SB0435: A BILL FOR AN ACT to amend the Indiana Code concerning insurance.
Page last updated: Sunday, April 20, 2025 at 7:59 PM (America/Indianapolis).
General Information
- Stage: Introduced Senate Bill (S)
- Current Chamber: senate
- Origin Chamber: senate
- Description: Prohibition on copay accumulator adjustments.
Legislators
Authors (1)
Sponsors (0)
Cosponsors (0)
Advisors (0)
Conferees (0)
Actions (3 total)
- Jan 14, 2025, 9:05 AM: Senators Ford J.D. and Yoder added as coauthors
- Jan 13, 2025, 7:03 AM: First reading: referred to Committee on Health and Provider Services
- Jan 13, 2025, 7:03 AM: Authored by Senator Hunley
Digest
Provides that under certain circumstances, the administrator of the state employee health plan shall include any amount paid by a covered individual or another person on behalf of the covered individual for a prescription drug when calculating a covered individual's overall contribution to an out-of-pocket maximum or cost sharing requirement under the covered individual's state employee health plan. Provides that under certain circumstances, a pharmacy benefit manager shall include any amount paid by a covered individual or another person on behalf of the covered individual for a prescription drug when calculating a covered individual's overall contribution to an out-of-pocket maximum or cost sharing requirement under the covered individual's health plan. Provides that under certain circumstances, an insurer who issues a policy of accident and sickness insurance shall include any amount paid by an insured or another person on behalf of the insured for a prescription drug when calculating an insured's overall contribution to an out-of-pocket maximum or cost sharing requirement under the insured's policy of accident and sickness insurance. Provides that under certain circumstances, a health maintenance organization shall include any amount paid by an enrollee or another person on behalf of the enrollee for a prescription drug when calculating an enrollee's overall contribution to an out-of-pocket maximum or cost sharing requirement under the enrollee's individual or group contract.