Indiana 2025 Regular Session

Indiana House Bill HB1138 Latest Draft

Bill / Introduced Version Filed 01/07/2025

                             
Introduced Version
HOUSE BILL No. 1138
_____
DIGEST OF INTRODUCED BILL
Citations Affected:  IC 5-10-8-28.
Synopsis:  Coverage for obesity treatments. Requires a state employee
health plan to provide coverage for anti-obesity medication and
intensive behavioral and lifestyle therapy for an eligible individual.
Effective:  July 1, 2025.
Shackleford
January 8, 2025, read first time and referred to Committee on Insurance.
2025	IN 1138—LS 7009/DI 154 Introduced
First Regular Session of the 124th General Assembly (2025)
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 2024 Regular Session of the General Assembly.
HOUSE BILL No. 1138
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 5-10-8-28 IS ADDED TO THE INDIANA CODE
2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
3 1, 2025]: Sec. 28. (a) This section applies to a state employee health
4 plan that is established, entered into, amended, or renewed after
5 June 30, 2025.
6 (b) As used in this section, "anti-obesity medication" means
7 medication approved by the federal Food and Drug Administration
8 that is prescribed by a physician to help an individual achieve and
9 maintain a healthy weight.
10 (c) As used in this section, "eligible individual" means an
11 individual who is:
12 (1) entitled to coverage under a state employee health plan;
13 and
14 (2) diagnosed with obesity.
15 (d) As used in this section, "intensive behavioral and lifestyle
16 therapy" means counseling or treatment that focuses on:
17 (1) changing an individual's lifestyle and behavioral habits,
2025	IN 1138—LS 7009/DI 154 2
1 including nutrition and exercise support; and
2 (2) managing or treating obesity.
3 (e) As used in this section, "physician" means an individual
4 licensed to practice medicine under IC 25-22.5.
5 (f) As used in this section, "state employee health plan" means
6 the following:
7 (1) A self-insurance program established under section 7(b) of
8 this chapter.
9 (2) A contract for prepaid health care delivery plan entered
10 into under section 7(c) of this chapter.
11 (g) A state employee health plan shall provide coverage for:
12 (1) anti-obesity medication; and
13 (2) intensive behavioral and lifestyle therapy;
14 for an eligible individual.
2025	IN 1138—LS 7009/DI 154