Indiana 2025 Regular Session

Indiana House Bill HB1604 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+	EH1604.1
	2	+	March 21, 2025
	3	+	ENGROSSED
	4	+	HOUSE BILL No. 1604
	5	+	_____
	6	+	DIGEST OF HB 1604 (Updated March 19, 2025 12:29 pm - DI 154)
	7	+	Citations Affected: IC 27-1.
	8	+	Synopsis: Out-of-pocket expense credit. Requires an insurer, an
	9	+	administrator, and a pharmacy benefit manager to apply the annual
	10	+	limitation on cost sharing set forth in the federal Patient Protection and
	11	+	Affordable Care Act under 42 U.S.C. 18022(c)(1) to prescription drugs
	12	+	that: (1) are covered under a health plan; (2) are life-saving or intended
	13	+	to manage chronic pain; and (3) do not have an approved generic
	14	+	version. Provides that an insurer, an administrator, and a pharmacy
	15	+	benefit manager may not directly or indirectly set, alter, implement, or
	16	+	condition the terms of health insurance coverage based in part or
	17	+	entirely on information about the availability or amount of financial or
	18	+	product assistance available for a prescription drug. Requires, before
	19	+	December 31 of each year, each insurer and administrator to certify to
	20	+	the insurance commissioner that the insurer or administrator has fully
	21	+	and completely complied with the cost sharing requirements during the
	22	+	(Continued next page)
	23	+	Effective: July 1, 2025; January 1, 2026.
	24	+	McGuire, King, Morris,
	25	+	Shackleford
	26	+	(SENATE SPONSORS — CARRASCO, WALKER K, FREEMAN,
	27	+	RANDOLPH LONNIE M, HUNLEY, FORD J.D., QADDOURA)
	28	+	January 21, 2025, read first time and referred to Committee on Insurance.
	29	+	February 11, 2025, amended, reported — Do Pass.
	30	+	February 13, 2025, read second time, ordered engrossed.
	31	+	February 14, 2025, engrossed.
	32	+	February 17, 2025, read third time, passed. Yeas 95, nays 0.
	33	+	SENATE ACTION
	34	+	March 3, 2025, read first time and referred to Committee on Insurance and Financial
	35	+	Institutions.
	36	+	March 20, 2025, amended, reported favorably — Do Pass.
	37	+	EH 1604—LS 7577/DI 154 Digest Continued
	38	+	previous calendar year. Requires a health plan to credit toward a
	39	+	covered individual's deductible and annual maximum out-of-pocket
	40	+	expenses any amount the covered individual pays directly to any health
	41	+	care provider for a medically necessary covered health care service if
	42	+	a claim for the health care service is not submitted to the health plan
	43	+	and the amount paid by the covered individual to the health care
	44	+	provider is less than the average discounted rate for the health care
	45	+	service paid to a health care provider in the health plan's network.
	46	+	Requires a health plan to: (1) establish a procedure by which a covered
	47	+	individual may claim a credit; (2) identify documentation necessary to
	48	+	support a claim for a credit; and (3) publish average discounted rates
	49	+	that the health plan has negotiated to pay health care providers for
	50	+	health care services.
	51	+	EH 1604—LS 7577/DI 154EH 1604—LS 7577/DI 154 March 21, 2025
1	52		First Regular Session of the 124th General Assembly (2025)
2	53		PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
3	54		Constitution) is being amended, the text of the existing provision will appear in this style type,
4	55		additions will appear in this style type, and deletions will appear in this style type.
5	56		Additions: Whenever a new statutory provision is being enacted (or a new constitutional
6	57		provision adopted), the text of the new provision will appear in this style type. Also, the
7	58		word NEW will appear in that style type in the introductory clause of each SECTION that adds
8	59		a new provision to the Indiana Code or the Indiana Constitution.
9	60		Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
10	61		between statutes enacted by the 2024 Regular Session of the General Assembly.
11		-	HOUSE ENROLLED ACT No. 1604
12		-	AN ACT to amend the Indiana Code concerning insurance.
	62	+	ENGROSSED
	63	+	HOUSE BILL No. 1604
	64	+	A BILL FOR AN ACT to amend the Indiana Code concerning
	65	+	insurance.
13	66		Be it enacted by the General Assembly of the State of Indiana:
14		-	SECTION 1. IC 27-1-24.5-0.8 IS ADDED TO THE INDIANA
	67	+	1 SECTION 1. IC 27-1-24.5-0.8 IS ADDED TO THE INDIANA
	68	+	2 CODE AS A NEW SECTION TO READ AS FOLLOWS
	69	+	3 [EFFECTIVE JANUARY 1, 2026]: Sec. 0.8. As used in this chapter,
	70	+	4 "cost sharing" means any copayment, coinsurance, deductible, or
	71	+	5 other similar charge that is:
	72	+	6 (1) required of a covered individual for a health care service
	73	+	7 covered by a health plan, including a prescription drug; and
	74	+	8 (2) paid:
	75	+	9 (A) by; or
	76	+	10 (B) on behalf of;
	77	+	11 the covered individual.
	78	+	12 SECTION 2. IC 27-1-24.5-4.5 IS ADDED TO THE INDIANA
	79	+	13 CODE AS A NEW SECTION TO READ AS FOLLOWS
	80	+	14 [EFFECTIVE JANUARY 1, 2026]: Sec. 4.5. As used in this chapter,
	81	+	15 "health care service" means a service or good furnished for the
	82	+	16 purpose of preventing, alleviating, curing, or healing:
	83	+	17 (1) human illness;
	84	+	EH 1604—LS 7577/DI 154 2
	85	+	1 (2) physical disability; or
	86	+	2 (3) injury.
	87	+	3 SECTION 3. IC 27-1-24.5-5, AS AMENDED BY P.L.207-2021,
	88	+	4 SECTION 52, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
	89	+	5 JANUARY 1, 2026]: Sec. 5. As used in this chapter, "health plan"
	90	+	6 means a plan through which coverage is provided for health care
	91	+	7 services through insurance, prepayment, reimbursement, or
	92	+	8 otherwise. The term includes the following:
	93	+	9 (1) A state employee health plan (as defined in IC 5-10-8-6.7).
	94	+	10 (2) A policy of accident and sickness insurance (as defined in
	95	+	11 IC 27-8-5-1). However, the term does not include the coverages
	96	+	12 described in IC 27-8-5-2.5(a).
	97	+	13 (3) An individual contract (as defined in IC 27-13-1-21) or a
	98	+	14 group contract (as defined in IC 27-13-1-16) that provides
	99	+	15 coverage for basic health care services (as defined in
	100	+	16 IC 27-13-1-4).
	101	+	17 (4) Any other plan or program that provides payment,
	102	+	18 reimbursement, or indemnification to a covered individual for the
	103	+	19 cost of prescription drugs.
	104	+	20 SECTION 4. IC 27-1-24.5-6.5 IS ADDED TO THE INDIANA
	105	+	21 CODE AS A NEW SECTION TO READ AS FOLLOWS
	106	+	22 [EFFECTIVE JANUARY 1, 2026]: Sec. 6.5. As used in this chapter,
	107	+	23 "insurer" means an insurer subject to state law and rules
	108	+	24 regulating insurance or subject to the jurisdiction of the
	109	+	25 department that contracts, or offers to contract, to:
	110	+	26 (1) provide;
	111	+	27 (2) deliver;
	112	+	28 (3) arrange for;
	113	+	29 (4) pay for; or
	114	+	30 (5) reimburse;
	115	+	31 any of the costs of health care services to a covered individual
	116	+	32 under a health plan.
	117	+	33 SECTION 5. IC 27-1-24.5-11.5 IS ADDED TO THE INDIANA
	118	+	34 CODE AS A NEW SECTION TO READ AS FOLLOWS
	119	+	35 [EFFECTIVE JANUARY 1, 2026]: Sec. 11.5. As used in this chapter,
	120	+	36 "pharmacy benefit management services" means:
	121	+	37 (1) negotiating the price of prescription drugs, including
	122	+	38 negotiating and contracting for direct or indirect rebates,
	123	+	39 discounts, or other price concessions;
	124	+	40 (2) managing any aspect of a prescription drug benefit,
	125	+	41 including:
	126	+	42 (A) the processing and payment of claims for prescription
	127	+	EH 1604—LS 7577/DI 154 3
	128	+	1 drugs;
	129	+	2 (B) arranging alternative access to or funding for
	130	+	3 prescription drugs;
	131	+	4 (C) the performance of drug utilization review;
	132	+	5 (D) the processing of drug prior authorization requests;
	133	+	6 (E) the adjudication of appeals or grievances related to the
	134	+	7 prescription drug benefit;
	135	+	8 (F) contracting with network pharmacies;
	136	+	9 (G) controlling the cost of covered prescription drugs;
	137	+	10 (H) managing or providing data relating to the
	138	+	11 prescription drug benefit;
	139	+	12 (I) the provision of services related to the prescription drug
	140	+	13 benefit; or
	141	+	14 (J) creating or updating prescription drug formularies;
	142	+	15 (3) the performance of any administrative, managerial,
	143	+	16 clinical, pricing, financial, reimbursement, data
	144	+	17 administration or reporting, or billing service; and
	145	+	18 (4) any other services specified in a rule adopted by the
	146	+	19 department.
	147	+	20 SECTION 6. IC 27-1-24.5-12, AS AMENDED BY P.L.32-2021,
	148	+	21 SECTION 77, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
	149	+	22 JANUARY 1, 2026]: Sec. 12. (a) As used in this chapter, "pharmacy
	150	+	23 benefit manager" means: an entity that, on behalf of a health plan, state
	151	+	24 agency, insurer, managed care organization, or other third party payor:
	152	+	25 (1) a person who, under a written agreement with an insurer,
	153	+	26 health plan, state agency, managed care organization, or other
	154	+	27 third party payor, directly or indirectly provides one (1) or
	155	+	28 more pharmacy benefit management services on behalf of the
	156	+	29 insurer, health plan, state agency, managed care organization,
	157	+	30 or other third party payor; and
	158	+	31 (2) an agent, a contractor, an intermediary, an affiliate, a
	159	+	32 subsidiary, or a related entity of a person described in
	160	+	33 subdivision (1) who facilitates, provides, directs, or oversees
	161	+	34 the provision of the pharmacy benefit management services.
	162	+	35 (1) contracts directly or indirectly with pharmacies to provide
	163	+	36 prescription drugs to individuals;
	164	+	37 (2) administers a prescription drug benefit;
	165	+	38 (3) processes or pays pharmacy claims;
	166	+	39 (4) creates or updates prescription drug formularies;
	167	+	40 (5) makes or assists in making prior authorization determinations
	168	+	41 on prescription drugs;
	169	+	42 (6) administers rebates on prescription drugs; or
	170	+	EH 1604—LS 7577/DI 154 4
	171	+	1 (7) establishes a pharmacy network.
	172	+	2 (b) The term does not include the following:
	173	+	3 (1) A person licensed under IC 16.
	174	+	4 (2) A health provider who is:
	175	+	5 (A) described in IC 25-0.5-1; and
	176	+	6 (B) licensed or registered under IC 25.
	177	+	7 (3) A consultant who only provides advice concerning the
	178	+	8 selection or performance of a pharmacy benefit manager.
	179	+	9 SECTION 7. IC 27-1-24.5-20, AS AMENDED BY P.L.158-2024,
	180	+	10 SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
	181	+	11 JANUARY 1, 2026]: Sec. 20. (a) The commissioner shall do the
	182	+	12 following:
	183	+	13 (1) Prescribe an application for use in applying for a license to
	184	+	14 operate as a pharmacy benefit manager.
	185	+	15 (2) Adopt rules under IC 4-22-2 to establish the following:
	186	+	16 (A) Pharmacy benefit manager licensing requirements.
	187	+	17 (B) Licensing fees.
	188	+	18 (C) A license application.
	189	+	19 (D) Financial standards for pharmacy benefit managers.
	190	+	20 (E) Reporting requirements described in sections 21 and 29 of
	191	+	21 this chapter.
	192	+	22 (F) The time frame for the resolution of an appeal under
	193	+	23 section 22 of this chapter.
	194	+	24 (b) The commissioner may do the following:
	195	+	25 (1) Charge a license application fee and renewal fees established
	196	+	26 under subsection (a)(2) in an amount not to exceed five hundred
	197	+	27 dollars ($500) to be deposited in the department of insurance fund
	198	+	28 established by IC 27-1-3-28.
	199	+	29 (2) Examine or audit the books and records of a pharmacy benefit
	200	+	30 manager one (1) time per year to determine if the pharmacy
	201	+	31 benefit manager is in compliance with this chapter.
	202	+	32 (3) Adopt rules under IC 4-22-2 to:
	203	+	33 (A) implement this chapter; and
	204	+	34 (B) specify requirements for the following:
	205	+	35 (i) Prohibited market conduct practices.
	206	+	36 (ii) Data reporting in connection with violations of state law.
	207	+	37 (iii) Maximum allowable cost list compliance and
	208	+	38 enforcement requirements, including the requirements of
	209	+	39 sections 22 and 23 of this chapter.
	210	+	40 (iv) Prohibitions and limits on pharmacy benefit manager
	211	+	41 practices that require licensure under IC 25-22.5.
	212	+	42 (v) Pharmacy benefit manager affiliate information sharing.
	213	+	EH 1604—LS 7577/DI 154 5
	214	+	1 (vi) Lists of health plans administered by a pharmacy benefit
	215	+	2 manager in Indiana.
	216	+	3 (vii) Pharmacy benefit management services included
	217	+	4 under section 11.5(4) of this chapter.
	218	+	5 (c) Financial information and proprietary information submitted by
	219	+	6 a pharmacy benefit manager to the department is confidential.
	220	+	7 SECTION 8. IC 27-1-24.5-27.7 IS ADDED TO THE INDIANA
	221	+	8 CODE AS A NEW SECTION TO READ AS FOLLOWS
	222	+	9 [EFFECTIVE JANUARY 1, 2026]: Sec. 27.7. (a) This section applies
	223	+	10 to a health plan that is issued, delivered, amended, or renewed
	224	+	11 after December 31, 2025.
	225	+	12 (b) A pharmacy benefit manager shall apply the annual
	226	+	13 limitation on cost sharing set forth in the federal Patient Protection
	227	+	14 and Affordable Care Act under 42 U.S.C. 18022(c)(1) to
	228	+	15 prescription drugs that:
	229	+	16 (1) are covered under a health plan administered by the
	230	+	17 pharmacy benefit manager;
	231	+	18 (2) are life-saving or intended to manage chronic pain; and
	232	+	19 (3) do not have an approved generic version.
	233	+	20 (c) Except as provided in subsection (d), when calculating a
	234	+	21 covered individual's contribution to an applicable cost sharing
	235	+	22 requirement, a pharmacy benefit manager must include any cost
	236	+	23 sharing amounts paid:
	237	+	24 (1) by the covered individual; or
	238	+	25 (2) on behalf of the covered individual by another person.
	239	+	26 (d) If application of subsection (c) would result in a covered
	240	+	27 individual becoming ineligible for a health savings account under
	241	+	28 Section 223 of the Internal Revenue Code, the requirement under
	242	+	29 subsection (c) applies with respect to the deductible of a high
	243	+	30 deductible health plan after the covered individual satisfies the
	244	+	31 minimum deductible under Section 223 of the Internal Revenue
	245	+	32 Code. However, subsection (c) applies to items or services that are
	246	+	33 preventative care under Section 223(c)(2)(C) of the Internal
	247	+	34 Revenue Code regardless of whether the minimum deductible
	248	+	35 under Section 223 of the Internal Revenue Code is satisfied.
	249	+	36 (e) A pharmacy benefit manager may not directly or indirectly:
	250	+	37 (1) set;
	251	+	38 (2) alter;
	252	+	39 (3) implement; or
	253	+	40 (4) condition;
	254	+	41 the terms of health plan coverage, including the benefit design,
	255	+	42 based in part or entirely on information about the availability or
	256	+	EH 1604—LS 7577/DI 154 6
	257	+	1 amount of financial or product assistance available for a
	258	+	2 prescription drug.
	259	+	3 SECTION 9. IC 27-1-48.5 IS ADDED TO THE INDIANA CODE
	260	+	4 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
	261	+	5 JULY 1, 2025]:
	262	+	6 Chapter 48.5. Out-of-Pocket Expense Credit
	263	+	7 Sec. 1. This chapter applies to a health plan entered into or
	264	+	8 renewed after June 30, 2025.
	265	+	9 Sec. 2. As used in this chapter, "covered individual" means an
	266	+	10 individual entitled to coverage under a health plan.
	267	+	11 Sec. 3. As used in this chapter, "health care provider" means an
	268	+	12 individual or entity that is licensed, certified, registered, or
	269	+	13 regulated by an entity described in IC 25-0.5-11.
	270	+	14 Sec. 4. As used in this chapter, "health care services" means any
	271	+	15 services or products rendered by a health care provider within the
	272	+	16 scope of the provider's license or legal authorization.
	273	+	17 Sec. 5. (a) As used in this chapter, "health plan" means any of
	274	+	18 the following:
	275	+	19 (1) A self-insurance program established under IC 5-10-8-7(b)
	276	+	20 to provide group coverage.
	277	+	21 (2) A prepaid health care delivery plan through which health
	278	+	22 services are provided under IC 5-10-8-7(c).
	279	+	23 (3) A policy of accident and sickness insurance as defined in
	280	+	24 IC 27-8-5-1, but not including any insurance, plan, or policy
	281	+	25 set forth in IC 27-8-5-2.5(a).
	282	+	26 (4) An individual contract (as defined in IC 27-13-1-21) or a
	283	+	27 group contract (as defined in IC 27-13-1-16) with a health
	284	+	28 maintenance organization that provides coverage for basic
	285	+	29 health care services (as defined in IC 27-13-1-4).
	286	+	30 (b) The term includes a person that administers any of the
	287	+	31 following:
	288	+	32 (1) A self-insurance program established under IC 5-10-8-7(b)
	289	+	33 to provide group coverage.
	290	+	34 (2) A prepaid health care delivery plan through which health
	291	+	35 services are provided under IC 5-10-8-7(c).
	292	+	36 (3) A policy of accident and sickness insurance as defined in
	293	+	37 IC 27-8-5-1, but not including any insurance, plan, or policy
	294	+	38 set forth in IC 27-8-5-2.5(a).
	295	+	39 (4) An individual contract (as defined in IC 27-13-1-21) or a
	296	+	40 group contract (as defined in IC 27-13-1-16) with a health
	297	+	41 maintenance organization that provides coverage for basic
	298	+	42 health care services (as defined in IC 27-13-1-4).
	299	+	EH 1604—LS 7577/DI 154 7
	300	+	1 (c) The term includes hospital, medical, surgical, and
	301	+	2 pharmaceutical services or products.
	302	+	3 Sec. 6. As used in this chapter, "network" means a group of
	303	+	4 health care providers that:
	304	+	5 (1) provide health care services to covered individuals; and
	305	+	6 (2) have agreed to, or are otherwise subject to, maximum
	306	+	7 limits on the prices for the health care services to be provided
	307	+	8 to the covered individuals.
	308	+	9 Sec. 7. A health plan shall credit toward a covered individual's
	309	+	10 deductible and annual maximum out-of-pocket expenses any
	310	+	11 amount the covered individual pays directly to any health care
	311	+	12 provider for a medically necessary covered health care service if a
	312	+	13 claim for the health care service is not submitted to the health plan
	313	+	14 and the amount paid by the covered individual to the health care
	314	+	15 provider is less than the average discounted rate for the health care
	315	+	16 service paid to a health care provider in the health plan's network.
	316	+	17 Sec. 8. A health plan shall:
	317	+	18 (1) establish a procedure by which a covered individual may
	318	+	19 claim a credit under section 7 of this chapter;
	319	+	20 (2) identify documentation necessary to support a claim for a
	320	+	21 credit under section 7 of this chapter; and
	321	+	22 (3) publish average discounted rates that the health plan has
	322	+	23 negotiated to pay health care providers for health care
	323	+	24 services.
	324	+	25 Sec. 9. A health plan shall display information about the
	325	+	26 procedure and documentation described in section 8 of this chapter
	326	+	27 on its website.
	327	+	28 Sec. 10. The department shall adopt rules under IC 4-22-2 to
	328	+	29 effectuate the provisions of this chapter.
	329	+	30 SECTION 10. IC 27-1-51 IS ADDED TO THE INDIANA CODE
	330	+	31 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
	331	+	32 JANUARY 1, 2026]:
	332	+	33 Chapter 51. Cost Sharing for Health Insurance Coverage
	333	+	34 Sec. 1. This chapter applies to a policy of health insurance
	334	+	35 coverage that is issued, delivered, amended, or renewed after
	335	+	36 December 31, 2025.
	336	+	37 Sec. 2. As used in this chapter, "administrator" means a person
	337	+	38 who, directly or indirectly and on behalf of an insurer:
	338	+	39 (1) underwrites; or
	339	+	40 (2) collects charges or premiums from or adjusts or settles
	340	+	41 claims on:
	341	+	42 (A) residents of Indiana; or
	342	+	EH 1604—LS 7577/DI 154 8
	343	+	1 (B) residents of another state from offices in Indiana;
	344	+	2 in connection with health insurance coverage offered or provided
	345	+	3 by an insurer.
	346	+	4 Sec. 3. As used in this chapter, "cost sharing" means any
	347	+	5 copayment, coinsurance, deductible, or other similar charge that
	348	+	6 is:
	349	+	7 (1) required of a covered individual for a health care service
	350	+	8 covered by a policy of health insurance coverage, including a
	351	+	9 prescription drug; and
	352	+	10 (2) paid:
	353	+	11 (A) by; or
	354	+	12 (B) on behalf of;
	355	+	13 the covered individual.
	356	+	14 Sec. 4. As used in this chapter, "covered individual" means an
	357	+	15 individual who is entitled to health insurance coverage.
	358	+	16 Sec. 5. As used in this chapter, "health care service" means a
	359	+	17 service or good furnished for the purpose of preventing,
	360	+	18 alleviating, curing, or healing:
	361	+	19 (1) human illness;
	362	+	20 (2) physical disability; or
	363	+	21 (3) injury.
	364	+	22 Sec. 6. (a) As used in this chapter, "health insurance coverage"
	365	+	23 means:
	366	+	24 (1) an individual or group policy of accident and sickness
	367	+	25 insurance (as defined in IC 27-8-5-1);
	368	+	26 (2) an individual contract (as defined in IC 27-13-1-21) or a
	369	+	27 group contract (as defined in IC 27-13-1-16) that provides
	370	+	28 coverage for basic health care services (as defined in
	371	+	29 IC 27-13-1-4); and
	372	+	30 (3) any other health plan that is issued on an individual or
	373	+	31 group basis;
	374	+	32 that is subject to state law and rules regulating insurance or
	375	+	33 subject to the jurisdiction of the department. The term includes
	376	+	34 coverage of a dependent of the covered individual under a policy
	377	+	35 or contract described in subdivisions (1) through (3).
	378	+	36 (b) The term does not include a self-funded health benefit plan
	379	+	37 that complies with the federal Employee Retirement Income
	380	+	38 Security Act (ERISA) of 1974 (29 U.S.C. 1001 et seq.).
	381	+	39 Sec. 7. As used in this chapter, "insurer" means an insurer that
	382	+	40 provides health insurance coverage to a covered individual.
	383	+	41 Sec. 8. As used in this chapter, "person" means a natural
	384	+	42 person, corporation, mutual company, unincorporated association,
	385	+	EH 1604—LS 7577/DI 154 9
	386	+	1 partnership, joint venture, limited liability company, trust, estate,
	387	+	2 foundation, not-for-profit corporation, unincorporated
	388	+	3 organization, government, or governmental subdivision or agency.
	389	+	4 Sec. 9. An insurer and an administrator shall apply the annual
	390	+	5 limitation on cost sharing set forth in the federal Patient Protection
	391	+	6 and Affordable Care Act under 42 U.S.C. 18022(c)(1) to
	392	+	7 prescription drugs that:
	393	+	8 (1) are covered under a policy or contract of health insurance
	394	+	9 coverage offered or issued by the insurer;
	395	+	10 (2) are life-saving or intended to manage chronic pain; and
	396	+	11 (3) do not have an approved generic version.
	397	+	12 Sec. 10. (a) Except as provided in subsection (b), when
	398	+	13 calculating a covered individual's contribution to an applicable
	399	+	14 cost sharing requirement, an insurer and administrator must
	400	+	15 include any cost sharing amounts paid:
	401	+	16 (1) by the covered individual; and
	402	+	17 (2) on behalf of the covered individual by another person.
	403	+	18 (b) If application of subsection (a) would result in a covered
	404	+	19 individual becoming ineligible for a health savings account under
	405	+	20 Section 223 of the Internal Revenue Code, the requirement under
	406	+	21 subsection (a) applies with respect to the deductible of a high
	407	+	22 deductible health plan after the covered individual satisfies the
	408	+	23 minimum deductible under Section 223 of the Internal Revenue
	409	+	24 Code. However, subsection (a) applies to items or services that are
	410	+	25 preventative care under Section 223(c)(2)(C) of the Internal
	411	+	26 Revenue Code regardless of whether the minimum deductible
	412	+	27 under Section 223 of the Internal Revenue Code is satisfied.
	413	+	28 Sec. 11. An insurer and an administrator may not directly or
	414	+	29 indirectly:
	415	+	30 (1) set;
	416	+	31 (2) alter;
	417	+	32 (3) implement; or
	418	+	33 (4) condition;
	419	+	34 the terms of health insurance coverage, including the benefit
	420	+	35 design, based in part or entirely on information about the
	421	+	36 availability or amount of financial or product assistance available
	422	+	37 for a prescription drug.
	423	+	38 Sec. 12. Before December 31 of each year, each insurer and
	424	+	39 administrator shall certify to the commissioner that the insurer or
	425	+	40 administrator has fully and completely complied with the
	426	+	41 requirements of this chapter during the previous calendar year.
	427	+	42 The certification must be signed by the chief executive officer or
	428	+	EH 1604—LS 7577/DI 154 10
	429	+	1 chief financial officer of the insurer or administrator.
	430	+	2 Sec. 13. The commissioner may adopt rules under IC 4-22-2 to
	431	+	3 implement this chapter.
	432	+	EH 1604—LS 7577/DI 154 11
	433	+	COMMITTEE REPORT
	434	+	Mr. Speaker: Your Committee on Insurance, to which was referred
	435	+	House Bill 1604, has had the same under consideration and begs leave
	436	+	to report the same back to the House with the recommendation that said
	437	+	bill be amended as follows:
	438	+	Page 3, line 6, delete "and".
	439	+	Page 3, line 8, delete "chapter." and insert "chapter; and".
	440	+	Page 3, between lines 8 and 9, begin a new line block indented and
	441	+	insert:
	442	+	"(3) publish average discounted rates that the health plan has
	443	+	negotiated to pay health care providers for health care
	444	+	services.".
	445	+	and when so amended that said bill do pass.
	446	+	(Reference is to HB 1604 as introduced.)
	447	+	CARBAUGH
	448	+	Committee Vote: yeas 11, nays 0.
	449	+	_____
	450	+	COMMITTEE REPORT
	451	+	Mr. President: The Senate Committee on Insurance and Financial
	452	+	Institutions, to which was referred House Bill No. 1604, has had the
	453	+	same under consideration and begs leave to report the same back to the
	454	+	Senate with the recommendation that said bill be AMENDED as
	455	+	follows:
	456	+	Page 1, between the enacting clause and line 1, begin a new
	457	+	paragraph and insert:
	458	+	"SECTION 1. IC 27-1-24.5-0.8 IS ADDED TO THE INDIANA
15	459		CODE AS A NEW SECTION TO READ AS FOLLOWS
16	460		[EFFECTIVE JANUARY 1, 2026]: Sec. 0.8. As used in this chapter,
17	461		"cost sharing" means any copayment, coinsurance, deductible, or
18	462		other similar charge that is:
19	463		(1) required of a covered individual for a health care service
20	464		covered by a health plan, including a prescription drug; and
21	465		(2) paid:
22	466		(A) by; or
23	467		(B) on behalf of;
24	468		the covered individual.
	469	+	EH 1604—LS 7577/DI 154 12
25	470		SECTION 2. IC 27-1-24.5-4.5 IS ADDED TO THE INDIANA
26	471		CODE AS A NEW SECTION TO READ AS FOLLOWS
27	472		[EFFECTIVE JANUARY 1, 2026]: Sec. 4.5. As used in this chapter,
28	473		"health care service" means a service or good furnished for the
29	474		purpose of preventing, alleviating, curing, or healing:
30	475		(1) human illness;
31	476		(2) physical disability; or
32	477		(3) injury.
33	478		SECTION 3. IC 27-1-24.5-5, AS AMENDED BY P.L.207-2021,
34	479		SECTION 52, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
35	480		JANUARY 1, 2026]: Sec. 5. As used in this chapter, "health plan"
36		-	HEA 1604 — CC 1 2
37	481		means a plan through which coverage is provided for health care
38	482		services through insurance, prepayment, reimbursement, or
39	483		otherwise. The term includes the following:
40	484		(1) A state employee health plan (as defined in IC 5-10-8-6.7).
41	485		(2) A policy of accident and sickness insurance (as defined in
42	486		IC 27-8-5-1). However, the term does not include the coverages
43	487		described in IC 27-8-5-2.5(a).
44	488		(3) An individual contract (as defined in IC 27-13-1-21) or a
45	489		group contract (as defined in IC 27-13-1-16) that provides
46	490		coverage for basic health care services (as defined in
47	491		IC 27-13-1-4).
48	492		(4) Any other plan or program that provides payment,
49	493		reimbursement, or indemnification to a covered individual for the
50	494		cost of prescription drugs.
51	495		SECTION 4. IC 27-1-24.5-6.5 IS ADDED TO THE INDIANA
52	496		CODE AS A NEW SECTION TO READ AS FOLLOWS
53	497		[EFFECTIVE JANUARY 1, 2026]: Sec. 6.5. As used in this chapter,
54	498		"insurer" means an insurer subject to state law and rules
55	499		regulating insurance or subject to the jurisdiction of the
56	500		department that contracts, or offers to contract, to:
57	501		(1) provide;
58	502		(2) deliver;
59	503		(3) arrange for;
60	504		(4) pay for; or
61	505		(5) reimburse;
62	506		any of the costs of health care services to a covered individual
63	507		under a health plan.
64	508		SECTION 5. IC 27-1-24.5-11.5 IS ADDED TO THE INDIANA
65	509		CODE AS A NEW SECTION TO READ AS FOLLOWS
66	510		[EFFECTIVE JANUARY 1, 2026]: Sec. 11.5. As used in this chapter,
67	511		"pharmacy benefit management services" means:
	512	+	EH 1604—LS 7577/DI 154 13
68	513		(1) negotiating the price of prescription drugs, including
69	514		negotiating and contracting for direct or indirect rebates,
70	515		discounts, or other price concessions;
71	516		(2) managing any aspect of a prescription drug benefit,
72	517		including:
73	518		(A) the processing and payment of claims for prescription
74	519		drugs;
75	520		(B) arranging alternative access to or funding for
76	521		prescription drugs;
77	522		(C) the performance of drug utilization review;
78	523		(D) the processing of drug prior authorization requests;
79		-	HEA 1604 — CC 1 3
80	524		(E) the adjudication of appeals or grievances related to the
81	525		prescription drug benefit;
82	526		(F) contracting with network pharmacies;
83	527		(G) controlling the cost of covered prescription drugs;
84	528		(H) managing or providing data relating to the
85	529		prescription drug benefit;
86	530		(I) the provision of services related to the prescription drug
87	531		benefit; or
88	532		(J) creating or updating prescription drug formularies;
89	533		(3) the performance of any administrative, managerial,
90	534		clinical, pricing, financial, reimbursement, data
91	535		administration or reporting, or billing service; and
92	536		(4) any other services specified in a rule adopted by the
93	537		department.
94	538		SECTION 6. IC 27-1-24.5-12, AS AMENDED BY P.L.32-2021,
95	539		SECTION 77, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
96	540		JANUARY 1, 2026]: Sec. 12. (a) As used in this chapter, "pharmacy
97	541		benefit manager" means: an entity that, on behalf of a health plan, state
98	542		agency, insurer, managed care organization, or other third party payor:
99	543		(1) a person who, under a written agreement with an insurer,
100	544		health plan, state agency, managed care organization, or other
101	545		third party payor, directly or indirectly provides one (1) or
102	546		more pharmacy benefit management services on behalf of the
103	547		insurer, health plan, state agency, managed care organization,
104	548		or other third party payor; and
105	549		(2) an agent, a contractor, an intermediary, an affiliate, a
106	550		subsidiary, or a related entity of a person described in
107	551		subdivision (1) who facilitates, provides, directs, or oversees
108	552		the provision of the pharmacy benefit management services.
109	553		(1) contracts directly or indirectly with pharmacies to provide
110	554		prescription drugs to individuals;
	555	+	EH 1604—LS 7577/DI 154 14
111	556		(2) administers a prescription drug benefit;
112	557		(3) processes or pays pharmacy claims;
113	558		(4) creates or updates prescription drug formularies;
114	559		(5) makes or assists in making prior authorization determinations
115	560		on prescription drugs;
116	561		(6) administers rebates on prescription drugs; or
117	562		(7) establishes a pharmacy network.
118	563		(b) The term does not include the following:
119	564		(1) A person licensed under IC 16.
120	565		(2) A health provider who is:
121	566		(A) described in IC 25-0.5-1; and
122		-	HEA 1604 — CC 1 4
123	567		(B) licensed or registered under IC 25.
124	568		(3) A consultant who only provides advice concerning the
125	569		selection or performance of a pharmacy benefit manager.
126	570		SECTION 7. IC 27-1-24.5-20, AS AMENDED BY P.L.158-2024,
127	571		SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
128	572		JANUARY 1, 2026]: Sec. 20. (a) The commissioner shall do the
129	573		following:
130	574		(1) Prescribe an application for use in applying for a license to
131	575		operate as a pharmacy benefit manager.
132	576		(2) Adopt rules under IC 4-22-2 to establish the following:
133	577		(A) Pharmacy benefit manager licensing requirements.
134	578		(B) Licensing fees.
135	579		(C) A license application.
136	580		(D) Financial standards for pharmacy benefit managers.
137	581		(E) Reporting requirements described in sections 21 and 29 of
138	582		this chapter.
139	583		(F) The time frame for the resolution of an appeal under
140	584		section 22 of this chapter.
141	585		(b) The commissioner may do the following:
142	586		(1) Charge a license application fee and renewal fees established
143	587		under subsection (a)(2) in an amount not to exceed five hundred
144	588		dollars ($500) to be deposited in the department of insurance fund
145	589		established by IC 27-1-3-28.
146	590		(2) Examine or audit the books and records of a pharmacy benefit
147	591		manager one (1) time per year to determine if the pharmacy
148	592		benefit manager is in compliance with this chapter.
149	593		(3) Adopt rules under IC 4-22-2 to:
150	594		(A) implement this chapter; and
151	595		(B) specify requirements for the following:
152	596		(i) Prohibited market conduct practices.
153	597		(ii) Data reporting in connection with violations of state law.
	598	+	EH 1604—LS 7577/DI 154 15
154	599		(iii) Maximum allowable cost list compliance and
155	600		enforcement requirements, including the requirements of
156	601		sections 22 and 23 of this chapter.
157	602		(iv) Prohibitions and limits on pharmacy benefit manager
158	603		practices that require licensure under IC 25-22.5.
159	604		(v) Pharmacy benefit manager affiliate information sharing.
160	605		(vi) Lists of health plans administered by a pharmacy benefit
161	606		manager in Indiana.
162	607		(vii) Pharmacy benefit management services included
163	608		under section 11.5(4) of this chapter.
164	609		(c) Financial information and proprietary information submitted by
165		-	HEA 1604 — CC 1 5
166	610		a pharmacy benefit manager to the department is confidential.
167	611		SECTION 8. IC 27-1-24.5-27.7 IS ADDED TO THE INDIANA
168	612		CODE AS A NEW SECTION TO READ AS FOLLOWS
169	613		[EFFECTIVE JANUARY 1, 2026]: Sec. 27.7. (a) This section applies
170	614		to a health plan that is issued, delivered, amended, or renewed
171	615		after December 31, 2025.
172	616		(b) A pharmacy benefit manager shall apply the annual
173	617		limitation on cost sharing set forth in the federal Patient Protection
174	618		and Affordable Care Act under 42 U.S.C. 18022(c)(1) to
175	619		prescription drugs that:
176	620		(1) are covered under a health plan administered by the
177	621		pharmacy benefit manager;
178	622		(2) are life-saving or intended to manage chronic pain; and
179	623		(3) do not have an approved generic version.
180	624		(c) Except as provided in subsection (d), when calculating a
181	625		covered individual's contribution to an applicable cost sharing
182	626		requirement, a pharmacy benefit manager must include any cost
183	627		sharing amounts paid:
184	628		(1) by the covered individual; or
185	629		(2) on behalf of the covered individual by another person.
186	630		(d) If application of subsection (c) would result in a covered
187	631		individual becoming ineligible for a health savings account under
188	632		Section 223 of the Internal Revenue Code, the requirement under
189	633		subsection (c) applies with respect to the deductible of a high
190	634		deductible health plan after the covered individual satisfies the
191	635		minimum deductible under Section 223 of the Internal Revenue
192	636		Code. However, subsection (c) applies to items or services that are
193	637		preventative care under Section 223(c)(2)(C) of the Internal
194	638		Revenue Code regardless of whether the minimum deductible
195	639		under Section 223 of the Internal Revenue Code is satisfied.
196	640		(e) A pharmacy benefit manager may not directly or indirectly:
	641	+	EH 1604—LS 7577/DI 154 16
197	642		(1) set;
198	643		(2) alter;
199	644		(3) implement; or
200	645		(4) condition;
201	646		the terms of health plan coverage, including the benefit design,
202	647		based in part or entirely on information about the availability or
203	648		amount of financial or product assistance available for a
204		-	prescription drug.
205		-	SECTION 9. IC 27-1-48.5 IS ADDED TO THE INDIANA CODE
206		-	AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
207		-	JULY 1, 2025]:
208		-	HEA 1604 — CC 1 6
209		-	Chapter 48.5. Out-of-Pocket Expense Credit
210		-	Sec. 1. This chapter applies to a health plan entered into or
211		-	renewed after June 30, 2025.
212		-	Sec. 2. As used in this chapter, "covered individual" means an
213		-	individual entitled to coverage under a health plan.
214		-	Sec. 3. As used in this chapter, "health care provider" means an
215		-	individual or entity that is licensed, certified, registered, or
216		-	regulated by an entity described in IC 25-0.5-11.
217		-	Sec. 4. As used in this chapter, "health care services" means any
218		-	services or products rendered by a health care provider within the
219		-	scope of the provider's license or legal authorization.
220		-	Sec. 5. (a) As used in this chapter, "health plan" means any of
221		-	the following:
222		-	(1) A self-insurance program established under IC 5-10-8-7(b)
223		-	to provide group coverage.
224		-	(2) A prepaid health care delivery plan through which health
225		-	services are provided under IC 5-10-8-7(c).
226		-	(3) A policy of accident and sickness insurance as defined in
227		-	IC 27-8-5-1, but not including any insurance, plan, or policy
228		-	set forth in IC 27-8-5-2.5(a).
229		-	(4) An individual contract (as defined in IC 27-13-1-21) or a
230		-	group contract (as defined in IC 27-13-1-16) with a health
231		-	maintenance organization that provides coverage for basic
232		-	health care services (as defined in IC 27-13-1-4).
233		-	(b) The term includes a person that administers any of the
234		-	following:
235		-	(1) A self-insurance program established under IC 5-10-8-7(b)
236		-	to provide group coverage.
237		-	(2) A prepaid health care delivery plan through which health
238		-	services are provided under IC 5-10-8-7(c).
239		-	(3) A policy of accident and sickness insurance as defined in
240		-	IC 27-8-5-1, but not including any insurance, plan, or policy
241		-	set forth in IC 27-8-5-2.5(a).
242		-	(4) An individual contract (as defined in IC 27-13-1-21) or a
243		-	group contract (as defined in IC 27-13-1-16) with a health
244		-	maintenance organization that provides coverage for basic
245		-	health care services (as defined in IC 27-13-1-4).
246		-	(c) The term includes hospital, medical, surgical, and
247		-	pharmaceutical services or products.
248		-	Sec. 6. As used in this chapter, "network" means a group of
249		-	health care providers that:
250		-	(1) provide health care services to covered individuals; and
251		-	HEA 1604 — CC 1 7
252		-	(2) have agreed to, or are otherwise subject to, maximum
253		-	limits on the prices for the health care services to be provided
254		-	to the covered individuals.
255		-	Sec. 7. A health plan shall credit toward a covered individual's
256		-	deductible and annual maximum out-of-pocket expenses any
257		-	amount the covered individual pays directly to any health care
258		-	provider for a medically necessary covered health care service if a
259		-	claim for the health care service is not submitted to the health plan
260		-	and the amount paid by the covered individual to the health care
261		-	provider is less than the average discounted rate for the health care
262		-	service paid to a health care provider in the health plan's network.
263		-	Sec. 8. (a) A health plan shall:
264		-	(1) establish a procedure by which a covered individual may
265		-	claim a credit under section 7 of this chapter; and
266		-	(2) identify documentation necessary to support a claim for a
267		-	credit under section 7 of this chapter.
268		-	(b) A health plan may either:
269		-	(1) publish average discounted rates that the health plan has
270		-	negotiated to pay health care providers for health care
271		-	services; or
272		-	(2) refer to average or typical rates on the all payer claims
273		-	data base established under IC 27-1-44.5;
274		-	for purposes of a covered individual claiming a credit under
275		-	section 7 of this chapter.
276		-	(c) A covered individual may use the data on average or typical
277		-	rates reported on the all payer claims data base established under
278		-	IC 27-1-44.5 to determine the average discounted rate for a health
279		-	care service under section 7 of this chapter.
280		-	Sec. 9. A health plan shall display information about the
281		-	procedure and documentation described in section 8 of this chapter
282		-	on the health plan's website, including a link to the website for the
283		-	all payer claims data base established under IC 27-1-44.5.
284		-	Sec. 10. The department shall adopt rules under IC 4-22-2 to
285		-	effectuate the provisions of this chapter.
286		-	SECTION 10. IC 27-1-51 IS ADDED TO THE INDIANA CODE
	649	+	prescription drug.".
	650	+	Page 1, line 12, delete "(a)".
	651	+	Page 2, delete lines 11 through 13.
	652	+	Page 2, delete lines 27 through 29.
	653	+	Page 2, line 30, delete "(b)" and insert "(c)".
	654	+	Page 3, after line 16, begin a new paragraph and insert:
	655	+	"SECTION 10. IC 27-1-51 IS ADDED TO THE INDIANA CODE
287	656		AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
288	657		JANUARY 1, 2026]:
289	658		Chapter 51. Cost Sharing for Health Insurance Coverage
290	659		Sec. 1. This chapter applies to a policy of health insurance
291	660		coverage that is issued, delivered, amended, or renewed after
292	661		December 31, 2025.
293	662		Sec. 2. As used in this chapter, "administrator" means a person
294		-	HEA 1604 — CC 1 8
295	663		who, directly or indirectly and on behalf of an insurer:
296	664		(1) underwrites; or
297	665		(2) collects charges or premiums from or adjusts or settles
298	666		claims on:
299	667		(A) residents of Indiana; or
300	668		(B) residents of another state from offices in Indiana;
301	669		in connection with health insurance coverage offered or provided
302	670		by an insurer.
303	671		Sec. 3. As used in this chapter, "cost sharing" means any
304	672		copayment, coinsurance, deductible, or other similar charge that
305	673		is:
306	674		(1) required of a covered individual for a health care service
307	675		covered by a policy of health insurance coverage, including a
308	676		prescription drug; and
309	677		(2) paid:
310	678		(A) by; or
311	679		(B) on behalf of;
312	680		the covered individual.
313	681		Sec. 4. As used in this chapter, "covered individual" means an
314	682		individual who is entitled to health insurance coverage.
315	683		Sec. 5. As used in this chapter, "health care service" means a
	684	+	EH 1604—LS 7577/DI 154 17
316	685		service or good furnished for the purpose of preventing,
317	686		alleviating, curing, or healing:
318	687		(1) human illness;
319	688		(2) physical disability; or
320	689		(3) injury.
321	690		Sec. 6. (a) As used in this chapter, "health insurance coverage"
322	691		means:
323	692		(1) an individual or group policy of accident and sickness
324	693		insurance (as defined in IC 27-8-5-1);
325	694		(2) an individual contract (as defined in IC 27-13-1-21) or a
326	695		group contract (as defined in IC 27-13-1-16) that provides
327	696		coverage for basic health care services (as defined in
328	697		IC 27-13-1-4); and
329	698		(3) any other health plan that is issued on an individual or
330	699		group basis;
331	700		that is subject to state law and rules regulating insurance or
332	701		subject to the jurisdiction of the department. The term includes
333	702		coverage of a dependent of the covered individual under a policy
334	703		or contract described in subdivisions (1) through (3).
335	704		(b) The term does not include a self-funded health benefit plan
336	705		that complies with the federal Employee Retirement Income
337		-	HEA 1604 — CC 1 9
338	706		Security Act (ERISA) of 1974 (29 U.S.C. 1001 et seq.).
339	707		Sec. 7. As used in this chapter, "insurer" means an insurer that
340	708		provides health insurance coverage to a covered individual.
341	709		Sec. 8. As used in this chapter, "person" means a natural
342	710		person, corporation, mutual company, unincorporated association,
343	711		partnership, joint venture, limited liability company, trust, estate,
344	712		foundation, not-for-profit corporation, unincorporated
345	713		organization, government, or governmental subdivision or agency.
346	714		Sec. 9. An insurer and an administrator shall apply the annual
347	715		limitation on cost sharing set forth in the federal Patient Protection
348	716		and Affordable Care Act under 42 U.S.C. 18022(c)(1) to
349	717		prescription drugs that:
350	718		(1) are covered under a policy or contract of health insurance
351	719		coverage offered or issued by the insurer;
352	720		(2) are life-saving or intended to manage chronic pain; and
353	721		(3) do not have an approved generic version.
354	722		Sec. 10. (a) Except as provided in subsection (b), when
355	723		calculating a covered individual's contribution to an applicable
356	724		cost sharing requirement, an insurer and administrator must
357	725		include any cost sharing amounts paid:
358	726		(1) by the covered individual; and
	727	+	EH 1604—LS 7577/DI 154 18
359	728		(2) on behalf of the covered individual by another person.
360	729		(b) If application of subsection (a) would result in a covered
361	730		individual becoming ineligible for a health savings account under
362	731		Section 223 of the Internal Revenue Code, the requirement under
363	732		subsection (a) applies with respect to the deductible of a high
364	733		deductible health plan after the covered individual satisfies the
365	734		minimum deductible under Section 223 of the Internal Revenue
366	735		Code. However, subsection (a) applies to items or services that are
367	736		preventative care under Section 223(c)(2)(C) of the Internal
368	737		Revenue Code regardless of whether the minimum deductible
369	738		under Section 223 of the Internal Revenue Code is satisfied.
370	739		Sec. 11. An insurer and an administrator may not directly or
371	740		indirectly:
372	741		(1) set;
373	742		(2) alter;
374	743		(3) implement; or
375	744		(4) condition;
376	745		the terms of health insurance coverage, including the benefit
377	746		design, based in part or entirely on information about the
378	747		availability or amount of financial or product assistance available
379	748		for a prescription drug.
380		-	HEA 1604 — CC 1 10
381	749		Sec. 12. Before December 31 of each year, each insurer and
382	750		administrator shall certify to the commissioner that the insurer or
383	751		administrator has fully and completely complied with the
384	752		requirements of this chapter during the previous calendar year.
385	753		The certification must be signed by the chief executive officer or
386	754		chief financial officer of the insurer or administrator.
387	755		Sec. 13. The commissioner may adopt rules under IC 4-22-2 to
388		-	implement this chapter.
389		-	~~HEA 1604 — CC 1 Speaker of the House of Representatives~~
390		-	~~President of the Senate~~
391		-	~~President Pro Tempore~~
392		-	~~Governor of the State of Indiana~~
393		-	~~Date~~: ~~Time:~~
394		-	~~HEA~~ 1604 ~~— CC 1~~
	756	+	implement this chapter.".
	757	+	Renumber all SECTIONS consecutively.
	758	+	and when so amended that said bill do pass.
	759	+	(Reference is to HB 1604 as printed February 11, 2025.)
	760	+	BALDWIN, Chairperson
	761	+	Committee Vote: Yeas 6, Nays 1.
	762	+	EH 1604—LS 7577/DI 154