Indiana SB 225 — Health matters.
Indiana, 2026. SB 225: Health matters.
Latest action
March 5, 2026 — Public Law 124
Summary
Amends the definition of "ambulatory outpatient surgical center" to remove the requirement that a surgical procedure is permitted to be performed only by a physician, dentist, or podiatrist who has certain hospital privileges. Prohibits a hospital, debt collector, or other third party from pursuing medical debt collection if the hospital is noncompliant with specified statutes. Requires the Indiana department of health (state department) to determine on a semiannual basis whether a hospital is in compliance with the statutes and notify a hospital concerning the state department's compliance determination. Authorizes the attorney general to suspend the authority of a hospital to pursue medical debt collection when the state department has made a final determination that the hospital is noncompliant. Creates an affirmative defense for a debtor if the collection attempt occurred while the hospital was noncompliant. Requires a hospital to provide the state department with 60 days written notice if the hospital plans to: (1) close and permanently terminate all hospital operations; or (2) completely eliminate a service line for longer than 90 days. Allows for a waiver of the notification requirements in specified circumstances.
Sponsors
- Justin Busch — primary sponsor
- Ed Charbonneau — primary sponsor
- Fady Qaddoura — primary sponsor
- Shelli Yoder
- Brad Barrett — primary sponsor
- Martin Carbaugh
- Julie McGuire
- Joanna King
Bill text
Enrolled Senate Bill (S) Read version ↗
Senate Bill (S) Read version ↗ Read version ↗
Senate Bill (H) Read version ↗
Engrossed Senate Bill (H) Read version ↗
Introduced Senate Bill (S) Read version ↗
Recorded votes
SB 225 - Busch - 3rd Reading
January 27, 2026 · Senate · pass
yes: 43 · no: 1 · excused: 3 · not voting: 2
Official vote source ↗Individual member positions (49)
| Member | Vote |
|---|---|
| Taylor | not voting |
| Bassler | not voting |
| Garten | excused |
| Ford J.D. | excused |
| Becker | excused |
| Freeman | no |
| Qaddoura | yes |
| Holdman | yes |
| Carrasco | yes |
| Young | yes |
| Pol | yes |
| Goode | yes |
| Byrne | yes |
| Yoder | yes |
| Niezgodski | yes |
| Glick | yes |
| Busch | yes |
| Walker K | yes |
| Niemeyer | yes |
| Gaskill | yes |
| Buck | yes |
| Walker G | yes |
| Mishler | yes |
| Doriot | yes |
| Buchanan | yes |
| Tomes | yes |
| Maxwell | yes |
| Donato | yes |
| Brown | yes |
| Spencer | yes |
| Leising | yes |
| Dernulc | yes |
| Bray | yes |
| Schmitt | yes |
| Koch | yes |
| Deery | yes |
| Bohacek | yes |
| Rogers | yes |
| Johnson | yes |
| Crider | yes |
| Baldwin | yes |
| Randolph | yes |
| Jackson, L | yes |
| Clark | yes |
| Alting | yes |
| Raatz | yes |
| Hunley | yes |
| Charbonneau | yes |
| Alexander | yes |
SB 225 - Barrett - 3rd Reading
February 23, 2026 · House · pass
yes: 94 · no: 1 · excused: 4 · not voting: 1
Official vote source ↗Individual member positions (100)
| Member | Vote |
|---|---|
| Mr. Speaker | not voting |
| Moed | excused |
| McGuire | excused |
| Behning | excused |
| Baird | excused |
| Manning | no |
| Pierce, M | yes |
| Klinker | yes |
| Errington | yes |
| Pierce, K | yes |
| King | yes |
| Engleman | yes |
| Zimmerman | yes |
| Pfaff | yes |
| Karickhoff | yes |
| Dvorak | yes |
| Yocum | yes |
| Payne | yes |
| Judy | yes |
| DeVon | yes |
| Wesco | yes |
| Patterson | yes |
| Jordan | yes |
| DeLaney | yes |
| VanNatter | yes |
| Pack | yes |
| Johnson, B | yes |
| Davis | yes |
| Thompson | yes |
| Olthoff | yes |
| Jeter | yes |
| Dant Chesser | yes |
| Teshka | yes |
| O'Brien | yes |
| Jackson, C | yes |
| Culp | yes |
| Sweet | yes |
| Novak | yes |
| Isa | yes |
| Criswell | yes |
| Summers | yes |
| Moseley | yes |
| Ireland | yes |
| Commons | yes |
| Steuerwald | yes |
| Morris | yes |
| Hostettler | yes |
| Clere | yes |
| Soliday | yes |
| Miller, K | yes |
| Heine | yes |
| Cash | yes |
| Snow | yes |
| Miller, D | yes |
| Heaton | yes |
| Carbaugh | yes |
| Smith, V | yes |
| Meltzer | yes |
| Hatcher | yes |
| Campbell | yes |
| Smith, H | yes |
| McNamara | yes |
| Harris | yes |
| Burton | yes |
| Smaltz | yes |
| Mayfield | yes |
| Hamilton | yes |
| Borders | yes |
| Slager | yes |
| May | yes |
| Hall | yes |
| Bauer | yes |
| Shonkwiler | yes |
| Lucas | yes |
| Haggard | yes |
| Bascom | yes |
| Shackleford | yes |
| Lopez | yes |
| Greene | yes |
| Bartlett | yes |
| Rowray | yes |
| Lindauer | yes |
| Goss-Reaves | yes |
| Bartels | yes |
| Pryor | yes |
| Lehman | yes |
| Gore | yes |
| Barrett | yes |
| Pressel | yes |
| Ledbetter | yes |
| GiaQuinta | yes |
| Aylesworth | yes |
| Prescott | yes |
| Lawson | yes |
| Genda | yes |
| Andrade | yes |
| Porter | yes |
| Lauer | yes |
| Garcia Wilburn | yes |
| Abbott | yes |
SB 225 - Busch
February 26, 2026 · Senate · pass
yes: 49 · no: 0 · excused: 0 · not voting: 1
Official vote source ↗Individual member positions (50)
| Member | Vote |
|---|---|
| Pol | not voting |
| Raatz | yes |
| Goode | yes |
| Carrasco | yes |
| Qaddoura | yes |
| Glick | yes |
| Byrne | yes |
| Niezgodski | yes |
| Gaskill | yes |
| Busch | yes |
| Young | yes |
| Niemeyer | yes |
| Garten | yes |
| Buck | yes |
| Yoder | yes |
| Mishler | yes |
| Freeman | yes |
| Buchanan | yes |
| Walker K | yes |
| McKinley | yes |
| Ford J.D. | yes |
| Brown | yes |
| Walker G | yes |
| Maxwell | yes |
| Doriot | yes |
| Bray | yes |
| Tomes | yes |
| Leising | yes |
| Donato | yes |
| Bohacek | yes |
| Taylor | yes |
| Koch | yes |
| Dernulc | yes |
| Becker | yes |
| Spencer | yes |
| Johnson | yes |
| Deery | yes |
| Bassler | yes |
| Schmitt | yes |
| Jackson, L | yes |
| Crider | yes |
| Baldwin | yes |
| Rogers | yes |
| Hunley | yes |
| Clark | yes |
| Alting | yes |
| Randolph | yes |
| Holdman | yes |
| Charbonneau | yes |
| Alexander | yes |
Legislative history
- Signed by the Speaker
- Public Law 124
- Signed by the President Pro Tempore
- Signed by the Governor
- Signed by the President of the Senate
- Senate concurred with House amendments; Roll Call 300: yeas 49, nays 0
- Motion to concur filed
- Returned to the Senate with amendments
- Representatives McGuire, King added as cosponsors
- Third reading: passed; Roll Call 307: yeas 94, nays 1
- Second reading: ordered engrossed
- Committee report: amend do pass, adopted
- Committee report: amend do pass, adopted
- Recommitted to Committee on Ways and Means pursuant to House Rule 126.3
- First reading: referred to Committee on Public Health
- Referred to the House
- Third reading: passed; Roll Call 111: yeas 43, nays 1
- House sponsor: Representative Barrett
- Senator Qaddoura added as third author
- Cosponsor: Representative Carbaugh
- Senator Yoder added as coauthor
- Amendment #1 (Busch) prevailed; voice vote
- Second reading: amended, ordered engrossed
- Committee report: amend do pass, adopted
- Senator Charbonneau added as second author
- First reading: referred to Committee on Health and Provider Services
- Authored by Senator Busch
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