1 | 1 | | |
---|
2 | 2 | | Introduced Version |
---|
3 | 3 | | SENATE BILL No. 514 |
---|
4 | 4 | | _____ |
---|
5 | 5 | | DIGEST OF INTRODUCED BILL |
---|
6 | 6 | | Citations Affected: IC 27-8-40; IC 27-13-7-29. |
---|
7 | 7 | | Synopsis: Chimeric antigen receptor T-cell therapy. Provides that a |
---|
8 | 8 | | policy of accident and sickness insurance or health maintenance |
---|
9 | 9 | | organization contract that provides coverage for chimeric antigen |
---|
10 | 10 | | receptor (CAR) T-cell therapy may not refuse to contract or deny |
---|
11 | 11 | | coverage for the administration of any CAR T-cell therapy by any |
---|
12 | 12 | | provider that qualifies as a certified health care facility by the federal |
---|
13 | 13 | | Food and Drug Administration for the applicable CAR T-cell therapy. |
---|
14 | 14 | | Effective: July 1, 2025. |
---|
15 | 15 | | Leising |
---|
16 | 16 | | January 16, 2025, read first time and referred to Committee on Health and Provider |
---|
17 | 17 | | Services. |
---|
18 | 18 | | 2025 IN 514—LS 7414/DI 141 Introduced |
---|
19 | 19 | | First Regular Session of the 124th General Assembly (2025) |
---|
20 | 20 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
---|
21 | 21 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
---|
22 | 22 | | additions will appear in this style type, and deletions will appear in this style type. |
---|
23 | 23 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
---|
24 | 24 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
---|
25 | 25 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
---|
26 | 26 | | a new provision to the Indiana Code or the Indiana Constitution. |
---|
27 | 27 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
---|
28 | 28 | | between statutes enacted by the 2024 Regular Session of the General Assembly. |
---|
29 | 29 | | SENATE BILL No. 514 |
---|
30 | 30 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
---|
31 | 31 | | insurance. |
---|
32 | 32 | | Be it enacted by the General Assembly of the State of Indiana: |
---|
33 | 33 | | 1 SECTION 1. IC 27-8-40 IS ADDED TO THE INDIANA CODE AS |
---|
34 | 34 | | 2 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY |
---|
35 | 35 | | 3 1, 2025]: |
---|
36 | 36 | | 4 Chapter 40. Coverage for Chimeric Antigen Receptor T-Cell |
---|
37 | 37 | | 5 Therapy |
---|
38 | 38 | | 6 Sec. 1. As used in this chapter, "chimeric antigen receptor T-cell |
---|
39 | 39 | | 7 therapy" or "CAR T-cell therapy" means a treatment that is |
---|
40 | 40 | | 8 designed to manipulate T-cell protein to recognize an antigen on |
---|
41 | 41 | | 9 targeted tumor cells in an effort to eliminate cancer. |
---|
42 | 42 | | 10 Sec. 2. As used in this chapter, "policy of accident and sickness |
---|
43 | 43 | | 11 insurance" has the meaning set forth in IC 27-8-5-1. The term does |
---|
44 | 44 | | 12 not include a policy, plan, or coverage set forth in IC 27-8-5-2.5(a). |
---|
45 | 45 | | 13 Sec. 3. (a) This section applies to a policy of accident and |
---|
46 | 46 | | 14 sickness insurance that is delivered, issued, or renewed after |
---|
47 | 47 | | 15 December 31, 2025. |
---|
48 | 48 | | 16 (b) A policy of accident and sickness insurance that provides |
---|
49 | 49 | | 17 coverage for CAR T-cell therapy may not: |
---|
50 | 50 | | 2025 IN 514—LS 7414/DI 141 2 |
---|
51 | 51 | | 1 (1) refuse to contract; or |
---|
52 | 52 | | 2 (2) deny coverage; |
---|
53 | 53 | | 3 for the administration of any CAR T-cell therapy by any provider |
---|
54 | 54 | | 4 that qualifies as a certified health care facility in accordance with |
---|
55 | 55 | | 5 the approved procedure under the CAR T-cell therapy product |
---|
56 | 56 | | 6 license by the federal Food and Drug Administration for the |
---|
57 | 57 | | 7 applicable CAR T-cell therapy. |
---|
58 | 58 | | 8 SECTION 2. IC 27-13-7-29 IS ADDED TO THE INDIANA CODE |
---|
59 | 59 | | 9 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY |
---|
60 | 60 | | 10 1, 2025]: Sec. 29. (a) This section applies to an individual contract |
---|
61 | 61 | | 11 or a group contract that is entered into, amended, or renewed after |
---|
62 | 62 | | 12 December 31, 2025. |
---|
63 | 63 | | 13 (b) As used in this section, "chimeric antigen receptor T-cell |
---|
64 | 64 | | 14 therapy" or "CAR T-cell therapy" means a treatment that is |
---|
65 | 65 | | 15 designed to manipulate T-cell protein to recognize an antigen on |
---|
66 | 66 | | 16 targeted tumor cells in an effort to eliminate cancer. |
---|
67 | 67 | | 17 (c) An individual contract or a group contract that provides |
---|
68 | 68 | | 18 coverage for CAR T-cell therapy may not: |
---|
69 | 69 | | 19 (1) refuse to contract; or |
---|
70 | 70 | | 20 (2) deny coverage; |
---|
71 | 71 | | 21 for the administration of any CAR T-cell therapy by any provider |
---|
72 | 72 | | 22 that qualifies as a certified health care facility in accordance with |
---|
73 | 73 | | 23 the approved procedure under the CAR T-cell therapy product |
---|
74 | 74 | | 24 license by the federal Food and Drug Administration for the |
---|
75 | 75 | | 25 applicable CAR T-cell therapy. |
---|
76 | 76 | | 2025 IN 514—LS 7414/DI 141 |
---|