HB 1019-1_ Filed 04/01/2003, 08:46 Ford
Adopted 4/8/2003

SENATE MOTION


MR. PRESIDENT:

    I move
that Engrossed House Bill 1019 be amended to read as follows:

SOURCE: Page 1, line 1; (03)MO101902.1. -->     Page 1, between the enacting clause and line 1, begin a new paragraph and insert:
SOURCE: IC 27-1-3-30; (03)MO101902.1. -->     "SECTION 1. IC 27-1-3-30 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2004]: Sec. 30. (a) As used in this section, "accident and sickness insurance policy" has the meaning set forth in IC 27-8-14.2-1.
    (b) As used in this section, "health maintenance organization" has the meaning set forth in IC 27-13-1-19.
    (c) As used in this section, "mandated benefit" means certain health coverage or an offering of certain health coverage that is required under:
        (1) an accident and sickness insurance policy; or
        (2) a contract with a health maintenance organization.
    (d) An insurer that issues an accident and sickness insurance policy and a health maintenance organization, not later than March 1 of each year, shall provide to the department, in a format and medium prescribed by the department, information related to the implementation of a mandated benefit, including:
        (1) specific short term and long term financial costs, cost savings, 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 cost savings and health benefits to consumers, and 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 the results of the analysis to the legislative council.
    (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.

SOURCE: IC 27-1-3-31; (03)MO101902.2. -->     SECTION 2. IC 27-1-3-31 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2004]: Sec. 31. (a) As used in this section, "accident and sickness insurance policy" has the meaning set forth in IC 27-8-14.2-1.
    (b) As used in this section, "health maintenance organization" has the meaning set forth in IC 27-13-1-19.
    (c) As used in this section, "mandated benefit proposal" means a bill or resolution pending before the general assembly that, if enacted, would require certain health coverage or an offering of certain health coverage under:
        (1) an accident and sickness insurance policy; or
        (2) a contract with a health maintenance organization.
    (d) An insurer that issues an accident and sickness insurance policy and a health maintenance organization may provide to the department, in a format and medium prescribed by the department, information related to a mandated benefit proposal, including:
        (1) specific short term and long term financial costs, cost savings, and benefits to the insurer, health maintenance organization, consumers, or other parties resulting from implementation of the proposed mandated benefit;
        (2) other costs and benefits to the insurer, health maintenance organization, consumers, or other parties resulting from implementation of the proposed mandated benefit, including cost savings and health benefits to consumers, and the effect of the proposed 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 proposed mandated benefit;
        before and after implementation of the proposed mandated benefit.
    (e) Upon receipt of the information described in subsection (d), the department shall:
        (1) analyze the information; and
        (2) report the results of the analysis to the legislative committee that is considering the mandated benefit proposal.
    (f) Information provided to the department under this section is confidential. The report to the legislative committee under subsection (e) may not identify an individual insurer or health maintenance organization.
".
    Renumber all SECTIONS consecutively.
    (Reference is to EHB 1019 as printed March 28, 2003.)

________________________________________

Senator FORD


MO101902/DI 97     2003