IndianaHB 1114Second Regular Session 124th General Assembly (2026)HouseWALLET

Coverage for certain cancer prescriptions.

Sponsored By: Cherrish Pryor (Democratic)

Signed by Governor

Summary

Prohibits a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization that provides coverage for advanced, metastatic cancer and associated conditions from requiring that, before providing coverage for a prescription drug, the insured fail to successfully respond to a different prescription drug or prove a history of failure of a different prescription drug.

insurancethe senateinsurance and financial institutionsappropriations

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

Cancer patients avoid try-and-fail drug rules

Beginning July 1, 2026, qualifying cancer drugs are covered without requiring patients to first fail another drug. Plans also cannot require proof that another drug failed in the past. These protections apply when the plan covers advanced or metastatic cancer and related conditions. Covered plans include Indiana state employee plans, private accident-and-sickness policies with drug coverage, and individual or group HMO contracts. State self-insured and prepaid plans, limited-service HMOs, and administrators acting for HMOs are included. Plans or contracts must be established, entered into, issued, changed, or renewed after June 30, 2026, as applicable. Drugs must be FDA-approved, follow treatment best practices, and have support from peer-reviewed, evidence-based research. Cancer must have spread to nearby tissues, lymph nodes, or other body areas. Related conditions include cancer or treatment symptoms and side effects that threaten health if untreated, supported by practitioner recommendations, documented evidence, and accepted guidelines. The law does not set copays, deductibles, or other patient cost-sharing amounts.

Sponsors & Cosponsors

Sponsor

  • Cherrish Pryor

    Democratic • House

Cosponsors

  • Fady Qaddoura

    Democratic • Senate

  • Greg Taylor

    Democratic • Senate

  • Kyle Walker

    Republican • Senate

  • Lonnie Randolph

    Democratic • Senate

  • Lori Goss-Reaves

    Republican • House

  • Martin Carbaugh

    Republican • House

  • Robin Shackleford

    Democratic • House

  • Vaneta Becker

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 138 • No: 3

Senate vote • 2/24/2026

Third reading: passed

Yes: 45 • No: 3

House vote • 1/28/2026

Third reading: passed

Yes: 93 • No: 0

Actions Timeline

  1. Public Law 52

    3/3/2026House
  2. Signed by the Governor

    3/3/2026House
  3. Signed by the President of the Senate

    2/27/2026Senate
  4. Signed by the President Pro Tempore

    2/26/2026Senate
  5. Signed by the Speaker

    2/25/2026House
  6. Returned to the House without amendments

    2/24/2026Senate
  7. Third reading: passed; Roll Call 233: yeas 45, nays 3

    2/24/2026Senate
  8. Second reading: ordered engrossed

    2/23/2026Senate
  9. Committee report: do pass, adopted

    2/19/2026Senate
  10. Committee report: do pass adopted; reassigned to Committee on Appropriations

    2/12/2026Senate
  11. Senator Randolph added as cosponsor

    2/9/2026Senate
  12. Senator Becker added as cosponsor

    2/5/2026Senate
  13. First reading: referred to Committee on Insurance and Financial Institutions

    2/2/2026Senate
  14. Referred to the Senate

    1/29/2026House
  15. Third reading: passed; Roll Call 145: yeas 93, nays 0

    1/28/2026House
  16. Senate sponsors: Senators Walker K, Taylor G, Qaddoura

    1/28/2026House
  17. Second reading: amended, ordered engrossed

    1/27/2026House
  18. Amendment #1 (Pryor) prevailed; voice vote

    1/27/2026House
  19. Representatives Carbaugh, Shackleford added as coauthors

    1/20/2026House
  20. Representative Goss-Reaves added as coauthor

    1/20/2026House
  21. Committee report: do pass, adopted

    1/20/2026House
  22. Authored by Representative Pryor

    1/5/2026House
  23. First reading: referred to Committee on Insurance

    1/5/2026House

Bill Text

  • Engrossed House Bill (S)

  • Enrolled House Bill (H)

  • House Bill (H)

  • House Bill (S)

  • Introduced House Bill (H)

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