IndianaHB 1373Second Regular Session 124th General Assembly (2026)House

Breast reconstruction coverage.

Sponsored By: Joanna King (Republican)

Failed

Summary

Repeals provisions requiring a state employee health plan, policy of accident and sickness insurance, and health maintenance organization contract to provide certain post-mastectomy coverage. Requires a state employee health plan, policy of accident and sickness insurance, and health maintenance organization contract to: (1) provide coverage for breast reconstruction surgery and all modalities, types, and techniques of a health care service provided for the breast reconstruction surgery; and (2) provide access to an adequate breast reconstruction surgeon network. Prohibits a utilization review entity from denying a claim for breast reconstruction surgery for which prior authorization was granted unless the utilization review entity provides a formal declaration of compelling evidence of health care provider fraud in the prior authorization or claim submission process.

insurance

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Joanna King

    Republican • House

Cosponsors

  • Brad Barrett

    Republican • House

Roll Call Votes

No roll call votes available for this bill.

Bill Text

  • Introduced House Bill (H)

Related Bills

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