| HB1004 | HEALTH MATTERS. (SMALTZ B) States that the office of the secretary of family and social services and a managed care organization may not prohibit a provider from participating in another insurance network. Defines "weighted average negotiated charge" and requires the weighted average negotiated charge per service per provider type for Medicaid to be reported by hospitals and ambulatory outpatient surgical centers. Requires certain health care providers, beginning July 1, 2021, to provide a good faith estimate to individuals of the price for nonemergency health care services to be provided to the individual by the health care provider and sets forth requirements. Allows an individual to request a good faith estimate from a health care provider for the total price for nonemergency services that have been ordered, scheduled, or referred. and requires the health care provider to provide the good faith estimate. Sets forth requirements for the good faith estimate. Provides that an out of network practitioner who provides health care services to a covered individual in an in network facility may not charge more for the health care services provided to a covered individual than allowed according to the rate or amount of compensation established by the covered individual's network plan unless: (1) at least five days before the health care services are scheduled to be provided, the covered individual is provided a statement that: (A) informs the covered individual that the facility or practitioner intends to charge more than allowed under the network plan; and (B) sets forth an estimate of the charge; and (2) the covered individual signs the statement, signifying the covered individual's consent to the charge. Sets forth notice requirements. Sets forth provisions that a physician noncompete agreement must include in order to be enforceable. Provides for information and notification that an employer must give to a physician who leaves the employment of the provider. Allows an individual to request from a health carrier a good faith estimate of the amount of the cost of nonemergency health care services that the health carrier will pay for or reimburse and the applicable benefit limitations of the nonemergency health care service. Sets forth requirements of a good faith estimate by a health carrier and sets penalties for violations. |
| | Current Status: | 3/30/2020 - Public Law 93
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | HB1004 |
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| HB1067 | DENTAL HYGIENISTS. (ZENT D) Amends the definition of "prescriptive supervision" concerning circumstances under which a licensed dentist is not required to be present in a facility when patient care is provided by a dental hygienist. Restates restrictions on use of a laser by a dental hygienist. Provides that a dental hygienist may administer topical local dental anesthetics, other than nitrous oxide or similar analgesics, without supervision. Prescribes requirements for administration of nitrous oxide by a dental hygienist or a dental assistant. Provides, for purposes of regulation of dental hygienists, that a person, other than a dentist, a physician, or a dental assistant who administers nitrous oxide is considered to be practicing dental hygiene. Removes a limitation on the number of credit hours earned for certification in basic life support that may be applied to a dental hygienist's continuing education requirement. Provides that there is no limit on the number of credit hours a dental hygienist may earn for completion of an approved course offered by another dental hygienist. |
| | Current Status: | 3/30/2020 - Public Law 35
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| | Recent Status: | 3/14/2020 - SIGNED BY GOVERNOR
3/11/2020 - Signed by the President of the Senate
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| | State Bill Page: | HB1067 |
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| HB1080 | COLORECTAL CANCER TESTING. (BARRETT B) Amends the law mandating coverage for colorectal cancer testing under accident and sickness insurance policies, health maintenance organization contracts, and state employee health plans to change the minimum age at which coverage must be provided from 50 years of age to 45 years of age. Includes exception for high deductible health plans. |
| | Current Status: | 3/30/2020 - Public Law 36
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| | Recent Status: | 3/14/2020 - SIGNED BY GOVERNOR
3/11/2020 - Signed by the President of the Senate
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| | State Bill Page: | HB1080 |
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| HB1129 | INFANT SCREENING. (LAUER R) Requires every infant to be screened for Adrenoleukodystrophy (ALD) at the earliest feasible time. Requires the infant pulse oximetry screening examination to be given according to rules adopted by the state department of health. |
| | Current Status: | 3/30/2020 - Public Law 19
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| | Recent Status: | 3/11/2020 - Signed by the Governor
3/11/2020 - SIGNED BY GOVERNOR
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| | State Bill Page: | HB1129 |
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| SB5 | HEALTH PROVIDER CONTRACTS. (CHARBONNEAU E) Requires hospitals, ambulatory outpatient surgical centers, and urgent care facilities to post certain information on their Internet web sites about health care services they provide, including the weighted average negotiated charges for the services. Provides that an insurer that issues a group health insurance policy or a health maintenance organization that enters into a group health maintenance organization contract shall disclose to the policyholder or subscriber: (1) the amount of the commission, service fee, or brokerage fee to be paid to an insurance producer for selling, soliciting, or negotiating the policy or contract; and (2) whether the commission or fee is based on a percentage of total plan premiums or a flat per member fee. Requires that this information be disclosed at the outset and upon renewal of the policy or contract. Prohibits the inclusion in a health provider contract of a provision under which a provider (an individual or entity licensed or authorized to provide health care services) would be prohibited from disclosing health care service claims data to an employer providing the coverage. States that the inclusion of such a provision in a health care provider contract is an unfair or deceptive act or practice in the business of insurance. Requires the department of insurance to submit a request for information and a request for proposals concerning the establishment and operation of an all payer claims data base, which will receive and contain information on claims paid by insurers, health maintenance organizations, pharmacy benefit managers, and other payers. Provides that a fully credentialed provider shall be reimbursed by an insurer or health maintenance organization for eligible services provided at an in-network hospital if certain conditions are met. |
| | Current Status: | 3/18/2020 - Public Law 50
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB5 |
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| SB19 | ELECTRONIC TECHNOLOGY FOR OPHTHALMIC PRESCRIPTIONS. (CHARBONNEAU E) Removes the restriction on the prescribing of ophthalmic devices through telemedicine and sets conditions on when a provider may, through telemedicine, prescribe medical devices. Establishes conditions that must be met before a prescriber may issue a prescription for an ophthalmic device through telemedicine. Prohibits making changes and substitutions to a prescription for contact lenses or prescription eye glasses unless under the direction of the prescriber. States that a prescriber is not liable for any damage or injury to an individual resulting from the packaging, manufacturing, or dispensing of the contact lenses or prescription eye glasses unless the prescriber is also the seller. Prohibits the optometry board from establishing restrictive standards concerning the practice of ocular telemedicine or ocular telehealth. |
| | Current Status: | 3/18/2020 - Public Law 52
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB19 |
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| SB239 | COVERAGE FOR BREAST PROSTHESES. (BROWN L) Provides that a state employee health plan providing coverage for a mastectomy must also provide coverage for: (1) reconstructive surgery incident to the mastectomy, including all stages of reconstruction of the breast on which the mastectomy was performed and surgery and reconstruction of the other breast to produce symmetry; and (2) custom fabricated breast prostheses, including one additional breast prosthesis per breast affected by the mastectomy. Provides that a policy of accident and sickness insurance or health maintenance organization contract providing coverage for a mastectomy must also provide coverage for custom fabricated breast prostheses, including one additional breast prosthesis per breast affected by the mastectomy. |
| | Current Status: | 3/18/2020 - Public Law 67
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB239 |
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| SB269 | WORKER'S COMPENSATION. (FORD J) Provides that for worker's compensation and occupational diseases compensation, not later than 14 days from the date that the first installment of compensation is due, an employer or the employer's insurance carrier must file with the worker's compensation board (board) a report of payment of compensation. (Current law provides that not later than 15 days from the date that the first installment of compensation is due, an employer or the employer's insurance carrier must file with the worker's compensation board a compensation agreement.) Provides that for worker's compensation and occupational diseases compensation, the presentation to the employee or to the employee's dependents of certain payments from the employer or the employer's insurance carrier is sufficient tender of the worker's compensation or occupational diseases compensation. Provides that for worker's compensation and occupational diseases coverage, an employer must notify certain employees of the employer's intent to terminate the employee's temporary total disability benefits, and for all instances of termination of benefits, file an electronic notice with the board. (Current law provides that an employer must notify an employee of the employer's intent to terminate temporary total disability benefits in cases not included in statute.) Provides that for worker's compensation and occupational diseases compensation for injuries occurring on or after July 1, 1991, compensation amounts determined for visual impairments shall be: (1) based on the Functional Vision Score; and (2) except in cases of permanent and complete loss of vision by enucleation, be paid as a whole person rating. (Current law provides that for injuries occurring on or after July 1, 1991, compensation amounts determined for: (1) permanent reduction of the sight of an eye less than a total eye loss shall be paid in an amount proportionate to the degree of a permanent reduction without correction or glasses; and (2) 100% loss of vision shall be paid for 50% of the total loss of vision without glasses, plus an additional amount equal to the proportionate amount of the reduction with glasses.) Removes from the compensation schedule for worker's compensation and occupational diseases compensation, for injuries occurring on or after July 1, 1991, that a reduction of vision to 1/10 of normal vision with glasses is 35 degrees of permanent impairment. Provides that the board may dispose of all papers for files when compensation has been awarded either by agreement or upon hearing two years after the termination of the compensation period for files related to worker's compensation and worker's occupational diseases compensation. (Current law provides for one year.) Provides that all records of insurance coverage related to worker's occupational diseases compensation shall be maintained for 35 years. (Current law provides the records be maintained for 45 years.) |
| | Current Status: | 3/21/2020 - Public Law 139
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| | Recent Status: | 3/21/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB269 |
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| SB299 | FETAL REMAINS. (BROWN L) Requires the state department of health (state department) to develop forms that provide: (1) that a pregnant woman has a right after a surgical abortion to dispose of the remains by interment or cremation or have the provider dispose of the remains; and (2) that, after an abortion induced by an abortion inducing drug, the pregnant woman will expel an aborted fetus and set forth the disposition policy of the health care facility or abortion clinic concerning the disposition of the aborted fetus, including allowing a pregnant woman to return an aborted fetus to the health care facility or abortion clinic for disposition by interment or cremation. States that a pregnant woman who has an abortion has the right to have the health care facility or abortion clinic dispose of the aborted fetus by cremation or interment and to ask the health care facility or abortion clinic the method of disposition used. Requires the pregnant woman to inform the health care facility or abortion clinic of the pregnant woman's decision for disposition or, in the case of an abortion induced by an abortion inducing drug, whether the pregnant woman will return the aborted fetus to the health care facility or abortion clinic for disposition. Requires the health care facility or abortion clinic to dispose of the returned fetus by cremation or interment. Requires that a burial transit permit that includes multiple aborted fetal remains be accompanied by a log prescribed by the state department containing certain information, except in certain circumstances, about each fetus included under the burial transit permit. |
| | Current Status: | 3/18/2020 - Public Law 77
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB299 |
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| SB427 | PROVISIONAL OCCUPATIONAL LICENSE. (BUCHANAN B) Allows a person who: (1) is the spouse of an active duty member of the armed forces assigned to Indiana; (2) affirms certain information concerning the person's licensure in the other state; (3) submits verification that the person is licensed in a regulated occupation in at least one other state; (4) has passed a national criminal background check; and (5) submits an application and pays any application fee; to be issued a provisional license for the regulated occupation at the same practice level allowed by the license held by the person in the other state. Provides that provisional licensing does not apply to a license that is established or recognized through an interstate compact, a reciprocity agreement, or a comity agreement that is established by a board or by law. Establishes penalties for submission of false information for purposes of obtaining a provisional license. |
| | Current Status: | 3/18/2020 - Public Law 89
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| | Recent Status: | 3/18/2020 - SIGNED BY GOVERNOR
3/18/2020 - Signed by the President of the Senate
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| | State Bill Page: | SB427 |
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