SB 132 IN

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Authorizes the office of the secretary of family and social services to implement a risk based managed care program for certain Medicaid recipients. Requires the office of Medicaid policy and planning to convene a workgroup and, with managed care organizations, to conduct a claims submission testing period before the risk based managed care program is established.~ Provides that, during the first 210 days after the risk based managed care program is implemented, a provider that experiences a financial emergency due to claims payment issues shall receive temporary emergency assistance from the managed care organizations with which the provider is contracted. Amends statutes concerning Medicaid provider agreements, health insurance reimbursement agreements, and Medicare supplement insurance to specify that a 15 day period consists of 15 business days. Requires the Indiana department of health to grant a hospital an extension of time to file the hospital's fiscal report if the hospital shows good cause for the extension. Removes an expired provision concerning hospital fiscal reports. Eliminates the requirement that a provider who is licensed in Indiana, physically located outside Indiana, but providing telehealth services to patients who are in Indiana, file a certification constituting a waiver of jurisdiction. Makes a number of changes in the law concerning health facility administrators, including eliminating the requirement that a health facility administrator display the individual's license in a prominent location in the individual's principal office and providing that a particular course of study for administrators in training is not mandatory. Specifies: (1) the manner in which certain nurse applicants may demonstrate English proficiency; (2) that a graduate of a foreign nursing school must pass a specified examination; and (3) additional credentialing verification assessment organizations for certain nurse applicants. Prohibits a third party administrator or another person from arranging for a dental provider to provide dental services for a dental plan that sets the amount of the fee for any dental services unless the dental services are covered services under the dental plan. Provides that a contracting entity (a dental carrier, a third party administrator, or another person that enters into a provider network contract with providers of dental services) may not grant a third party access to the provider network contract or to dental services or contractual discounts provided pursuant to the provider network contract unless certain conditions are satisfied. Provides that when a dental provider network contract is entered into, renewed, or materially modified, any provider that is a party to the network contract must be allowed to choose not to participate in the third party access. Prohibits a contracting entity from: (1) altering the rights or status under a provider network contract of a dental provider that chooses not to participate in third party access; or (2) rejecting a provider as a party to a provider network contract because the provider chose not to participate in third party access. Authorizes the insurance commissioner to issue a cease and desist order against a person that violates any of these prohibitions and, if the person violates the cease and desist order, to impose a civil penalty upon the person and suspend or revoke the person's certificate of authority. Provides that if a covered individual assigns the covered individual's rights to benefits for dental services to the provider of the dental services, the dental carrier shall pay the benefits assigned by the covered individual to the provider of the dental services. However, prohibits the provider from billing the covered individual (except for a copayment, coinsurance, or a deductible amount) if the provider is in the dental carrier's network. Requires the Indiana state board of nursing to amend a specified administrative rule to conform with this act. Requires the medical licensing board to study certain rules concerning office based setting accreditations and report to the general assembly.

• Liz Brown Republican · author
• Ed Charbonneau Republican · author
• Tyler Johnson Republican · author
• Dennis Zent · sponsor

1. Jan 8, 2024 Authored by Senators Brown L and Charbonneau · upper
2. Jan 8, 2024 First reading: referred to Committee on Health and Provider Services · upper
3. Jan 9, 2024 Senator Bohacek added as coauthor · upper
4. Jan 9, 2024 Senator Johnson T added as third author · upper
5. Jan 11, 2024 Committee report: amend do pass adopted; reassigned to Committee on Appropriations · upper
6. Jan 23, 2024 Senator Bassler added as coauthor · upper
7. Feb 1, 2024 Committee report: amend do pass, adopted · upper
8. Feb 5, 2024 Amendment #1 (Brown L) prevailed; voice vote · upper
9. Feb 5, 2024 Second reading: amended, ordered engrossed · upper
10. Feb 6, 2024 Cosponsor: Representative Barrett · upper
11. Feb 6, 2024 Third reading: passed; Roll Call 125: yeas 47, nays 1 · upper
12. Feb 6, 2024 House sponsor: Representative Zent · upper
13. Feb 6, 2024 Referred to the House · upper
14. Feb 12, 2024 First reading: referred to Committee on Public Health · lower
15. Feb 19, 2024 Representative Criswell added as cosponsor · lower
16. Feb 19, 2024 Representative Fleming added as cosponsor · lower
17. Feb 20, 2024 Referred to Committee on Insurance pursuant to House Rule 84 · lower
18. Feb 20, 2024 Committee report: amend do pass, adopted · lower
19. Feb 22, 2024 Committee report: amend do pass, adopted · lower
20. Feb 26, 2024 Second reading: ordered engrossed · lower
21. Feb 28, 2024 Motion to concur filed · upper
22. Feb 27, 2024 Third reading: passed; Roll Call 221: yeas 93, nays 1 · lower
23. Feb 28, 2024 Returned to the Senate with amendments · lower
24. Feb 29, 2024 Senate concurred in House amendments; Roll Call 241: yeas 45, nays 0 · upper
25. Mar 5, 2024 Signed by the President Pro Tempore · upper
26. Mar 7, 2024 Signed by the Speaker · lower
27. Mar 8, 2024 Signed by the President of the Senate · upper
28. Mar 11, 2024 Signed by the Governor · executive
29. Mar 11, 2024 Public Law 17 · upper

The published texts of this bill as it moves through the legislature. Each links to the official document on the state legislature site. Data from OpenStates.

• Enrolled Senate Bill (S) · PDF
• Senate Bill (S) · PDF
• Senate Bill (S) · PDF
• Senate Bill (S) · PDF
• Senate Bill (H) · PDF
• Engrossed Senate Bill (H) · PDF
• Introduced Senate Bill (S) · PDF