Ownership of health care providers.

Hospital ownership reporting requirements were changed to require reporting of entities with at least 5% ownership interest, controlling interest, or private equity partnership interest, with specific address and identification number requirements.

The payer affordability penalty fund was modified to include additional statutes (IC 16-19-18-4, IC 25-22.5-18-5) in the list of sources for fines collected.

The definition of 'controlling' was changed from IC 16-21-6-0.3 to IC 16-19-18-1, and a new chapter was added to establish ownership disclosure requirements.

The bill format was changed from an enrolled act to a regular house bill, with updated formatting and citation styles.

Added detailed breakdown requirements for hospital financial reports, now requiring separate reporting of net patient revenue and paid claims for inpatient and outpatient services by payer type (Medicare, Medicaid, commercial insurance, self-pay, and other categories).

Updated formatting and page numbering from the engrossed version to the enrolled version, reflecting final legislative approval.

Added 'First Regular Session of the 124th General Assembly (2025)' header and printing code explanations to clarify the bill's official status and formatting conventions.

Changed reporting requirements so hospitals report to the Department of Health and certain health care entities report to the Secretary of State, instead of all health care entities reporting to the Department of Health.

Added confidentiality protections for ownership information, preventing disclosure under public records and public meetings laws.

Removed the requirement for health care entities to provide notice to the Attorney General for mergers or acquisitions with assets over $10 million.

Changed the merger approval process to require approval from the health care entity merger approval board before mergers or acquisitions can proceed.

Added authority for the Attorney General to investigate market concentration of health care entities.

Updated effective dates from July 1, 2025 and January 1, 2026 to include both dates, and changed the bill identifier from HB to EH.

Changed ownership reporting requirements from applying only to hospitals to applying to all health care entities filing annual fiscal reports.

Added requirement for health care entities to provide notice to the attorney general's office regarding mergers and acquisitions.

Established a new Health Care Entity Merger Approval Board to evaluate and approve or deny proposed mergers and acquisitions of health care entities.

Updated the definition of 'health care entity' for provisions governing mergers and acquisitions to include broader applicability.

Updated affected code citations from specific section numbers to chapter-level citations and added new code sections for merger approval board and reporting requirements.

Changed effective date from July 1, 2025 to 'upon passage' while maintaining July 1, 2025 as a secondary effective date for certain provisions.