SB 461 Summary

• Indiana residents cannot be required to purchase health insurance coverage, and may delegate authority to purchase or decline coverage to their employer.

• The office of the Secretary of Family and Social Services and Department of Insurance shall investigate and may apply for a waiver under 42 U.S.C. 18052 of the Patient Protection and Affordable Care Act.

• Modifies Medicaid eligibility requirements effective January 1, 2014, reducing income threshold from 200% to 133% of federal poverty level and allowing transition to Section 1634 eligibility determination by the Social Security Administration.

• Extends dependent child coverage under health insurance policies from age 24 to age 26 and requires family planning services coverage excluding abortion or abortifacients under Medicaid plans.

• Establishes external grievance procedures for insurance denials and rescissions, extends appeal filing timeframe from 45 to 120 days, and requires independent review organizations to maintain records for three years.