Senate Bill

SB 225

Health matters.

In plain English

Stops hospitals, debt collectors, and other third parties from collecting medical debt when the hospital is not following certain state laws. The Indiana department of health must check hospital compliance twice a year, and the attorney general can suspend a hospital's authority to collect. The bill also requires 60 days' written notice before a hospital closes or ends a service line, and makes other changes.

Written by AI from the official digest below, and checked only by automated rules. If they differ, the official digest and bill text control.

Official digest

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.

Latest action: Public Law 124, March 5, 2026Full text and history at iga.in.gov

Authors and sponsors

Justin Busch, Ed Charbonneau, Fady Qaddoura, Brad Barrett

Co-authors and co-sponsors: Shelli Yoder, Martin Carbaugh, Julie McGuire, Joanna King

Roll-call votes

3 recorded votes, oldest first. Third-reading votes decide whether a bill passes a chamber; amendment votes and procedural motions are listed too.

Senate · Jan 27, 2026

Third reading: vote to pass

Roll call text: SB 225 - Busch - 3rd Reading

Passed

43 yes1 no5 did not vote

Republicans: 35 yes, 1 no, 3 did not voteDemocrats: 8 yes, 0 no, 2 did not vote

How each member voted

House · Feb 23, 2026

Third reading: vote to pass

Roll call text: SB 225 - Barrett - 3rd Reading

Passed

94 yes1 no5 did not vote

Republicans: 64 yes, 1 no, 4 did not voteDemocrats: 29 yes, 0 no, 1 did not voteIndependents: 1 yes, 0 no

How each member voted

Yes (94)

No (1)

Did not vote (5)

Senate · Feb 26, 2026

Final vote: concurrence or conference report

Roll call text: SB 225 - Busch

Passed

49 yes0 no1 did not vote

Republicans: 40 yes, 0 noDemocrats: 9 yes, 0 no, 1 did not vote

How each member voted

Source: Open States, compiled from the Indiana General Assembly's official roll calls. The official record at iga.in.gov controls. Spot an error? Let us know.