Indiana HB1328 limits hospital billing for administered drugs to 120% of Medicare rates or the hospital's June 30, 2026, billed amount.
Indiana HB1328 regulates hospital billing for administered drugs, setting a cap at the lesser of 120% of the Medicare reimbursement rate or the hospital's billed amount on June 30, 2026. This law applies to hospitals licensed under IC 16-18-2, excluding critical access hospitals. It mandates hospitals to update their Medicare reimbursement rates for drugs on January 1 and July 1 each year. If the Medicare reimbursement rate increases, hospitals may bill beyond the set cap, but only by the amount of the increase.
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