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
Yes (43)
- Andrea Hunley (D)
- Blake Doriot (R)
- Brett Clark (R)
- Brian Buchanan (R)
- Cyndi Carrasco (R)
- Dan Dernulc (R)
- Daryl Schmitt (R)
- David Niezgodski (D)
- Ed Charbonneau (R)
- Eric Koch (R)
- Fady Qaddoura (D)
- Gary Byrne (R)
- Greg Goode (R)
- Greg Walker (R)
- Jean Leising (R)
- Jeff Raatz (R)
- Jim Buck (R)
- Jim Tomes (R)
- Justin Busch (R)
- Kyle Walker (R)
- La Keisha Jackson (D)
- Linda Rogers (R)
- Liz Brown (R)
- Lonnie Randolph (D)
- Mark Spencer (D)
- Michael Crider (R)
- Mike Bohacek (R)
- Mike Gaskill (R)
- Mike Young (R)
- Randy Maxwell (R)
- Rick Niemeyer (R)
- Rod Bray (R)
- Rodney Pol (D)
- Ron Alting (R)
- Ryan Mishler (R)
- Scott Alexander (R)
- Scott Baldwin (R)
- Shelli Yoder (D)
- Spencer Deery (R)
- Stacey Donato (R)
- Sue Glick (R)
- Travis Holdman (R)
- Tyler Johnson (R)
No (1)
- Aaron Freeman (R)
Did not vote (5)
- Chris Garten (R)
- Eric Bassler (R)
- Greg Taylor (D)
- J.D. Ford (D)
- Vaneta Becker (R)
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)
- Alaina Shonkwiler (R)
- Alex Burton (D)
- Alex Zimmerman (R)
- Andrew Ireland (R)
- Becky Cash (R)
- Ben Smaltz (R)
- Blake Johnson (D)
- Bob Heaton (R)
- Bob Morris (R)
- Brad Barrett (R)
- Bruce Borders (R)
- Carey Hamilton (D)
- Carolyn Jackson (D)
- Cherrish Pryor (D)
- Chris Campbell (D)
- Chris Jeter (R)
- Chris Judy (R)
- Chris May (R)
- Chuck Moseley (D)
- Cindy Ledbetter (R)
- Cory Criswell (R)
- Craig Haggard (R)
- Craig Snow (R)
- Dale DeVon (R)
- Danny Lopez (R)
- Dave Hall (R)
- Dave Heine (R)
- David Abbott (R)
- Doug Miller (R)
- Earl Harris (D)
- Ed Clere (I)
- Ed DeLaney (D)
- Ed Soliday (R)
- Elizabeth Rowray (R)
- Ethan Lawson (R)
- Garrett Bascom (R)
- Greg Steuerwald (R)
- Gregory Porter (D)
- Hal Slager (R)
- Heath VanNatter (R)
- Hunter Smith (R)
- J.D. Prescott (R)
- Jack Jordan (R)
- Jake Teshka (R)
- Jeff Thompson (R)
- Jenny Meltzer (R)
- Jim Lucas (R)
- Jim Pressel (R)
- Joanna King (R)
- John Bartlett (D)
- Julie Olthoff (R)
- Karen Engleman (R)
- Kendell Culp (R)
- Kyle Miller (D)
- Kyle Pierce (R)
- Lindsay Patterson (R)
- Lori Goss-Reaves (R)
- Lorissa Sweet (R)
- Mark Genda (R)
- Martin Carbaugh (R)
- Matt Commons (R)
- Matt Hostettler (R)
- Matt Lehman (R)
- Matt Pierce (D)
- Maureen Bauer (D)
- Michelle Davis (R)
- Mike Andrade (D)
- Mike Aylesworth (R)
- Mike Karickhoff (R)
- Mitch Gore (D)
- Peggy Mayfield (R)
- Phil GiaQuinta (D)
- Ragen Hatcher (D)
- Randy Novak (D)
- Reneé Pack (D)
- Robb Greene (R)
- Robin Shackleford (D)
- Ryan Dvorak (D)
- Ryan Lauer (R)
- Shane Lindauer (R)
- Sheila Klinker (D)
- Steve Bartels (R)
- Sue Errington (D)
- Tim O'Brien (R)
- Tim Wesco (R)
- Tim Yocum (R)
- Tony Isa (R)
- Tonya Pfaff (D)
- Vanessa Summers (D)
- Vernon Smith (D)
- Victoria Garcia Wilburn (D)
- Wendy Dant Chesser (D)
- Wendy McNamara (R)
- Zach Payne (R)
No (1)
- Ethan Manning (R)
Did not vote (5)
- Beau Baird (R)
- Bob Behning (R)
- Julie McGuire (R)
- Justin Moed (D)
- Todd Huston (R)
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
Yes (49)
- Aaron Freeman (R)
- Andrea Hunley (D)
- Blake Doriot (R)
- Brett Clark (R)
- Brian Buchanan (R)
- Chris Garten (R)
- Cyndi Carrasco (R)
- Dan Dernulc (R)
- Daryl Schmitt (R)
- David Niezgodski (D)
- Ed Charbonneau (R)
- Eric Bassler (R)
- Eric Koch (R)
- Fady Qaddoura (D)
- Gary Byrne (R)
- Greg Goode (R)
- Greg Taylor (D)
- Greg Walker (R)
- J.D. Ford (D)
- Jean Leising (R)
- Jeff Raatz (R)
- Jim Buck (R)
- Jim Tomes (R)
- Justin Busch (R)
- Kyle Walker (R)
- La Keisha Jackson (D)
- Linda Rogers (R)
- Liz Brown (R)
- Lonnie Randolph (D)
- Mark Spencer (D)
- Michael Crider (R)
- Mike Bohacek (R)
- Mike Gaskill (R)
- Mike Young (R)
- Nick McKinley (R)
- Randy Maxwell (R)
- Rick Niemeyer (R)
- Rod Bray (R)
- Ron Alting (R)
- Ryan Mishler (R)
- Scott Alexander (R)
- Scott Baldwin (R)
- Shelli Yoder (D)
- Spencer Deery (R)
- Stacey Donato (R)
- Sue Glick (R)
- Travis Holdman (R)
- Tyler Johnson (R)
- Vaneta Becker (R)
Did not vote (1)
- Rodney Pol (D)
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.