IndianaSB 435First Regular Session 124th General Assembly (2025)Senate

Prohibition on copay accumulator adjustments.

Sponsored By: Andrea Hunley (Democratic)

Failed

Summary

Provides that under certain circumstances, the administrator of the state employee health plan shall include any amount paid by a covered individual or another person on behalf of the covered individual for a prescription drug when calculating a covered individual's overall contribution to an out-of-pocket maximum or cost sharing requirement under the covered individual's state employee health plan. Provides that under certain circumstances, a pharmacy benefit manager shall include any amount paid by a covered individual or another person on behalf of the covered individual for a prescription drug when calculating a covered individual's overall contribution to an out-of-pocket maximum or cost sharing requirement under the covered individual's health plan. Provides that under certain circumstances, an insurer who issues a policy of accident and sickness insurance shall include any amount paid by an insured or another person on behalf of the insured for a prescription drug when calculating an insured's overall contribution to an out-of-pocket maximum or cost sharing requirement under the insured's policy of accident and sickness insurance. Provides that under certain circumstances, a health maintenance organization shall include any amount paid by an enrollee or another person on behalf of the enrollee for a prescription drug when calculating an enrollee's overall contribution to an out-of-pocket maximum or cost sharing requirement under the enrollee's individual or group contract.

health and provider services

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Bill Overview

No Economic Impacts Identified for this Bill

Sponsors & Cosponsors

Sponsor

  • Andrea Hunley

    Democratic • Senate

Cosponsors

  • J.D. Ford

    Democratic • Senate

  • Shelli Yoder

    Democratic • Senate

Roll Call Votes

No roll call votes available for this bill.

Actions Timeline

  1. Senators Ford J.D. and Yoder added as coauthors

    1/14/2025Senate
  2. Authored by Senator Hunley

    1/13/2025Senate
  3. First reading: referred to Committee on Health and Provider Services

    1/13/2025Senate

Bill Text

  • Introduced Senate Bill (S)

Related Bills

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