systems to submit annual audited financial statements for each of the two preceding years, and pay a penalty of $10,000 per day if overdue; as of 2029, requires a nonprofit hospital system's aggregate average inpatient and outpatient prices to be less than or equal to the statewide average, subject to forfeiture of its nonprofit status for one year for noncompliance; requires nonprofit hospitals to annually its Form 990 Schedule H and subschedules to the state, subject to a $10,000 per day penalty for every day of noncompliance; requires nonprofit hospital systems to offer a direct-to-employer health care plan that is at or below 260% of the Medicare reimbursement rate.
State Name
Indiana
Bill #
H.B.1004
Year Enacted
Enacted
Status
Enacted
Category
6. Oversight and Transparency
Subcategory
Reporting
Status Text
Enacted
Year Proposed
2025
State Taxonomy
Bill Page
https://iga.in.gov/legislative/2025/bills/house/1004