1. (a) This chapter applies to an Indiana nonprofit hospital system.

2. (b) This chapter does not apply to the following:

   1. (1) A hospital licensed under IC 16-21-2 that is operated by:

      1. (A) a county;
      2. (B) a city pursuant to IC 16-23 ; or
      3. (C) the health and hospital corporation established under IC 16-22-8 .
   2. (2) A critical access hospital that meets the criteria under 42 CFR 485.601 through 42 CFR 485.647.
   3. (3) A rural health clinic (as defined in 42 U.S.C. 1396d(l)(1)).
   4. (4) A federally qualified health center (as defined in 42 U.S.C. 1396d(l)(2)(B)).
   5. (5) An oncology treatment facility, even if owned or operated by a hospital.
   6. (6) A health facility licensed under IC 16-28 .
   7. (7) A community mental health center certified under IC 12-21-2-3 (5)(C).
   8. (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. (9) A facility that:

      1. (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
      2. (B) is located in a municipality with a population of less than twenty thousand (20,000).

   10. (10) Services provided for the treatment of individuals with psychiatric disorders or chronic addiction disorders in:

       1. (A) any part of a hospital, whether or not a distinct part; or
       2. (B) an outpatient off campus site that is within thirty-five (35) miles of a hospital.
   11. (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.