MADAM PRESIDENT:
I move
that Engrossed House Bill 1284 be amended to read as follows:
Page 6, after line 37, begin a new paragraph and insert:
"
SECTION 4. IC 27-8-11-10 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE UPON PASSAGE]: Sec. 10. (a)
As used in this section,
dialysis facility" means an outpatient facility in Indiana at which
a dialysis treatment provider provides dialysis treatment.
(b) As used in this section, contracted dialysis facility" means
a dialysis facility that has entered into an agreement with a
particular insurer under section 3 of this chapter.
(c)
Notwithstanding section 1 of this chapter, as used in this
section, "insured" refers only to an insured who requires dialysis
treatment.
(d) As used in this section, "insurer" includes the following:
(1) An administrator licensed under IC 27-1-25.
(2) An agent of an insurer.
(e) As used in this section, non-contracted dialysis facility"
means a dialysis facility that has not entered into an agreement
with a particular insurer under section 3 of this chapter.
(f) An insurer shall not require an insured, as a condition of
coverage, to travel more than thirty (30) miles from the insured's
home to obtain dialysis treatment, regardless of whether the
insured chooses to receive dialysis treatment at a contracted
dialysis facility or a non-contracted dialysis facility.
SECTION 5. IC 27-13-1-11.5 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE UPON PASSAGE]: Sec. 11.5. "Dialysis facility"
means an outpatient facility in Indiana at which a dialysis
treatment provider provides dialysis treatment.
SOURCE: IC 27-13-15-5; (08)HB1323.1.3. -->
SECTION 6. IC 27-13-15-5 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE UPON PASSAGE]: Sec. 5. (a) Notwithstanding
IC 27-13-1-12, as used in this section, "enrollee" refers only to an
enrollee who requires dialysis treatment.
(b) As used in this section, "health maintenance organization"
includes the following:
(1) A limited service health maintenance organization.
(2) An agent of a health maintenance organization or a
limited service health maintenance organization.
(c) A health maintenance organization shall
not require an
enrollee, as a condition of coverage, to travel more than thirty (30)
miles from the enrollee's home to obtain dialysis treatment,
regardless of whether the enrollee chooses to receive dialysis
treatment at a dialysis facility that is a participating provider or
a dialysis facility that is not a participating provider.
SECTION 7. An emergency is declared for this act.
".
Renumber all SECTIONS consecutively.
(Reference is to EHB 1284 as printed February 19, 2008.)