Rep. Cindy Kirchhofer

Requires a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide coverage for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS), including treatment with intravenous immunoglobulin therapy.

Urges the legislative council to assign to an appropriate interim study committee the task of studying pregnancy and childbirth accommodations and the fiscal impact on businesses within Indiana.

Prohibits billing a patient who receives emergency services: (1) from an out of network provider; and (2) at specified facilities that are in network; for amounts that exceed the cost paid by the patient's insurance plus any deductibles, copayments, and coinsurance amounts. Requires certain health care providers to provide, upon request from the patient, a good faith estimate to the patient for the cost of care at least five business days before a health care service or procedure is provided. Sets forth requirements of the good faith estimate. Requires the patient to acknowledge in writing receipt of the estimate and indicate whether to proceed with the service or procedure.

Allows an individual to make a health care advance directive that gives instructions or expresses preferences or desires concerning any aspect of the individual's health care or health information and to designate a health care representative to make health care decisions and receive health information for the individual. Consolidates definitions of "life prolonging procedures". Requires the state department of health to prepare a sample advance directive. Provides that the appointment of a representative or attorney in fact to consent to health care that was legally executed before January 1, 2023, is valid as executed. Adds cross-references. Makes conforming changes. Makes technical changes.

Requires an insurer that issues a policy of accident and sickness insurance or a health maintenance organization contract that provides coverage of services for treatment of a mental illness or substance abuse to annually submit a report and analysis to the department of insurance (department) that includes certain information demonstrating its compliance with federal laws regarding parity in coverage of services for treatment of a mental illness or substance abuse and coverage of services for treatment of other medical or surgical conditions, including the processes used: (1) to develop medical necessity criteria for coverage of services; and (2) to develop and apply nonquantitative treatment limitations. Requires an insurer that issues a policy of accident and sickness insurance or a health maintenance organization contract that provides coverage for services for treatment of substance abuse to take certain actions with respect to prescription drugs approved for the treatment of substance abuse. Requires the department to adopt rules to ensure compliance with federal laws regarding parity in coverage. Requires the department to submit before March 1, 2021, a report to the general assembly detailing the steps taken to ensure insurers' compliance with state and federal laws regarding parity in coverage.

Honoring Ann Naughton.

Authorizes the consolidation of a township fire department or fire protection territory in Marion County into the fire department of the consolidated city if the following occur: (1) The mayor of the consolidated city adopts a resolution approving the consolidation. (2) The city-county council adopts an ordinance approving the consolidation. (3) The mayor of the consolidated city approves the ordinance of the city-county council. Provides that a consolidation is effective on the date set forth in the ordinance adopted by the city-county council. Provides for the transfer of cumulative building and equipment fund balances, debt service balances, and firefighting fund balances on the effective date of the consolidation. Makes changes to a provision concerning the transfer of certain types of indebtedness to the consolidated city incurred before the effective date of the consolidation. Relocates language specifying that indebtedness related to fire protection services that is incurred before the effective date of the consolidation by the consolidated city remains the debt of the consolidated city and property taxes to pay the debt may only be levied within the fire special service district. Specifies that to become a firefighter with the fire department of the consolidated city as part of a consolidation, an individual must pass the work performance evaluation administered by the fire department of the consolidated city. Provides that a physician selected by the fire department of the consolidated city may, upon application by the firefighter, grant the firefighter an extension, for medical reasons, of the date by which the firefighter must pass the work performance evaluation. Provides that for purposes of determining the seniority of a merit firefighter who becomes employed by the fire department of the consolidated city through a consolidation: (1) the time served by the individual as a merit firefighter with the consolidated fire department also includes the total time served by the individual as a merit firefighter with the fire department in which the individual was serving at the time of the consolidation; and (2) the hire date of the individual is the date the individual was hired as a merit firefighter by the fire department in which the individual was serving at the time of consolidation. Specifies that if an individual becomes a firefighter employed by the fire department of the consolidated city through a consolidation, the individual's merit rank may not be reduced below the lesser of the merit rank held by the individual on the effective date of the consolidation or the rank of captain. Specifies that the consolidated city may levy property taxes within the area served by the consolidated fire department to provide for the payment of the expenses for the operation of the consolidated fire department. Provides that beginning with the fifth year after the year in which such a consolidation is effective, the total property tax rate imposed for fire protection within the territory formerly served by the fire department that was consolidated may not exceed the total property tax rate imposed for fire protection in other areas served by the fire department of the consolidated city.

Provides that a person who smokes or vapes in a motor vehicle while a minor is present in the motor vehicle commits a Class B infraction. Enhances the penalty for the offense for certain prior offenses.

Provides that a school's or school corporation's category or designation of school or school corporation performance assigned by the state board of education for the 2018-2019 school year may not be lower than the school's or school corporation's category or designation of school or school corporation performance for the 2017-2018 school year. Provides that a school's or school corporation's category or designation of school or school corporation performance assigned by the state board of education for the 2019-2020 school year is the higher of the school's or school corporation's: (1) category or designation of school or school corporation performance assigned for the 2018-2019 school year; or (2) category or designation of school or school corporation performance for the 2019-2020 school year. Provides that consequences for school improvement do not apply for the 2018-2019 or 2019-2020 school years. Provides that ILEARN program test scores or a school's category or designation of school improvement for the 2018-2019 or 2019-2020 school year may not be used by a school corporation as part of an annual performance evaluation of a particular certificated employee unless the use of the ILEARN program test scores or a school's category or designation of school improvement would improve the particular certificated employee's annual performance rating.

Recognizing FIRST Indiana Robotics and FIRST Indiana Robotics teams.