Indiana 2024 Regular Session

Indiana Senate Bill SB0142 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	~~SB0142.1~~
2		-	~~January 26, 2024~~
	1	+
	2	+	Introduced Version
3	3		SENATE BILL No. 142
4	4		_____
5		-	DIGEST OF ~~SB 142 (Updated January 24, 2024 12:45 pm - DI 104)~~
6		-	Citations Affected: IC 5-10; IC 27-8; IC 27-13.
	5	+	DIGEST OF INTRODUCED BILL
	6	+	Citations Affected: IC 5-10-8-23; IC 27-8-6-8; IC 27-13-7-27.
7	7		Synopsis: Coverage for mobile integrated healthcare services.
8		-	Provides that: (1) a state employee health plan; (2) a policy of accident
9		-	and sickness policy; and (3) an individual or group contract; must
10		-	provide reimbursement beginning July 1, 2024, and ending June 30,
11		-	2027, for emergency medical services that are performed or provided
12		-	in specified counties by a mobile integrated healthcare program.
	8	+	Provides that a state employee health plan that provides coverage for
	9	+	emergency medical services must provide reimbursement, subject to
	10	+	applicable deductible and coinsurance, for a covered individual for
	11	+	emergency medical services that are performed or provided during a
	12	+	response initiated as part of a mobile integrated healthcare program.
	13	+	Provides that a policy of accident and sickness insurance that provides
	14	+	coverage for emergency medical services must provide reimbursement
	15	+	for emergency medical services that are performed or provided during
	16	+	a response initiated as part of a mobile integrated healthcare program.
	17	+	Provides that an individual contract and a group contract that provide
	18	+	coverage for emergency medical services must provide reimbursement
	19	+	for emergency medical services that are performed or provided during
	20	+	a response initiated as part of a mobile integrated healthcare program.
13	21		Effective: July 1, 2024.
14		-	Buchanan~~, Charbonneau~~
	22	+	Buchanan
15	23		January 8, 2024, read first time and referred to Committee on Health and Provider
16	24		Services.
17		-	January 25, 2024, amended, reported favorably — Do Pass.
18		-	SB 142—LS 6486/DI 154 January 26, 2024
	25	+	2024 IN 142—LS 6486/DI 154 Introduced
19	26		Second Regular Session of the 123rd General Assembly (2024)
20	27		PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
21	28		Constitution) is being amended, the text of the existing provision will appear in this style type,
22	29		additions will appear in this style type, and deletions will appear in this style type.
23	30		Additions: Whenever a new statutory provision is being enacted (or a new constitutional
24	31		provision adopted), the text of the new provision will appear in this style type. Also, the
25	32		word NEW will appear in that style type in the introductory clause of each SECTION that adds
26	33		a new provision to the Indiana Code or the Indiana Constitution.
27	34		Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
28	35		between statutes enacted by the 2023 Regular Session of the General Assembly.
29	36		SENATE BILL No. 142
30	37		A BILL FOR AN ACT to amend the Indiana Code concerning
31	38		insurance.
32	39		Be it enacted by the General Assembly of the State of Indiana:
33	40		1 SECTION 1. IC 5-10-8-23, AS ADDED BY P.L.115-2020,
34	41		2 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
35	42		3 JULY 1, 2024]: Sec. 23. (a) As used in this section, "covered
36	43		4 individual" means an individual who is entitled to coverage under a
37	44		5 state employee health plan.
38	45		6 (b) As used in this section, "emergency medical services provider
39	46		7 organization" means a provider of emergency medical services that is
40	47		8 certified by the Indiana emergency medical services commission as an
41	48		9 advanced life support provider organization under rules adopted under
42	49		10 IC 16-31-3.
43		-	11 (c) As used in this section, "mobile integrated healthcare
44		-	12 program" refers to a program developed under IC 16-31-12 and
45		-	13 operating in the following counties before July 1, 2024:
46		-	14 (1) Delaware.
47		-	15 (2) White.
48		-	16 (3) Montgomery.
49		-	17 (d) As used in this section, "state employee health plan" means
50		-	SB 142—LS 6486/DI 154 2
51		-	1 either of the following that provides coverage for emergency medical
52		-	2 services:
53		-	3 (1) A self-insurance program established under section 7(b) of
54		-	4 this chapter to provide group health coverage.
55		-	5 (2) A contract with a prepaid health care delivery plan that is
56		-	6 entered into or renewed under section 7(c) of this chapter.
57		-	7 (d) (e) A state employee health plan that provides coverage for
58		-	8 emergency medical services must at least provide reimbursement,
59		-	9 subject to applicable deductible and coinsurance, for a covered
60		-	10 individual for emergency medical services that are:
	50	+	11 (c) As used in this section, "state employee health plan" means
	51	+	12 either of the following that provides coverage for emergency medical
	52	+	13 services:
	53	+	14 (1) A self-insurance program established under section 7(b) of
	54	+	15 this chapter to provide group health coverage.
	55	+	16 (2) A contract with a prepaid health care delivery plan that is
	56	+	17 entered into or renewed under section 7(c) of this chapter.
	57	+	2024 IN 142—LS 6486/DI 154 2
	58	+	1 (d) A state employee health plan that provides coverage for
	59	+	2 emergency medical services must at least provide reimbursement,
	60	+	3 subject to applicable deductible and coinsurance, for a covered
	61	+	4 individual for emergency medical services that are:
	62	+	5 (1) rendered by an emergency medical services provider
	63	+	6 organization;
	64	+	7 (2) within the emergency medical services provider organization's
	65	+	8 scope of practice;
	66	+	9 (3) performed or provided as advanced life support services; and
	67	+	10 (4) performed or provided during a response initiated through the
	68	+	11 911 system or as part of a mobile integrated healthcare
	69	+	12 program described in IC 16-31-12, regardless of whether the
	70	+	13 patient was transported.
	71	+	14 (e) If multiple emergency medical services provider organizations
	72	+	15 qualify and submit a claim for reimbursement under this section for an
	73	+	16 encounter, the state employee health plan:
	74	+	17 (1) may only reimburse, subject to applicable deductible and
	75	+	18 coinsurance, under this section for one (1) claim per patient
	76	+	19 encounter; and
	77	+	20 (2) shall reimburse, subject to applicable deductible and
	78	+	21 coinsurance, the claim submitted by the emergency medical
	79	+	22 services provider organization that performed or provided the
	80	+	23 majority of advanced life support services for the patient.
	81	+	24 (f) The state personnel department may adopt rules under IC 4-22-2,
	82	+	25 including emergency rules under IC 4-22-2-37.1, to implement this
	83	+	26 section.
	84	+	27 (g) This section does not restrict the state employee health plan from
	85	+	28 providing coverage beyond the requirements in this section.
	86	+	29 SECTION 2. IC 27-8-6-8, AS AMENDED BY P.L.170-2022,
	87	+	30 SECTION 37, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
	88	+	31 JULY 1, 2024]: Sec. 8. (a) As used in this section, "emergency medical
	89	+	32 services" has the meaning set forth in IC 16-18-2-110.
	90	+	33 (b) As used in this section, "emergency medical services provider
	91	+	34 organization" means a provider of emergency medical services that is
	92	+	35 certified by the Indiana emergency medical services commission as an
	93	+	36 advanced life support provider organization under rules adopted under
	94	+	37 IC 16-31-3.
	95	+	38 (c) As used in this section, "policy of accident and sickness
	96	+	39 insurance" has the meaning set forth in IC 27-8-5-1. However, for
	97	+	40 purposes of this section, the term does not include the following:
	98	+	41 (1) Accident only, credit, dental, vision, Medicare supplement,
	99	+	42 long term care, or disability income insurance.
	100	+	2024 IN 142—LS 6486/DI 154 3
	101	+	1 (2) Coverage issued as a supplement to liability insurance.
	102	+	2 (3) Automobile medical payment insurance.
	103	+	3 (4) A specified disease policy.
	104	+	4 (5) A policy that provides a stipulated daily, weekly, or monthly
	105	+	5 payment to an insured without regard to the actual expense of the
	106	+	6 confinement.
	107	+	7 (6) A short term insurance plan (as defined in IC 27-8-5.9-3).
	108	+	8 (d) A policy of accident and sickness insurance that provides
	109	+	9 coverage for emergency medical services must provide reimbursement
	110	+	10 for emergency medical services that are:
61	111		11 (1) rendered by an emergency medical services provider
62	112		12 organization;
63	113		13 (2) within the emergency medical services provider organization's
64	114		14 scope of practice;
65	115		15 (3) performed or provided as advanced life support services; and
66		-	16 (4) performed or provided:
67		-	17 (A) during a response initiated through the 911 system; or
68		-	18 (B) beginning July 1, 2024, and ending June 30, 2027, as
69		-	19 part of a mobile integrated healthcare program;
70		-	20 regardless of whether the patient was transported.
71		-	21 (e) (f) If multiple emergency medical services provider
72		-	22 organizations qualify and submit a claim for reimbursement under this
73		-	23 section for an encounter, the state employee health plan:
74		-	24 (1) may only reimburse, subject to applicable deductible and
75		-	25 coinsurance, under this section for one (1) claim per patient
76		-	26 encounter; and
77		-	27 (2) shall reimburse, subject to applicable deductible and
78		-	28 coinsurance, the claim submitted by the emergency medical
	116	+	16 (4) performed or provided during a response initiated through the
	117	+	17 911 system or as part of a mobile integrated healthcare
	118	+	18 program described in IC 16-31-12, regardless of whether the
	119	+	19 patient is transported.
	120	+	20 (e) Reimbursement for basic and advanced life support services
	121	+	21 through a policy to which this section applies must be provided on an
	122	+	22 equal basis regardless of whether the services involve transportation of
	123	+	23 the patient by ambulance.
	124	+	24 (f) If multiple emergency medical services provider organizations
	125	+	25 qualify and submit a claim for reimbursement under this section for an
	126	+	26 encounter, the insurer:
	127	+	27 (1) may reimburse under this section only for one (1) claim per
	128	+	28 patient encounter; and
	129	+	29 (2) shall reimburse the claim submitted by the emergency medical
	130	+	30 services provider organization that performed or provided the
	131	+	31 majority of advanced life support services for the patient.
	132	+	32 (g) The department may adopt rules under IC 4-22-2, including
	133	+	33 emergency rules under IC 4-22-2-37.1, to implement this section.
	134	+	34 (h) This section does not require a policy of accident and sickness
	135	+	35 insurance to provide coverage for emergency medical services.
	136	+	36 SECTION 3. IC 27-13-7-27, AS AMENDED BY P.L.170-2022,
	137	+	37 SECTION 39, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
	138	+	38 JULY 1, 2024]: Sec. 27. (a) This section applies to each of the
	139	+	39 following:
	140	+	40 (1) An individual contract.
	141	+	41 (2) A group contract.
	142	+	42 (b) As used in this section, "emergency medical services" has the
	143	+	2024 IN 142—LS 6486/DI 154 4
	144	+	1 meaning set forth in IC 16-18-2-110.
	145	+	2 (c) As used in this section, "emergency medical services provider
	146	+	3 organization" means a provider of emergency medical services that is
	147	+	4 certified by the Indiana emergency medical services commission as an
	148	+	5 advanced life support provider organization under rules adopted under
	149	+	6 IC 16-31-3.
	150	+	7 (d) An individual contract and a group contract that provide
	151	+	8 coverage for emergency medical services must provide reimbursement
	152	+	9 for emergency medical services that are:
	153	+	10 (1) rendered by an emergency medical services provider
	154	+	11 organization;
	155	+	12 (2) within the emergency medical services provider organization's
	156	+	13 scope of practice;
	157	+	14 (3) performed or provided as advanced life support services; and
	158	+	15 (4) performed or provided during a response initiated through the
	159	+	16 911 system or as part of a mobile integrated healthcare
	160	+	17 program described in IC 16-31-12, regardless of whether the
	161	+	18 patient is transported.
	162	+	19 (e) Reimbursement for basic and advanced life support services
	163	+	20 through a contract to which this section applies must be provided on an
	164	+	21 equal basis regardless of whether the services involve transportation of
	165	+	22 the patient by ambulance.
	166	+	23 (f) If multiple emergency medical services provider organizations
	167	+	24 qualify and submit a claim for reimbursement under this section, the
	168	+	25 health maintenance organization:
	169	+	26 (1) may reimburse under this section only for one (1) claim per
	170	+	27 patient encounter; and
	171	+	28 (2) shall reimburse the claim submitted by the emergency medical
79	172		29 services provider organization that performed or provided the
80		-	30 majority of advanced life support services for the patient.
81		-	31 (f) (g) The state personnel department may adopt rules under
82		-	32 IC 4-22-2, including emergency rules under IC 4-22-2-37.1, to
83		-	33 implement this section.
84		-	34 (g) (h) This section does not restrict the state employee health plan
85		-	35 from providing coverage beyond the requirements in this section.
86		-	36 (i) Not later than July 1, 2026, the state personnel department
87		-	37 shall prepare and submit a report concerning the reimbursement
88		-	38 for emergency medical services as part of a mobile integrated
89		-	39 healthcare program under this section. The report must include the
90		-	40 following:
91		-	41 (1) The number of claims submitted by a mobile integrated
92		-	42 healthcare program for emergency medical services.
93		-	SB 142—LS 6486/DI 154 3
94		-	1 (2) The total reimbursement amount paid for the claims
95		-	2 described in subdivision (1).
96		-	3 The state personnel department shall submit the report in an
97		-	4 electronic format under IC 5-14-6 to the legislative council. This
98		-	5 subsection expires December 31, 2026.
99		-	6 SECTION 2. IC 27-8-6-8, AS AMENDED BY P.L.170-2022,
100		-	7 SECTION 37, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
101		-	8 JULY 1, 2024]: Sec. 8. (a) As used in this section, "emergency medical
102		-	9 services" has the meaning set forth in IC 16-18-2-110.
103		-	10 (b) As used in this section, "emergency medical services provider
104		-	11 organization" means a provider of emergency medical services that is
105		-	12 certified by the Indiana emergency medical services commission as an
106		-	13 advanced life support provider organization under rules adopted under
107		-	14 IC 16-31-3.
108		-	15 (c) As used in this section, "mobile integrated healthcare
109		-	16 program" refers to a program developed under IC 16-31-12 and
110		-	17 operating in the following counties before July 1, 2024:
111		-	18 (1) Delaware.
112		-	19 (2) White.
113		-	20 (3) Montgomery.
114		-	21 (d) As used in this section, "policy of accident and sickness
115		-	22 insurance" has the meaning set forth in IC 27-8-5-1. However, for
116		-	23 purposes of this section, the term does not include the following:
117		-	24 (1) Accident only, credit, dental, vision, Medicare supplement,
118		-	25 long term care, or disability income insurance.
119		-	26 (2) Coverage issued as a supplement to liability insurance.
120		-	27 (3) Automobile medical payment insurance.
121		-	28 (4) A specified disease policy.
122		-	29 (5) A policy that provides a stipulated daily, weekly, or monthly
123		-	30 payment to an insured without regard to the actual expense of the
124		-	31 confinement.
125		-	32 (6) A short term insurance plan (as defined in IC 27-8-5.9-3).
126		-	33 (d) (e) A policy of accident and sickness insurance that provides
127		-	34 coverage for emergency medical services must provide reimbursement
128		-	35 for emergency medical services that are:
129		-	36 (1) rendered by an emergency medical services provider
130		-	37 organization;
131		-	38 (2) within the emergency medical services provider organization's
132		-	39 scope of practice;
133		-	40 (3) performed or provided as advanced life support services; and
134		-	41 (4) performed or provided:
135		-	42 (A) during a response initiated through the 911 system; or
136		-	SB 142—LS 6486/DI 154 4
137		-	1 (B) beginning July 1, 2024, and ending June 30, 2027, as
138		-	2 part of a mobile integrated healthcare program;
139		-	3 regardless of whether the patient is transported.
140		-	4 (e) (f) Reimbursement for basic and advanced life support services
141		-	5 through a policy to which this section applies must be provided on an
142		-	6 equal basis regardless of whether the services involve transportation of
143		-	7 the patient by ambulance.
144		-	8 (f) (g) If multiple emergency medical services provider
145		-	9 organizations qualify and submit a claim for reimbursement under this
146		-	10 section for an encounter, the insurer:
147		-	11 (1) may reimburse under this section only for one (1) claim per
148		-	12 patient encounter; and
149		-	13 (2) shall reimburse the claim submitted by the emergency medical
150		-	14 services provider organization that performed or provided the
151		-	15 majority of advanced life support services for the patient.
152		-	16 (g) (h) The department may adopt rules under IC 4-22-2, including
153		-	17 emergency rules under IC 4-22-2-37.1, to implement this section.
154		-	18 (h) (i) This section does not require a policy of accident and
155		-	19 sickness insurance to provide coverage for emergency medical
156		-	20 services.
157		-	21 (j) Not later than July 1, 2026, a policy of accident and sickness
158		-	22 insurance shall submit to the department claims and
159		-	23 reimbursement rate data necessary for the department to prepare
160		-	24 the report required by this subsection. Not later than November 1,
161		-	25 2026, the department shall compile the data from each policy of
162		-	26 accident and sickness insurance and prepare and submit a report
163		-	27 concerning the reimbursement for emergency medical services as
164		-	28 part of a mobile integrated healthcare program under this section.
165		-	29 The report must include the following:
166		-	30 (1) The number of claims submitted by a mobile integrated
167		-	31 healthcare program for emergency medical services.
168		-	32 (2) The total reimbursement amount paid for the claims
169		-	33 described in subdivision (1).
170		-	34 The department shall submit the report in an electronic format
171		-	35 under IC 5-14-6 to the legislative council. This subsection expires
172		-	36 December 31, 2026.
173		-	37 SECTION 3. IC 27-13-7-27, AS AMENDED BY P.L.170-2022,
174		-	38 SECTION 39, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
175		-	39 JULY 1, 2024]: Sec. 27. (a) This section applies to each of the
176		-	40 following:
177		-	41 (1) An individual contract.
178		-	42 (2) A group contract.
179		-	SB 142—LS 6486/DI 154 5
180		-	1 (b) As used in this section, "emergency medical services" has the
181		-	2 meaning set forth in IC 16-18-2-110.
182		-	3 (c) As used in this section, "emergency medical services provider
183		-	4 organization" means a provider of emergency medical services that is
184		-	5 certified by the Indiana emergency medical services commission as an
185		-	6 advanced life support provider organization under rules adopted under
186		-	7 IC 16-31-3.
187		-	8 (d) As used in this section, "mobile integrated healthcare
188		-	9 program" refers to a program developed under IC 16-31-12 and
189		-	10 operating in the following counties before July 1, 2024:
190		-	11 (1) Delaware.
191		-	12 (2) White.
192		-	13 (3) Montgomery.
193		-	14 (e) An individual contract and a group contract that provide
194		-	15 coverage for emergency medical services must provide reimbursement
195		-	16 for emergency medical services that are:
196		-	17 (1) rendered by an emergency medical services provider
197		-	18 organization;
198		-	19 (2) within the emergency medical services provider organization's
199		-	20 scope of practice;
200		-	21 (3) performed or provided as advanced life support services; and
201		-	22 (4) performed or provided:
202		-	23 (A) during a response initiated through the 911 system; or
203		-	24 (B) beginning July 1, 2024, and ending June 30, 2027, as
204		-	25 part of a mobile integrated healthcare program;
205		-	26 regardless of whether the patient is transported. Reimbursement
206		-	27 for a service performed or provided as part of a mobile
207		-	28 integrated healthcare program under this subdivision may not
208		-	29 be construed to require coverage for the service under the
209		-	30 Medicaid program.
210		-	31 (e) (f) Reimbursement for basic and advanced life support services
211		-	32 through a contract to which this section applies must be provided on an
212		-	33 equal basis regardless of whether the services involve transportation of
213		-	34 the patient by ambulance.
214		-	35 (f) (g) If multiple emergency medical services provider
215		-	36 organizations qualify and submit a claim for reimbursement under this
216		-	37 section, the health maintenance organization:
217		-	38 (1) may reimburse under this section only for one (1) claim per
218		-	39 patient encounter; and
219		-	40 (2) shall reimburse the claim submitted by the emergency medical
220		-	41 services provider organization that performed or provided the
221		-	42 majority of advanced life support services.
222		-	SB 142—LS 6486/DI 154 6
223		-	1 (g) (h) The department may adopt rules under IC 4-22-2, including
224		-	2 emergency rules under IC 4-22-2-37.1, to implement this section.
225		-	3 (h) (i) This section does not require an individual contract or a
226		-	4 group contract to provide coverage for emergency medical services.
227		-	5 (j) Not later than July 1, 2026, an individual contract and a
228		-	6 group contract that provides coverage of emergency medical
229		-	7 services shall submit to the department claims and reimbursement
230		-	8 rate data necessary for the department to prepare the report
231		-	9 required by this subsection. Not later than November 1, 2026, the
232		-	10 department shall compile the data from each individual contract
233		-	11 and group contract and prepare and submit a report concerning
234		-	12 the reimbursement for emergency medical services as part of a
235		-	13 mobile integrated healthcare program under this section. The
236		-	14 report must include the following:
237		-	15 (1) The number of claims submitted by a mobile integrated
238		-	16 healthcare program for emergency medical services.
239		-	17 (2) The total reimbursement amount paid for the claims
240		-	18 described in subdivision (1).
241		-	19 The department shall submit the report in an electronic format
242		-	20 under IC 5-14-6 to the legislative council. This subsection expires
243		-	21 December 31, 2026.
244		-	SB 142—LS 6486/DI 154 7
245		-	COMMITTEE REPORT
246		-	Madam President: The Senate Committee on Health and Provider
247		-	Services, to which was referred Senate Bill No. 142, has had the same
248		-	under consideration and begs leave to report the same back to the
249		-	Senate with the recommendation that said bill be AMENDED as
250		-	follows:
251		-	Page 1, line 11, after "(c)" insert "As used in this section, "mobile
252		-	integrated healthcare program" refers to a program developed
253		-	under IC 16-31-12 and operating in the following counties before
254		-	July 1, 2024:
255		-	(1) Delaware.
256		-	(2) White.
257		-	(3) Montgomery.
258		-	(d)".
259		-	Page 2, line 1, strike "(d)" and insert "(e)".
260		-	Page 2, delete lines 10 through 13, begin a new line block indented
261		-	and insert:
262		-	"(4) performed or provided:
263		-	(A) during a response initiated through the 911 system; or
264		-	(B) beginning July 1, 2024, and ending June 30, 2027, as
265		-	part of a mobile integrated healthcare program;
266		-	regardless of whether the patient was transported.".
267		-	Page 2, line 14, strike "(e)" and insert "(f)".
268		-	Page 2, line 24, strike "(f)" and insert "(g)".
269		-	Page 2, line 27, strike "(g)" and insert "(h)".
270		-	Page 2, between lines 28 and 29, begin a new paragraph and insert:
271		-	"(i) Not later than July 1, 2026, the state personnel department
272		-	shall prepare and submit a report concerning the reimbursement
273		-	for emergency medical services as part of a mobile integrated
274		-	healthcare program under this section. The report must include the
275		-	following:
276		-	(1) The number of claims submitted by a mobile integrated
277		-	healthcare program for emergency medical services.
278		-	(2) The total reimbursement amount paid for the claims
279		-	described in subdivision (1).
280		-	The state personnel department shall submit the report in an
281		-	electronic format under IC 5-14-6 to the legislative council. This
282		-	subsection expires December 31, 2026.".
283		-	Page 2, line 38, after "(c)" insert "As used in this section, "mobile
284		-	integrated healthcare program" refers to a program developed
285		-	under IC 16-31-12 and operating in the following counties before
286		-	July 1, 2024:
287		-	SB 142—LS 6486/DI 154 8
288		-	(1) Delaware.
289		-	(2) White.
290		-	(3) Montgomery.
291		-	(d)".
292		-	Page 3, line 8, strike "(d)" and insert "(e)".
293		-	Page 3, delete lines 16 through 19, begin a new line block indented
294		-	and insert:
295		-	"(4) performed or provided:
296		-	(A) during a response initiated through the 911 system; or
297		-	(B) beginning July 1, 2024, and ending June 30, 2027, as
298		-	part of a mobile integrated healthcare program;
299		-	regardless of whether the patient is transported.".
300		-	Page 3, line 20, strike "(e)" and insert "(f)".
301		-	Page 3, line 24, strike "(f)" and insert "(g)".
302		-	Page 3, line 32, strike "(g)" and insert "(h)".
303		-	Page 3, line 34, strike "(h)" and insert "(i)".
304		-	Page 3, between lines 35 and 36, begin a new paragraph and insert:
305		-	"(j) Not later than July 1, 2026, a policy of accident and sickness
306		-	insurance shall submit to the department claims and
307		-	reimbursement rate data necessary for the department to prepare
308		-	the report required by this subsection. Not later than November 1,
309		-	2026, the department shall compile the data from each policy of
310		-	accident and sickness insurance and prepare and submit a report
311		-	concerning the reimbursement for emergency medical services as
312		-	part of a mobile integrated healthcare program under this section.
313		-	The report must include the following:
314		-	(1) The number of claims submitted by a mobile integrated
315		-	healthcare program for emergency medical services.
316		-	(2) The total reimbursement amount paid for the claims
317		-	described in subdivision (1).
318		-	The department shall submit the report in an electronic format
319		-	under IC 5-14-6 to the legislative council. This subsection expires
320		-	December 31, 2026.".
321		-	Page 4, line 7, after "(d)" insert "As used in this section, "mobile
322		-	integrated healthcare program" refers to a program developed
323		-	under IC 16-31-12 and operating in the following counties before
324		-	July 1, 2024:
325		-	(1) Delaware.
326		-	(2) White.
327		-	(3) Montgomery.
328		-	(e)".
329		-	Page 4, delete lines 15 through 18, begin a new line block indented
330		-	SB 142—LS 6486/DI 154 9
331		-	and insert:
332		-	"(4) performed or provided:
333		-	(A) during a response initiated through the 911 system; or
334		-	(B) beginning July 1, 2024, and ending June 30, 2027, as
335		-	part of a mobile integrated healthcare program;
336		-	regardless of whether the patient is transported. Reimbursement
337		-	for a service performed or provided as part of a mobile
338		-	integrated healthcare program under this subdivision may not
339		-	be construed to require coverage for the service under the
340		-	Medicaid program.".
341		-	Page 4, line 19, strike "(e)" and insert "(f)".
342		-	Page 4, line 23, strike "(f)" and insert "(g)".
343		-	Page 4, line 31, strike "(g)" and insert "(h)".
344		-	Page 4, line 33, strike "(h)" and insert "(i)".
345		-	Page 4, after line 34, begin a new paragraph and insert:
346		-	"(j) Not later than July 1, 2026, an individual contract and a
347		-	group contract that provides coverage of emergency medical
348		-	services shall submit to the department claims and reimbursement
349		-	rate data necessary for the department to prepare the report
350		-	required by this subsection. Not later than November 1, 2026, the
351		-	department shall compile the data from each individual contract
352		-	and group contract and prepare and submit a report concerning
353		-	the reimbursement for emergency medical services as part of a
354		-	mobile integrated healthcare program under this section. The
355		-	report must include the following:
356		-	(1) The number of claims submitted by a mobile integrated
357		-	healthcare program for emergency medical services.
358		-	(2) The total reimbursement amount paid for the claims
359		-	described in subdivision (1).
360		-	The department shall submit the report in an electronic format
361		-	under IC 5-14-6 to the legislative council. This subsection expires
362		-	December 31, 2026.".
363		-	and when so amended that said bill do pass.
364		-	(Reference is to SB 142 as introduced.)
365		-	CHARBONNEAU, Chairperson
366		-	Committee Vote: Yeas 7, Nays 0.
367		-	SB 142—LS 6486/DI 154
	173	+	30 majority of advanced life support services.
	174	+	31 (g) The department may adopt rules under IC 4-22-2, including
	175	+	32 emergency rules under IC 4-22-2-37.1, to implement this section.
	176	+	33 (h) This section does not require an individual contract or a group
	177	+	34 contract to provide coverage for emergency medical services.
	178	+	2024 IN 142—LS 6486/DI 154