*HB1426.1* January 30, 2024 HOUSE BILL No. 1426 _____ DIGEST OF HB 1426 (Updated January 30, 2024 12:39 pm - DI 147) Citations Affected: IC 12-15. Synopsis: Long acting reversible contraceptives. Requires a hospital that operates a maternity unit to ensure that a woman who is giving birth in the hospital and who meets certain criteria has the option, if not medically contraindicated, of having a long acting reversible subdermal contraceptive implanted after delivery and before the woman is discharged. Allows a hospital to be exempt from the requirement if the hospital has a faith based objection. Requires the office of the secretary of family and social services to reimburse the hospital for the following provided to a Medicaid recipient: (1) A long acting reversible subdermal contraceptive, including the cost of stocking the long acting reversible subdermal contraceptive. (2) Placement of the long acting reversible subdermal contraceptive. Provides that the reimbursement must be separate from, and in addition to, the reimbursement for maternity services for the Medicaid recipient. Effective: July 1, 2025. Fleming, Ledbetter, Bauer M, King January 16, 2024, read first time and referred to Committee on Public Health. January 30, 2024, amended, reported — Do Pass. HB 1426—LS 7052/DI 147 January 30, 2024 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. 1426 A BILL FOR AN ACT to amend the Indiana Code concerning human services. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 12-15-47-3 IS ADDED TO THE INDIANA CODE 2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 3 1, 2025]: Sec. 3. (a) Except as provided in subsection (b), a hospital 4 that is licensed under IC 16-21 and operates a maternity unit shall 5 ensure that a woman who: 6 (1) is giving birth in the hospital; 7 (2) has not received prenatal care; and 8 (3) is eligible for Medicaid; 9 has the option, if not medically contraindicated, of having a long 10 acting reversible subdermal contraceptive implanted after delivery 11 and before the woman is discharged. 12 (b) A hospital is exempt from the requirement in subsection (a) 13 if the hospital notifies the Indiana department of health in writing 14 that the hospital has a faith based objection to the requirement. 15 SECTION 2. IC 12-15-47-4 IS ADDED TO THE INDIANA CODE 16 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 17 1, 2025]: Sec. 4. (a) The office of the secretary shall reimburse a HB 1426—LS 7052/DI 147 2 1 hospital described in section 3 of this chapter for the following 2 provided to a Medicaid recipient: 3 (1) A long acting reversible subdermal contraceptive, 4 including the cost of stocking the long acting reversible 5 subdermal contraceptive. 6 (2) Placement of the long acting reversible subdermal 7 contraceptive. 8 (b) The reimbursement required under subsection (a)(1) and 9 (a)(2) must be separate from, and in addition to, the 10 reimbursement for maternity services for the Medicaid recipient. 11 (c) Before September 1, 2025, the office of the secretary shall 12 apply to the United States Department of Health and Human 13 Services for a state plan amendment or waiver necessary to 14 implement and administer this section. HB 1426—LS 7052/DI 147 3 COMMITTEE REPORT Mr. Speaker: Your Committee on Public Health, to which was referred House Bill 1426, has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows: Page 1, delete lines 1 through 13, begin a new paragraph and insert: "SECTION 1. IC 12-15-47-3 IS ADDED TO THE INDIANA CODE AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 3. (a) Except as provided in subsection (b), a hospital that is licensed under IC 16-21 and operates a maternity unit shall ensure that a woman who: (1) is giving birth in the hospital; (2) has not received prenatal care; and (3) is eligible for Medicaid; has the option, if not medically contraindicated, of having a long acting reversible subdermal contraceptive implanted after delivery and before the woman is discharged. (b) A hospital is exempt from the requirement in subsection (a) if the hospital notifies the Indiana department of health in writing that the hospital has a faith based objection to the requirement.". Page 2, line 2, after "reversible" insert "subdermal". Page 2, line 3, after "reversible" insert "subdermal". Page 2, line 4, delete "Insertion or placement" and insert "Placement". Page 2, line 4, after "reversible" insert "subdermal". Page 2, delete lines 6 through 12, begin a new paragraph and insert: "(b) The reimbursement required under subsection (a)(1) and (a)(2) must be separate from, and in addition to, the reimbursement for maternity services for the Medicaid recipient.". Renumber all SECTIONS consecutively. and when so amended that said bill do pass. (Reference is to HB 1426 as introduced.) BARRETT Committee Vote: yeas 10, nays 0. HB 1426—LS 7052/DI 147