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IN HB1653
Bill
Status
1/24/2019
Primary Sponsor
Edward DeLaney
Click for details
AI Summary
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Prohibits preexisting condition exclusions in individual and small group accident and sickness insurance policies and HMO contracts
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Requires coverage for 10 essential health benefits without annual or lifetime limits: ambulatory services, emergency services, hospitalization, maternity/newborn care, mental health/substance use disorder services, prescription drugs, rehabilitative/habilitative services, laboratory services, preventive/wellness services, and pediatric services including oral and vision care
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Repeals existing provisions (IC 27-8-15-28 and IC 27-8-15-29) that allowed preexisting condition exclusions and coverage limitations for late enrollees in small group plans
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Effective date of July 1, 2019, with directive to the Legislative Services Agency to prepare conforming legislation for the 2020 session
Legislative Description
Essential health benefits. Prohibits preexisting condition exclusions in individual and small group policies of accident and sickness insurance and health maintenance organization contracts. Specifies benefits that must be included in individual and small group policies of accident and sickness insurance and health maintenance organization contracts. Repeals provisions providing for preexisting condition exclusions in small group policies of accident and sickness insurance. Requires the legislative services agency to draft legislation for introduction in the 2020 session of the general assembly to make conforming changes to the Indiana Code.
Last Action
First reading: referred to Committee on Insurance
1/24/2019