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IN HB1307

Bill

Status

Introduced

1/14/2019

Primary Sponsor

Ronald Bacon

Click for details

Origin

House of Representatives

2019 Regular Session

AI Summary

  • Requires state employee health plans, accident and sickness insurers, and health maintenance organizations to count cost sharing payments (copayments, coinsurance, deductibles) made by third parties on behalf of covered individuals toward meeting the individual's cost sharing obligations

  • Applies to calculations of annual out-of-pocket maximums under federal law (42 U.S.C. 18022(c) and 42 U.S.C. 300gg-6(b)), ensuring third-party assistance counts toward these limits

  • Covers all health care services, defined as items or services to prevent, alleviate, cure, or heal human illness, injury, or physical disability, including prescription drugs

  • Effective date of July 1, 2019, amending Indiana Code sections IC 5-10-8-21, IC 27-8-5-32, and IC 27-13-7-24

Legislative Description

Health care service cost sharing. Requires a state employee health plan, an accident and sickness insurer, and a health maintenance organization to count cost sharing payments made on behalf of a covered individual toward the covered individual's cost sharing amount.

Last Action

Representative Bauer added as coauthor

2/12/2019

Committee Referrals

Insurance1/14/2019

Full Bill Text

No bill text available