SB 273 — Biomarker testing coverage.
Last action — Public Law 37
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✓Introduced
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✓In Committee
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✓Passed Senate
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✓Passed House
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✓To Executive
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6Enacted
This bill has been enacted into law. Introduced January 11, 2024. Enacted.
Odds of enactment
High chanceBased on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.
Upgrade to see the exact probability and what's driving it.
A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.
Prognosis
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Enacted
Current position in the legislative process.
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14 sponsors
4 primary, 10 co-sponsors signed on.
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Bipartisan support
Sponsored across 2 parties (9 R · 5 D) — cross-party backing.
Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.
Summary
Requires a health plan (which includes a policy of accident and sickness insurance, a health maintenance organization contract, the Medicaid risk based managed care program, and a state employee health plan) to provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when biomarker testing is supported by medical and scientific evidence. Requires the office of Medicaid policy and planning to provide biomarker testing as a Medicaid program service, and to apply to the United States Department of Health and Human Services for approval of any waiver necessary under the federal Medicaid program for the purpose of providing biomarker testing. Provides that coverage is not required for biomarker testing for screening purposes. Provides that if a prior authorization requirement applies to biomarker testing, the health plan or a third party acting on behalf of the health plan must: (1) approve or deny a request for prior authorization; and (2) notify the covered individual of the approval or denial; in not more than five business days in the case of a nonurgent request or in not more than 48 hours in the case of an urgent request. Requires the office of the secretary of family and social services to report certain information to the budget committee on Medicaid reimbursement rates provided for biomarker testing.
Bill Text
We don't have the full text on file for this bill yet.
Read SB 273 on the official Indiana source →Action History
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Public Law 37
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Signed by the Governor
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Signed by the President of the Senate
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Signed by the Speaker
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Signed by the President Pro Tempore
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Returned to the Senate without amendments
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Third reading: passed; Roll Call 236: yeas 94, nays 0
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Second reading: ordered engrossed
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Committee report: do pass, adopted
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Committee report: do pass, adopted
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Referred to the Committee on Ways and Means pursuant to House Rule 127
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Representative Lehman added as cosponsor
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Representative Porter added as cosponsor
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Representative Clere added as cosponsor
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First reading: referred to Committee on Insurance
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Referred to the House
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House sponsor: Representative Barrett
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Third reading: passed; Roll Call 142: yeas 47, nays 1
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Second reading: ordered engrossed
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Committee report: amend do pass, adopted
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Senator Yoder added as coauthor
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Senator Randolph added as coauthor
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Senator Ford J.D. added as coauthor
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Senator Glick added as coauthor
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Senator Bassler added as coauthor
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Senator Bohacek added as coauthor
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Committee report: amend do pass adopted; reassigned to Committee on Appropriations
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Senator Leising added as third author
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Senator Qaddoura added as coauthor
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Authored by Senators Charbonneau and Becker
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First reading: referred to Committee on Insurance and Financial Institutions
Sponsors
- Matt Lehman · Cosponsor
- Gregory Porter · Cosponsor
- Edward Clere · Cosponsor
- Brad Barrett · Primary
- Shelli Yoder · Cosponsor
- Lonnie Randolph · Cosponsor
- J.D. Ford · Cosponsor
- Susan Glick · Cosponsor
- Eric Bassler · Cosponsor
- Mike Bohacek · Cosponsor
- Fady Qaddoura · Cosponsor
- Jean Leising · Primary
- Vaneta Becker · Primary
- Ed Charbonneau · Primary
Sponsorship breakdown
Export CSV (upgrade) →4 sponsors · 10 co-sponsors · 136 not signed on
Sponsors (4)
- Brad Barrett Republican
- Jean Leising Republican
- Vaneta Becker Republican
- Ed Charbonneau Republican
Co-sponsors (10)
- Matt Lehman Republican
- Gregory Porter Democrat
- Edward Clere Republican
- Shelli Yoder Democrat
- Lonnie Randolph Democrat
- J.D. Ford Democrat
- Susan Glick Republican
- Eric Bassler Republican
- Mike Bohacek Republican
- Fady Qaddoura Democrat
Not signed on (136)
136 members have not signed on to this bill.
Show all 136 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Subjects
Frequently asked questions
- What does SB 273 do?
- Requires a health plan (which includes a policy of accident and sickness insurance, a health maintenance organization contract, the Medicaid risk based managed care program, and a state employee health plan) to provide coverage for biomarker testing for the purposes of diagnosis, treatment, appropriate management, or ongoing monitoring of an enrollee's disease or condition when biomarker testing is supported by medical and scientific evidence. Requires the office of Medicaid policy and planning to provide biomarker testing as a Medicaid program service, and to apply to the United States Department of Health and Human Services for approval of any waiver necessary under the federal Medicaid program for the purpose of providing biomarker testing. Provides that coverage is not required for biomarker testing for screening purposes. Provides that if a prior authorization requirement applies to biomarker testing, the health plan or a third party acting on behalf of the health plan must: (1) approve or deny a request for prior authorization; and (2) notify the covered individual of the approval or denial; in not more than five business days in the case of a nonurgent request or in not more than 48 hours in the case of an urgent request. Requires the office of the secretary of family and social services to report certain information to the budget committee on Medicaid reimbursement rates provided for biomarker testing.
- Who sponsors SB 273?
- SB 273 is sponsored by Matt Lehman (Republican), Gregory Porter (Democrat), Edward Clere (Republican), Brad Barrett (Republican), Shelli Yoder (Democrat), Lonnie Randolph (Democrat), J.D. Ford (Democrat), Susan Glick (Republican), Eric Bassler (Republican), Mike Bohacek (Republican), Fady Qaddoura (Democrat), Jean Leising (Republican), Vaneta Becker (Republican), and Ed Charbonneau (Republican).
- What is the current status of SB 273?
- This bill has been enacted into law. Introduced January 11, 2024. Enacted.
- Where can I track SB 273?
- Track SB 273 free on One Click Politics — get push/email alerts when it moves.
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Last checked for changes 3 months ago · updated continuously
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