Introduced Version






SENATE BILL No. 404

_____


DIGEST OF INTRODUCED BILL



Citations Affected: IC 12-15-44.2-4.

Synopsis: Chiropractor office services under Indiana check-up plan. Requires the Indiana check-up plan to include chiropractor office services. Provides that the Indiana check-up plan may not permit treatment limitations or impose financial requirements on the coverage of chiropractor office services if similar limitations are not imposed on the coverage of physician office services.

Effective: July 1, 2010.





Alting




    January 14, 2010, read first time and referred to Committee on Health and Provider Services.







Introduced

Second Regular Session 116th General Assembly (2010)


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SENATE BILL No. 404



    A BILL FOR AN ACT to amend the Indiana Code concerning health.

Be it enacted by the General Assembly of the State of Indiana:

SOURCE: IC 12-15-44.2-4; (10)IN0404.1.1. -->     SECTION 1. IC 12-15-44.2-4, AS ADDED BY P.L.3-2008, SECTION 98, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2010]: Sec. 4. (a) The plan must include the following in a manner and to the extent determined by the office:
        (1) Mental health care services.
        (2) Inpatient hospital services.
        (3) Prescription drug coverage.
        (4) Emergency room services.
        (5) Physician office services.
        (6) Diagnostic services.
        (7) Outpatient services, including therapy services.
        (8) Comprehensive disease management.
        (9) Home health services, including case management.
        (10) Urgent care center services.
        (11) Preventative care services.
        (12) Family planning services:
            (A) including contraceptives and sexually transmitted disease

testing, as described in federal Medicaid law (42 U.S.C. 1396 et seq.); and
            (B) not including abortion or abortifacients.
        (13) Hospice services.
        (14) Substance abuse services.
         (15) Chiropractor office services.
    (b) The plan must do the following:
        (1) Offer coverage for dental and vision services to an individual who participates in the plan.
        (2) Pay at least fifty percent (50%) of the premium cost of dental and vision services coverage described in subdivision (1).
    (c) An individual who receives the dental or vision coverage offered under subsection (b) shall pay an amount determined by the office for the coverage. The office shall limit the payment to not more than five percent (5%) of the individual's annual household income. The payment required under this subsection is in addition to the payment required under section 11(b)(2) of this chapter for coverage under the plan.
    (d) Vision services offered by the plan must include services provided by an optometrist.
    (e) The plan must comply with any coverage requirements that apply to an accident and sickness insurance policy issued in Indiana.
    (f) The plan may not permit treatment limitations or financial requirements on the coverage of mental health care services or substance abuse services if similar limitations or requirements are not imposed on the coverage of services for other medical or surgical conditions.
     (g) The plan may not permit treatment limitations or impose financial requirements on the coverage of chiropractor office services if similar limitations or requirements are not imposed on the coverage of physician office services.