Provides that if an insurance producer actively participates in a state or national professional insurance organization, the insurance commissioner may apply the insurance producer's participation toward the satisfaction of not more than two hours of the insurance producer's continuing education requirement in every two year licensing period. Prohibits a public adjuster from: (1) filing an insurance claim on behalf of an insured; (2) performing the role of roofing contractor, appraiser, or any other role with respect to the subject of a claim when the public adjuster is providing advice or assistance in the adjustment of the claim; or (3) filing an unfair claim settlement practice complaint unless the person who filed the claim has given written consent for the public adjuster to file the complaint. Requires a public adjuster, before entering into a contract with an insured, to provide a written disclosure concerning any direct or indirect financial interest that the public adjuster has with any other party that is or will be involved in the insured's claim. Requires a public adjuster to provide to an insured a disclosure document containing certain information before the insured enters into a contract with the public adjuster. Provides that a contract between a public adjuster and an insured must be in writing, must contain certain information, and must be prepared on a form filed with and approved by the insurance commissioner. Prohibits the inclusion of certain terms in the contract. Provides that if the insurer, not more than five business days after the date on which the insured's loss is reported to the insurer, either pays or commits in writing to pay to the policy limit of the insured's policy, the public adjuster may not be compensated by receiving a percentage of the total amount paid by the insurer and is entitled only to reasonable compensation for services provided. Allows an insured to void or rescind a contract with a public adjuster. Provides that, with respect to benefits provided by multiple employer welfare arrangements (MEWAs) to a public entity: (1) a policy of stop loss insurance issued by a reinsurer to the MEWA must cover claims submitted within the timely filing limit of the policy and the policy provisions of the stop loss coverage; and (2) the department of insurance may not adopt or enforce any rule that would reduce the timely filing limit specified in the policy and the policy provisions of the stop loss coverage. Requires the Indiana Public Employers' Plan, Inc., before December 31, 2026, to apply to the insurance commissioner for a certificate of authority to transact business as a domestic tax exempt reciprocal insurance company. Amends the anti-rebating law to provide that value-added products or services may be offered or provided for free or at a discounted price by an insurer or an insurance producer: (1) if the products or services: (A) are intended to mitigate or reduce the severity or frequency of loss; or (B) are primarily designed to enhance the health, financial wellness, or safety of persons or of persons' lives, health, or property; or (2) if the products or services: (A) are not offered in a manner that is unfairly discriminatory; and (B) are made available based on documented, objective criteria that are maintained for inspection by the insurance commissioner. Requires that a value-added product or service be accompanied by contact information. Requires an insurer that makes a material change to an insured's personal automobile or homeowner's policy to provide a written notice: (1) explaining the principal factors for the material change; or (2) stating that the insured, upon request, has a right to obtain a written notice explaining the principal factors for the material change. Establishes certain requirements for a notice of material change. Requires the insurance commissioner to adopt rules to implement the notice of material change requirements. Requires an insurer or health maintenance organization (HMO) that provides coverage under an Affordable Care Act Marketplace plan (Marketplace plan) to provide to each individual covered under the Marketplace plan, not earlier than six months and not later than two months before the individual will become 65 years of age, a notice that includes: (1) a statement that the individual may be eligible to enroll in Medicare during the individual's initial enrollment period; (2) a statement that, in most cases, someone covered by a Marketplace plan will want to end their Marketplace plan coverage upon becoming eligible for Medicare; and (3) detailed instructions for canceling the individual's Marketplace plan. Provides that the plan sponsor of a health benefit plan may, on behalf of all covered individuals, provide consent: (1) to all communications related to the health benefit plan being sent to covered individuals by electronic means; and (2) to the electronic delivery of health insurance identification cards. Repeals the current mutual insurance holding company law (IC 27-14) and replaces it with a new mutual holding company law (IC 27-14.5). Requires the insurance commissioner to conduct an examination of an HMO domiciled in Indiana at least once every five years (instead of once every three years) and provides that an examination of the quality management program of an HMO must be conducted at least once every five years (instead of once every three years). Amends the health benefit exchange law to provide that an individual who continues to pay premiums for a policy or contract offered by a qualified health plan issuer in a benefit year that follows the benefit year in which the individual purchased the original policy or contract is considered to have purchased a new policy or contract for the purposes of the federal regulation providing that Medicare entitlement or enrollment is not a basis to nonrenew an individual's health insurance coverage in the individual market under the same policy or contract of insurance.
Sponsored bills
Provides that, subject to certain procedures and requirements, the office of the secretary of family and social services may apply to the United States Department of Health and Human Services: (1) for a Medicaid state plan amendment, a waiver, or an amendment to an existing waiver to require reimbursement for eligible certified community behavioral health clinic services; or (2) to participate in the expansion of a community mental health services demonstration program. Requires the division of mental health and addiction to establish and maintain a help line: (1) to provide confidential emotional support and referrals to certain resources to individuals who call the help line; and (2) that is accessible by calling a toll free telephone number. Establishes the Indiana behavioral health commission (commission) and sets forth the commission's membership. Changes the name of the "9-8-8 crisis hotline center" to "9-8-8 crisis response center". Makes conforming changes.
Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.
Provides that beginning July 1, 2023, a primary care physician and an employer may not enter into a noncompete agreement. Provides that beginning July 1, 2023, a physician noncompete agreement is not enforceable if any of the following circumstances occur: (1) The employer terminates the physician's employment without cause. (2) The physician terminates the physician's employment for cause. (3) The physician's employment contract has expired and the physician and employer have fulfilled the obligations of the contract. Specifies a process by which a physician or employer may pursue mediation to determine a reasonable price to purchase a release from a noncompete agreement.
Defines "core public health services" for purposes of public health laws. Adds members to the executive board of the Indiana department of health (state department). Removes a provision allowing the state department to establish branch offices. Provides that the state department may provide services to local health departments. Requires each local board of health to establish a local public health services fund to receive state funding. Provides a method of allocation of state funding to local boards of health, subject to state appropriations. Specifies the percentage of how additional funding may be expended on core public health services. Allows the local health department to enter into contracts or approve grants for core public health services. Allows the state department to issue guidance to local health departments. Requires the state department to make annual local health department reports available to the public. Changes the qualification requirements for a local health officer and requires certain training. Requires the state department to identify state level metrics and county level metrics and requires certain local health departments to report to the state department activities and metrics on the delivery of core public health services. Requires the state department to annually report on the metrics to the budget committee and publish information concerning the metrics on the Internet. Requires that a local health department post a position or contract for the provision or administration of core public health services for at least 30 days. Requires a local health department to provide certain education before administering a vaccine. Requires a multiple county health department to maintain at least one physical office in each represented county. Provides that a new city health department cannot be created after December 31, 2022, but allows current city health departments to continue to operate. Creates the Indiana trauma care commission. Allows a school corporation that cannot obtain an ophthalmologist or optometrist to perform the modified clinical technique vision test to conduct certain specified vision screenings. Requires the school to send to the parent of a student any recommendation for further testing by the vision screener. Allows for standing orders to be used for emergency stock medication in schools. Allows the state health commissioner or designee to issue a statewide standing order, prescription, or protocol for emergency stock medication for schools. Removes the distance requirement for an access practice dentist to provide communication with a dental hygienist. Repeals provisions concerning the Indiana local health department trust account.
Provides that a transit development district may be established in a municipality that is located in a county that is a member of the development authority and has operated regularly scheduled commuter bus services to Chicago, Illinois, with prior financial assistance from the development authority, and shuttle bus services that transport riders to a train station or a regular train stop along the Chicago to South Bend line. Provides for a public transportation corporation located in a county having a population of more than 185,000 and less than 200,000 to expand service beyond the boundary of the county to an adjacent county if the counties have entered into an interlocal cooperation agreement to expand service.
Establishes the prescription drug donation repository program (program). Establishes a fee on each person who is issued a license, registration, or certificate by a health profession board for the program. Allows a person to donate prescription drugs and supplies to a central repository or local repository for use by an individual who is an eligible recipient. Excludes abortion inducing drugs and controlled substances from the program. Allows an eligible entity to apply to participate as a local repository in the program. Establishes criteria for the acceptance and distribution of donated prescription drugs and supplies. Sets a maximum handling fee that may be charged for the dispensing of a prescription drug or supplies under the program. Allows an entity that participates in a drug donation repository or program in another state to participate in the program in Indiana if that state's program allows for donations to repositories located in Indiana. Establishes immunity for certain persons under the program.
Amends the law regarding transportation network companies (TNC) to provide that, after June 30, 2024, the primary motor vehicle liability insurance coverage requirement while a TNC driver is logged on to the TNC's digital network, but is not engaged in a prearranged ride, is at least $50,000 per incident for property damage. (Under current law, the coverage requirement is at least $25,000 per incident for property damage.) Provides that, after June 30, 2024: (1) a delivery network company (DNC) driver who connects to a DNC's digital network is an independent contractor of the DNC, and the DNC is not considered to control or manage the DNC driver or to own or manage the personal vehicle used by the DNC driver to provide delivery services; but (2) the DNC driver, or the DNC on the DNC driver's behalf, is required to maintain primary motor vehicle insurance meeting certain requirements on the DNC driver's personal vehicle. Establishes different minimum insurance coverage requirements for a delivery available period than for a delivery service period. Provides that if motor vehicle insurance maintained by a DNC driver lapses or does not provide the required coverage: (1) motor vehicle insurance maintained by the DNC must provide the required coverage beginning with the first dollar of a claim; and (2) the DNC's insurer has a duty to defend the claim. Provides that coverage under a DNC insurer's policy may not be dependent on the denial of a claim by the DNC driver's insurer. Requires a DNC driver, in the event of an accident, upon request, to provide proof of required insurance coverage and to disclose whether the accident occurred during a delivery available period or a delivery service period. Requires a DNC to make certain disclosures in writing to a prospective DNC driver. Authorizes an insurer writing motor vehicle insurance in Indiana to exclude coverage on a personal vehicle owned or operated by a DNC driver for loss or injury occurring during a delivery available period or a delivery service period. Requires a DNC's insurer to assume primary liability for a claim arising from an accident when: (1) a dispute arises as to whether the accident occurred during a delivery available period or a delivery service period; and (2) the DNC does not have, did not retain, or fails to provide precise information on when the delivery available period or delivery service period began or ended.
Provides, for purposes of the law prohibiting the unlawful practice of medicine or osteopathic medicine, that "the practice of medicine or osteopathic medicine" includes attaching to an individual's name the words "allergist", "electrophysiologist", "geriatrician", "immunologist", "medical geneticist", "neonatologist", or "pulmonologist".
Allows a board that regulates a health care provider or a regulated professional under IC 25 to use electronic means of communication to conduct meetings if certain requirements are met. Allows the Indiana department of health (state department) to collect certain information from individuals who provide home health services, are a qualified medication aide, or are a certified nurse aide. Adds the board of physical therapy and the state department's consumer services and health care regulation commission for purposes of workforce renewal information and an annual report. Establishes time periods for the professional licensing agency (PLA) to post meeting agendas and meeting minutes on the applicable board's website. Requires the PLA to post certain information concerning board vacancies and application forms. Requires the PLA to send notification to an applicant of incomplete items in an application. Requires that new and renewed licenses with the PLA be submitted electronically, unless a paper application is requested. Requires the PLA to post on its website information about the number of licenses issued and wait times for the licenses. Requires the governor to fill a vacancy on certain occupational boards within 90 days. Allows the PLA to make an appointment to the board if the governor does not make the appointment. Allows the board to issue a temporary permit for a registered nurse applicant and a licensed practical nurse applicant.