Requires an insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits to ensure that a network utilized by the insurer, pharmacy benefit manager, or other administrator is reasonably adequate and accessible and file an annual report regarding the network with the commissioner of the department of insurance (commissioner). Sets forth certain limitations and requirements with respect to the provision of pharmacy or pharmacist services under a health plan. Allows any insured, pharmacy, or pharmacist impacted by an alleged violation to file a complaint with the commissioner. Provides that the commissioner may order reimbursement to any person who has incurred a monetary loss as a result of a violation. Requires, if a pharmacy benefit manger is used with regard to a state employee health plan, the state personnel department to either create a pharmacy benefit manager or contract with an insurer, a pharmacy benefit manager, or other administrator. Prohibits a third party administrator from: (1) requiring, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or (2) charging a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager. Urges the legislative council to assign to the appropriate study committee the task of studying the topic of contracts for pharmacy benefit coverage under the Medicaid program and a state employee health plan.
Sponsored bills
Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1) to prescription drugs that: (1) are covered under a health plan; (2) are life-saving or intended to manage chronic pain; and (3) do not have an approved generic version. Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network. Requires a health plan to: (1) establish a procedure by which a covered individual may claim a credit; and (2) identify documentation necessary to support a claim for a credit.
Requires IDEM to: (1) perform a comprehensive evaluation of ambient air quality within nonattainment areas in Indiana; and (2) identify air pollution reduction or regulatory relief strategies that could accomplish certain goals with respect to the federal Clean Air Act.
Provides that a signal jammer may be seized. Provides that a person who knowingly or intentionally manufactures, offers for sale, imports, markets, sells, possesses, uses, or operates a signal jammer commits unlawful use of a signal jammer, a Level 6 felony. Provides that the offense is a Level 5 felony if a signal jammer is used to disrupt a component of a critical infrastructure facility or the communications of a public safety agency. Provides, for purposes of criminal statutes regarding offenses involving critical infrastructure, that a communications services facility includes wires and equipment used to provide communications service to a customer.
Amends the definition of "motor vehicle" for purposes of dealer services provisions governing unfair practices and the succession to franchise by designated family members. Amends the definition of "trailer" for certain instances. Specifies that the requirement that a dealer have an established place of business does not apply to a dealer selling trailers, unless the dealer is required to be licensed for any other purpose. Provides that a dealer selling trailers does not have to file certain information with the secretary of state.
Provides that if a person changes the exterior color or appearance of their passenger vehicle from the color listed in the vehicle's registration through certain methods, the person must apply to amend their vehicle registration, and that a law enforcement officer shall issue a warning to a person who does not update the person's registration to reflect the color changes. Provides that a person commits a Class C misdemeanor if the person changes the color of a passenger vehicle after it was used in the commission of a crime and fails to amend the vehicle registration. Requires the BMV to require a person renewing a registration to indicate if the vehicle's color has changed.
Requires the department of environmental management (department) to conduct an onsite inspection of a confined feeding operation (CFO) once within 45 days of an initial approval and once within 90 days of a renewal of an approval to verify compliance with certain requirements. Allows the department to conduct complaint based onsite inspections of a confined feeding operation at the department's discretion without providing notice. Provides that the department may delay an inspection of a CFO if the department determines that the additional time is needed to comply with the biosecurity procedures developed by the department. Provides that additional onsite inspections of a CFO may be conducted if there is a substantial need for the inspection. Provides that an onsite inspection of a CFO must be conducted in compliance with certain rules and procedures. Makes conforming amendments.
Makes changes to the duties of the Indiana department of veterans' affairs commission (commission). Makes changes to the duties of the director of the department of veterans' affairs (department). Requires, before January 1, 2026, the commission to establish and maintain certain standards for the state accreditation program. Requires, after June 30, 2026, each service officer employed by a county or city to maintain the accreditation standards to provide service on behalf of the county or city. Provides that a county executive shall employ a service officer and may employ service officer assistants. Provides, that with the approval of the commission, two or more counties may enter into an agreement to employ a service officer if each county demonstrates to the commission that the workload does not justify each county employing a separate county service officer. Requires every county or city official and department of the county or city to cooperate with the service officer and provide the service officer with information necessary in connection with the performance of the service officer's duties.
Provides that an applicant for a certificate of death has a direct interest in a certificate of death if the applicant is a beneficiary of the deceased's individual retirement account, retirement account, brokerage transfer on death account, annuity, or life insurance policy. Provides that if a charitable organization is designated as the beneficiary of an individual retirement account, retirement account, brokerage transfer on death account, annuity, or life insurance policy, a financial institution or insurance company in control of the funds must transfer the funds directly to the charitable organization without requiring certain conditions to be satisfied, if the: (1) charitable organization submits a certain affidavit.
Allows, subject to a written agreement concerning the transport of individuals, an emergency medical responder, an emergency medical technician, an advanced emergency medical technician, or a paramedic (emergency medical services personnel) to transport an individual to: (1) a health care facility; (2) a mental health facility; or (3) an urgent care facility; that can provide the individual with appropriate and necessary treatment. Specifies information that must be included in a written agreement. Allows reimbursement for transporting the individual to the facility.