Sec. 5. (a) Except as provided in subsection (b), the state department may not reimburse an eligible recipient under the post-organ transplant program for drug costs that are reimbursed or eligible for reimbursement by a governmental entity or other third party, including Medicaid, Medicare, the Veterans Administration, a health insurance company, or a health maintenance organization.
(b) The state health commissioner may waive the requirements of subsection (a) on a case by case basis if the commissioner determines that enforcement of subsection (a) will deny services to a class of post-organ transplant patients because of conflicting state or federal law.
(c) The state department shall adopt rules under IC 4-22-2 to ensure that all required benefit payments for post-organ transplant drugs under subsection (a) are properly paid.
As added by P.L.27-1999, SEC.2.
Structure Indiana Code
Article 41. Public Health Measures for the Prevention and Control of Disease
Chapter 19.5. Prevention and Treatment Programs: Post-Organ Transplant Program
16-41-19.5-1. "Post-Organ Transplant Program" Defined
16-41-19.5-4. Amount Paid by State Department to Applicants
16-41-19.5-5. Reimbursement of Recipients by State Department
16-41-19.5-6. Duties of State Department