The enactment of HB1117 will have considerable legal implications for health insurance providers and health carriers operating within Indiana. By eliminating specific anticompetitive provisions in provider contracts, the bill aims to enhance consumers' access to pricing and quality information regarding healthcare services. It also empowers the attorney general and insurance commissioner to enforce these provisions, ensuring that contracts no longer contain clauses that could distort market competition. This legislative move is seen as a step forward in generating a more transparent healthcare system where consumers can make informed decisions.
Summary
House Bill 1117 introduces significant amendments to the Indiana Code concerning health provider contracts. The bill specifically aims to restrict various provisions traditionally found in health provider contracts that could limit competition and transparency within the healthcare industry. It defines several terms, such as 'all or nothing clause,' 'antisteering clause,' and 'most favored nations clause,' which are commonly used in health contracts. The bill categorically prohibits these types of clauses, thereby promoting a more competitive and consumer-friendly insurance market.
Contention
Despite its positive outlook for consumers, there are concerns regarding the limitations this bill imposes on health insurance providers. Opponents argue that such restrictions may hinder the ability of insurers to negotiate competitive agreements with providers, leading to potential increases in insurance premiums over the long term. Furthermore, there is fear that enforcing such regulations might lead to reduced contractual flexibility for health providers, adversely impacting the overall healthcare landscape in Indiana. The balance between regulation and the ability of insurers to manage their contracts remains a hotly debated point among various stakeholders.
Requires certain contracting entities to submit information to the commissioner of administration prior to contracting with a state agency or receiving monies (OR +$60,000 GF EX See Note)
Requires certain quasi public and nongovernmental entities to submit information to the legislative auditor and be approved by the Joint Legislative Committee on the Budget prior to receiving state monies or assistance
Requires certain quasi public and nongovernmental entities to submit information to the legislative auditor and be approved by the Joint Legislative Committee on the Budget prior to receiving state monies or assistance (RE +$135,000 GF EX See Note)
Directs the commissioner of administration, the commissioner of higher education, and statewide elected officials to review certain state contracts to identify any that can be terminated and report to the Joint Legislative Committee on the Budget by March 1, 2016 (EN NO IMPACT See Note)