| 1 | 1 | | |
|---|
| 2 | 2 | | Introduced Version |
|---|
| 3 | 3 | | HOUSE BILL No. 1206 |
|---|
| 4 | 4 | | _____ |
|---|
| 5 | 5 | | DIGEST OF INTRODUCED BILL |
|---|
| 6 | 6 | | Citations Affected: IC 12-15-13-10. |
|---|
| 7 | 7 | | Synopsis: Reimbursement of ambulatory surgical centers. Requires, |
|---|
| 8 | 8 | | beginning January 1, 2026, Medicaid reimbursement for dental |
|---|
| 9 | 9 | | procedures performed where the patient is under anesthesia at an |
|---|
| 10 | 10 | | ambulatory outpatient surgical center at a rate that is equal to 100% of |
|---|
| 11 | 11 | | the Medicare reimbursement rate for the same service. |
|---|
| 12 | 12 | | Effective: July 1, 2025. |
|---|
| 13 | 13 | | Goss-Reaves |
|---|
| 14 | 14 | | January 8, 2025, read first time and referred to Committee on Public Health. |
|---|
| 15 | 15 | | 2025 IN 1206—LS 6963/DI 147 Introduced |
|---|
| 16 | 16 | | First Regular Session of the 124th General Assembly (2025) |
|---|
| 17 | 17 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
|---|
| 18 | 18 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
|---|
| 19 | 19 | | additions will appear in this style type, and deletions will appear in this style type. |
|---|
| 20 | 20 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
|---|
| 21 | 21 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
|---|
| 22 | 22 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
|---|
| 23 | 23 | | a new provision to the Indiana Code or the Indiana Constitution. |
|---|
| 24 | 24 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
|---|
| 25 | 25 | | between statutes enacted by the 2024 Regular Session of the General Assembly. |
|---|
| 26 | 26 | | HOUSE BILL No. 1206 |
|---|
| 27 | 27 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
|---|
| 28 | 28 | | Medicaid. |
|---|
| 29 | 29 | | Be it enacted by the General Assembly of the State of Indiana: |
|---|
| 30 | 30 | | 1 SECTION 1. IC 12-15-13-10 IS ADDED TO THE INDIANA |
|---|
| 31 | 31 | | 2 CODE AS A NEW SECTION TO READ AS FOLLOWS |
|---|
| 32 | 32 | | 3 [EFFECTIVE JULY 1, 2025]: Sec. 10. Beginning January 1, 2026, |
|---|
| 33 | 33 | | 4 the office shall reimburse a provider for dental procedures |
|---|
| 34 | 34 | | 5 performed where the patient is under anesthesia (code G0330 or its |
|---|
| 35 | 35 | | 6 successor code) at an ambulatory outpatient surgical center (as |
|---|
| 36 | 36 | | 7 defined in IC 16-18-2-14) at a rate that is equal to one hundred |
|---|
| 37 | 37 | | 8 percent (100%) of the Medicare reimbursement rate for the same |
|---|
| 38 | 38 | | 9 service. |
|---|
| 39 | 39 | | 2025 IN 1206—LS 6963/DI 147 |
|---|