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May 2025

(from the College of American Pathologists Advocacy News  May 13, 2025 | College of American Pathologists)

Pathology amends Indiana blood retention bill

The Indiana Association of Pathologists (IAP) and the CAP prevented an overly burdensome requirement over blood draw retentions from becoming law.  

Why it matters: The IAP and CAP partnered to amend a bill that would have required retention of all first-draw blood specimens for up to 30 days.

  • The IAP's testimony on February 11 to amend the bill highlighted logistical challenges and potential complications.

The big picture: Following the IAP testimony, the bill was successfully amended to limit the criteria for retention and to establish any blood retention requirement based on a hospital-based protocol.

  • The protocol requires specific notification on lab orders for patients admitted to the emergency room and treated for suspicious or violent circumstances, accidental injuries, or overdoses.
  • The retention time frame is now the earlier of patient discharge, death, or a maximum of 21 days.

On May 6, Indiana Gov. Mike Braun signed HB 1194 into law.


Indiana health care law revised

The CAP and the Indiana Association of Pathologists (IAP) amended a comprehensive health care law to limit price disclosure to only 50 shoppable pathology and laboratory services.

Why it matters: Originally, the bill would have required publishing multiple prices for every CPT code for pathology and lab services.

Countering trends of narrowing networks of physicians, the new law requires the Indiana Department of Insurance to assess whether health plans meet network adequacy standards, including availability of specialty providers such as pathologists.

  • CAP-supported network adequacy requirements overcame opposition from the insurance industry to become law in Indiana.

One more thing: Written estimates of scheduled, ordered, or referred services for patients will now be required within two business days, instead of five days.

On May 6, Indiana Gov. Mike Braun signed HB 1003 into law.



February 2025

DONATE NOW

Find Your Legislator

Urgent action is required to protect pathology practices in Indiana. We are facing two critical legislative threats that could severely impact our profession. With key hearings and votes scheduled in the coming days, we need your immediate support to prevent these bills from becoming law.

We urgently need your help.

The Indiana Association of Pathologists (IAP), in partnership with the College of American Pathologists (CAP), is working tirelessly to oppose these harmful bills. However, we currently have only $5,000 in our advocacy fund and must raise an additional $10,000 to effectively fight these threats. Donations of any amount are critical, as each contribution directly supports our efforts to protect the future of pathology in Indiana.

1. HB 1194: A Burdensome Mandate for Medical Laboratories

  • Committee Hearing: 2/10
    HB 1194 would require hospitals and medical laboratories to retain blood samples for 21 days after collection. Indiana’s medical labs do not have the capacity to store samples for this extended period, and this bill undermines physician judgment, adding significant costs and logistical burdens to our practices.

What You Can Do NOW:

  • Contact Your Legislators: Tell them you oppose HB 1194 unless it is amended.
  • Donate: No contribution is too small—every dollar helps us defend against this harmful bill. Donate

2. HB 1003: Harmful Provisions for Pathology Practices

  • Committee Vote/Amendments: 2/12
    HB 1003 includes several provisions that threaten the viability of pathology practices:
    • Anti-competitive contracting: Gives health plans more power, placing physicians at a disadvantage.
    • Unrealistic good faith estimate requirements: Places an unnecessary burden on physicians and may impact patient care.
    • Clinical lab price posting: Requires clinical labs to post inaccurate pricing online, which doesn’t reflect the true complexity of pathology services.

What You Can Do NOW:

  • Contact Your Legislators: Urge them to oppose the damaging provisions in HB 1003.
  • Donate: Every dollar counts—your donation will support our efforts to protect the practice of pathology. Donate 

How You Can Help—RIGHT NOW:

  • Donate in any amount: We need to raise $10,000 to continue our advocacy efforts. Every contribution, large or small, is vital to stopping these bills.
  • Contact Your Legislators: Contact your state representatives today.
  • Spread the Word: Share this email with your colleagues and encourage them to take action.

The Clock Is Ticking—We Need Your Help NOW!

The deadlines for these bills are fast approaching, and the time to act is now. With the support of CAP, we are working diligently to stop these harmful measures—but we need your financial help to make it happen.

Please donate todayand take action by contacting your legislators. Your involvement is essential in defending the practice of pathology in Indiana.

Thank you for your time and your support. Together, we can protect the future of pathology!


Be part of the ongoing efforts lead by IAP, CAP and ISMA to challenge these bills

 

When donating online , please type ADVOCACY FUND in the 'Reference' field.  Please note that the IAP will be charged a transaction fee by the payment acceptance system. For large donations, please consider donating by check. Make checks payable to:

Indiana Association of Pathologists, Inc.

3270 Kirkbride Way

Indianapolis, IN 46222-4599

Memo: Advocacy Fund



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