Applicability; Prohibition on Preventing Disclosure of Health Care Service Claims Data; Violation an Unfair or Deceptive Act

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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.


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