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Indiana Senate Bill 208 mandates cancer insurance and screening coverage for firefighters

Original title: Firefighter cancer insurance.

Last action · January 20, 2026: Senator Maxwell added as coauthorSponsors: Michael Crider and 7 others

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Proposed

Indiana Senate Bill 208 requires firefighter group health insurance programs to provide cost-share-free screening for twelve types of cancer and requires local public employers to provide cancer insurance for active, retired, and disabled firefighters starting July 1, 2026. The legislation also authorizes the Indiana public retirement system board to offer group cancer insurance agreements and directs the Department of Homeland Security to create a firefighter cancer awareness and prevention program.

Why it matters

Active, retired, and disabled firefighters in Indiana gain mandatory access to dedicated cancer insurance policies and specialized cancer screenings without standard out-of-pocket cost sharing, while local government employers assume new obligations to procure this coverage.

Who It Would Have Affected

Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.

Directly affected

active firefighters

Active firefighters receive mandatory cost-share-free screening coverage for specified cancers and required cancer insurance policies provided by their local public employers.

Directly affected

retired firefighters

Retired firefighters become eligible for cancer insurance policies provided by local public employers or through the Indiana public retirement system board.

Directly affected

firefighters receiving disability benefits

Disabled firefighters are entitled to cancer insurance coverage provided by local public employers.

Directly affected

local unit public employers

Local public employers must procure, maintain, and prohibit cancellation during the policy term of cancer insurance for active, retired, and disabled firefighters using one of the permitted methods.

Directly affected

department of homeland security

The department must consult with experts to develop and implement a firefighter cancer awareness and prevention program.

Key Facts

  • Firefighter group health insurance programs must cover screenings for colon, lung, bladder, oral, thyroid, skin, blood, breast, cervical, testicular, prostate cancer, and any other cancer with a high occupational occurrence risk for firefighters.
  • Cancer screening coverage provided under the bill cannot be subject to copayments, deductibles, coinsurance, or other cost sharing, except as minimally necessary for high deductible health plans to preserve health savings account tax exemptions under 26 U.S.C. 223.
  • Local unit public employers must provide cancer insurance for active firefighters, retired firefighters, and firefighters receiving disability benefits under IC 36-8-7 or IC 36-8-8.
  • Local public employers may provide cancer insurance by purchasing group policies, establishing self-insurance programs, or electing coverage through a policy adopted by the board of trustees of the Indiana public retirement system.
Show all 7 facts
  • Local public employers are prohibited from canceling a firefighter cancer insurance contract during its policy term.
  • The board of trustees of the Indiana public retirement system is authorized to enter agreements with insurance companies to provide group cancer insurance for active, retired, and disabled firefighters.
  • The department of homeland security must develop a firefighter cancer awareness and prevention program providing relevant risk-reduction information to fire department personnel and volunteers, in consultation with the medical community and industry experts.

Frequently Asked Questions

Which firefighters are eligible for the mandated cancer insurance provided by local public employers?
Active firefighters, retired firefighters, and firefighters who are receiving disability benefits under IC 36-8-7 or IC 36-8-8 are eligible.
Are firefighters required to pay copayments or deductibles for cancer screenings under this legislation?
No. The required screening coverage cannot be subject to any copayment, deductible, , or other cost sharing requirement, except for the minimum adjustment required to preserve health savings account tax-exempt status in high-deductible health plans.
What agency is responsible for developing the firefighter cancer awareness and prevention program?
The department of homeland security is required to develop the program in consultation with medical community members and industry experts.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

This bill did not become law - Died at adjournment · in Senate committee.

Procedural history

8 actions
  1. Jan 20, 2026Senate
    Senator Maxwell added as coauthor
  2. Jan 15, 2026Senate
    Senator Hunley added as coauthor
  3. Jan 15, 2026Senate
    Senator Ford J.D. added as coauthor
  4. Jan 15, 2026Senate
    Senators Pol, Niezgodski added as coauthors
  5. Jan 15, 2026Senate
    Senator Doriot added as third author
  6. Jan 15, 2026Senate
    Senator Dernulc added as second author
Show 2 earlier actions
  1. Jan 8, 2026SenateIntroduced
    First reading: referred to Committee on Pensions and Labor
  2. Jan 8, 2026Senate
    Authored by Senator Crider

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Mandatory Cancer Coverage Extension

The bill shifts the responsibility of providing cancer insurance onto local unit public employers and requires group health plans to cover twelve specific cancer screenings without standard cost sharing.

Connected Entities

David Niezgodski, J.D. Ford, Andrea Hunley and 7 more
PersonDavid Niezgodski“Co-sponsor of Senate Bill 208”Map →
PersonJ.D. Ford“Co-sponsor of Senate Bill 208”Map →
PersonAndrea Hunley“Co-sponsor of Senate Bill 208”Map →
PersonBlake Doriot“Co-sponsor of Senate Bill 208”Map →
Organizationdepartment of homeland security“Required to develop a firefighter cancer awareness and prevention program”Map →
PersonMichael Crider“Primary sponsor of Senate Bill 208”Map →
PersonDan Dernulc“Co-sponsor of Senate Bill 208”Map →
PersonRodney Pol“Co-sponsor of Senate Bill 208”Map →
PersonRandy Maxwell“Co-sponsor of Senate Bill 208”Map →
OrganizationIndiana public retirement system“Board of trustees authorized to enter into group cancer insurance agreements”Map →

Sources

Analysis Score

0–100
  • Significance20
    Lowered because this bill did not pass (its text scored 75)
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz35
    Current news / social attention level

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