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Bill > HB1129


IN HB1129

IN HB1129
Mental health coverage by third party.


summary

Introduced
01/08/2025
In Committee
01/08/2025
Crossed Over
Passed
Dead
04/24/2025

Introduced Session

2025 Regular Session

Bill Summary

Mental health coverage by third party. Provides that if an insurer contracts with a third party for coverage of services related to the treatment of a mental illness or substance abuse, the insurer and third party shall deem a provider providing mental illness or substance abuse services as: (1) an in network provider for purposes of calculating cost sharing for a covered individual if the provider is in network for medical or surgical services under the health plan; and (2) credentialed for mental illness or substance abuse services if the provider is credentialed for medical or surgical services under the health plan.

AI Summary

This bill establishes new provisions for mental health and substance abuse coverage in Indiana, creating a new chapter in the state code that applies to various health plans, including insurance policies, state employee health plans, and self-funded health benefit plans. The bill defines key terms such as "covered individual," "health plan," "insurer," "provider," and "treatment of a mental illness or substance abuse." The primary provision requires that when an insurer contracts with a third party for mental health or substance abuse services, the insurer must treat providers of these services the same as providers of medical or surgical services. Specifically, if a provider is in-network and credentialed for medical or surgical services, they will automatically be considered in-network and credentialed for mental health and substance abuse services for the purpose of calculating cost sharing for covered individuals. This legislation aims to simplify access to mental health services and ensure consistent treatment of providers across different types of medical services. The bill will take effect on July 1, 2025, and apply to contracts entered into, issued, amended, or renewed after that date.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Representative Garcia Wilburn added as coauthor (on 02/11/2025)

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