Healthcare

Requires a state employee health plan to reimburse the provider of behavior analysis services that provides behavior analysis services to a covered individual at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances. Requires a policy of accident and sickness insurance to reimburse the provider of behavior analysis services that provides behavior analysis services to an insured at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances. Requires a health maintenance organization contract to reimburse the provider of behavior analysis services that provides behavior analysis services to an enrollee at a rate of not less than 110% of the Medicaid reimbursement rate for behavior analysis services under certain circumstances.

Provides that a public school that participates in a federally funded or assisted meal program: (1) may not serve, sell, or allow a third party vendor to serve or sell a food or beverage that contains certain ingredients on school property on a school day; and (2) shall post any breakfast or lunch menu and ingredients on the school's website. Establishes exceptions.

Requires that: (1) certain health care providers; (2) hospitals; and (3) the office of the secretary of family and social services or a managed care organization that has contracted with the office under the Medicaid program; ensure that a Medicaid recipient or an individual eligible for Medicaid who gives birth schedules a follow-up appointment for postpartum care that is not later than 60 days from the date the woman gives birth. (The introduced version of this bill was prepared by the interim study committee on public health, behavioral health, and human services.)

Requires each school corporation and charter school to develop a plan to conduct developmentally appropriate evidence based: (1) mental health screening; and (2) substance use disorder screening; for students in kindergarten through grade 12. Establishes notification, consent, and data destruction requirements. Requires the department of education to make available to school corporations and charter schools developmentally appropriate evidence based mental health screening and substance use disorder screening tools and resources.

Requires a state employee health plan to cover supplemental breast examinations. Requires a policy of accident and sickness insurance and a health maintenance organization to cover diagnostic breast examinations and supplemental breast examinations. Provides that the coverage for diagnostic breast examinations and supplemental breast examinations may not be subject to any cost sharing requirements.

Removes the requirement that an advanced practice registered nurse (APRN) have a practice agreement with a collaborating physician. Removes a provision requiring an APRN to operate under a collaborative practice agreement or the privileges granted by a hospital governing board. Removes certain provisions concerning the audit of practice agreements. Allows an APRN with prescriptive authority to prescribe a schedule II controlled substance for weight reduction or to control obesity. Makes conforming changes.

HB 1097 updates the state's chronic disease registry to include Parkinson's disease by adding it to the legal definition of "chronic disease" under the registry program. This change directly affects individuals diagnosed with Parkinson's disease, as their condition will now be tracked in the state's health data system. The bill modifies the registry's scope through a definitional update, without creating new programs or funding. It ensures Parkinson's disease is included in existing data collection efforts for chronic illness tracking.

Allows an individual's spouse, legal guardian, friend, relative, or medical service provider to petition a court for involuntary substance use disorder treatment. Requires a petition to include certain information and allows a court to dismiss a petition, without prejudice, if it does not contain the required information. Requires the court to appoint a public defender if the individual subject to a petition seeking involuntary substance use disorder treatment is not represented by an attorney. Requires a court to order the individual to be evaluated by a medical provider if the court finds that: (1) the individual has a substance use disorder; (2) because of the individual's substance use disorder, the individual is experiencing impaired judgment and is unable to independently maintain the individual's activities of daily living or is a danger to self or others; and (3) the individual refuses to voluntarily participate in substance use disorder treatment. Allows a court to order a local law enforcement agency to consider whether an individual meets the criteria for emergency detention under certain circumstances. Requires a medical provider who completes an evaluation concerning an individual's need for substance use disorder treatment to submit the evaluation to the court. Specifies that after receiving an evaluation from a medical provider, the court may dismiss the petition or set a hearing for further evidence to be presented about the individual's need for substance use disorder treatment. Requires a court to order involuntary outpatient substance use disorder treatment for a period, not to exceed 90 days, if medical evidence supports that the individual requires immediate treatment for a substance use disorder and the individual has refused treatment.

Allows individuals with a terminal illness who meet certain requirements to make a request to an attending provider for medication that the individual may self-administer to bring about death. Specifies requirements a provider must meet in order to prescribe the medication to a patient. Prohibits an insurer from denying payment of benefits under a life insurance policy based upon a suicide clause in the life insurance policy if the death of the insured individual is the result of medical aid in dying. Establishes a Level 1 felony if a person: (1) without authorization of the patient, willfully alters, forges, conceals, or destroys a request for medication or a rescission of a request for medication with the intent or effect of causing the individual's death; or (2) knowingly or intentionally coerces or exerts undue influence on an individual to request medication to bring about death or to destroy a rescission of a request for medication to bring about death. Establishes a Class A misdemeanor if a person, without authorization of the patient, willfully alters, forges, conceals, or destroys a request for medication or a rescission of a request for medication in order to affect a health care decision by the individual. Establishes certain criminal and civil immunity for health care providers.

Provides that a policy of accident and sickness insurance and health maintenance organization that require an insured to select a primary care provider to receive coverage may permit an insured to select a participating provider who is a physical therapist to provide physical therapy services or an occupational therapist to provide occupational therapy services.