Sec. 7. (a) This section applies to health provider contracts entered into or renewed after June 30, 2020.
(b) A health provider contract, including a contract with a pharmacy benefit manager or a health facility, may not contain a provision that prohibits the disclosure of health care service claims data to:
(1) employers providing the coverage; or
(2) beginning July 1, 2021, another person for use in the all payer claims data base established by IC 27-1-44.5.
However, any disclosure of claims data must comply with health privacy laws, including the federal Health Insurance Portability and Accountability Act (HIPAA) (P.L. 104-191).
(c) A violation of this section constitutes an unfair or deceptive act or practice in the business of insurance under IC 27-4-1-4.
As added by P.L.50-2020, SEC.5. Amended by P.L.93-2020, SEC.10; P.L.198-2021, SEC.21.
Structure Indiana Code
Article 1. Department of Insurance
Chapter 37. Health Provider Contracts
27-1-37-0.2. "Affiliate" Defined
27-1-37-1. "Emergency" Defined
27-1-37-1.5. "Health Carrier" Defined
27-1-37-2. "Health Maintenance Organization" Defined
27-1-37-3. "Health Provider Contract" Defined
27-1-37-3.2. "Health Provider Facility" Defined
27-1-37-3.5. "Hospital System" Defined
27-1-37-6. Requiring Provider to Provide Health Care Services