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26 07, 2023

HB 1273

Prescription drug rebates and pricing. Provides that, for individual health insurance coverage, the defined cost sharing for a prescription drug be calculated at the point of sale and based on a price that is reduced by an amount equal to at least 85% of all rebates received by the insurer in connection with the dispensing or administration of the prescription drug. Requires that, for group health insurance coverage, an insurer: (1) pass through to a plan sponsor 100% of all rebates received or estimated to be received by the insurer concerning the dispensing or [...]

HB 1273
26 07, 2023

HB 1445

Audit of Medicaid program prescription drug costs. Amends the requirements for a physician to provide office based opioid treatment. Provides that the attorney general may issue a request for proposal to audit the prescription drug programs within the state employee health plan and the Medicaid program. Provides that the attorney general may evaluate and determine whether to include specified metrics in the request for proposal. Provides that the audit look back period must be the previous five state fiscal years. Provides that the results of the audits must be provided to the interim study [...]

HB 1445
26 07, 2023

HB 1181

Medicaid matters. Allows a provider that has entered into a contract with a managed care organization, after exhausting any internal procedures of the managed care organization for provider grievances and appeals, to request an administrative appeal within the office of Medicaid policy and planning of the managed care organization's action in denying or reducing reimbursement for claims for covered services provided to an applicant, pending applicant, conditionally eligible individual, or member. Establishes a procedure for an administrative appeal, including a hearing before an administrative law judge that could be followed by agency review and [...]

HB 1181
26 07, 2023

SB 433

Medicaid services for northwest Indiana. Requires the office of Medicaid policy and planning (office) to establish a program for northwest Indiana Medicaid recipients to enhance access to medical services closer to the recipient's residence with a priority on trauma care and pediatric services. Requires the office to submit a state plan amendment implementing enhanced access. Requires the office to review and analyze certain Medicaid reimbursement rates, statistics, and information concerning the Illinois Medicaid program in comparison to Indiana. Appropriates $20 million to northwest Indiana hospitals in state fiscal year 2024 for disproportionate share eligible [...]

SB 433
26 07, 2023

HB 1272

Hospital pricing information and penalties. Requires a hospital to post certain pricing information on the hospital's website. Sets forth civil penalties for the Indiana department of health to assess a hospital or ambulatory outpatient surgical center that fails to post the pricing information.

HB 1272
17 05, 2023

HB 1459

Cooperative agreements of home health agencies. Adds language concerning statements and findings of the general assembly concerning home health agency cooperative agreements. Specifies that a home health agency may contract directly or indirectly through a network of home health agencies. Removes the expiration of the home health agency cooperative agreement statute.

HB 1459
2 05, 2023

SB 310

Medicaid buy-in program - amends specialty disability add-on to Medicaid to remove asset test. Removes consideration of income and countable resources in determining an individual's eligibility for participation in the Medicaid buy-in program (program). Requires the office of the secretary of family and social services (office of the secretary) to apply for a state plan amendment or waiver to implement this provision. Prohibits the office of the secretary from considering resources and whether the individual participated in a specified program in determining the individual's eligibility or continuous eligibility for the program. Allows a recipient's [...]

SB 310
2 05, 2023

HB 1597

State employee health plan hospital payment limits. Limits the amount that a state employee health plan may pay for a medical facility service provided to a covered individual to: (1) 200% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an in network provider; and (2) 185% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a [...]

HB 1597
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