First Regular Session 118th General Assembly (2013)
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SENATE ENROLLED ACT No. 414
AN ACT to amend the Indiana Code concerning insurance.
Be it enacted by the General Assembly of the State of Indiana:
SOURCE: IC 5-10-8-16; (13)SE0414.1.1. -->
SECTION 1. IC 5-10-8-16 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2013]: Sec. 16. (a) As used in this section, "covered individual"
means an individual who is entitled to coverage under a state
employee health plan.
(b) As used in this section, "high breast density" means a
condition in which there is a greater amount of breast and
connective tissue in comparison to fat in the breast.
(c) A state employee health plan must provide coverage for an
appropriate medical screening, test, or examination for a female
covered individual who is at least forty (40) years of age and who
has been determined to have high breast density.
SOURCE: IC 25-22.5-2-7; (13)SE0414.1.2. -->
SECTION 2. IC 25-22.5-2-7, AS AMENDED BY P.L.225-2007,
SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2013]: Sec. 7. (a) The board shall do the following:
(1) Adopt rules and forms necessary to implement this article that
concern, but are not limited to, the following areas:
(A) Qualification by education, residence, citizenship,
training, and character for admission to an examination for
licensure or by endorsement for licensure.
(B) The examination for licensure.
(C) The license or permit.
(D) Fees for examination, permit, licensure, and registration.
(E) Reinstatement of licenses and permits.
(F) Payment of costs in disciplinary proceedings conducted by
the board.
(2) Administer oaths in matters relating to the discharge of its
official duties.
(3) Enforce this article and assign to the personnel of the agency
duties as may be necessary in the discharge of the board's duty.
(4) Maintain, through the agency, full and complete records of all
applicants for licensure or permit and of all licenses and permits
issued.
(5) Make available, upon request, the complete schedule of
minimum requirements for licensure or permit.
(6) Issue, at the board's discretion, a temporary permit to an
applicant for the interim from the date of application until the
next regular meeting of the board.
(7) Issue an unlimited license, a limited license, or a temporary
medical permit, depending upon the qualifications of the
applicant, to any applicant who successfully fulfills all of the
requirements of this article.
(8) Adopt rules establishing standards for the competent practice
of medicine, osteopathic medicine, or any other form of practice
regulated by a limited license or permit issued under this article.
(9) Adopt rules regarding the appropriate prescribing of Schedule
III or Schedule IV controlled substances for the purpose of weight
reduction or to control obesity.
(10) Adopt rules establishing standards for office based
procedures that require moderate sedation, deep sedation, or
general anesthesia.
(11) Adopt rules or protocol establishing the following:
(A) An education program to be used to educate women
with high breast density.
(B) Standards for providing an annual screening or
diagnostic test for a woman who is at least forty (40) years
of age and who has been determined to have high breast
density.
As used in this subdivision, "high breast density" means a
condition in which there is a greater amount of breast and
connective tissue in comparison to fat in the breast.
(b) The board may adopt rules that establish:
(1) certification requirements for child death pathologists;
(2) an annual training program for child death pathologists under
IC 16-35-7-3(b)(2); and
(3) a process to certify a qualified child death pathologist.
SOURCE: IC 25-22.5-13.2; (13)SE0414.1.3. -->
SECTION 3. IC 25-22.5-13.2 IS ADDED TO THE INDIANA
CODE AS A NEW CHAPTER TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2013]:
Chapter 13.2. Notification Concerning Dense Breast
Determination
Sec. 1. A facility that performs a mammography examination
shall, if the patient is determined by the facility to have an amount
of breast and connective tissue in comparison to fat in the breast
that would require follow up care or testing, notify the patient of
the determination. The notice required under this section must be
included with a summary of the written mammography report.
SOURCE: IC 27-8-13.5; (13)SE0414.1.4. -->
SECTION 4. IC 27-8-13.5 IS ADDED TO THE INDIANA CODE
AS A
NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2013]:
Chapter 13.5. Coverage for Medical Services for Women with
High Breast Density
Sec. 1. This chapter applies to a policy of accident and sickness
insurance that is issued, delivered, amended, or renewed after June
30, 2013.
Sec. 2. As used in this chapter, "high breast density" means a
condition in which there is a greater amount of breast and
connective tissue in comparison to fat in the breast.
Sec. 3. As used in this chapter, "insured" means an individual
who is entitled to coverage under a policy of accident and sickness
insurance.
Sec. 4. As used in this chapter, "policy of accident and sickness
insurance" has the meaning set forth in IC 27-8-5-1. The term does
not include the following:
(1) Accident only, credit, dental, vision, Medicare supplement,
long term care, or disability income insurance.
(2) Coverage issued as a supplement to liability insurance.
(3) Automobile medical payment insurance.
(4) A specified disease policy.
(5) A short term insurance plan that:
(A) may not be renewed; and
(B) has a duration of not more than six (6) months.
(6) A policy that provides indemnity benefits not based on any
expense incurred requirement, including a plan that provides
coverage for:
(A) hospital confinement, critical illness, or intensive care;
or
(B) gaps for deductibles or copayments.
(7) Worker's compensation or similar insurance.
(8) A student health plan.
(9) A supplemental plan that always pays in addition to other
coverage.
(10) An employer sponsored health benefit plan that is:
(A) provided to individuals who are eligible for Medicare;
and
(B) not marketed as, or held out to be, a Medicare
supplement policy.
Sec. 5. A policy of accident and sickness insurance must provide
coverage for an appropriate medical screening, test, or
examination for a female insured who is at least forty (40) years of
age and who has been determined to have high breast density.