1 | 1 | | |
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2 | 2 | | Introduced Version |
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3 | 3 | | HOUSE BILL No. 1188 |
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4 | 4 | | _____ |
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5 | 5 | | DIGEST OF INTRODUCED BILL |
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6 | 6 | | Citations Affected: IC 12-15-5-13. |
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7 | 7 | | Synopsis: Mental health and addiction services. Prohibits lifetime |
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8 | 8 | | limitations on a Medicaid recipient receiving substance use disorder |
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9 | 9 | | inpatient rehabilitation or treatment. |
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10 | 10 | | Effective: July 1, 2024. |
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11 | 11 | | Pack |
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12 | 12 | | January 9, 2024, read first time and referred to Committee on Public Health. |
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13 | 13 | | 2024 IN 1188—LS 6632/DI 104 Introduced |
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14 | 14 | | Second Regular Session of the 123rd General Assembly (2024) |
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15 | 15 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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16 | 16 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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17 | 17 | | additions will appear in this style type, and deletions will appear in this style type. |
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18 | 18 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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19 | 19 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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20 | 20 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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21 | 21 | | a new provision to the Indiana Code or the Indiana Constitution. |
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22 | 22 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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23 | 23 | | between statutes enacted by the 2023 Regular Session of the General Assembly. |
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24 | 24 | | HOUSE BILL No. 1188 |
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25 | 25 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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26 | 26 | | human services. |
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27 | 27 | | Be it enacted by the General Assembly of the State of Indiana: |
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28 | 28 | | 1 SECTION 1. IC 12-15-5-13, AS AMENDED BY P.L.179-2019, |
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29 | 29 | | 2 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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30 | 30 | | 3 JULY 1, 2024]: Sec. 13. (a) The office shall provide coverage for |
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31 | 31 | | 4 treatment of opioid or alcohol dependence that includes the following: |
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32 | 32 | | 5 (1) Counseling services that address the psychological and |
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33 | 33 | | 6 behavioral aspects of addiction. |
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34 | 34 | | 7 (2) When medically indicated, drug treatment involving agents |
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35 | 35 | | 8 approved by the federal Food and Drug Administration for the: |
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36 | 36 | | 9 (A) treatment of opioid or alcohol dependence; or |
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37 | 37 | | 10 (B) prevention of relapse to opioids or alcohol after |
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38 | 38 | | 11 detoxification. |
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39 | 39 | | 12 (3) When determined by the treatment plan to be medically |
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40 | 40 | | 13 necessary, inpatient detoxification in accordance with the most |
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41 | 41 | | 14 current edition of the American Society of Addiction Medicine |
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42 | 42 | | 15 Patient Placement Criteria. |
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43 | 43 | | 16 (b) The office shall: |
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44 | 44 | | 17 (1) develop quality measures to ensure; and |
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45 | 45 | | 2024 IN 1188—LS 6632/DI 104 2 |
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46 | 46 | | 1 (2) require a managed care organization to report; |
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47 | 47 | | 2 compliance with the coverage required under subsection (a). |
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48 | 48 | | 3 (c) The office may implement quality capitation withholding of |
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49 | 49 | | 4 reimbursement to ensure that a managed care organization has |
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50 | 50 | | 5 provided the coverage required under subsection (a). |
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51 | 51 | | 6 (d) The office shall report the clinical use of the medications |
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52 | 52 | | 7 covered under this section to the mental health Medicaid quality |
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53 | 53 | | 8 advisory committee established by IC 12-15-35-51. The mental health |
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54 | 54 | | 9 Medicaid quality advisory committee may make recommendations to |
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55 | 55 | | 10 the office concerning this section. |
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56 | 56 | | 11 (e) The office may not place an overall limitation on the amount |
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57 | 57 | | 12 of substance use disorder inpatient rehabilitation or treatment that |
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58 | 58 | | 13 a Medicaid recipient may receive in the recipient's lifetime. |
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59 | 59 | | 2024 IN 1188—LS 6632/DI 104 |
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