Indiana § 25-1-8-9 - Analysis of licensing fees; report

§ 25-1-8-9. Analysis of licensing fees; report

Sec. 9. (a) The legislative services agency shall conduct an analysis of the fees established under section 2 of this chapter.

(b) Not later than January 31, 2026, the legislative services agency shall submit a report to the budget committee in an electronic format under IC 5-14-6 containing the results of the analysis conducted under subsection (a). The report must include:

(1) the amount of fees collected; and

(2) a description of how the proceeds from the collected fees were used;

during the two (2) most recent fiscal years.

(c) This section expires July 1, 2026.

As added by P.L.190-2023, SEC.7.

IC 25-1-8.5Chapter 8.5. Reporting of Health Care Entity Mergers and Acquisitions

25-1-8.5-1"Acquisition" 25-1-8.5-2"Health care entity" 25-1-8.5-3"Merger" 25-1-8.5-3.7Attorney general's authority to investigate the market concentration of a health care entity; confidential nonpublic information 25-1-8.5-4Provision of written notice of merger or acquisition; requirements; confidentiality; review; investigative demand

IC 25-1-8.5-1"Acquisition" Sec. 1. As used in this chapter, "acquisition" means any agreement, arrangement, or activity the consummation of which results in a person acquiring directly or indirectly the control of another person.

As added by P.L.95-2024, SEC.2.

IC 25-1-8.5-2"Health care entity" Sec. 2. (a) As used in this chapter, "health care entity" means any of the following:

(1) Except as provided in subsection (b), an organization or business that provides diagnostic, medical, surgical, dental treatment, or rehabilitative care.

(2) An insurer that issues a policy of accident and sickness insurance (as defined in IC 27-8-5-1), except for the following types of coverage:

(A) Accident only, credit, dental, vision, long term care, or disability income insurance.

(B) Coverage issued as a supplement to liability insurance.

(C) Automobile medical payment insurance.

(D) A specified disease policy.

(E) A policy that provides indemnity benefits not based on any expense incurred requirements, including a plan that provides coverage for:

(i) hospital confinement, critical illness, or intensive care; or

(ii) gaps for deductibles or copayments.

(F) Worker's compensation or similar insurance.

(G) A student health plan.

(H) A supplemental plan that always pays in addition to other coverage.

(3) A health maintenance organization (as defined in IC 27-13-1-19).

(4) A pharmacy benefit manager (as defined in IC 27-1-24.5-12).

(5) An administrator (as defined in IC 27-1-25-1).

(6) A private equity partnership, regardless of where the private equity partnership is located, seeking to enter into a merger or acquisition with an entity described in subdivisions (1) through (5).

(b) The term does not include:

(1) a health care provider (as defined by IC 4-6-14-2) that is majority owned, or that would be majority owned after the merger or acquisition, by practitioners who:

(A) are licensed in Indiana; and

(B) routinely provide health care services in the practitioner owned practice;

(2) the Medicaid program; or

(3) the Medicare program.

As added by P.L.95-2024, SEC.2. Amended by P.L.239-2025, SEC.9.

IC 25-1-8.5-3"Merger" Sec. 3. As used in this chapter, "merger" means any change of ownership, including:

(1) an acquisition or transfer of assets; or

(2) the purchase of stock effectuated by a merger agreement.

As added by P.L.95-2024, SEC.2.

IC 25-1-8.5-3.7Attorney general's authority to investigate the market concentration of a health care entity; confidential nonpublic information Sec. 3.7. (a) The office of the attorney general may at any time investigate the market concentration of a health care entity. The office of the attorney general may issue a civil investigative demand under IC 4-6-3 to a health care entity subject to an investigation conducted under this section.

(b) The office of the attorney general shall keep confidential all nonpublic information obtained in the course of an investigation conducted under this section. Confidential information may not be released to the public.

As added by P.L.239-2025, SEC.10.

IC 25-1-8.5-4Provision of written notice of merger or acquisition; requirements; confidentiality; review; investigative demand Sec. 4. (a) An Indiana health care entity that is involved in a merger or acquisition with another health care entity with total assets, including combined entities and holdings, of at least ten million dollars ($10,000,000) shall, at least ninety (90) days prior to the date of the merger or acquisition, provide written notice of the merger or acquisition to the office of the attorney general in a manner prescribed by the office of the attorney general.

(b) The notice required by subsection (a) must include the following information from each health care entity:

(1) Business address and federal tax number.

(2) Name and contact information of a representative of the health care entity concerning the merger or acquisition.

(3) Description of the health care entity.

(4) Description of the merger or acquisition, including the anticipated timeline.

(5) A copy of any materials that have been submitted to a federal or state agency concerning the merger or acquisition.

The notice submitted under this section must be certified before a notary public.

(c) The office of the attorney general shall keep confidential all nonpublic information, and the confidential information may not be released to the public.

(d) Not later than forty-five (45) days from the submission of a notice under subsection (a), the office of the attorney general:

(1) shall review the information submitted with the notice; and

(2) may analyze in writing any antitrust concerns with the merger or acquisition.

The office of the attorney general shall provide any written analysis described in subdivision (2) to the person that submitted the notice under subsection (a).

(e) The office of the attorney general may issue a civil investigative demand under IC 4-6-3 to a health care entity that has submitted a notice under this section for additional information.

(f) Any information received or produced by the office of the attorney general under this section is confidential.

As added by P.L.95-2024, SEC.2.

IC 25-1-9Chapter 9. Health Professions Standards of Practice

25-1-9-1"Board" 25-1-9-2"Practitioner" 25-1-9-3"License" 25-1-9-3.5"Sexual contact" 25-1-9-4Standards of professional practice; findings required for sanctions; evidence of foreign discipline 25-1-9-4.2Consent for pelvic, prostate, or rectal examinations; requirements 25-1-9-4.5Failure to provide human trafficking information 25-1-9-5Optometry employment practice 25-1-9-6Veterinary practitioners; cruelty to animals 25-1-9-6.5Chiropractors; waiver of deductible or copayment 25-1-9-6.7Marriage and family therapists; disciplinary sanctions 25-1-9-6.8Practitioner guidelines before prescribing stimulant medication for a child for treatment of certain disorders 25-1-9-6.9Failing to provide or providing false information to agency 25-1-9-7Physical or mental examination; power to require 25-1-9-8Failure to submit to physical or mental examination; sanctions 25-1-9-9Disciplinary sanctions 25-1-9-10Summary license suspension pending final adjudication; notice; opportunity to be heard 25-1-9-10.1Retention of clinical consultants and experts to advise on suspension 25-1-9-11Reinstatement of suspended licenses 25-1-9-12Reinstatement of revoked license 25-1-9-13Consistency of sanctions prescribed 25-1-9-14Surrender of practitioner's license instead of hearing; approval 25-1-9-15Costs in disciplinary proceedings 25-1-9-16Refusal of licensure or grant of probationary license 25-1-9-17Applicant appearance before board 25-1-9-18Fitness determination of health care provider; filing complaint 25-1-9-19Third party billing notice 25-1-9-20Repealed 25-1-9-21Rules; management and disposition of health records 25-1-9-22Prohibition on release of screening and test results 25-1-9-23In network practitioner charge limited to network plan rate; conditions for reimbursement of out of network practitioner at higher rate