Introduced Version
HOUSE BILL No. 1341
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 5-10-8-15.5; IC 27-8-24.5; IC 27-13-7-20.5.
Synopsis: Hair loss treatment coverage. Requires a state employee
health plan, a policy of accident and sickness insurance, and a health
maintenance organization contract to provide coverage for scalp
cooling items for certain individuals.
Effective: July 1, 2024.
Rowray
January 10, 2024, read first time and referred to Committee on Insurance.
2024 IN 1341—LS 6831/DI 154 Introduced
Second Regular Session of the 123rd General Assembly (2024)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2023 Regular Session of the General Assembly.
HOUSE BILL No. 1341
A BILL FOR AN ACT to amend the Indiana Code concerning
insurance.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 5-10-8-15.5 IS ADDED TO THE INDIANA CODE
2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
3 1, 2024]: Sec. 15.5. (a) As used in this section, "covered individual"
4 means an individual who is:
5 (1) entitled to coverage under a state employee health plan;
6 and
7 (2) undergoing treatment for cancer.
8 (b) As used in this section, "scalp cooling item" means:
9 (1) a cooling cap;
10 (2) a hypothermia cap;
11 (3) a cold cap; and
12 (4) any other therapeutic device used to cool the scalp of an
13 individual to prevent or reduce hair loss during
14 chemotherapy.
15 (c) As used in this section, "state employee health plan" means
16 a:
17 (1) self-insurance program established under section 7(b) of
2024 IN 1341—LS 6831/DI 154 2
1 this chapter; or
2 (2) contract with a prepaid health care delivery plan that is
3 entered into or renewed under section 7(c) of this chapter;
4 to provide group health coverage. The term does not include a
5 dental or vision plan.
6 (d) A state employee health plan must provide coverage for
7 scalp cooling items for a covered individual.
8 SECTION 2. IC 27-8-24.5 IS ADDED TO THE INDIANA CODE
9 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
10 JULY 1, 2024]:
11 Chapter 24.5. Coverage for Scalp Cooling Items
12 Sec. 1. As used in this chapter, "insured" means an individual
13 who is:
14 (1) entitled to coverage under a policy of accident and sickness
15 insurance; and
16 (2) undergoing treatment for cancer.
17 Sec. 2. (a) As used in this chapter, "policy of accident and
18 sickness insurance" has the meaning set forth in IC 27-8-5-1.
19 (b) The term does not include the following:
20 (1) Accident only, credit, dental, vision, Medicare, Medicare
21 supplement, long term care, or disability income insurance.
22 (2) Coverage issued as a supplement to liability insurance.
23 (3) Automobile medical payment insurance.
24 (4) A specified disease policy.
25 (5) A limited benefit health insurance policy.
26 (6) A short term insurance plan that:
27 (A) may not be renewed; and
28 (B) has a duration of not more than six (6) months.
29 (7) A policy that provides a stipulated daily, weekly, or
30 monthly payment to an insured during hospital confinement,
31 without regard to the actual expense of the confinement.
32 (8) Worker's compensation or similar insurance.
33 (9) A student health insurance policy.
34 Sec. 3. As used in this section, "scalp cooling item" means:
35 (1) a cooling cap;
36 (2) a hypothermia cap;
37 (3) a cold cap; and
38 (4) any other therapeutic device used to cool the scalp of an
39 individual to prevent or reduce hair loss during
40 chemotherapy.
41 Sec. 4. A policy of accident and sickness insurance must provide
42 coverage for scalp cooling items for an insured.
2024 IN 1341—LS 6831/DI 154 3
1 SECTION 3. IC 27-13-7-20.5 IS ADDED TO THE INDIANA
2 CODE AS A NEW SECTION TO READ AS FOLLOWS
3 [EFFECTIVE JULY 1, 2024]: Sec. 20.5. (a) As used in this section,
4 "enrollee" includes only an enrollee who is undergoing treatment
5 for cancer.
6 (b) As used in this section, "scalp cooling item" means:
7 (1) a cooling cap;
8 (2) a hypothermia cap;
9 (3) a cold cap; and
10 (4) any other therapeutic device used to cool the scalp of an
11 individual to prevent or reduce hair loss during
12 chemotherapy.
13 (c) An individual contract or a group contract that provides
14 coverage for basic health care services must provide coverage for
15 scalp cooling items for an enrollee.
2024 IN 1341—LS 6831/DI 154