LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
200 W. Washington St., Suite 301
Indianapolis, IN 46204
(317) 233-0696
iga.in.gov
FISCAL IMPACT STATEMENT
LS 6312 NOTE PREPARED: Dec 6, 2023
BILL NUMBER: HB 1266 BILL AMENDED:
SUBJECT: Freedom of Conscience in Health Care.
FIRST AUTHOR: Rep. Miller D BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED:XGENERAL IMPACT: State & Local
XDEDICATED
FEDERAL
Summary of Legislation: The bill provides that a health care provider, health care entity, and a health
carrier may not be required to provide or refer an individual for a health care service that violates the
conscience of the health care provider, health care entity, or health carrier. It establishes an exception for a
health carrier.
The bill specifies that a health care provider, health care entity, or a health carrier may not be subject to
discrimination and certain other acts and liability for declining to provide the health care service.
The bill also establishes a civil action for a violation of these provisions. It provides that a person who
prevails in a civil action is entitled to certain relief.
Effective Date: July 1, 2024.
Explanation of State Expenditures:
Explanation of State Revenues: If additional civil cases occur and court fees are collected, revenue to the
state General Fund will increase. The total revenue per case would range between $100 and $122. The
amount deposited will vary depending on whether the case is filed in a court of record or a municipal court.
The following linked document describes the fees and distribution of the revenue: Court fees imposed in
civil, probate, and small claims cases.
If health care insurance premiums collections in the state are affected as the result of the bill's requirement,
revenue to the state General Fund would be affected from either changes in corporate Adjusted Gross Income
HB 1266 1 Tax or Insurance Premium Tax collections. Any potential impact of the bill on premiums as the result of
changes in medical and medical-related costs or services underwritten is indeterminate.
Explanation of Local Expenditures:
Explanation of Local Revenues: If additional cases occur, revenue will be collected by certain local units.
If the case is filed in a court of record, the county will receive $32 and qualifying municipalities will receive
a share of $3. If the case is filed in a municipal court, the county receives $20, and the municipality will
receive $37. The following linked document describes the fees and distribution of the revenue: Court fees
imposed in civil, probate, and small claims cases.
State Agencies Affected:
Local Agencies Affected: Trial courts, city and town courts.
Information Sources: Indiana Supreme Court, Indiana Trial Court Fee Manual.
Fiscal Analyst: Karen Rossen, 317-234-2106.
HB 1266 2