Various insurance and health care matters. Requires the state personnel department to: (1) evaluate whether to offer state employees a health reimbursement arrangement benefit and consider the population of state employees to whom the benefit should be offered; and (2) report to the general assembly on the department’s findings by November 1, 2020. Requires the office of the secretary of family and social services to study the feasibility of: (1) changing Indiana’s Medicaid program to a block grant; (2) establishing a consumer-directed Medicaid pilot program; and (3) restructuring Medicaid payments for long term care. Requires a nonprofit hospital that deducts an amount for charity care that exceeds the Medicare reimbursement rate for the services to disclose in its annual report to the state department of health a breakdown of the components of the deduction that were taken by the nonprofit hospital in determining net patient revenue. Establishes limitations on covenants not to compete concerning physicians. Requires specified licensing boards to submit information and recommendations on various licensure matters. Allows a party to audit a pharmacy benefit manager with which it has a contract. Requires the department of insurance (department) to take certain action on association health plans in compliance with federal law. Sets forth requirements of short term insurance plans and insurers that issue these plans. Requires the department to examine various integration opportunities. Urges the legislative council to assign various topics for study during the 2020 legislative interim. Requires the department to assess the feasibility of allowing the sale of health insurance across state lines and a multistate reciprocity system. Requires specified agencies to report on Medicaid claim auditing and fraud. Requires the department and the secretary of family and social services to develop a framework for long term care insurance policies and sets requirements. Requires the attorney general to make recommendations on enhancing strict antitrust enforcement of anticompetitive practices. Requires the commission on higher education to provide an executive summary on medical training programs. Requires the department of workforce development to provide an executive summary on health worker supply needs. Requires the medical licensing board of Indiana to provide an executive summary concerning the creation and implementation of expedited licensure pathways. Requires the trustee of the net level Indiana trust fund to report on trust assets in health care related infrastructure. Requires the Indiana economic development corporation to provide a report concerning incentive programs related to health care infrastructure. Requires the department and the office of the secretary of family and social services to assess the feasibility of applying for federal 1332 waivers concerning the insurance market. Provides that the attorney general, in consultation with the department of insurance (as described under IC 27-1-1-1) shall provide, in a electronic format under IC5-14-6, recommendations, if any, to the legislative council and the general assembly, on enhancing strict antitrust enforcement of potential anticompetitive practices, including the following:
(1) Price protection practices.
(2) Payment parity.
(3) Most favored nation clauses.
(4) Advertising restrictions.
(5) Price fixing.
(6) Accreditation and speciality certifications.
(7) Hospital staff privileges.
(8) Gag clauses.
(9) Price discrimination.
(10) Undue influence.
(11) Antitiering or antisteering clauses.
(12) Bundling.
(13) Tying arrangements.
(14) Vertical and horizontal consolidation.
(15) Collusion.
(16) All or none clauses.
(17) Naked market allocation.
(18) Exclusive dealing.
(19) Any other:
(A) form of anticompetitive contract language;
(B) unreasonable restraint on trade; or
(C) unreasonable or unlawful attempt at monopolization.