Indiana 2024 Regular Session

Indiana Senate Bill SB0269 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	Introduced Version
3	3	SENATE BILL No. 269
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 27-8-14.3.
7	7	Synopsis: Coverage for doula services. Requires a health plan (an
8	8	accident and sickness insurance policy or a health maintenance
9	9	organization contract) to provide coverage for doula services if: (1) the
10	10	services provided are within the doula's area of professional
11	11	competence; and (2) the health plan would provide coverage for those
12	12	services if the services were provided by any other health care provider.
13	13	Effective: July 1, 2024.
14	14	Vinzant
15	15	January 16, 2024, read first time and referred to Committee on Insurance and Financial
16	16	Institutions.
17	17	2024 IN 269—LS 6971/DI 55 Introduced
18	18	Second Regular Session of the 123rd General Assembly (2024)
19	19	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
20	20	Constitution) is being amended, the text of the existing provision will appear in this style type,
21	21	additions will appear in this style type, and deletions will appear in this style type.
22	22	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
23	23	provision adopted), the text of the new provision will appear in this style type. Also, the
24	24	word NEW will appear in that style type in the introductory clause of each SECTION that adds
25	25	a new provision to the Indiana Code or the Indiana Constitution.
26	26	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
27	27	between statutes enacted by the 2023 Regular Session of the General Assembly.
28	28	SENATE BILL No. 269
29	29	A BILL FOR AN ACT to amend the Indiana Code concerning
30	30	insurance.
31	31	Be it enacted by the General Assembly of the State of Indiana:
32	32	1 SECTION 1. IC 27-8-14.3 IS ADDED TO THE INDIANA CODE
33	33	2 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
34	34	3 JULY 1, 2024]:
35	35	4 Chapter 14.3. Coverage for Doula Services
36	36	5 Sec. 1. As used in this chapter, "doula" means an individual
37	37	6 who:
38	38	7 (1) is trained and certified by a nationally recognized
39	39	8 institution in providing emotional and physical support, but
40	40	9 not medical or midwife care, to pregnant individuals before,
41	41	10 during, and after childbirth; and
42	42	11 (2) may also provide assistance by referring childbearing
43	43	12 individuals to community-based organizations and certified
44	44	13 and licensed perinatal professionals in other disciplines.
45	45	14 Sec. 2. (a) As used in this chapter, "health plan" means either of
46	46	15 the following:
47	47	16 (1) A policy of accident and sickness insurance (as defined in
48	48	17 IC 27-8-5-1(a)), excluding the types of insurance and plans set
49	49	2024 IN 269—LS 6971/DI 55 2
50	50	1 forth in IC 27-8-5-2.5(a), that is issued, entered into, or
51	51	2 renewed after June 30, 2024.
52	52	3 (2) A contract with a health maintenance organization (as
53	53	4 defined in IC 27-13-1-19) that provides coverage for basic
54	54	5 health care services (as defined in IC 27-13-1-4) and that is
55	55	6 entered into or renewed after June 30, 2024.
56	56	7 (b) The term includes a person that administers:
57	57	8 (1) a policy described in subsection (a)(1); or
58	58	9 (2) a contract described in subsection (a)(2).
59	59	10 Sec. 3. (a) A health plan shall provide coverage for services
60	60	11 provided by a doula in accordance with the health plan's principles
61	61	12 and mechanisms of reimbursement, credentialing, and contracting
62	62	13 if:
63	63	14 (1) the services are within the doula's area of professional
64	64	15 competence; and
65	65	16 (2) the health plan would provide coverage for those services
66	66	17 if the services were provided by any other health care
67	67	18 provider.
68	68	19 (b) A health plan may not require supervision, a signature, or
69	69	20 referral by any other health care provider as a condition of
70	70	21 reimbursement for doula services, except when those requirements
71	71	22 are also applicable to other categories of health care providers.
72	72	23 (c) This section does not require a health plan to pay for
73	73	24 duplicate services actually rendered by both a doula and any other
74	74	25 health care provider.
75	75	26 (d) The department shall adopt rules under IC 4-22-2 to require
76	76	27 the reporting to the department of utilization and cost information
77	77	28 related to doula services covered under this section.
78	78	29 (e) Beginning July 1, 2025, every year on or before July 1, a
79	79	30 health plan required to cover doula services under this section shall
80	80	31 report to the department utilization and cost information related
81	81	32 to the doula services covered by the health plan.
82	82	2024 IN 269—LS 6971/DI 55