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 6811 NOTE PREPARED: Feb 27, 2024 BILL NUMBER: SB 9 BILL AMENDED: Feb 20, 2024 SUBJECT: Notice of Health Care Entity Mergers. FIRST AUTHOR: Sen. Garten BILL STATUS: As Passed House FIRST SPONSOR: Rep. Schaibley FUNDS AFFECTED:XGENERAL IMPACT: State & Local XDEDICATED FEDERAL Summary of Legislation: The bill requires health care entities to provide notice of certain mergers or acquisitions to office of the Attorney General. It specifies notice requirements. The bill requires the office of the Attorney General to review the information submitted with the notice. It allows the office of the Attorney General to: (1) analyze in writing any antitrust concerns with the merger or acquisition; and (2) issue a civil investigative demand for additional information. It specifies that the information is confidential. Effective Date: July 1, 2024. Explanation of State Expenditures: Attorney General: The bill’s requirements are within the Attorney General’s routine administrative functions and should be able to be implemented with no additional appropriations, assuming near customary agency staffing and resource levels. The bill requires state-owned health care entities to submit a notice of a merger with total assets of at least $10 M to the Attorney General. This requirement is within the normal administrative functions of health care entities and should be able to be implemented with no additional appropriations. Explanation of State Revenues: Explanation of Local Expenditures: The bill requires locally-owned health care entities to submit notice of a merger with total assets of at least $10 M to the Attorney General. This requirement is within the normal SB 9 1 administrative functions of health care entities and should be able to be implemented with no additional appropriations. Explanation of Local Revenues: State Agencies Affected: Attorney General; state-owned health care entities. Local Agencies Affected: Locally-owned health care entities. Information Sources: Fiscal Analyst: Jasmine Noel, 317-234-1360. SB 9 2