Establishes a hospital facility fee excise tax imposed when a hospital charges a facility fee that exceeds 265% of the hospital's Medicare facility fee. Excludes a critical access hospital from the excise tax statute. Requires the excise taxes to be used for the lawful purposes of the Medicaid program and for developing the health care workforce serving rural areas of Indiana. Establishes: (1) a state directed payment program (program) for hospitals; and (2) a managed care assessment fee; subject to the approval of the United States Department of Health and Human Services. Specifies that a nonprofit hospital is a hospital organized as a nonprofit corporation or a charitable trust under the laws of Indiana or the laws of any other state or country. Limits what may constitute community benefits for certain nonprofit hospitals. Requires, before November 1 of each state fiscal year, nonprofit hospitals (that are not county hospitals) to provide to the department of insurance (department) a report including aggregate data on all billed services and items and a comparison of the charges for those services and items to their respective Medicare reimbursement rates. Provides that a nonprofit hospital that charges an amount for a service or item in excess of 300% of the nonprofit hospital's modified Medicare reimbursement rate at the time of the charge forfeits its status as a nonprofit hospital. Allows a nonprofit hospital to reestablish the nonprofit hospital's status as a nonprofit hospital. Provides that all nonprofit hospitals are subject to an annual audit by, and at the discretion of, the department. Requires, before November 1 of each year, every nonprofit hospital to provide the health care cost oversight task force with, and make available for publication on the general assembly's website, the entirety of the Schedule H portion of the nonprofit hospital's previous taxable year's federal Form 990, including specified forms. Makes an appropriation.

Statutes affected:
House Bill (H): 6-8.1-1-1
Engrossed House Bill (H): 6-8.1-1-1, 12-15-16-1, 12-15-16-7, 12-15-16-7.7, 12-15-18-5.1, 12-15-44.5-4, 12-15-44.5-6, 16-21-10-4, 16-21-10-6, 16-21-10-8, 16-21-10-9, 16-21-10-10, 16-21-10-11, 16-21-10-13.3, 16-21-10-14, 16-21-10-19, 16-21-10-21