IC 16-51-1-1 — Applicability
Chapter 1. Health Care Billing
Bills citing this section
Section text
Sec. 1. (a) This chapter applies to an Indiana nonprofit hospital system. (b) This chapter does not apply to the following: (1) A hospital licensed under IC 16-21-2 that is operated by: (A) a county; (B) a city pursuant to IC 16-23; or (C) the health and hospital corporation established under IC 16-22-8. (2) A critical access hospital that meets the criteria under 42 CFR 485.601 through 42 CFR 485.647. (3) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)). (4) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)). (5) An oncology treatment facility, even if owned or operated by a hospital. (6) A health facility licensed under IC 16-28. (7) A community mental health center certified under IC 12-21-2-3(5)(C). (8) A private mental health institution licensed under IC 12-25, including a service facility location for a private mental health institution and reimbursed as a hospital-based outpatient service site. (9) A facility that: (A) has a place of service code 20, as published in the place of service code set maintained by the federal Centers for Medicare and Medicaid Services; and (B) is located in a municipality with a population of less than twenty thousand (20,000). (10) Services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders in: (A) any part of a hospital, whether or not a distinct part; or (B) an outpatient off campus site that is within thirty-five (35) miles of a hospital. (11) Billing under the Medicare program or a Medicare advantage plan.
As added by P.L.203-2023, SEC.18. Amended by P.L.216-2025, SEC.37; P.L.213-2025, SEC.156; P.L.23-2026, SEC.159.
Source: official publisher (2026 edition)