Introduced Version






HOUSE BILL No. 1436

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DIGEST OF INTRODUCED BILL



Citations Affected: IC 27-1-3-30.

Synopsis: Review of mandated benefits. Requires the department of insurance to report to the legislative council an analysis of information filed by accident and sickness insurers and health maintenance organizations related to the effect of implementation of mandated benefits.

Effective: July 1, 2003.





Welch, Behning




    January 14, 2003, read first time and referred to Committee on Insurance, Corporations and Small Business.







Introduced

First Regular Session 113th General Assembly (2003)


PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type.
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HOUSE BILL No. 1436



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

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

SOURCE: IC 27-1-3-30; (03)IN1436.1.1. -->     SECTION 1. IC 27-1-3-30 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2003]: Sec. 30. (a) As used in this section, "health maintenance organization" has the meaning set forth in IC 27-13-1-19.
    (b) As used in this section, "mandated benefit" means a condition or treatment for which coverage is required under this title under a:
        (1) policy of accident and sickness insurance; or
        (2) contract with a health maintenance organization.
    (c) As used in this section, "policy of accident and sickness insurance" has the meaning set forth in IC 27-8-5-1.
    (d) An insurer that issues a policy of accident and sickness insurance and a health maintenance organization shall, not later than March 1 of each year, provide to the department information related to the implementation of a mandated benefit, including:
        (1) specific financial costs and benefits to the insurer, health maintenance organization, consumers, or other parties

resulting from implementation of the mandated benefit;
        (2) other costs and benefits to the insurer, health maintenance organization, consumers, or other parties resulting from implementation of the mandated benefit, including the effect of the mandated benefit on:
            (A) premium rates;
            (B) the number of individuals covered under a policy or contract; and
            (C) costs related to other health care services covered under a policy or contract that may be affected by the implementation of the mandated benefit;
        before and after implementation of the mandate; and
        (3) other information requested by the department.
    (e) The department shall:
        (1) analyze the information provided under subsection (d), including an analysis of:
            (A) possible reasons for changes in the information with implementation of a mandated benefit; and
            (B) other analyses requested by the legislative council; and
        (2) not later than June 30 of each year, report to the legislative council the results of the analysis.
    (f) Information provided to the department under this section is confidential. The report to the legislative council under subsection (e) may not identify an individual insurer or health maintenance organization.