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---
type: "Bill"
title: "Medicare supplement insurance."
description: "Provides that after December 31, 2024, an issuer that makes a Medicare supplement policy or certificate available to persons at least 65 years of age must make the equivalent policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having a federally defined disability or end stage renal disease. (Under current law, an issuer that makes a Medicare supplement policy or certificate available to persons at least 65 years of age is required only to make a Plan A policy or certificate available to individuals under 65 years of age, and is required to make the Plan A policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having a federally defined disability but is not required to make the Plan A policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having end stage renal disease.) Provides that if an individual who is less than 65 years of age, who is eligible for Medicare because of having a federally defined disability or end stage renal disease, and who meets certain conditions as to application timeliness applies for a Medicare supplement policy or certificate, the issuer of the policy or certificate is prohibited from: (1) denying or conditioning the issuance or effectiveness of the individual's policy or certificate; (2) charging the individual a premium rate for a policy or certificate standardized as Plan A, B, or D that exceeds the premium rate the issuer charges an individual who is 65 years of age; (3) charging the individual a premium rate for any other standardized lettered policy or certificate that exceeds 200% of the premium rate the issuer charges an individual who is 65 years of age; or (4) issuing to the individual a policy or certificate that contains a waiting period or a preexisting condition limitation or exclusion. Provides for the expiration of Code provisions that would be superseded by the new requirements applying to issuers of Medicare supplement policies or certificates."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2024"
identifier: "SB 215"
citation: "Indiana SB 215 (2024)"
classification: ["bill"]
subjects: ["HEALTH; Generally", "HEALTH; Physical Disabilities", "INSURANCE; Medicare"]
status: "enacted"
primary_sponsors: ["Cyndi Carrasco", "Kyle Walker", "Mark Messmer", "Martin Carbaugh"]
version_count: 4
action_count: 27
vote_count: 3
first_action: "2024-01-09"
last_action: "2024-03-11"
source: "openstates"
source_identifier: "ocd-bill/5d175676-20d9-4d93-84d7-4d286b744d37"
source_url: "https://api.iga.in.gov/2024/bills/sb0215"
source_hash: "692a96f6492a669b3db1aae6016161ec76d5d7d7a2ee5d1b7c80f5e99da5f56b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-in"]
---
# Indiana SB 215 (2024) — Medicare supplement insurance.
Provides that after December 31, 2024, an issuer that makes a Medicare supplement policy or certificate available to persons at least 65 years of age must make the equivalent policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having a federally defined disability or end stage renal disease. (Under current law, an issuer that makes a Medicare supplement policy or certificate available to persons at least 65 years of age is required only to make a Plan A policy or certificate available to individuals under 65 years of age, and is required to make the Plan A policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having a federally defined disability but is not required to make the Plan A policy or certificate available to an individual under 65 years of age who is eligible for Medicare because of having end stage renal disease.) Provides that if an individual who is less than 65 years of age, who is eligible for Medicare because of having a federally defined disability or end stage renal disease, and who meets certain conditions as to application timeliness applies for a Medicare supplement policy or certificate, the issuer of the policy or certificate is prohibited from: (1) denying or conditioning the issuance or effectiveness of the individual's policy or certificate; (2) charging the individual a premium rate for a policy or certificate standardized as Plan A, B, or D that exceeds the premium rate the issuer charges an individual who is 65 years of age; (3) charging the individual a premium rate for any other standardized lettered policy or certificate that exceeds 200% of the premium rate the issuer charges an individual who is 65 years of age; or (4) issuing to the individual a policy or certificate that contains a waiting period or a preexisting condition limitation or exclusion. Provides for the expiration of Code provisions that would be superseded by the new requirements applying to issuers of Medicare supplement policies or certificates.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **Engrossed Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/123/2024/senate/bills/SB0215/SB0215.03.ENGS.pdf)
2. **Enrolled Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/123/2024/senate/bills/SB0215/SB0215.05.ENRH.pdf)
3. **Introduced Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/123/2024/senate/bills/SB0215/SB0215.01.INTR.pdf)
4. **Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/123/2024/senate/bills/SB0215/SB0215.04.COMH.pdf)
## Votes
- SB 215 - Walker K - 3rd Reading — **47–2** (pass) · upper
- SB 215 - Carbaugh - 3rd Reading — **91–0** (pass) · lower
- SB 215 - Walker K — **42–2** (pass) · upper
## Sponsors
- Cyndi Carrasco — primary (person)
- Kyle Walker — primary (person)
- Mark Messmer — primary (person)
- Martin Carbaugh — primary (person)
- Aaron Freeman — coauthor (person)
- Chris Judy — cosponsor (person)
- David Abbott — cosponsor (person)
- Fady Qaddoura — coauthor (person)
- Lonnie Randolph — coauthor (person)
- Robert Morris — cosponsor (person)
- Vaneta Becker — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-01-09** Authored by Senator Walker K
- **2024-01-09** First reading: referred to Committee on Insurance and Financial Institutions `reading-1, referral-committee`
- **2024-01-18** Senator Messmer added as second author
- **2024-01-22** Senator Carrasco added as third author
- **2024-01-25** Senator Randolph added as coauthor
- **2024-01-25** Senator Freeman added as coauthor
- **2024-01-25** Committee report: amend do pass, adopted `committee-passage`
- **2024-01-25** Senator Qaddoura added as coauthor
- **2024-01-29** Second reading: amended, ordered engrossed `reading-2`
- **2024-01-29** Amendment #1 (Walker K) prevailed; voice vote `amendment-passage`
- **2024-02-01** Senator Becker added as coauthor
- **2024-02-01** House sponsor: Representative Carbaugh
- **2024-02-01** Cosponsors: Representatives Abbott, Morris, Judy
- **2024-02-01** Third reading: passed; Roll Call 87: yeas 47, nays 2 `passage, reading-3, reading-3`
- **2024-02-02** Referred to the House `referral`
- **2024-02-12** First reading: referred to Committee on Insurance `reading-1, referral-committee`
- **2024-02-15** Committee report: amend do pass, adopted `committee-passage`
- **2024-02-19** Second reading: ordered engrossed `reading-2`
- **2024-02-21** Returned to the Senate with amendments `receipt`
- **2024-02-20** Third reading: passed; Roll Call 176: yeas 91, nays 0 `passage, reading-3, reading-3`
- **2024-02-26** Motion to concur filed `filing`
- **2024-02-29** Senate concurred in House amendments; Roll Call 235: yeas 42, nays 2
- **2024-03-04** Signed by the President Pro Tempore `passage`
- **2024-03-07** Signed by the Speaker `passage`
- **2024-03-11** Public Law 28 `became-law`
- **2024-03-08** Signed by the President of the Senate `passage`
- **2024-03-11** Signed by the Governor `executive-signature`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/5d175676-20d9-4d93-84d7-4d286b744d37`. Confidence: reported (aggregated from official Indiana legislature records).