*SB0220.1*
January 17, 2025
SENATE BILL No. 220
_____
DIGEST OF SB 220 (Updated January 15, 2025 10:52 am - DI 140)
Citations Affected: IC 5-10.
Synopsis: State employee health plan coverage of Alzheimer's.
Requires a state employee health plan to provide coverage for dementia
treatments or medications that are determined to be medically
necessary by the physician treating the covered individual.
Effective: July 1, 2025.
Walker K, Baldwin, Qaddoura,
Randolph Lonnie M
January 8, 2025, read first time and referred to Committee on Insurance and Financial
Institutions.
January 16, 2025, reported favorably — Do Pass.
SB 220—LS 6675/DI 154 January 17, 2025
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.
SENATE BILL No. 220
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 5-10-8-27 IS ADDED TO THE INDIANA CODE
2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
3 1, 2025]: Sec. 27. (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, "covered individual" means an
7 individual entitled to coverage under a state employee health plan.
8 (c) As used in this section, "dementia treatment or medication"
9 means treatment or medication approved by the federal Food and
10 Drug Administration prior to July 1, 2025, that is prescribed by a
11 physician to slow the progression of Alzheimer's disease or any
12 other form of dementia.
13 (d) As used in this section, "physician" means an individual
14 licensed to practice medicine under IC 25-22.5.
15 (e) As used in this section, "state employee health plan" means
16 the following:
17 (1) A self-insurance program established under section 7(b) of
SB 220—LS 6675/DI 154 2
1 this chapter.
2 (2) A contract for prepaid health care services entered into
3 under section 7(c) of this chapter.
4 (f) As used in this section, "step therapy protocol" has the
5 meaning set forth in section 17(e) of this chapter.
6 (g) A state employee health plan shall provide coverage for
7 dementia treatments or medications that are determined to be
8 medically necessary by the physician treating the covered
9 individual.
10 (h) The coverage provided under subsection (g) shall not be
11 subject to a step therapy protocol.
SB 220—LS 6675/DI 154 3
COMMITTEE REPORT
Mr. President: The Senate Committee on Insurance and Financial
Institutions, to which was referred Senate Bill No. 220, has had the
same under consideration and begs leave to report the same back to the
Senate with the recommendation that said bill DO PASS.
(Reference is to SB 220 as introduced.)
BALDWIN, Chairperson
Committee Vote: Yeas 7, Nays 1
SB 220—LS 6675/DI 154