Ind. Code § 27-1-44.5-12
This is the official text of Ind. Code § 27-1-44.5-12, part of Indiana’s Code — part of the compiled statutory law of Indiana, published by the state as "Code." Browse the sections below, each linked to its official government source.
Not legal advice. This page reproduces the official text of a government statute for reference only. Laws change, and how a statute applies depends on your specific facts. For advice about your situation, consult a licensed attorney in your state.
Fee schedule for data requests; exceptions; report to budget committee
Official statutory text
Sec. 12. (a) Except as provided in subsections (b), (c), and (e), the fee schedule for each type of unrestricted data request is as follows:
Non-program Affiliated Individual
Data Set
Per Quarter
Per Year
Member Eligibility
$1,000
$4,000
Medical Claims
$1,500
$6,000
Pharmacy Claims
$ 500
$2,000
Hospital Encounters
Inpatient
$1,500
$6,000
Outpatient
$1,250
$5,000
Emergency Dept.
$1,250
$5,000
Commercial Entity (Non-redistribution)
Data Set
Per Quarter
Per Year
Member Eligibility
$1,500
$6,000
Medical Claims
$2,250
$9,000
Pharmacy Claims
$ 750
$3,000
Hospital Encounters
Inpatient
$2,250
$9,000
Outpatient
$1,875
$7,500
Emergency Dept.
$1,875
$7,500
Nonprofit/Educational Entity
Data Set
Per Quarter
Per Year
Member Eligibility
$ 250
$1,000
Medical Claims
$ 375
$1,500
Pharmacy Claims
$ 125
$ 500
Hospital Encounters
Inpatient
$ 375
$1,500
Outpatient
$ 312.50
$1,250
Emergency Dept.
$ 312.50
$1,250
Commercial Redistributor (Resellers)
Data Set
Per Quarter
Per Year
Member Eligibility
$2,500
$10,000
Medical Claims
$3,750
$15,000
Pharmacy Claims
$1,250
$5,000
Hospital Encounters
Inpatient
$3,750
$15,000
Outpatient
$3,125
$12,500
Emergency Dept.
$3,125
$12,500
(b) Data files, reports, or tables not otherwise listed in subsection (a) or custom data sets must be generated at a base rate of eighty dollars ($80) per hour with a minimum one (1) hour charge applied. An additional fee of three cents ($0.03) must be charged per individual life generated in the data, report, or table. A written estimate of the total cost must be provided to an entity that requests data or information under this subsection before the request is fulfilled.
(c) State or local agencies within the geographical boundaries of Indiana that request data for public distribution or non-redistribution purposes may not be charged a fee under this section.
(d) If it is determined by the data base that access to the analytic environment is necessary based on the quantity and type of data requested, the requesting entity will incur an additional licensing fee of one thousand dollars ($1,000) per month per user.
(e) Member eligibility data sets for the requested time period must be provided at no charge if requested along with at least one (1) other data set.
(f) A requesting entity may submit to the department a request for a waiver of any applicable fees if the entirety of the entity's research findings will be released to the public at no cost to the reader.
(g) A fee collected under this section must be deposited in the department of insurance fund created by IC 27-1-3-28.
(h) Before November 1, 2026, and before November 1 of each year thereafter, the department shall submit a report to the budget committee that contains the following information for the most recently preceding state fiscal year:
(1) The total amount of fees collected in total and for each fee type of unrestricted data.
(2) The number of individuals subject to fees in total and for each fee type of unrestricted data.
(3) Additional fee amounts charted in subsection (b) and the total amount collected.
(4) Additional licensing fee amounts charted in subsection (c) and the total amount collected.
(5) The total fund balance in the department of insurance fund under IC 27-1-3-28 as of June 30 of the most recently preceding state fiscal year.
As added by P.L.86-2026, SEC.3.
Non-program Affiliated Individual
Data Set
Per Quarter
Per Year
Member Eligibility
$1,000
$4,000
Medical Claims
$1,500
$6,000
Pharmacy Claims
$ 500
$2,000
Hospital Encounters
Inpatient
$1,500
$6,000
Outpatient
$1,250
$5,000
Emergency Dept.
$1,250
$5,000
Commercial Entity (Non-redistribution)
Data Set
Per Quarter
Per Year
Member Eligibility
$1,500
$6,000
Medical Claims
$2,250
$9,000
Pharmacy Claims
$ 750
$3,000
Hospital Encounters
Inpatient
$2,250
$9,000
Outpatient
$1,875
$7,500
Emergency Dept.
$1,875
$7,500
Nonprofit/Educational Entity
Data Set
Per Quarter
Per Year
Member Eligibility
$ 250
$1,000
Medical Claims
$ 375
$1,500
Pharmacy Claims
$ 125
$ 500
Hospital Encounters
Inpatient
$ 375
$1,500
Outpatient
$ 312.50
$1,250
Emergency Dept.
$ 312.50
$1,250
Commercial Redistributor (Resellers)
Data Set
Per Quarter
Per Year
Member Eligibility
$2,500
$10,000
Medical Claims
$3,750
$15,000
Pharmacy Claims
$1,250
$5,000
Hospital Encounters
Inpatient
$3,750
$15,000
Outpatient
$3,125
$12,500
Emergency Dept.
$3,125
$12,500
(b) Data files, reports, or tables not otherwise listed in subsection (a) or custom data sets must be generated at a base rate of eighty dollars ($80) per hour with a minimum one (1) hour charge applied. An additional fee of three cents ($0.03) must be charged per individual life generated in the data, report, or table. A written estimate of the total cost must be provided to an entity that requests data or information under this subsection before the request is fulfilled.
(c) State or local agencies within the geographical boundaries of Indiana that request data for public distribution or non-redistribution purposes may not be charged a fee under this section.
(d) If it is determined by the data base that access to the analytic environment is necessary based on the quantity and type of data requested, the requesting entity will incur an additional licensing fee of one thousand dollars ($1,000) per month per user.
(e) Member eligibility data sets for the requested time period must be provided at no charge if requested along with at least one (1) other data set.
(f) A requesting entity may submit to the department a request for a waiver of any applicable fees if the entirety of the entity's research findings will be released to the public at no cost to the reader.
(g) A fee collected under this section must be deposited in the department of insurance fund created by IC 27-1-3-28.
(h) Before November 1, 2026, and before November 1 of each year thereafter, the department shall submit a report to the budget committee that contains the following information for the most recently preceding state fiscal year:
(1) The total amount of fees collected in total and for each fee type of unrestricted data.
(2) The number of individuals subject to fees in total and for each fee type of unrestricted data.
(3) Additional fee amounts charted in subsection (b) and the total amount collected.
(4) Additional licensing fee amounts charted in subsection (c) and the total amount collected.
(5) The total fund balance in the department of insurance fund under IC 27-1-3-28 as of June 30 of the most recently preceding state fiscal year.
As added by P.L.86-2026, SEC.3.
Status: in_force · Read it on the official government site
Need a lawyer in Indiana?
Find a Indiana lawyer
About this page: Statute text is reproduced from official government publishers via the
Open US Law dataset
(Vaquill AI, snapshot v2026.08, CC BY 4.0). Primary legislative text like this is public domain under the government-edicts doctrine
(Georgia v. Public.Resource.Org, 2020). We link every section back to its official source so you can verify it independently.