Loading chat...
Legislators with BillsLegislators(200)
Referred Bills (970)
Farm and homestead food sales.
Health and human services matters.
Syringe exchange program.
Compounding drugs; registration of medical spas.
INSPECT program.
Pharmacist licensure.
Health matters.
Various health care matters.
Family and social services administration matters.
Consent for pelvic, prostate, and rectal exams.
Indiana department of health.
Nursing matters; education programs.
Various dental matters; respiratory care.
Mental health services.
Alzheimer's disease and dementia education.
Nonprofit hospitals.
Gender issues.
Health care debt and costs.
Abortion inducing drugs and abortion reports.
Disclosures related to prescription drugs.
Prohibited food additives.
Swimming pools in senior neighborhoods.
Medicaid matters.
Charges for hospital administered drugs.
Advanced practice registered nurses.
Reporting on gender transition procedures.
Mobile retail food establishment operations.
Report on infant and maternal care.
Various hospital matters.
Food labeling requirements.
Health care debt and duty to provide care.
FSSA report on managed care organization contracts.
Prescription drug assistance program for the elderly.
Hospice care.
Prohibition on use of certain food additives.
Various food matters.
Physician standards of practice.
Hospital disclosures and requirements.
Prevention of elder abuse.
Chronic disease registry.
Testing drinking water for lead in school buildings.
Nutrition supports Medicaid waiver.
Medicaid waiver direct care staff compensation.
Overdose reversal medication.
Presumption of continuation of life.
Medicaid coverage for health related social needs.
Hysterectomy and oophorectomy informed consent.
Indiana vaccination adverse event reporting system.
Birth certificate information.
Health facility matters.
Medicaid coverage for health related social needs.
Sonography.
Access to birth control program.
End of life options.
Exemption from certain health care mandates.
Physician noncompete agreements.
340B drug program report.
Emergency transport to appropriate facility.
Human services matters.
Ownership of health care providers.
Licensure of foreign trained physicians.
Mobile retail food establishment licenses.
Health care matters.
Medicaid reimbursement for children's hospitals.
Medicaid matters.
Mental health professionals.
Various health care matters.
Indiana department of health.
Cancer research and treatment grants.
FSSA matters.
Services for the aged and disabled.
Dental matters.
Certificate of public advantage.
Long term care insurance partnership program.
Recognizing pregnancy care centers.
Urging the Legislative Council to assign to the Medicaid Oversight Committee the task of studying the use of long term care insurance.
Health care facility employees.
Mobile integration healthcare grants.
Nursing matters.
Family and social services matters.
Hearing aids and speech-language pathologists.
Funding for breast cancer research.
Confidentiality of birth and stillbirth records.
Cancer clinical trial program.
Opioid prescriptions.
Farm and home based food sales.
Nurse training in trauma informed care.
Pharmacist administration of immunizations.
Supporting a healthier Indiana.
Urging support to maternal and infant health.
Dissolution of human remains.
Access to birth control program.
Services for the aged and disabled.
Medicaid funding.
Gender transition procedures for minors.
Registration of recovery residences.
Prohibited food ingredients.
Medical cannabis.
Freedom of conscience in health care.
Pediatric cancer research and treatment grant.
Prohibited food ingredients.
Prevention of elder abuse.
Parkinson's disease registry.
Medical record fees.
Medicaid coverage for incarcerated individuals.
Telephone assistance line for mothers.
Health care entity mergers.
Disclosure of artificial intelligence use in health care.
Information concerning cytomegalovirus infection.
Language interpretation in health care settings.
Medicaid coverage of group pregnancy services.
Stillbirths.
School based family mental health pilot program.
Pharmacists.
Restriction on single use food service items.
Advanced practice registered nurses.
Liability shield products.
Birth certificate information.
Medical education on abortion laws.
Statewide stroke plan.
Medicaid coverage for health related social needs.
Indiana vaccination adverse event reporting system.
Hysterectomy and oophorectomy informed consent.
ABA therapy.
Health care matters.
Pediatric mental health.
Health finance matters.
Consent for pelvic, prostate, and rectal exams.
Supplemental structured family care distribution.
Testing of drinking water.
Nutrition supports Medicaid waiver.
Coverage of prescription pain medications.
Advanced practice registered nurses.
Maternal health.
Stillbirth prevention program.
Home and community based services waivers.
Medicaid work requirements.
Personal allowance for facility residents.
Expansion of produce Rx pilot grant program.
Certified registered nurse anesthetists.
End of life options.
Medicaid buy-in.
Licensure of home health aides.
Reimbursement of ambulatory surgical centers.
Medicaid coverage for treatment of obesity.
Alzheimer's disease and dementia education.
Exemption from certain health care mandates.
Licensure of sonographers.
Athletic trainers.
Medical marijuana.
Disaster emergency.
Notice of health care entity mergers.
Health care matters.
Food regulation.
Medicaid reimbursement for certain detainees.
Human services matters.
Long acting reversible contraceptives.
Professions and professional services.
Mental health standards and reporting.
Mental health grants.
Breast cancer screening and services.
Child operated refreshment stands.
Various health care matters.
Special service review team and emergency placement.
Certified community behavioral health clinics.
Community cares initiative grant pilot program.
Psilocybin treatment program.
Trauma informed care.
Health and insurance matters.
Dental matters.
Emergency powers.
Indiana department of health.
Report on Medicaid behavior analysis services.
Medicaid matters.
Opposing assisted medical suicide.
Alkaline hydrolysis.
Statewide stroke plan.
Licensed professional music therapists.
Emergency powers.
Recovery community organizations.
School grants for lead testing and remediation.
Screening for scoliosis.
Prohibition of certain abortion funding.
Reimbursement for prosthetic and orthotic devices.
Freedom of conscience in health care.
Protection of born alive infants.
Exceptions to required immunizations.
Managed care and hospital assessment fee.
School based health services and report.
Medicaid work requirements.
Medicaid claim payments for nursing facilities.
Indiana vaccination adverse event reporting system.
Certified registered nurse anesthetists.
Confidentiality of birth and stillbirth records.
Mental health and addiction services.
Dental hygienists.
Breakthrough therapies.
Lead testing.
Health finance matters.
Medicaid matters.
State regulation of mobile food vendors.
Alzheimer's disease and dementia education.
End of life options.
Ban on high fructose corn syrup as food ingredient.
Implicit bias continuing education.
Violence prevention services.
Advanced practice registered nurses.
Mental health care for first responders.
Chronic weight management task force.
Information concerning cytomegalovirus infection.
Medicaid coverage for pregnancy services.
Home and community based services waivers.
Consent for pelvic, prostate, and rectal exams.
Medical marijuana.
Health care staffing.
Maternal health.
Community emergency cabinets.
Health care matters.
Practice of medicine terms.
Long acting reversible contraceptives.
FSSA matters.
Direct support professionals.
Audit of Medicaid program prescription drug costs.
Telehealth services.
Health care matters.
Prescription drug donation repositories.
Eligibility under Medicaid, CHIP and other benefits.
Administration of anesthesia in dental office.
Professional counselors licensure compact.
Home health services.
Home health agencies.
Dementia care.
Prescription for hormonal contraceptives.
Long term services.
Public health matters.
Rare disease advisory council.
Assistance for funeral and cemetery expenses.
Behavioral health matters.
Marriage and family therapists.
Public health commission.
Occupational therapy licensure compact.
Standing order for overdose intervention drugs.
Doctor scope of treatment and do not resuscitate.
Medicaid reimbursement for children's hospitals.
Dental compliance fund.
Indiana department of health.
Gender transition procedures for minors.
Health matters.
Community integration and habilitation waiver.
Reimbursement for prosthetic and orthotic devices.
Audit of Medicaid program prescription drug costs.
Lawfully residing immigrants and eligibility.
Long acting reversible contraceptives.
Health care billing forms.
Art and music therapy.
Credentialing for Medicaid services.
Breakthrough therapies.
Medicaid reimbursement for dental services.
Protection of born alive infants.
Protection of life.
Pediatric cancer research and treatment grant.
Emergency powers.
Medical marijuana.
Music and art therapy.
Health facility staff ratios.
Health care staffing.
Personal allowance for facility residents.
Nonprofit hospital and insurer reporting.
Birth certificate information.
Prohibited health care for minors.
Maternal mortality information.
Prohibition of certain abortion funding.
Professional counselors licensure compact.
Maternal health.
Legalization of cannabis.
Health matters.
Newborn nurse visitation program.
Malpractice regarding gender therapeutics.
Feticide.
Stillbirths.
Licensure of home health aides.
Art and music therapy.
Gender transition procedures for minors.
Confidentiality of birth and stillbirth records.
Violence prevention services.
Hospital pricing information and penalties.
Cooperative agreements of home health agencies.
Involuntary commitment for addiction treatment.
Hospital and health care cost and quality controls.
Professional counselors licensure compact.
Rare disease advisory committee.
Physician noncompete agreements.
Pharmacist contraceptive prescriptions.
Occupational therapists.
Advanced practice registered nurses.
Loan repayment for health professionals.
Prohibited services relating to care of minors.
Emergency departments.
Medicaid and medical equipment.
Cigarette taxes.
Pregnancy support services advisory board.
Art and music therapy.
Implicit bias in medicine.
Consent for pelvic, prostate, and rectal exams.
Medicaid reimbursement for school services.
Public health reporting for rental housing.
Registration of recovery residences.
Pharmacy matters.
Collaborative care disclosures.
Gender transition procedures for minors.
Transportation for Medicaid presumptive eligible.
Dental anesthesia.
Mental health and addiction matters.
Nonprofit hospital and insurer reporting.
Information concerning the cytomegalovirus.
IDOH authority over health and safety in schools.
Medicaid matters.
Medical and adult use cannabis.
Implicit bias continuing education.
End of life options.
Remains of a miscarried fetus.
Reciprocity and audiology compact.
Practitioner advertising.
Health matters.
Telehealth matters.
Medicaid coverage for pregnant women.
Interstate medical licensure compact.
Psychology interjurisdictional compact.
Certificates of public advantage.
Nursing programs and licensing matters.
Screening children for lead poisoning.
Newborn screening requirements.
Home health aide training requirements.
Suicide and drug overdose death reporting.
Bone marrow donor recruitment program.
Department of health name change.
Health matters.
Qualified providers and Medicaid school services.
Medicaid risk based managed care.
Administrative authority.
Ambulance services.
Home health care associations.
Physician noncompete agreements.
Marriage and family therapists.
Health and human services matters.
Service animals.
Medicaid advisory committee.
Urging the Attorney General of Indiana to diligently evaluate and determine if the State of Indiana should initiate litigation against vape manufacturers, distributors, and retailers for the harm vape products have caused to public health in Indiana.
Nonprofit hospital and insurer reporting.
Mental health.
Telemedicine services.
Hysterectomy and oophorectomy informed consent.
Maternal morbidity reporting.
Purchase of insulin needles.
Birth certificate information.
State department of health audit disputes.
Prevention of elder abuse.
Dispensing ivermectin.
Safety PIN program grants.
Direct service professionals.
Consent for pelvic, prostate, and rectal exams.
Dental hygienists.
Withdrawal from Medicare advantage networks.
Medicaid and medical equipment.
Confidentiality of birth and stillbirth records.
Statewide mobile food unit license.
Indiana vaccination adverse event reporting system.
Physician assistants.
Professional counselors licensure compact.
Telehealth services.
PFAS chemical blood testing program.
Medicaid providers and Medicaid administration.
Physician owned hospitals Medicaid waiver.
Medical marijuana.
Music and art therapy.
Implicit bias training.
Immigrants and program eligibility.
Physician noncompete agreements.
Medical and adult use cannabis.
Risk based managed care and integrated care.
Information required on reimbursement forms.
Prescription drug donation repositories.
Health workforce student loan repayment program.
Cultural awareness and competence training.
Psychology interjurisdictional compact.
Gender transition therapies report.
Mental health professionals.
End of life options.
Prior authorization for addiction treatment.
Practitioner identification and advertising.
Mental health and addiction matters.
Ambulance assessment fee and fund.
Publication of health facility reporting.
Hospitals.
Mental health diagnosis.
Hospital and health facility visitation.
Opioid treatment programs.
Various health matters.
Various health care matters.
Licensure of behavior analysts.
Abortion matters.
Human immunodeficiency virus.
Home health services.
Various department of health matters.
State health improvement plan and grant program.
Hospitals and certificates of public advantage.
Forensic nurses.
Telehealth matters.
Patient lift services.
Statewide maternal mortality review committee.
Housing with services establishment disclosures.
Female genital mutilation.
Health care advance directives.
Occupational therapy services.
A CONCURRENT RESOLUTION adding Indiana Veteran's Administration Medical Centers to the Center for Compassionate Innovation.
Nonemergency ambulance service orders.
Strategic plan on dementia.
Practice of dentistry; virtual claim payments.
Urging Governor Eric Holcomb to close abortion clinics.
INSPECT program reporting.
Physical therapy licensure compact.
Psychology interjurisdictional compact.
Community mental health center matters.
Coronavirus disease immunizations.
Physician assistants.
Telehealth matters.
Urging health insurers to donate some of their increased net earnings to state and local health departments to support COVID-19 vaccination programs.
Influenza immunizations.
Cigarette and tobacco products tax.
Newborn screening for cytomegalovirus.
Reporting and use of Medicaid data.
Direct support professional registry.
Minors transitioning to the opposite sex.
Radon testing in school buildings.
Parental notification of treatment of a minor.
Prescription price.
Cultural awareness and competence training.
Hysterectomy and oophorectomy informed consent.
Health care advance directives.
Pharmacist contraceptive prescriptions.
Medical cannabis.
Mental health professionals.
Alzheimer's and other forms of dementia.
Telemedicine.
Medicaid providers and managed care organizations.
Medicaid waiver restructuring progress reports.
Criminal justice and mental health.
Prohibition of conversion therapy.
Infant Fabry disease screening.
Medical marijuana.
Birth certificate information.
Doctoral student provided mental health services.
Eyelash extension specialists.
Prescription drug donation repositories.
Community habilitation and family supports waivers.
Advanced practice registered nurses.
Health officers and local health departments.
Bed bug control.
Task force to combat racism as a health crisis.
Ambulance assessment fee and fund.
Identification of human remains.
Health improvement study and plan.
Rehabilitation center funding.
Transportation for Medicaid presumptive eligible.
Postpartum Medicaid coverage.
Aged and disabled Medicaid waiver reimbursement.
Hyperbaric oxygen treatment pilot program.
Community health workers and Medicaid.
Extension of risk based managed care prohibition.
Medicaid reimbursement of assisted living services.
Mental health and addiction matters.
Practitioner identification and advertising.
Health care consent for pelvic examinations.
Medical marijuana.
Medicaid self-directed care.
End of life options.
Pharmacy matters.
Physician assistants and nurses.
Community mental health centers.
Reimbursement for emergency medical services.
HIV, fatality reviews, and syringe exchange programs.
Genetic counselors.
Palliative care.
Various health matters.
Infant screening.
Professional licensing agency.
State Medicaid plan amendments.
Minimum age to marry and emancipation of minors.
Dental hygienists.
Fetal remains.
Indiana behavioral health commission.
Health provider contracts.
Mental health services.
Electronic technology for ophthalmic prescriptions.
Tobacco and vaping smoking age.
Out-of-state prescriptions.
Anatomical gift through hunting, fishing or trapping license.
Insulin drugs.
Pharmacy benefit managers.
Urging the pursuit of policy that increases organ donor supply.
Physicians who leave an employer.
Health programs.
Psychology interjurisdictional compact.
Telemedicine.
Physician noncompete agreements.
Certified registered nurse anesthetists.
Nonprofit hospital report.
Inpatient mental health care for Medicaid children.
Health care advance directive.
Health and insurance matters.
PFAS in public water systems.
Tobacco issues.
Medical cannabis.
Medicaid reimbursement of DME.
Craft hemp flower.
Restrictions on smoking and vaping.
Licensure of art therapists.
Medicaid advisory committee member.
Medical cannabis pilot program.
Mental and behavioral health matters.
Administration of auto-injectable epinephrine.
Tobacco and vaping.
Health care costs.
Prescription drug donation repositories.
Health care provider billing requirements.
Prescription price.
Prohibition on risk based managed care programs.
Cannabis regulation.
Mental health diagnosis.
Smoking and vaping restrictions.
End of life options.
Birth control prescriptions.
Newborn screening for cytomegalovirus.
Medical marijuana.
Medicaid managed care.
Indiana state board of nursing.
Health workforce student loan repayment program.
Health care service cost.
Addiction treatment medications.
Ban on sale of flavored tobacco.
Bed bug abatement.
Implicit bias in medicine.
Organ donation.
Postpartum Medicaid for pregnant women.
Perinatal care. Requires the state department of health (department) to establish a perinatal navigator program. Requires a health care provider to: (1) use a validated and evidence based verbal screening tool to assess a substance use disorder in pregnancy for all pregnant women who are seen by the health care provider; and (2) if the health care provider identifies a pregnant woman who has a substance use disorder and is not currently receiving treatment, provide treatment or refer the patient to treatment. Requires the department to establish guidelines for health care providers treating substance use disorder in pregnancy. Adds the
Individualized mental health safety plans. Requires the division of mental health and addiction to establish a standard format for individualized mental health safety plans. Requires psychiatric crisis centers, psychiatric inpatient units, and psychiatric residential treatment providers to: (1) collaboratively develop a mental health safety plan with each patient; (2) explain the benefits of coordinating care and sharing mental health safety plans with mental health providers in the community that can help with the patient's safe transition back into the community; and (3) make a good faith effort before a patient leaves a facility at which the patient is receiving care to obtain the patient's consent to disclose the patient's individualized mental health safety plan with mental health providers, integrated school based mental health providers, and mental health community paramedicine programs that will be supporting the patient's safe transition back into the community and, if applicable, school. Provides that if a licensed mental health professional or paramedic determines that a patient may be a harm to himself or herself or others, the mental health professional or paramedic may request a patient's individualized safety plan. Provides that each psychiatric crisis center, psychiatric inpatient unit, and psychiatric residential treatment provider shall, upon request and without the consent of the patient, share a patient's individualized mental safety to a mental health professional or paramedic who demonstrate proof of licensure and commit to protecting the information in compliance with privacy laws. Provides that a psychiatric crisis center, psychiatric inpatient unit, or psychiatric residential treatment provider that discloses an individualized mental health safety plan to certain licensed providers in good faith is immune from civil and criminal liability.
Department of health matters. Allows the state health commissioner to issue standing orders (current law allows for statewide standing orders) and sets forth requirements of a standing order. Removes the requirement that the state department of health (state department) adopt rules defining a birth problem. Requires the state department to publish a list annually of birth problems required to be reported and allows for the state department to update the list. Adds considerations by the state department in compiling the birth problem list. Allows the state department to release information in the immunization data registry to the Centers for Disease Control and Prevention. Requires the state department to publish a list of reportable communicable diseases and other diseases and conditions that are a danger to health and to publish the list of control measures for the diseases and conditions on the state department's Internet web site. Sets forth considerations in updating the list of communicable diseases and conditions.
Opioid treatment pilot program. Extends the opioid treatment pilot program until 2022. (Under current law the pilot program will expire in 2020.)
Office based opioid treatment providers. Specifies requirements that a health care provider that prescribes for a patient in an office based opioid treatment setting must meet in the treatment of the patient. Requires the medical licensing board of Indiana, in consultation with the state department of health and the office of the secretary of family and social services, to adopt rules or protocols concerning office based opioid treatment providers and: (1) treatment agreements; (2) periodic scheduled patient visits; (3) urine toxicology screenings; (4) HIV, hepatitis B, and hepatitis C testing; and (5) the medical record documentation required for the prescribing of buprenorphine over a specified dosage.
Prior authorization and Medicaid. Specifies that after December 31, 2020 the prior authorization for health care services statute applies to the risk based managed care Medicaid program. Requires, after December 31, 2020, that a Medicaid managed care organization use a standardized prior authorization form prescribed by the office of the secretary of family and social services.
Human services matters. Requires that the office of the secretary of family and social services prepare and submit a report that: (1) identifies certain administrative and reporting requirements that are unnecessary or overly burdensome; and (2) makes recommendations. Establishes distribution parameters for certain money appropriated to the first steps program. Provides that a managed care organization may not require a licensed psychiatrist to be certified by the American Board of Psychiatry and Neurology for purposes of credentialing or contracting with the psychiatrist while the psychiatrist is practicing at a community mental health center. Requires the executive board of the state department of health to amend rules to reflect current private publications used in hospital licensure rules. Requires a home health agency to randomly test: (1) at least 50% of certain home health agency's employees; and (2) employees suspected of illegal use of a controlled substance. (Current law does not require testing of both groups of employees.) Requires the behavioral health and human services licensing board to meet monthly. Allows the board of pharmacy to approve a remote or mobile location for a nonresident pharmacy that is registered with the board. Allows a pharmacy that holds a retail permit to offer drugs and devices to a long term care facility, a health facility, and a housing with services establishment. Provides that the term "wholesale distribution", for purposes of the wholesale legend drug distributor laws, does not include the sale or transfer of a drug by a charitable organization to: (1) a nonprofit affiliate of the organization; or (2) a nonprofit entity that is not affiliated with the organization; to the extent permitted by law. Provides that a program to accept unused medication by a business or other entity is not subject to regulation by a city, town, or county. Prohibits a city, town, or county from requiring a business or other entity to pay for or establish a program to accept unused medication. Adds gabapentin to the definition of "controlled substance" for purposes of the Indiana scheduled prescription electronic collection and tracking (INSPECT) program. Provides that the rules of the INSPECT program that were adopted before its repeal are considered to be adopted under the new INSPECT law. Requires a health plan that denies prior authorization for certain prescription drugs to provide an alternative list of prescription drugs or alternative treatments covered by the health plan. Requires the board of veterinary medical examiners to study the regulation of veterinary technicians.
Rehabilitation and community based services. Requires the division of disability and rehabilitative services (division) to develop a plan to establish a statewide crisis assistance system program for individuals with developmental disabilities and sets forth requirements of the program. Establishes a task force until December 31, 2025, for assessment of services and supports for people with intellectual and other developmental disabilities (task force). Provides that the task force shall meet twice a year to receive a report from the office of the secretary of family and social services (office) on the implementation of the comprehensive plan of implementation of community based services provided to people with intellectual and other developmental disabilities (implementation plan). Provides that: (1) at the first annual meeting, the office shall report on the progress made in implementing each recommendation of the implementation plan; and (2) at the second annual meeting, the office shall report any legislative changes needed to implement any recommendation of the implementation plan. Requires the division to determine and assess certain components of the vocational rehabilitation services program and serve specified individuals upon determining sufficient staffing and financial resources. Requires the division of disability and rehabilitative services, in coordination with the task force, to establish new priority categories for individuals served by a waiver.
Health matters. Establishes distribution parameters for certain money appropriated to the first steps program. Permits the office of the secretary of family and social services to apply for a state plan amendment requiring Medicaid reimbursement for rehabilitation option services in a school setting. Requires implementation within one year of approval. Amends the definition of "employee" to remove exclusion of employees who are covered by an employee assistance program. Specifies that all the requirements for the employee assistance program must be met to be compliant. Requires the executive board of the state department of health to amend rules to reflect current private publications used in hospital licensure rules. Requires a home health agency to randomly test: (1) at least 50% of certain home health agency's employees; and (2) employees suspected of illegal use of a controlled substance. (Current law does not require testing of both groups of employees.) Allows the board of pharmacy to approve a remote or mobile location for a nonresident pharmacy that is registered with the board. Allows a pharmacy that holds a retail permit to offer drugs and devices to a long term care facility, a health facility, and a housing with services establishment. Requires a pharmacy to transfer, upon the request of a patient, certain prescriptions for the patient that the pharmacy has received but not filled to another pharmacy. Provides that, beginning January 1, 2020, a pharmacy may not dispense injectable epinephrine or glucagon that has an expiration date of less than 12 months from the date that the pharmacy dispenses the injectable epinephrine or glucagon to a person unless the person consents to the expiration date being less than 12 months. Provides that an automated dispensing system that meets certain requirements may be operated in a location other than through a registered remote dispensing facility. Allows a qualifying pharmacist who is absent to have a designee in the pharmacist's place at a remote dispensing facility. Allows the board of pharmacy to establish continuing education rules for pharmacy technicians who are at a remote dispensing facility that is not staffed by a pharmacist. Provides that auditory communication must be available, as needed, with the remote dispensing facility and the qualifying pharmacist. Requires the board to adopt emergency rules concerning automated dispensing systems. Provides that the term "wholesale distribution", for purposes of the wholesale legend drug distributor laws, does not include the sale or transfer of a drug by a charitable organization to: (1) a nonprofit affiliate of the organization; or (2) a nonprofit entity that is not affiliated with the organization; to the extent permitted by law. Provides that a program to accept unused medication by a business or other entity is not subject to regulation by a city, town, or county. Prohibits a city, town, or county from requiring a business or other entity to pay for or establish a program to accept unused medication. Adds gabapentin to the definition of "controlled substance" for purposes of the Indiana scheduled prescription electronic collection and tracking (INSPECT) program. Provides that the rules of INSPECT that were adopted before its repeal are considered to be adopted under the new INSPECT law. Requires a health plan that denies prior authorization for certain prescription drugs to provide an alternative list of prescription drugs or alternative treatments covered by the health plan. Requires the board of veterinary medical examiners to study the regulation of veterinary technicians.
Pharmacists; physician assistants. Sets out the conditions for emergency pharmaceutical refills and prescription adaptations. Permits a pharmacist to prescribe certain devices or supplies approved by the federal Food and Drug Administration. Provides that if a pharmacist prescribes certain devices or supplies, the pharmacist must provide the patient with a written advance beneficiary notice that is signed by the patient and that states that the patient may not be eligible for reimbursement for the device or supply. Requires that the pharmacy must keep a copy of the patient's advance beneficiary notice. Changes the role of a supervising physician for a physician assistant to that of a collaborating physician. Removes prescribing requirement language of at least 30 contact hours in pharmacology by a program approved by the committee and requires the physician assistant to have graduated from an accredited physician assistant program and have received the required pharmacology training from the program. Removes the following requirements concerning prescribing by a physician assistant: (1) A physician assistant prescribing a controlled substance to have practiced as a physician assistant for at least 1,800 hours. (2) Prescribing authority being delegated to a physician assistant to be expressly delegated in writing by the physician. (3) Limiting the amount prescribed to an amount not to exceed a 30 day supply. Removes a requirement that a physician review at least 25% of the patient's records in a physician assistant's first year of practice. Requires the review of at least 10% of the patient records concerning the prescribing or administering of a drug (instead of only certain scheduled drugs) for the first year in which a physician assistant obtains authority to prescribe a drug. Removes certain chart review requirements and a statement to the board by the physician.
Regulation of physical therapists. Establishes the Indiana board of physical therapy (board). (Current law regulates physical therapy under the medical licensing board, with certain functions delegated to the Indiana physical therapy committee.) Creates a new definition of "physical therapy" and adds or amends other definitions. Amends certain prohibited acts to include business entities. Adds physician assistants and nurse practitioners to the list of persons who may issue an order to a physical therapist. Allows a physical therapist to treat a patient for 42 days without a referral from a provider. (Current law allows treatment for 24 days.) Provides that certain individuals are exempt from license and certification requirements. Adds a physical therapist assistant to the board and removes the physician member. Establishes requirements for physical therapists and physical therapist assistants who have been educated outside the United States. Establishes requirements to sit for the licensure and certification examinations. Allows the applicant to take the examination not more than six times. Allows the board to disqualify an applicant for certain acts related to the examination. Requires a person who seeks reinstatement for a lapsed license to demonstrate evidence of continuing competence. Establishes certain responsibilities for physical therapists. Allows a physical therapist assistant to work under a physical therapist. Transfers the rules, duties, and records concerning physical therapy from the medical licensing board to the board. Makes conforming changes.
Prescription drug label. Provides that if a pharmacist dispenses a prescription drug that contains or is derived from opium, the prescription label must bear a statement that the drug is an opioid.
Comprehensive addiction recovery centers. Establishes certification and a grant program for comprehensive addiction recovery centers to be administered by the division of mental health and addiction (division). Sets forth requirements for certification and a grant. Requires entities that are awarded a grant to report specified data to the division. Establishes the comprehensive addiction recovery center fund.
Insulin administered by medication aides. Provides that the education and optional training programs approved by the state department of health (state department) for qualified medication aides must include a competency test and an optional training module for qualified medication aides in administering insulin. Provides that a qualified medication aide certified by the state department may administer insulin to a specific patient of a licensed health facility if certain requirements are met. Requires the state department, not later than December 31, 2019, to approve at least one optional training module in administering insulin.
Inpatient addiction treatment. Provides that when determined by the treatment plan to be medically necessary, the office of Medicaid policy and planning shall provide coverage for inpatient detoxification using the American Society of Addiction Medicine Patient Placement Criteria.
Health facility requirements concerning residents. Requires a health facility to disclose to each prospective resident in writing: (1) information concerning the long term care ombudsman, including contact information for the long term care ombudsman and the state department of health; and (2) any policy under which a resident would be required to pay a full monthly rate regardless of whether the resident resides at the facility for the whole month. Requires that in the development and execution of a care plan for the resident that a health facility facilitate, at the request of the resident, the inclusion of a resident representative.
Hospitals. Requires the executive board of the state department of health to amend a rule to reflect current private publications used in hospital licensure rules. Beginning May 1, 2020, provides that a hospital license expires every two years from the date of issuance. (Current law provides that a hospital license to expire one year after issuance.) Urges legislative council to assign the topic of hospital licensure to an interim study committee during the 2019 interim and sets forth requirements of the study.
Medicaid nonemergency medical transport. Sets forth requirements for brokers of nonemergency medical transportation under the Medicaid fee-for-service program. Establishes the nonemergency medical transportation commission (commission) and sets forth duties of the commission. Requires the office of the secretary of family and social services to prepare before October 1, 2019, a report concerning nonemergency medical transportation Medicaid claims and submit the report to the commission.
Allen County substance abuse pilot program. Changes the date by which the administrator of the Allen County substance abuse pilot program must raise local funds in order to be allowed to expend state funds.
Public health matters. Amends the definition of "food instrument" to state that a participant under the federal Women, Infants, and Children program uses an electronic benefit transfer card to obtain food. Requires the state department of health (department) to provide to the local vital records offices guidelines concerning the interpretation of the laws and the department's rules concerning vital statistics to assure uniform application of the state laws and rules. Removes expired language. Provides that if the Indiana birth registration system (IBRS) or the Indiana death registration system (IDRS) is unavailable for more than 48 hours, the state registrar may issue a notice that allows the filing of a paper record of a live birth, a death, or both. Provides that certain birth, stillborn, and death permanent records may be maintained by the IBRS and IDRS. Requires that a paper copy of the permanent record of a birth, stillborn, or death certificate be provided upon request by an individual. Allows the department to disclose identifiable vital statistics information to a legitimate researcher, if the researcher complies with certain requirements.
Medicaid advisory committee. Adds appointments by the Indiana Association of Health Plans and the Indiana Primary Care Association to the Medicaid advisory committee (committee). Increases the membership of the committee by providing for the president pro tempore of the senate and the speaker of the house of representatives to each appoint six members (instead of one member). Provides that three of the members appointed by the president pro tempore and three of the members appointed by the speaker shall serve on a standing fiscal subcommittee of the committee. Requires that three of the members appointed by the speaker of the house of representatives and three of the members appointed by the president pro tempore be members of the minority party. Requires the committee to create a standing fiscal subcommittee. Provides that subcommittees of the committee may convene as often as needed. Requires the committee to review, study, and make advisory recommendations concerning certain subjects before July 1, 2021.
Consent to pregnancy services of a minor. Allows a minor who is at least 16 years of age and: (1) pregnant; (2) in labor; or (3) postpartum; to consent to health care concerning the pregnancy, delivery, and pospartum care. Requires a health care provider to make a reasonable effort to contact a minor's parent or guardian before or at the initial appointment before providing treatment and document in writing each attempt to contact the parent or guardian. Requires the health care provider to act in the manner that is in the best interests of the minor and the fetus. Requires the health care provider to make an additional attempt to contact the parent or guardian of a minor for consent during specified times in the provision of care. Makes technical corrections.
Medicaid recovery audits. Sets forth requirements for Medicaid recovery audits of Medicaid providers.
Sepsis treatment guidelines. Requires a hospital to adopt, implement, and periodically update evidence based sepsis guidelines for the early recognition and treatment of patients with sepsis, severe sepsis, or septic shock that are based on generally accepted guidelines. Exempts certain hospitals. Establishes the sepsis treatment guideline task force (task force). Assigns the task force certain duties concerning evidence based sepsis guidelines, best practices, education materials, and appropriate data measures. Requires the state department of health to prepare a report on the implementation of the sepsis guidelines.
Telepsychology. Allows a psychologist to use telepsychology. Requires the psychologist who uses telepsychology to ensure that confidential communications stored electronically cannot be recovered or accessed by unauthorized persons when the psychologist disposes of electronic equipment and data.
Behavioral health professionals. Requires that the office of Medicaid policy and planning include a licensed clinical social worker, a licensed mental health counselor, a licensed clinical addiction counselor, and a licensed marriage and family therapist who meet certain qualifications as eligible providers for the supervision of a plan of treatment for a patient's outpatient mental health or substance abuse treatment services. Requires Medicaid reimbursement, upon approval from the United States Department of Health and Human Services, for: (1) clinical social workers; (2) marriage and family therapists; (3) mental health counselors; and (4) clinical addiction counselors; who work in federally-qualified health centers and rural health clinics.
Forensic medicine. Establishes the office of forensic medical studies as a division of the state police department. Requires the state police department, in consultation with the Indiana State Coroner's Association, Indiana Sheriff's Association, and coroner's training board, to study the need for a state medical examiner, and provides that the department may employ a physician to assist with the study. Specifies the qualifications of a person who may perform an autopsy.
Mobile integration healthcare. Provides that the office of the secretary of family and social services may reimburse certain emergency medical services provider agencies for covered services provided to a Medicaid recipient as part of a mobile integration healthcare program. Amends the definition of "emergency medical services" to include transportation services, acute care, chronic condition services, or disease management services as part of a mobile integration healthcare program. Provides that the emergency medical services commission (commission), in consultation with the state department of health, may develop a mobile integration healthcare program and approve mobile integration healthcare program applications. Sets forth requirements of the commission concerning the mobile integration healthcare program. Provides that the commission may establish and administer a mobile integration healthcare grant and establishes the mobile integration healthcare grant fund.
Substance abuse prevention grant programs. Provides that the division of mental health and addiction may establish and administer the: (1) community and faith based substance abuse programs grant; and (2) community and faith based substance abuse transportation assistance grant program. Sets forth requirements for the grants.
Health provider ethical exemption. Includes: (1) nurses; (2) physician assistants; and (3) pharmacists; in the prohibition from being required to perform an abortion or assist or participate in procedures intended to result in an abortion if the health care provider objects to the procedures on ethical, moral, or religious grounds. (Current law applies only to physicians and employees.) Adds a prohibition on requiring certain providers to prescribe, administer, or dispense an abortion inducing drug.
Abortion matters. Provides that a person may not knowingly or intentionally perform a dismemberment abortion unless reasonable medical judgment dictates that performing the dismemberment abortion is necessary to: (1) prevent serious health risks to the mother; or (2) save the mother's life. Provides that the penalty for performing a dismemberment abortion is a Level 5 felony. Provides that certain individuals: (1) may petition for an injunction; (2) may bring an action for the recovery of damages; and (3) are entitled to attorney's fees; if a dismemberment abortion is performed. Provides anonymity safeguards in court or administrative actions for a woman on whom a dismemberment abortion was performed. Amends the definition of "abortion complication".
Medicaid coverage for doula services. Provides that Medicaid pregnancy services may include reimbursement for doula services.
Prescriptions. Allows certain prescriptions to be transmitted electronically. Requires dentists, physicians, advanced practice registered nurses, optometrists, physician assistants, and podiatrists to issue a prescription for a controlled substance in an electronic format and by electronic transmission after December 31, 2020. Provides exceptions to issuing an electronically transmitted prescription for a controlled substance. Requires the Indiana board of pharmacy to adopt rules concerning electronically transmitted prescriptions for controlled substances. Provides that dentists, physicians, advanced practice registered nurses, optometrists, physician assistants, and podiatrists are subject to disciplinary action for violating these provisions. Requires a pharmacy to transfer, upon the request of a patient, a prescription for the patient that the pharmacy has received but not filled to another pharmacy. Sets forth exceptions. Urges the legislative council to assign to an appropriate interim study committee the task of studying: (1) the advantages, disadvantages, and feasibility of requiring health care providers to issue prescriptions in an electronic format and by electronic transmission; and (2) any exceptions that would be needed to a requirement for health care providers to issue prescriptions in an electronic format and by electronic transmission. Makes conforming changes.
Local fetal-infant mortality review teams. Allows certain persons to establish a local fetal-infant mortality review team (review team) to review fetal deaths and infant deaths to gather information to improve community resources and systems of care. Sets forth duties of a review team. Specifies records related to a death that may be reviewed by the review team, access to the records, and confidentiality of the records. Requires the employment of a statewide fetal-infant mortality review coordinator and specifies duties of the coordinator. Requires a review team to submit a report before July 1 of each year to the state department of health concerning the reviews conducted by the review team. Provides certain civil and criminal immunity for review team members and certain individuals who attend meetings at the invitation of the chairperson of a review team.
Sickle cell disease grant program. Requires the state department of health (state department) to do the following concerning the sickle cell disease program (program): (1) Develop standards for determining eligibility for individuals requesting care and treatment for sickle cell disease. (2) Assist in the development and expansion of care for the treatment of individuals with sickle cell disease. (3) Provide financial assistance to individuals with sickle cell disease for specified treatments. Specifies that in awarding grants under the program, the state department shall give priority to establishing sickle cell disease centers in underserved areas with a higher population of individuals with sickle cell disease. Specifies program requirements. Establishes the sickle cell chronic disease fund for purposes of funding the program. Requires the state department, with the assistance of specified groups, to prepare a biennial study of information concerning sickle cell disease in Indiana. Requires the study to be transmitted to the general assembly.
Medicaid waiver priority status for military child. Requires the office of the secretary of family and social services to apply, before July 1, 2019, to the United States Department of Health and Human Services for an amendment to the family and support services Medicaid waiver to create priority status on the waiver for a child of an active member or veteran of the armed forces or the national guard.
Mental health professionals. Makes changes to the contact hours required for licensure in marriage and family therapy services. Removes references in behavioral health and human services licensing law to certified health care professionals. Specifies that the statutes concerning behavioral health and human services professionals may not be construed to limit addiction counseling performed by certain students, interns, and trainees studying in certain institutions. Requires an individual who is licensed as an addiction counselor or a clinical addiction counselor to: (1) display a counselor license or a clear copy of a counselor license at each location where the addiction counselor or clinical addiction counselor regularly practices; and (2) include certain information on the individual's professional marketing material. Changes certain educational and clinical experience requirements for a licensed addiction counselor and a licensed clinical addiction counselor.
INSPECT program. Moves existing language concerning the central repository for controlled substances data from Title 35 to Title 25 and makes conforming changes. Specifies that a practitioner may obtain information about a patient directly through the Indiana scheduled prescription electronic collection and tracking program data base (INSPECT data base) or through the patient's integrated health record. Decreases the instances in which a Class A misdemeanor is a violation to when a practitioner discloses confidential information without authorization. (Current law provides for a Class A misdemeanor for any violation of the chapter.) Provides for instances in which a practitioner is not required to obtain information from the INSPECT data base.
Identification through surgical implants. Allows a coroner to positively identify a dead person by tracking a unique identifying number on a surgically implanted medical device in the dead person's body.
Radon in schools. Requires the state department of health (department) to distribute a manual of best practices for managing indoor air quality at schools, including recommendations for radon testing, to the legislative council, the department of education, the facilities manager and superintendent of each school corporation, and the chief administrative officer of each accredited nonpublic school. Requires the department to revise and distribute the manual to each school every three years.
Prescription drug pricing study committee. Urges the legislative council to assign to the interim study committee on public health, behavioral health, and human services the task of studying issues consumers face related to prescription drug pricing, access, and costs.
Advanced practice registered nurses. Allows an advanced practice registered nurse who: (1) had primary responsibility for the treatment and care of a deceased individual for a period longer than six months; and (2) pronounced the time of death for the deceased individual; to certify a record on a death and enter the record into the Indiana death registration system. Specifies that at least two of the six registered nurse board members of the Indiana state board of nursing (board) be advanced practice registered nurses with at least one of these members having prescriptive authority. Specifies requirements of certain board members. Provides that an advanced practice registered nurse with prescriptive authority and who has operated under a practice agreement with a practitioner for at least three years may operate without a practice agreement if certain conditions are met. Amends the hospital governing board requirements for the manner in which an advanced practice registered nurse who operates in the hospital will interact with other practitioners. Requires the Indiana state board of nursing to prepare a report to the general assembly concerning advance practice registered nurses who practice without a practice agreement. Makes a conforming change.
Anatomical gifts and individuals with disabilities. Prohibits certain health care entities from discriminating against potential transplant recipients solely on the basis of disability, and authorizes an individual to seek injunctive relief against an entity believed to be in violation of the law. Defines "covered entity". Defines "qualified recipient". Prohibits a state employee health plan, insurer, or health maintenance program from denying coverage for anatomical gifts, transplantation, or related treatment and services solely on the basis of disability.
Veterinary prescriptions. Limits the initial opioid prescription for an animal by a veterinarian to a seven day supply unless a listed exception applies. Allows a veterinarian to obtain information about the owner of the animal or the individual to whom an opioid or benzodiazepine will be dispensed for the animal from the Indiana scheduled prescription electronic collection and tracking (INSPECT) program data base before prescribing an opioid or benzodiazepine for the animal.
Newborn screenings for health disorders. Requires, beginning July 1, 2020, newborns to be examined for the detection of: (1) Krabbe disease; (2) Pompe disease; and (3) Hurler syndrome.
School based services and Medicaid. Provides that the office of the secretary of family and social services may apply for: (1) a Medicaid state plan amendment to provide Medicaid reimbursement for health care services and school based services to specified individuals provided by a school based health center; and (2) supplemental Medicaid reimbursement payments to qualified school based health centers under the fee for service Medicaid program. Provides that state expenditures and local school expenditures for funding for Medicaid covered school based services and other health care services provided to a Medicaid recipient by a school based health center may be made only if: (1) the state plan amendment is approved; and (2) intergovernmental transfer funding for the nonfederal share of supplemental Medicaid payments for Medicaid fee for services program is continuously made.
Study of the growth of health care costs. Urges the legislative council to assign to an appropriate interim study committee for study during the 2019 interim of the general assembly the factors that are contributing to the growth of health care costs. Requires the interim study committee to report and make any recommendations to the legislative council not later than November 2019.
Medicaid nursing facility services. Extends the prohibition on the office of Medicaid policy and planning from including certain Medicaid recipients who receive nursing facility services in a Medicaid risk based managed care program or a capitated managed care program through June 30, 2021.
Health care expenditure report and recommendation. Requires the office of Medicaid policy and planning to collaborate with the department of insurance and report certain health care expenditure and cost information and recommendations to the legislative council concerning Medicaid. Requires the division of mental health and addiction, with the participation of the criminal justice institute, to provide an executive summary to the legislative council (and, to the extent possible, the standing committees concerning health) concerning the current health payment system and the legal system as each relates to mental health and addiction treatment services provided to individuals against whom criminal charges have been filed or who are incarcerated.
Homelessness study. Urges the legislative council to assign the topic of homelessness to an appropriate interim study committee in 2019.
Transmission of communicable diseases. Changes the following defined terms: (1) "carrier" to "individual with a communicable disease"; (2) "dangerous communicable disease" to "serious communicable disease"; and (3) "dangerous disease" to "serious disease". Specifies that an individual must intentionally meet all the delineated conditions to commit the offense of transmitting a communicable disease. Requires that for violations of the communicable disease laws: (1) an information or indictment alleging the violations be redacted in accordance with rules adopted by the Indiana supreme court; (2) the court close the proceedings; and; (3) the medical information of the parties is confidential. Removes the authority of a court to limit testing to a test only for human immunodeficiency virus (HIV) if the defendant is charged with battery or domestic battery involving placing bodily fluid or waste on another person. Removes certain references to AIDS. Repeals the crimes of: (1) recklessly, knowingly, or intentionally donating, selling, or transferring blood or semen for artificial insemination that contains HIV; and (2) infecting an individual through the act of donating, selling, or transferring blood or semen. Makes conforming changes. Makes a technical correction.
Physician maintenance of certification. Prohibits a hospital from denying hospital staff or admitting privileges to a physician or podiatrist based solely on the decision of the physician or podiatrist not to participate in maintenance of certification. Specifies that the medical licensing statute and the podiatrist licensing statute do not require a licensed physician or licensed podiatrist to hold or maintain a board certification in a specialty medical area in order to practice. Prohibits an accident and sickness insurer from: (1) denying a physician or podiatrist the right to enter into a reimbursement agreement with the insurer; (2) denying a physician or podiatrist reimbursement for a covered service; or (3) setting reimbursement for services provided by a physician or podiatrist at a lower rate; based solely on the decision of the physician or podiatrist not to participate in maintenance of certification. Prohibits a health maintenance organization (HMO) from: (1) preventing a physician or podiatrist from entering into a participating provider contract with the HMO; (2) denying a physician or podiatrist reimbursement for a covered service; or (3) setting reimbursement for services provided by a physician or podiatrist at a lower rate; based solely on the decision of the physician or podiatrist not to participate in maintenance of certification.
Advanced practice registered nurses. Allows an advanced practice registered nurse who: (1) had primary responsibility for the treatment and care of a deceased individual for a period longer than six months; and (2) pronounced the time of death for the deceased individual; to enter or sign a record on a death into the Indiana death registration system. Specifies "practitioner" for purposes of a practice agreement with an advanced practice registered nurse. Sets forth requirements that must be met in order for an advanced practice registered nurse to operate without a practice agreement. Requires the Indiana state board of nursing to report to the general assembly before October 1, 2019. Makes a conforming change.
Health care service cost. Requires health care providers to provide to patients the cost of scheduled health care services.
Mental health care of released inmates. Provides that the department of correction shall: (1) assist a committed offender with a mental illness in scheduling a visit with a physician or psychiatrist for evaluation not later than 30 days after the offender's expected release date or discharge date, whichever is applicable; and (2) provide an offender with a sufficient supply of the drug or medication being prescribed for the offender by the offender's mental health treatment provider at the time of the offender's release or discharge for use until the offender can be initially evaluated by a physician or psychiatrist after release or discharge.
Infant mortality collaborative. Establishes the infant mortality reduction collaborative (collaborative) to be staffed by the state department of health. Sets forth duties of the collaborative.
Medical marijuana. Permits the use of medical marijuana by persons with serious medical conditions as determined by their physician. Establishes a medical marijuana program to permit the cultivation, processing, testing, transportation, and dispensing of medical marijuana by holders of a valid permit. Requires the state department of health (state department) to implement and enforce the medical marijuana program. Requires that permit holders undertake steps to prevent diversion of medical marijuana to unauthorized persons. Requires that medical marijuana and medical marijuana products be properly labeled, placed in child resistant packaging, and tested by an independent testing laboratory before being made available for purchase. Prohibits packaging medical marijuana in a manner that is appealing to children. Authorizes research on medical marijuana in accordance with rules set forth by the state department. Prohibits discrimination against medical marijuana users. Prohibits harassment of medical marijuana users by law enforcement officers, and prohibits cooperation with federal law enforcement officials seeking to enforce federal laws that criminalize the use of marijuana authorized in Indiana. Makes conforming amendments.
Medicaid reimbursement for tubal ligation study. Requires that, before August 1, 2019, the office of the secretary of family and social services (office of the secretary) study Medicaid reimbursement rates for tubal ligation procedures and sets forth requirements for the study. Requires the office of the secretary to present the results of the study to the budget committee before October 1, 2019.
Maternal mortality and health care costs. Adds to the maternal mortality review committee the responsibility of reviewing health care costs related to maternal mortality by reviewing billing statements.
Contraceptives at drug abuse treatment programs. Requires: (1) opioid treatment programs; (2) office based opioid treatment providers; and (3) syringe exchange programs; to have contraceptives immediately available for patients and individuals receiving program services.
Encouraging the Division of Mental Health and Addiction to conduct a review of existing inpatient facilities that provide treatment for Substance Use Disorder (SUD) in the State of Indiana and to provide recommendations to the Indiana General Assembly to increase access to SUD treatments across the state.
Licensure of naturopathic physicians. Provides for the licensure of naturopathic physicians. Specifies certain individuals who are not required to be licensed. Establishes the board of naturopathic medicine (board). Establishes license requirements. Requires licensed naturopathic physicians to obtain continuing education for license renewal. Establishes the naturopathic formulary council to establish a formulary for naturopathic physicians. Establishes the childbirth attendance advisory committee to provide recommendation concerning the practice of naturopathic childbirth. Provides that an individual who is not licensed may not use certain descriptions, titles, or initials to indicate or imply that the individual is a licensed naturopathic physician. Establishes criminal penalties for certain violations.
Influenza information in child care. Requires a child care provider to annually provide educational information concerning influenza to the parent or legal guardian of each child cared for by the child care provider.
Medicaid self-directed care. Requires the office of the secretary of family and social services to apply to the United States Department of Health and Human Services for a state plan amendment requesting participation in the community first choice option to provide home and community based attendant services and related supports to Medicaid recipients.
Licensure of naturopathic physicians. Provides for the licensure of practitioners of naturopathic medicine. Specifies certain individuals who are not required to be licensed. Establishes the board of naturopathic medicine (board). Establishes license requirements. Requires licensed naturopathic doctors to obtain continuing education for license renewal. Requires a licensed naturopathic doctor, licensed health care provider, health care facility, state agency, and state or local law enforcement agency to file a complaint with the board if the person, based on personal knowledge or information, reasonably believes that a naturopathic doctor is or may be violating certain standards of practice. Provides that an individual who is not licensed may not use certain descriptions, titles, or initials to indicate or imply that the individual is a licensed naturopathic doctor.
Tobacco issues. Increases the cigarette tax from $0.995 per pack to $1.995 per pack. Raises the age from 18 years of age to 21 years of age for prohibitions and crimes concerning the sale, purchase, and possession of cigarettes and other tobacco products. Makes a corresponding change to the laws concerning electronic cigarettes, tobacco retailer permits, and admission to establishments where smoking is permitted. Repeals employment protections for individuals who smoke cigarettes or use other tobacco products.
Ban on conversion therapy. Prohibits a mental health provider from engaging in conversion therapy with a patient less than 18 years of age, and subjects a mental health provider who violates the prohibition to disciplinary action.
Syringe exchange program. Requires the state health commissioner to appoint a panel to hold a public hearing to determine whether to operate a syringe exchange program in a county if the Indiana state department of health determines from available data that the county has experienced at least a 20% increase in opioid overdose emergency room visits or in hepatitis C cases.
Study committee on patient restraint. Urges the legislative council to assign to an appropriate interim study committee in the 2019 interim the study of the use of restraints in specified health care settings.
Medical cannabis pilot program. Establishes a five-year medical cannabis pilot program, administered by the state department of health, to permit the use of medical cannabis in Indiana. Imposes a medical cannabis cultivation tax.
Cigarette taxes. Increases the cigarette tax by $2 to $2.995 per pack of regular size cigarettes and a corresponding increase for larger cigarettes. Appropriates for each year of the 2019-2021 biennium $35,000,000 from the tobacco master settlement agreement fund to the tobacco use prevention and cessation trust fund for the state department of health to implement the long range state plan for the prevention and reduction of the usage of tobacco and tobacco products in Indiana.
Medicaid nonemergency medical transport. Sets forth requirements for brokers of nonemergency medical transportation under the Medicaid fee-for-service program. Establishes the nonemergency medical transportation commission (commission) and sets forth duties of the commission. Requires the office of the secretary of family and social services to prepare before July 31, 2019, a report concerning nonemergency medical transportation Medicaid claims and submit the report to the commission.
Prescription price. Requires a retail pharmacy, before dispensing a prescription, to inform an insured patient of the cost of the drug or device without insurance or an applicable discount, if the cost of the drug or device is less than the copayment cost to the patient using the insurance or an applicable discount.
Medicaid nursing facility services. Extends the prohibition on the office of Medicaid policy and planning from including certain Medicaid recipients who receive nursing facility services in a Medicaid risk based managed care program or a capitated managed care program through December 31, 2021. Includes Medicaid recipients who participate in certain waivers or reside in an intermediate care facility for individuals with intellectual disabilities setting in the prohibition of being placed into a risk based managed care program or capitated managed care program.
Study impact of the opioid crisis. Requires the legislative council to assign to the appropriate interim study committee the study of the impact of the opioid crisis, particularly the unforeseen consequences of the opioid crisis.
Advanced practice registered nurses. Allows an advanced practice registered nurse who: (1) had primary responsibility for the treatment and care of a deceased individual for a period longer than six months; and (2) pronounced the time of death for the deceased individual; to enter or sign a record on a death into the Indiana death registration system. Requires the state board of nursing to establish requirements that allow an advanced practice registered nurse to prescribe diabetic medical equipment.
Mental health matters. Requires the office of the secretary of family and social services (office) to apply for a state plan amendment that would require Medicaid reimbursement for eligible Medicaid rehabilitation option services provided in a school setting to a Medicaid recipient. Requires the office to review the Medicaid rehabilitation option services provided under Medicaid, determine whether additional services are appropriate, and submit the office's findings to the legislative services agency. Requires a school corporation to contract with a community mental health center to provide Medicaid rehabilitation option services to the school corporation's students and families. Requires the division of mental health and addiction to establish and administer an evidence based program that partners with schools to provide social services to children, parents, caregivers, teachers, and the community. Sets forth requirements of the program and a contracting entity. Requires the office of Medicaid policy and planning to study and report to the legislative services agency the impact of increasing the eligibility income limitations for the children's health insurance program and specifies requirements of the study. Sets forth requirements of the mental health first aid training program report.
Newborn infants and hospital requirements. Requires a hospital to implement a policy that establishes protocols for hospital staff to follow concerning transportation of a newborn infant if the hospital is unable to provide the necessary care for the newborn infant to another hospital that can provide the care. Requires a hospital, at the time of preregistration by a pregnant woman for maternity care at the hospital, to disclose to the pregnant woman the levels of care that the hospital is able to provide based on a newborn infant's gestational age.
Pharmacy benefit managers. Requires a pharmacy benefit manager that is not licensed as an administrator to be registered with the board of pharmacy. Specifies requirements for registration, renewal, conduct, appeals, and annual reporting by pharmacy benefit managers.
School radon testing and abatement. Requires the state department of health (department) to consider establishing a program of: (1) testing for radon gas; and (2) abatement of radon gas; in public school buildings. Requires the department to consider applying for funding from the state indoor radon grant (SIRG) program of the United States Environmental Protection Agency.
Emergency hospital protocols for births. Requires a hospital that provides birthing and labor services to establish and implement emergency protocols to follow concerning: (1) hemorrhaging; and (2) hypertension crisis.
Hospitals. Specifies that only general acute hospitals may post community wayfinding signage for hospitals. Requires the state department of health to, beginning May 1, 2020, designate hospitals as: (1) general acute hospitals; (2) specialty hospitals; or (3) limited service hospitals; when issuing or renewing a hospital license and sets forth requirements for each designation. Specifies that only a general acute hospital may use the term "hospital" when marketing to or soliciting business from the public. Beginning May 1, 2020, a hospital license expires two years from the date of issuance. (Current law requires a hospital license to expire one year after issuance.)
Patient rights for pregnant women. Requires certain health care providers providing obstetric services to a pregnant woman to provide the woman with written information concerning the pregnant woman's rights for pregnancy care. Requires the state department of health to establish a program to educate women on a woman's rights when pregnant.
Strategic plan on dementia. Requires the state department of health to develop a strategic plan concerning dementia in Indiana. Establishes the Indiana dementia council (council) and sets forth duties of the council. Beginning June 30, 2021, requires the council to submit a report to the governor's office and the general assembly concerning dementia, research on Alzheimer's disease, and the outcomes of implementing the dementia strategic plan.
Drug crisis task force. Establishes the drug crisis task force to prepare an evidence based comprehensive plan that prioritizes the one time and annual funding needed over a 10 year period to address the drug crisis. Sets forth membership and duties of the task force.
Medical cannabis. Defines "qualifying patient", and permits a qualifying patient to use medical cannabis under certain circumstances. Requires the state department of health to adopt rules before July 1, 2020: (1) concerning the use, distribution, cultivation, production, and testing of medical cannabis; and (2) developing and implementing a medical cannabis registry. Provides limited reciprocity for holders of nonresident medical cannabis cards. Provides immunity from civil and criminal liability for physicians who recommend the medical use of cannabis. Provides a defense to: (1) arrest; and (2) criminal prosecution; for marijuana possession and use in certain circumstances. Makes conforming amendments. Makes a technical correction.
Vital records. Provides that a parent may request a certificate of birth resulting in stillbirth when the child had a gestation age of less than 20 weeks. Specifies that a burial transit permit is required for the report of death and transportation and final disposition of a deceased individual. Provides that the information concerning a birth resulting in stillbirth is not required to be entered into the Indiana death registration system if the child had a gestational age of less than 20 weeks. Removes authority to issue a provisional certificate of death. Requires that a physical copy of the burial transit permit must remain with the body or body parts until the final disposition of the body. Makes conforming changes.
Provider diagnostic information release. Requires a health care provider, upon the request of a patient or the patient's designee, to provide the diagnostic billing code and procedural billing code for each diagnosis and health care procedure rendered to the patient.
Testing of school age children for lead poisoning. Requires the state department of health (state department) to identify those areas of Indiana in which the risk of lead ingestion by children is so high that, in the judgment of the state health commissioner, every school age child who resides in the area should be tested for lead poisoning. Requires the state department to provide written notice about the identification of the high lead ingestion risk areas (high risk area) to every school corporation that operates one or more schools attended by children who reside in a high risk area. Provides that if a school corporation is notified by the state department that an area served by the school corporation is a high risk area, the school corporation shall require all children who: (1) reside in that high risk area; and (2) attend or enroll in a school operated by the school corporation; to be tested for lead poisoning.
Medical marijuana. Permits the cultivation, dispensing, and use of medical marijuana by persons with serious medical conditions. Requires the state department of health to implement and enforce the medical marijuana program. Prohibits discrimination against medical marijuana users. Prohibits harassment of medical marijuana users by law enforcement officers, and prohibits cooperation with federal law enforcement officials seeking to enforce federal laws that criminalize the use of marijuana authorized in Indiana. Provides for the disposal of unused medical marijuana. Makes conforming amendments.
Tanning facilities. Exempts from tanning facility regulation medical phototherapy treatment that meets certain requirements. Prohibits an individual less than 18 years of age from using a tanning device in a tanning facility. Requires the operator or owner of a tanning facility to include a statement in the written information required to be signed before an individual may use a tanning device that individuals less than 18 years of age may not use a tanning device. Requires a tanning facility operator to prohibit an individual who is less than 18 years of age from using a tanning device. Requires a tanning facility operator to check a specified government issued photo identification to confirm an individual is at least 18 years of age before the individual uses a tanning device.
Physician assistants. Changes the role of a supervising physician to that of a collaborating physician. Makes conforming changes.
Medical residency programs. Requires that the medical education board and the graduate medical education board study the medical residency programs in northwest Indiana and prepare a report that provides recommendations to increase the number of medical residents in those residency programs.
Medicaid prescription drug program. Requires the office of the secretary of family and social services to provide a prescription drug benefit for a Medicaid recipient under: (1) the risk based managed care program; and (2) the healthy Indiana plan. (Current law allows the office or the managed care organization to provide the prescription drug benefit.)
Regulation of physical therapists. Establishes the Indiana board of physical therapy (board). (Current law regulates physical therapy under the medical licensing board of Indiana, with certain functions delegated to the Indiana physical therapy committee.) Creates a new definition of "physical therapy" and adds or amends other definitions. Amends certain prohibited acts to include business entities. Changes the term "physical therapist's assistant" to "physical therapist assistant". Adds physician assistants and nurse practitioners to the list of persons who may issue an order to a physical therapist. Allows a physical therapist to treat a patient for 90 days without a referral from a provider. (Current law allows treatment for 24 days.) Provides that certain individuals are exempt from license and certification requirements. Adds two physical therapists and a physical therapist assistant to the board and removes the physician member. Establishes requirements for physical therapists and physical therapist assistants who have been educated outside the United States. Establishes requirements to sit for the licensure and certification examinations. Allows the applicant to take the examination not more than six times. Allows the board to disqualify an applicant for certain acts related to the examination. Requires a person who seeks reinstatement for a lapsed license to demonstrate evidence of continuing competence. Establishes certain responsibilities for physical therapists. Allows a physical therapist assistant to work under a physical therapist. Transfers the rules, duties, and records concerning physical therapy from the medical licensing board of Indiana to the board. Makes conforming changes.
Fertility fraud. Provides that a physician who treats a patient of that physician for infertility: (1) by using the physician's own spermatozoon or ovum, without the patient's consent; or (2) by using donated human reproductive material without the consent of the donor; commits fertility fraud, a Level 6 felony. Provides that a prosecution for criminal fertility fraud that would otherwise be barred by the statute of limitations may be brought not later than five years after the earliest of the date on which: (1) the state first discovers evidence sufficient to charge the offender with the offense through DNA analysis; (2) the state first becomes aware of the existence of a recording that provides evidence sufficient to charge the offender with the offense; or (3) a person confesses to the offense. Establishes a cause of action for civil fertility fraud and provides that a prevailing plaintiff may be awarded actual damages or liquidated damages of $10,000. Specifies that the statute of limitations for civil fertility fraud is 10 years from the eighteenth birthday of the child, or not later than five years after the earliest of the date on which: (1) the person first discovers evidence sufficient to bring an action against the defendant through DNA analysis; (2) the person first becomes aware of the existence of a recording that provides evidence sufficient to bring an action against the defendant; or (3) the defendant confesses to the offense.
Prescription drug importation study. Requires the state department of health to conduct a study and report to the legislative council concerning a state prescription drug importation program through which the state would import certain prescription drugs, including insulin, from Canada for Indiana consumers.
End of life options. Allows individuals with a terminal illness who meet certain requirements to make a request to an attending physician for medication that the individual may self-administer to end the individual's life. Specifies requirements a physician must meet in order to prescribe the medication to a patient. Prohibits an insurer from denying payment of benefits under a life insurance policy based upon a suicide clause in the life insurance policy if the death of the insured individual is the result of medical aid in dying. Establishes a Level 1 felony if a person: (1) without authorization of the patient, willfully alters, forges, conceals, or destroys a request for medication or a rescission of a request for medication with the intent or effect of causing the individual's death; or (2) knowingly or intentionally coerces or exerts undue influence on an individual to request medication to end the individual's life or to destroy a rescission of a request for medication to end the individual's life.
Healthy Indiana plan. Removes the requirement from the healthy Indiana plan (HIP) that if an individual who has an annual income of more than 100% of the federal poverty income level has not made payment to HIP within 60 days, the individual shall be terminated from HIP and may not reenroll in HIP for at least six months. (The reduced benefit and copayment requirements that apply to individuals who have an annual income that is at or below 100% of the federal income poverty level would also apply to individuals with an annual income above 100% of the federal poverty income level.) Makes a conforming change.
Out-of-state drug prescriptions. Provides that if a patient legally obtains a drug containing marijuana, hash oil, hashish, or salvia in a state, territory, or possession of the United States other than Indiana through a prescription from a licensed physician acting in the course of the physician's professional medical practice and dispensed by a licensed pharmacist or other licensed dispenser, the patient may possess marijuana, hash oil, hashish, or salvia subject to certain requirements and limitations.
Licensure of behavior analysts. Provides for licensure of behavior analysts and assistant behavior analysts (rather than certification under current law). Specifies requirements for a license. Sets forth exemptions. Makes conforming amendments.
Bed bug abatement. Repeals statutes concerning state and local programs for pest and vector abatement. Allows: (1) the executive board of the state department of health to adopt rules; and (2) the board of a municipal corporation and the health and hospital corporation to adopt ordinances and rules; concerning the control of pests and vectors. Provides that the owner, lessee, superintendent, or manager of an establishment subject to the lodging establishment laws may not furnish beds or bedding infested with pests or vectors. Requires that a lodging establishment room that has an infested bed or infested bedding must be thoroughly fumigated, disinfected, and renovated until the pests and vectors are entirely exterminated. Makes conforming amendments.
Ban on flame retardant material. Defines "flame retardant chemical". Prohibits the manufacture, assembly, acceptance for sale, and selling of certain upholstered furniture, mattresses, and mattress pads that contain more than 0.1% of a flame retardant chemical or more than 0.1% of a mixture that contains a flame retardant chemical.
Hyperbaric oxygen therapy pilot programs. Eliminates the requirement that a veteran pay a 10% co-pay for treatment received under the hyperbaric oxygen treatment pilot program. Eliminates the requirement that treatment plans for a veteran specify the sources of funding for treating the veteran. Postpones the expiration of the pilot program from June 30, 2020, to June 30, 2021. Establishes a pilot program to treat opioid addiction with hyperbaric oxygen therapy. Appropriates $500,000 to the Indiana department of veterans' affairs for making grants and administering the hyperbaric oxygen treatment pilot program for veterans. Appropriates $500,000 to the state department of health to administer the pilot program for treating opioid addiction with hyperbaric oxygen therapy.
Study of mental health concerns. Urges the legislative council to assign the task of studying certain mental health concerns to an appropriate study committee.
Health matters. Provides that a pharmacy or pharmacist has a right to provide individuals with information concerning the individual's cost share for a prescription drug. States that a pharmacy or pharmacist cannot be proscribed by a third party administrator, a health insurer, or a health maintenance organization from discussing the information or from selling to the individual a more affordable alternative. Prohibits a copayment for a drug under the state employee health plan, an accident and sickness insurance policy, or a health maintenance organization contract from exceeding the amount payable to the pharmacy for the drug under an agreement with
INSPECT program. Allows a dispenser of ephedrine, pseudoephedrine, or a controlled substance to transmit certain information to the INSPECT program by any electronic method that meets specifications prescribed by the state board of pharmacy (board). Provides that, to the extent considered appropriate by the board, the INSPECT data base must be interoperable with other similar registries operated by federal and state governments. Requires the following practitioners to obtain information about a patient from the data base before prescribing an opioid or benzodiazepine to the patient: (1) A practitioner who has had the information from the data base integrated into the
Investigation of overdose deaths. Requires the county coroner to do the following if the county coroner reasonably suspects the cause of a person's death to be accidental or intentional overdose of a controlled substance: (1) Obtain any relevant information about the decedent maintained by the INSPECT program. (2) Extract and test certain bodily fluids of the decedent. (3) Report test results to the state department of health (department). (4) Provide the department notice of the decedent's death, including any information related to the controlled substances involved, if any. Authorizes the department to adopt rules. Makes conforming changes. Provides that the
Mental health access. Requires the office of Medicaid policy and planning to implement a centralized credentials verification organization and credentialing process. Allows the division of mental health and addiction (division) to grant approval for nine additional opioid treatment programs that: (1) are operated by a hospital; and (2) meet other specified requirements; if the division determines that there is a need for the program in the proposed location. Provides that mental health and addiction forensic treatment services may be administered or coordinated only by a provider certified by the division or licensed by the Indiana professional licensing agency to provide
Veterans pilot program. Extends to 2020 the program that provides assistance for certain providers to provide diagnostic testing and hyperbaric oxygen treatment to veterans. (Under current law, the program expires June 30, 2019.) Allows the state department of health to select and approve up to five providers to provide diagnostic testing and hyperbaric oxygen treatment to veterans receiving treatment under the pilot program. (Under current law, only one provider may be selected and approved.) Requires providers to perform services at cost out of the grant amount awarded to the provider. Removes the restriction on when a veteran's injury occurred in
Assisted living services. Requires the office of Medicaid policy and planning (office) to reimburse for assisted living services provided to a Medicaid waiver recipient who is aged or disabled when the service is provided by a residential care facility or a housing with services establishment. Allows for Medicaid reimbursement for any home and community based services provided to a Medicaid recipient beginning on the date of the individual's application. Sets forth requirements and limitations concerning assisted living services provided in a home and community based services setting. Requires the office to implement a process for and resume enrollment of a
FSSA matters. Corrects outdated references to the "division of aging and rehabilitative services" to refer instead to the "division of disability and rehabilitative services". Removes references to home care services from the long term care ombudsman program. Removes the requirement that the long term care ombudsman (ombudsman) report the findings of the long term care ombudsman office (office) to the complainant. Allows the office to disclose records, documents, and findings of an investigated case to certain individuals with the informed consent of the resident of the long term care facility or the resident's legal guardian. Specifies the manner in which
Behavioral health and human services. Allows up to 50% of the supervised experience hours required for licensure as the following to be accounted for through virtual supervision by the appropriate supervisor: (1) Clinical social worker. (2) Mental health counselor. (3) Marriage and family therapist. (4) Addiction counselor. Reduces the required number of face to face client contact hours for a marriage and family therapist license from 500 to 400 face to face client contact hours. Requires an applicant for licensure as a mental health counselor or mental health counselor associate to complete a clinical practicum, an internship, or field experience
Criminal history checks for home health workers. Provides that an expanded criminal history check may be used instead of certain background checks and criminal history checks for home health care workers. Prohibits an expanded criminal history check to include certain criminal history information. Provides that an expanded criminal history check satisfies the division of aging's criminal history requirements.
Information provided by health practitioners. Requires specified licensed health practitioners to provide certain information related to the practitioner's work, including the practitioner's work with Medicaid patients, when renewing the practitioner's professional license online. Requires the Indiana professional licensing agency to: (1) compile the information collected into an annual report; (2) post a copy of the report on the agency's Internet web site; and (3) submit the report to the office of Medicaid policy and planning, the department of workforce development, the commission on improving the status of children, the legislative council, and the office of the attorney general. Specifies notice
Advanced practice registered nurses. Replaces the term "advanced practice nurse" with "advanced practice registered nurse" throughout the Indiana Code. Requires the Indiana state board of nursing to adopt rules concerning educational and certification requirements that an advanced practice registered nurse must meet to be authorized to prescribe drugs.
FSSA matters. Adds representatives of organizations that represent people with intellectual and other developmental disabilities to the commission on rehabilitation services and the Medicaid advisory committee. Clarifies that outpatient home health services may be provided in other appropriate locations determined by the office. Changes the makeup of the drug utilization review board and the frequency with which the board is required to meet. Changes when a participant's funds remaining in the individual's healthy Indiana plan health (HIP) care account are refunded. Removes the HIP $25 copayment requirement for subsequent use of an emergency room for nonemergency services. Allows money in
Qualified egg banks. Amends, for purposes of the law regarding unlawful transfer of a human organism, the definition of "qualified third party" and changes the term to "qualified egg bank". Specifies qualifications for a physician overseeing medical services related to ovum cryopreservation. Specifies requirements that must be met by a fertility clinic or similar medical facility in order to be considered a qualified egg bank. Exempts from the criminal offense of unlawful transfer of a human organism the payment to or receipt by a qualified egg bank of an amount for: (1) the retrieval of a human ovum; (2) the
State department of health matters. Changes references to "methamphetamine laboratory" to "controlled substance". Amends the definition of "property" for purposes of operating a web site that lists properties that have been used in the illegal manufacture of a controlled substance. Authorizes the state department of health (state department) instead of the Indiana department of environmental management (department) to certify qualified inspectors and oversee the decontamination of a site that has been used in the illegal manufacture of a controlled substance. Transfers from the department to the state department powers, duties, records, property, and rules concerning decontamination of a site that
Influenza information to residents. Requires an operator of a housing with services establishment to provide to residents certain information concerning influenza and influenza vaccinations. Specifies that an operator is deemed to be in compliance with the requirement if the operator provides a resident the latest vaccination information statement concerning influenza issued by the Centers for Disease Control and Prevention.
Issuance of hospital license. Requires, beginning January 1, 2019, the state department of health (state department) to issue a hospital license to a hospital that has received accreditation by recognized accrediting organizations for the period the recognized accrediting organization has been granted accreditation. Allows the state department to investigate complaints against an accredited hospital for substantial noncompliance with accredited standards when requested by the Centers for Medicare and Medicaid Services. Requires the state department to conduct annual surveys for hospitals that are not accredited by a recognized accrediting organization. Requires the state department to conduct random validation surveys on behalf
Maternal mortality review committee. Requires the state department of health (state department) to establish a statewide maternal mortality review committee (committee) until June 30, 2023, and sets forth membership and duties of the committee. Specifies confidentiality of records reviewed by the committee. Requires a health care provider or health care facility that has a patient who dies of a maternal mortality to report the death to the committee and sets forth immunity provisions for the provider or facility. Allows the committee to review maternal morbidity cases. Specifies records to which the committee may have access. Requires the committee to submit
Continuing education requirements. Establishes continuing education requirements for licensed health care practitioners who apply for a controlled substances registration. Provides that the continuing education requirements expire July 1, 2025.
Scleral tattooing. Defines "scleral tattooing". Prohibits the act of performing or offering to perform scleral tattooing. Provides an exception for the act of a licensed health care professional when the act is performed in the scope of the health care professional's practice. Provides that the attorney general: (1) has authority to receive and investigate complaints regarding violations of the statute; (2) may seek civil penalties of up to $10,000 per violation of the statute; and (3) may seek an injunction to restrain a person from continuing to violate the statute.
Suicide prevention. Provides that the division of mental health and addiction is responsible for the development and provision of a research based training program for health care providers concerning suicide assessment, training, and management that is: (1) demonstrated to be an effective or promising program; and (2) recommended by the Indiana Suicide Prevention Network Advisory Council. Requires emergency medical technicians to complete a research based training program concerning suicide assessment, treatment, and management that is: (1) demonstrated to be an effective or promising program; and (2) recommended by the Indiana Suicide Prevention Network Advisory Council. Requires that teachers and other
Physician order for scope of treatment and consent. Provides that the definition of "cardiopulmonary resuscitation" (CPR) that applies to a do not resuscitate declaration also applies to a physician order for scope of treatment (POST) form. Adds licensed dentists, home health aides, and physician assistants to the definition of "health care provider" for purposes of a POST form. Establishes a priority order for who may provide consent if an adult is incapable of providing consent to health care. Provides exceptions to the priority order. Provides that if the individuals at the same priority level disagree as to the health care
Urging the legislative council to assign the topic of end of life options to the appropriate study committee.
Perinatal levels of care designation certification. Requires the state department of health to establish a program to certify perinatal levels of care designations for licensed hospitals and birthing centers that provide birthing services. Specifies requirements that must be met in order to operate as a perinatal center. Allows perinatal centers to perform peer review for the perinatal center, other hospitals, and other birthing centers that provide birthing services.
Newborn screenings. Establishes when a blood sample must be taken from a newborn infant for testing for certain disorders. Provides that the time requirement for taking a blood sample does not apply to preterm infants or newborn infants who receive a total exchange blood transfusion.
EMT use of injectable epinephrine. Requires the emergency medical services commission to establish training and certification standards for the administration of epinephrine through a prefilled syringe and a syringe and ampule by an emergency medical technician (EMT). Allows an EMT who has been certified to administer epinephrine through an auto-injector, a prefilled syringe, and a syringe and ampule.
Diabetes reporting. Requires the state department of health (state department) to collaborate with the office of the secretary of family and social services and develop a strategic plan to identify and significantly reduce the prevalence of diabetes and prediabetes. Requires the state department to establish workgroups to assist with development of the strategic plan. Requires the state department to submit the strategic plan to the governor and the general assembly and to update the strategic plan every two years until July 1, 2026. (The introduced version of this bill was prepared by the interim study committee on public health, behavioral
Nursing facility Medicaid reimbursement rates. Requires the office of Medicaid policy and planning to use the report card score published by the state department of health on June 30, 2017, to establish the nursing facility report card score measure of the nursing facility total quality score in determining reimbursement rates to nursing facilities for services provided to Medicaid recipients for the July 1, 2018, rate effective date.
Dental hygienist access practice agreements. Allows a dental hygienist to practice dental hygiene in a location and without supervision under an access practice agreement with an access practice dentist. Specifies the requirements to provide dental hygiene services under an access practice agreement. Requires an access practice dentist to be available to provide emergency communication and consultation with the dental hygienist. Establishes record keeping requirements. Requires a dental hygienist who provides services under an access practice agreement to maintain malpractice liability insurance. Requires a signed consent form before providing services under an access practice agreement. Requires that certain written information be
Newborn screening. Adds spinal muscular atrophy and severe combined immunodeficiency to the list of disorders in the newborn screening requirements.
Hospital licensure task force. Establishes a task force to review state regulations regarding the licensure of acute care hospitals, sub-acute care hospitals, and recovery centers in Indiana. Requires the task force to provide recommendations to the public health, behavioral health, and human services interim study committee before July 1, 2018.
Administration of overdose intervention drugs. Provides that community corrections officers and probation officers may administer an overdose intervention drug. Requires community corrections officers and probation officers to report the use of an overdose intervention drug to the emergency ambulance service responsible for reporting the use to the Indiana emergency medical services commission. Requires that persons permitted to administer an overdose intervention drug must receive education and training on drug overdose response and treatment, including the administration of an overdose intervention drug before the person may administer an overdose intervention drug. Provides civil immunity to community corrections officers and probation officers
A CONCURRENT RESOLUTION urging the legislative council to establish an interim study committee to study hysterectomy informed consent.
Hospices and Medicaid. Requires the office of Medicaid policy and planning (office) to retain a recipient who participates in the Medicaid risk based managed care program (program) on the program if the recipient is approved to receive hospice services without losing Medicaid coverage. Specifies certain Medicaid recipients may not participate in the Medicaid risk based managed care program. Requires reimbursement of the hospice provider through the program if the recipient participates in the program.
Urging the legislative council to assign to the appropriate study committee the topic of healthcare cost and value.
Access to employee restrooms. Provides that if a retail establishment has a restroom facility on its premises for the use of the retail establishment's employees, a customer who suffers from an eligible medical condition must, upon request, be allowed to use the restroom facility during normal business hours if certain conditions are met. Specifies that a customer who uses the retail establishment's employee restroom facility is responsible for leaving the restroom facility in the same condition as when the customer entered the restroom facility. Provides immunity from civil liability for any act or omission in allowing a customer to use
Urging the legislative council to assign to the appropriate study committee the topic of the purchasing age for tobacco products.
Office based opioid treatment programs. Urges the legislative council to assign to an appropriate interim study committee for the 2018 interim period the task of studying whether Indiana should impose a license requirement or other regulatory requirements on an office based opioid treatment program operating in Indiana and, if the committee determines that regulation is necessary, to identify the appropriate agency to perform the regulation.
Health care cost and value study. Urges the legislative council to assign the issue of health care cost and value to an appropriate interim study committee for study during the 2018 interim of the general assembly. Requires the interim study committee to study the issue and make recommendations not later than November 1, 2018.
Physician maintenance of certification. Prohibits a hospital from denying hospital staff or admitting privileges to a physician or podiatrist based solely on the decision of the physician or podiatrist not to participate in maintenance of certification. Specifies that the medical licensing statute and the podiatrist licensing statute do not require a licensed physician or licensed podiatrist to hold or maintain a board certification in a specialty medical area in order to practice. Prohibits an accident and sickness insurer from: (1) denying a physician or podiatrist the right to enter into a reimbursement agreement with the insurer; (2) denying a physician or
Veterans recovery pilot program. Extends the Indiana veteran recovery pilot program (program) to 2020. (Under current law, the program expires June 30, 2019.) Requires the state department of health (state department) to adopt rules by August 1, 2018, to implement the program. Allows the state department to select and approve up to five providers to provide diagnostic testing and hyperbaric oxygen treatment to veterans receiving treatment under the program. (Under current law, only one provider may be selected and approved.) Requires providers to perform services at cost out of the block grant amount awarded to the provider. Removes the restriction
Professional licensing agency. Removes references in behavioral health and human services licensing law to certified health care professionals. Specifies that the statutes concerning behavioral health and human services professionals may not be construed to limit addiction counseling performed by certain students, interns, and trainees studying in certain institutions. Requires an individual who is licensed as an addiction counselor or a clinical addiction counselor to: (1) display a counselor license or a clear copy of a counselor license at each location where the addiction counselor or clinical addiction counselor regularly practices; and (2) include certain information on the individual's professional marketing
Tobacco products purchasing age. Raises the age from 18 years of age to 21 years of age for prohibitions and crimes concerning the sale, purchase, and possession of cigarettes and other tobacco products. Makes a corresponding change to the laws concerning e-cigarettes, tobacco retailer permits, and admission to establishments where smoking is permitted.
Urging the legislative council to assign the topic of a ban on flame retardant materials to the appropriate committee.
Urging the legislative council to assign the topic of medical marijuana to the interim study committee on public health, behavioral health, and human services during the 2018 interim.
Prescription drug pricing study. Urges the legislative council to assign to the interim study committee on public health, behavioral health, and human services the task of studying issues related to prescription drug price transparency by drug manufacturers in Indiana.
Advanced practice registered nurse collaboration. Changes "advanced practice nurse" references to "advanced practice registered nurse". Requires the Indiana state board of nursing to adopt rules concerning educational and certification requirements that an advanced practice registered nurse must meet to prescribe legend drugs. Requires that two members of the Indiana state board of nursing be advanced practice registered nurses with different specialty areas and addresses transition of current membership. Allows an advanced practice registered nurse to operate without a collaborative agreement with a practitioner if specified conditions are met, and requires these advanced practice registered nurses to attend additional continuing education.
Medical marijuana. Permits the cultivation, dispensing, and use of medical marijuana by persons with serious medical conditions. Requires the state department of health to implement and enforce the medical marijuana program. Prohibits discrimination against medical marijuana users. Prohibits harassment of medical marijuana users by law enforcement officers, and prohibits cooperation with federal law enforcement officials seeking to enforce federal laws that criminalize the use of marijuana authorized in Indiana. Makes conforming amendments.
Small hospital charge notices. Requires certain small hospitals to post certain notices concerning charges. Makes conforming amendments.
Licensure of naturopathic physicians. Provides for the licensure of practitioners of naturopathic medicine. Specifies certain individuals who are not required to be licensed. Establishes the board of naturopathic medicine (board). Establishes license requirements. Requires licensed naturopathic doctors to obtain continuing education for license renewal. Requires a licensed naturopathic doctor, licensed health care provider, health care facility, state agency, and state or local law enforcement agency to file a complaint with the board if the person, based on personal knowledge or information, reasonably believes that a naturopathic doctor is or may be violating certain standards of practice. Provides that an individual
Smoking prohibition exemptions. Removes the exemptions that allow smoking in certain places where smoking would otherwise be prohibited. Makes conforming changes.
Direct to consumer advertising. Provides that a person may not engage in direct to consumer advertising. Specifies the enforcement powers of the attorney general with respect to a person who engages in direct to consumer advertising. Provides for a private cause of action for a consumer affected by direct to consumer advertising. Provides that the maximum amount of a civil penalty that may be imposed upon a person who engages in direct to consumer advertising is $10,000.
Pest and vector control. Repeals statutes concerning state and local programs for pest and vector abatement. Allows: (1) the executive board of the state department of health to adopt rules; and (2) the board of a municipal corporation and the health and hospital corporation to adopt ordinances and rules; concerning the control of pests and vectors. Provides that the owner, lessee, superintendent, or manager of an establishment subject to the lodging establishment laws may not furnish beds or bedding infested with pests or vectors. Requires that a lodging establishment room that has an infested bed or infested bedding must be
Charitable organization drug transfers. Provides that the term "wholesale distribution", for purposes of the wholesale legend drug distributor laws, does not include the sale or transfer of a drug by a charitable organization to: (1) a nonprofit affiliate of the organization; or (2) a nonprofit entity that is not affiliated with the organization; to the extent permitted by law.
Certification of treatment providers. Provides that mental health and addiction forensic treatment services may be administered or coordinated only by a provider certified by the division of mental health and addiction or licensed by the Indiana professional licensing agency to provide mental health and addiction treatment. (Under current law, a provider may provide services only if the provider is certified or licensed by the division of mental health and addiction.) (The introduced version of this bill was prepared by the interim study committee on corrections and criminal code.)
Medical cannabis. Defines "qualifying patient", and permits a qualifying patient to use medical cannabis under certain circumstances. Requires the state department of health to adopt rules before July 1, 2019: (1) concerning the use, distribution, cultivation, production, and testing of medical cannabis; and (2) developing and implementing a medical cannabis registry. Provides limited reciprocity for holders of nonresident medical cannabis cards. Provides immunity from civil and criminal liability for physicians who recommend the medical use of cannabis. Provides a defense to: (1) arrest; and (2) criminal prosecution; for marijuana possession and use in certain circumstances. Makes conforming amendments. Makes a
Provider diagnostic information release. Requires a health care provider, upon the request of a patient or the patient's designee, to provide the diagnostic billing code and procedural billing code for each diagnosis and health care procedure rendered to the patient.
Cannabidiol study. Urges the legislative council to assign to the appropriate study committee the task of studying: (1) the benefits that individuals with certain chronic conditions obtain from the use of cannabidiol; and (2) the best means for assuring that individuals in Indiana with certain chronic conditions are able to obtain safe supplies of cannabidiol in a manner that does not violate state law.
Maternal mortality review committee. Requires the state department of health (state department) to establish a statewide maternal mortality review committee (committee) and sets forth membership and duties of the committee. Specifies confidentiality of records reviewed by the committee. Requires a health care provider or health care facility that has a patient who dies of a maternal mortality to report the death to the committee and sets forth immunity provisions for the provider or facility. Requires the committee to submit a report to the state department before July 1 of each year concerning the committee's reviews and requires the state department
Ban on flame retardant material. Defines "flame retardant chemical". Prohibits the manufacture, assembly, acceptance for sale, and selling of certain upholstered furniture, mattresses, and mattress pads that contain more than 0.1% of a flame retardant chemical or more than 0.1% of a mixture that contains a flame retardant chemical.
Interstate medical licensure compact. Requires the medical licensing board of Indiana (board) to administer the interstate medical licensure compact (compact). Adopts the compact. Grants eligible physicians an expedited license to practice medicine in compact member states. Requires a physician to designate a member state as the state of principal license for purposes of registration. Establishes application and issuance procedures. Allows the board to establish fees for the issuance and renewal of licenses. Authorizes the creation of the interstate medical licensure compact commission (commission) by the member states to administer the compact. Provides for two voting members on the commission from
Addiction treatment teams and Medicaid. Establishes Medicaid reimbursement, including reimbursement under the healthy Indiana plan, for addiction treatment teams. Specifies providers and services that must be included as part of an addiction treatment team. Allows addiction treatment teams to provide services in temporary locations and mobile units in specified conditions.
Opiate risk information. Provides that before issuing an initial prescription for an opiate, a practitioner shall specifically discuss with the patient who is at least 18 years of age or the patient's parent or guardian certain information concerning opiates. Requires the practitioner to include a note of the conversation in the patient's medical record. Creates an exception for patients receiving hospice care.
Tanning facilities. Exempts physicians who, in the practice of medicine, use or prescribe a phototherapy device for a patient from the tanning facility regulatory requirements. (Current law exempts a medical treatment facility that uses ultraviolet radiation in the treatment of disease.) Prohibits an individual less than 18 years of age from using a tanning device in a tanning facility. Requires the operator or owner of a tanning facility to include a statement in the written information required to be signed before an individual may use a tanning device that individuals less than 18 years of age may not use a
Mental health matters. Requires the secretary of family and social services to provide that residences for residential care and supported housing for chronic addiction that receive reimbursement when used as a recovery residence to be certified and meet standards determined by the division of mental health addiction through administrative rules. Adds, subject to the approval of the Indiana commission to combat drug abuse (commission), an individual who is: (1) less than 18 years of age; and (2) a defendant whose case is either waived from juvenile court to adult court or directly filed in adult court; to the individuals who
INSPECT program. Adds a definition of the Indiana board of pharmacy (board) for purposes of the INSPECT program. Requires the board to report, before December 1, 2017, to the legislative council concerning grants or funding received and applied for by the state for integration of the INSPECT program data base with electronic health records. Urges the legislative council to assign to the appropriate study committee the topic of potential improvements to the INSPECT program.
Long term care and home health agencies. Requires a home and community based services program for individuals who are aged or disabled to include reimbursement for assisted living services in the Medicaid program. Requires the division of aging to report to the general assembly a plan to expand the scope and availability of home and community based services for individuals who are aged or disabled and requires the division to implement the plan. Prohibits the office of Medicaid policy and planning (office) from including certain individuals who receive nursing facility services in a Medicaid risk based managed care program or
Prescribing and dispensing of opioids. Limits the amount of an opioid prescription a prescriber may issue for: (1) an adult who is being prescribed an opioid for the first time; and (2) a child; unless the prescription is for the treatment of specified conditions or circumstances. Requires documentation in the use of certain exemptions. Requires a prescriber to issue a prescription for an opioid in a lesser amount if requested by specified individuals and to document the request. Requires a pharmacist, upon the request of a specified individual, to partially fill the opioid prescription in compliance with federal law. Requires
Commission to combat drug abuse. Adds two members to the commission to combat drug abuse (commission). Specifies that one of the members is the vice chairperson of the commission whose duties are determined by the chairperson.
Addiction treatment teams. Adds a definition of "medication assisted treatment". Specifies: (1) providers that must be included as part of; and (2) services that must be provided by; an addiction treatment team. Establishes reimbursement for addiction treatment teams from health and addiction forensic treatment services grants. Allows addiction treatment teams to provide services in temporary locations and mobile units in specified conditions.
Pharmacies and pharmacists. Allows the state health commissioner or a designated public health authority who is a licensed prescriber to issue a statewide standing order, prescription, or protocol that allows a pharmacist to administer or dispense a smoking cessation product. Requires that the standing order, prescription, or protocol be posted on the Internet web site of the board of pharmacy (board). Allows: (1) more than four members of the same political party; and (2) individuals who are full-time members or professors at a school of pharmacy; to serve on the board. Allows the board to adopt emergency rules concerning pharmacies
Syringe exchange programs. Allows a county or municipality to approve the operation of a syringe exchange program (program). Allows a program to be renewed for not longer than two years. Requires a program to keep a sufficient quantity of an overdose intervention drug in stock to administer when needed. Requires the state health commissioner to receive written notice when a program is renewed, expired, or terminated or if the qualified entity operating the program changes. Extends the law concerning programs until July 1, 2021. (Current law expires July 1, 2019.)
Residential substance abuse treatment. Establishes, subject to the approval of the Indiana commission to combat drug abuse (commission), an opioid addiction recovery pilot program (program) to assist pregnant women and women with newborns, with an opioid addiction by providing treatment in a residential care facility and home visitation services following discharge from the residential care facility. Provides that the program is administered by the department of health. Provides that the program shall include three facilities and that medication assisted treatment may be used when appropriate.
Drug and alcohol treatment reporting. Adds additional reporting requirements for opioid treatment programs. Requires the office of the secretary of family and social services, with the assistance of the state department of health and the department of administration, to report to the legislative council a comprehensive plan to increase the number of inpatient and residential beds used for detoxification, treatment, and rehabilitation, including the: (1) number of hospital beds currently available in Indiana; (2) location and physical description of state owned buildings that are currently available, or expected to be available before July 1, 2018, for conversion and use; and
Substance abuse programs. Subject to the approval of the Indiana commission to combat drug abuse (commission), establishes the physician medication assisted treatment training reimbursement pilot program (pilot program) to reimburse qualified physicians who undergo certain medication assisted treatment training, for the purpose of increasing the number of physicians in Indiana allowed under the federal Drug Addiction Treatment Act of 2000 to prescribe certain controlled substances to treat opioid dependency in settings other than an opioid treatment program. Establishes requirements for participation in the pilot program. Subject to the approval of the commission, establishes the maternal neonatal opioid addiction project (project)
Substance abuse pilot program. Provides that Allen County may enter into an agreement with an entity to administer a substance abuse pilot program after approval of the Indiana commission to combat drug abuse (commission). Specifies that the entity that agrees to administer the pilot program: (1) may not expend state grants unless the administrator has raised at least $1 of local funds for every $1 of state funds before July 1, 2018; and (2) may not expend money granted to the administrator for the pilot program for a state fiscal year unless the administrator expends at least $1 of local
Information in INSPECT prescription drug data base. Requires the ephedrine, pseudoephedrine, and controlled substance prescription monitoring program to include an entry for a dispenser to indicate, when applicable, if a patient has entered into a pain management contract with a designated practitioner. Allows the management performance hub and the state epidemiologist to obtain information from the INSPECT program. Requires that the information provided to the management performance hub not include personally identifying information. Requires the professional licensing agency (agency) to establish a workgroup consisting of emergency medical technicians, registered nurses, paramedics, pharmacists, physicians, law enforcement officers and physician assistants for
Autopsy reports. Allows a coroner, in certain circumstances, to make available an autopsy report to the peer review committee of a hospital at which the decedent was treated immediately before death.
FSSA matters. Allows a Medicaid recipient who is incarcerated to have the recipient's Medicaid suspended for up to two years instead of one year before terminating the recipient's Medicaid eligibility. Defines "comprehensive risk contract" and "managed care organization" for purposes of Medicaid. Specifies that if a provision of Indiana insurance law conflicts with the administration of a law applying to a managed care organization with respect to the managed care organization's Medicaid responsibilities, the law applying to the managed care organization with respect to the Medicaid responsibilities is controlling. Changes language in the Medicaid law to reflect the existence of
Telemedicine matters. Requires the office of Medicaid policy and planning (office) to reimburse a Medicaid provider, determined by the office to be eligible, for covered telemedicine services. Prohibits the office from setting any distance restrictions under Medicaid on telehealth services and telemedicine services. Adds podiatrist to the definition of "prescriber" for purposes of telemedicine services. Requires a telemedicine services prescriber to contact the patient's primary care provider if the telemedicine services prescriber has provided care to the patient at least two consecutive times through the use of telemedicine services. Removes a limitation on prescribing controlled substances except for opioids through
Department of health matters. Repeals the expiration provision for the office of minority health and the birth problems registry. Specifies various ways in which a hospital board may be named. Extends eligibility for the hearing aid assistance program (program) to a child who is at least three years of age and less than seven years of age. Removes: (1) a requirement for the program that reimbursement is unavailable from specific third sources in order to be eligible for the program; and (2) the state department of health's ability to use internal and external resources to administer the program and registration
Stroke protocols for emergency services personnel. Requires the emergency medical services commission to: (1) adopt rules concerning protocols for the identification, transport, and treatment of stroke patients by personnel providing emergency medical services; and (2) adopt and distribute a nationally recognized stroke assessment tool to personnel providing emergency medical services. Requires the Indiana state department of health (department) to compile and maintain a list of: (1) certain certified stoke centers and hospitals; and (2) Indiana network participating hospitals. Requires certified hospitals to provide certain information to the department. Prohibits advertising that a facility is a stroke center or hospital unless
Immunizations for higher education students. Adds meningitis to the required immunizations a student matriculating to a residential campus of a state educational institution must be immunized against. Specifies that the immunizations must be conducted in accordance with specified federal recommendations. Adds an expiration date to the law requiring a state educational institution to disseminate information concerning the meningococcal disease and immunization and deletes a reference to that requirement. Provides that the new immunization requirements do not take effect until the first academic term following July 1, 2018. Makes conforming and technical changes.
Opioid addiction. Provides that, after approval of the Indiana commission to combat drug abuse (commission), the division of mental health and addiction (division) shall establish a three year opioid treatment pilot program (pilot program) for opioid abuse disorder in Tippecanoe, Marion, and Wayne counties. Establishes the criteria for the program. Requires the division to collect data and issue a report to the legislative council on the pilot program. Specifies that certain persons: (1) charged with or convicted of a drug offense; and (2) who received an overdose intervention drug for an acute opioid overdose; are entitled to priority admission in
Post-exposure prophylaxis reimbursement. Changes the definition of "additional forensic services" to include HIV prophylactic medication, and removes discretionary reimbursement for the service.
Air ambulance services. Adds a representative of an entity that provides air ambulance services to the composition of the Indiana emergency medical services commission (commission). Requires the commission with the assistance of the state department of health to develop and recommend statewide standards for activation and use of air medical services for transport of patients from the emergency scene to a trauma center. Requires that the standards must be updated at least every three years. Provides a public safety officer special death benefit to an emergency medical services provider who, after June 30, 2017, dies as a direct result of
Crisis intervention teams. Provides that in conjunction with the Indiana commission (commission) to combat drug abuse and the division of mental health and addiction, the law enforcement training board may establish the technical assistance center. Provides that the commission may make grants to the law enforcement training board to carry out the purposes of the technical assistance center. Transfers the administration of the technical assistance center for crisis intervention teams from the Indiana criminal justice institute to the Indiana law enforcement training board. Makes a technical correction.
Drug testing of home health care employees. Requires home health agencies to drug test job applicants and employees who come in direct contact with patients. Exempts from drug testing certain licensed home health employees employed by a home health agency. Requires random drug testing of at least 50% of certain home health agency employees to occur at least annually. Allows for random drug testing upon reasonable suspicion of illegal controlled substance use. Requires verification of a positive drug test, and requires the employee to pay for the verification test. Specifies that, unless an employee has a valid prescription for the
Immunizations. Allows the state health commissioner or a designated public health authority who is a licensed prescriber to issue a statewide standing order, prescription, or protocol that allows a pharmacist to administer or dispense certain immunizations. Allows immunization data to be released to an entity for outreach and education purposes to increase immunization rates if certain conditions are met. Requires that the standing order, prescription, or protocol be posted on the Internet web site of the board of pharmacy. Adds the following immunizations to the list of immunizations that pharmacists may administer if certain conditions are met: (1) Measles, mumps,
Urging the United States House of Representatives and the United States Senate to immediately vote to repeal the Medical Device Excise Tax.
Health care consent. Provides that an adult grandchild may consent to health care for an individual incapable of consenting if a health care representative has not been appointed, is not reasonably available, declines to act, or is unknown to the health care provider. Provides that a grandparent may consent to health care for a grandchild incapable of consenting if a health care representative has not been appointed, is not reasonably available, declines to act, or is unknown to the health care provider. Provides that a grandparent also may consent to health care for a minor grandchild if a guardian or
Health record information. Amends the definition of "abandoned" for purposes of protection of health records possessed by a health care provider or a former health care provider. Permits the attorney general to file an action against a health care provider or former health care provider to recover incurred costs related to abandoned records. Applies current law concerning data base security to a health care provider or former health care provider who is a data base owner currently exempt from the law if the data base owner does not have or implement a plan to safeguard personal information after ceasing to
Diabetes in Indiana. Urges the legislative council to assign the study of diabetes issues to a study committee during the 2017 legislative interim.
Pest and vector control. Urges the legislative council to assign to a study committee the topic of pest and vector abatement.
Cervical cancer prevention. Requires the state department of health (department) to develop a strategic plan to identify and significantly reduce morbidity and mortality from cervical cancer. Requires the department to collaborate with the family and social services administration and certain cancer facilities. Allows the department to establish workgroups. Establishes requirements for the department in developing the strategic plan. Requires that a report on the strategic plan and recommendations on goal implementation and schedule compliance must be delivered to the governor and general assembly before December 31, 2018.
State institutions. Includes the Neurodiagnostic Institute and Advanced Treatment Center as a state institution. Allows for the instruction of medical students at all state institutions. (Current law allows for instruction of medical students only at Larue D. Carter Memorial Hospital.) Authorizes the director of the division of mental health and addiction to contract for the management and clinical operation of any state institution, including contracting with an entity for services. (Current law allows for only Larue D. Carter Memorial Hospital.)
Tobacco use. Repeals employment protections for individuals who smoke cigarettes or use other tobacco products.
Suicide prevention programming. Requires the division of mental health and addiction to: (1) develop a statewide program for suicide prevention; and (2) employ a coordinator of the statewide program for suicide prevention. Requires the coordinator to study and determine: (1) the professions that should be required to receive training on suicide assessment, treatment, and management; and (2) the manner in which to fund the training. Requires the coordinator to report the determinations to the legislative council not later than December 31, 2017. Requires emergency medical services providers to complete an evidence based training program concerning suicide assessment, treatment, and management.
Drug and alcohol treatment report. Requires the state department of health, with the assistance of the department of administration and the secretary of family and social services, to report to the legislative council concerning the: (1) number of hospital beds currently available in Indiana; (2) location and physical description of state owned buildings that are currently available, or expected to be available before July 1, 2018, for conversion and use; and (3) feasibility of using currently unused hospital and health care facility beds; for drug and alcohol detoxification, treatment, and rehabilitation.
Community mental health center telemedicine pilot. Establishes a two year community mental health center telemedicine pilot program (program) to be administered by the division of mental health and addiction (division). Provides that the purpose of the program is to provide mental health counseling and services to children through the use of telemedicine. Sets forth requirements for the program and for participation in the program. Requires the reporting of certain information. Allows a provider providing telemedicine services in the program to prescribe any prescription drug except for certain opioids for a patient that is within the provider's scope of practice for
Psychotropic medication and the commission to combat drug abuse. Provides that the chairperson of the Indiana commission to combat drug abuse (commission) is a member appointed by the governor who is either the executive director for drug prevention, treatment, and enforcement or a member of the governor's staff. (Current law provides that the chairperson is a member of the governor's staff.) Specifies that the commission: (1) shall meet at the call of the chairperson, but at least four times in a calendar year; and (2) shall approve requests for substance abuse treatment and prevention programs. Allows limitations to be placed
Urging the legislative council to assign the topic of public safety issues near methadone clinics to the appropriate committee.
A CONCURRENT RESOLUTION recommending that all school administrators, teachers, parents, and students be educated about the potential health impact of heavy backpacks and take proactive measures to avoid injury.
Access to epilepsy medications. Prohibits the office of Medicaid policy and planning, a managed care organization, and the healthy Indiana plan from requiring in specified programs prior authorization for antiepilepsy and anticonvulsant drugs, and requires unrestricted access for recipients to these drugs.
Veterans' recovery program. Establishes, for five years, the veterans' recovery program and fund to provide treatment for veterans with a traumatic brain injury or posttraumatic stress disorder and to obtain reimbursement from third parties. Requires the commissioner of insurance (commissioner) to establish program standards. Allows the commissioner to appoint an advisory board for the program. Requires annual reporting.
Emergency medication in schools. Defines "emergency medication" as albuterol, epinephrine, or naloxone. Allows a school or school corporation to: (1) fill a prescription for an emergency medication; and (2) store the emergency medication. (Current law allows a school to fill a prescription for auto-injectable epinephrine and store the auto-injectable epinephrine.) Defines "emergency stock medication" as emergency medication to which both the following apply: (1) The prescription of the emergency medication is filled by a school or school corporation. (2) The emergency medication is stored at a school. Provides that injectable epinephrine filled and used by a school or school corporation
Advanced practice registered nurses. Changes "advanced practice nurse" references to "advanced practice registered nurse". Requires the Indiana state board of nursing to adopt rules concerning educational and certification requirements that an advanced practice registered nurse must meet to prescribe legend drugs. Repeals provisions concerning advanced practice nurse practice agreements. Makes conforming changes. Makes technical corrections.
Rape kits at colleges and universities. Requires that a sample from a sexual assault examination kit that is provided by a student infirmary or other health service facility maintained by an approved postsecondary educational institution to a student who is an alleged victim of a sex crime be maintained for a period of five years or until the victim reports the sex crime to law enforcement and the sample is transported to the crime lab for investigation and use as evidence, whichever is earlier.
End of life options. Allows individuals with a terminal illness who meet certain requirements to make a written request to an attending physician for medication that the individual may self-administer to end the individual's life. Specifies requirements a physician must meet in order to prescribe the medication to a patient.
Regulation of naturopathic physicians. Provides for licensure of practitioners of naturopathic medicine.
Medicaid accountable care pilot program. Establishes the Medicaid accountable care pilot program (program) to be developed, implemented, and administered by the office of Medicaid policy and planning (office). Sets forth eligibility for participation in the program. Requires implementation of the program not later than April 1, 2018. Requires the office to: (1) include a savings sharing component as part of the program; (2) share certain relevant information with a participating accountable care organization; (3) develop metrics for determining whether the program is successful; and (4) prepare and publish a report concerning the results of providing care under the program. Expires
Dental recruitment program. Establishes a dental recruitment fee of $10 for dental hygienists and $20 for dentists to be paid in addition to the license renewal fee. Requires that the recruitment fee must be deposited in the Indiana dental recruitment fund. Amends the requirements for a dental recruitment grant (grant) to provide that a dentist must commit to working four years in an underserved area or as a minority dentist in Indiana and meet other requirements for a yearly grant of $30,000 to $35,000 with the option by the dentist to serve fifth year for a grant of $40,000; or
Pharmacy remote dispensing facility registration. Establishes a registration for pharmacy remote dispensing facilities. Sets forth requirements for the registration and requirements of the remote dispensing facility. Allows pharmacy technicians to staff a remote dispensing facility with supervision from a pharmacist through the use of computers, videos, and audio technology. Includes pharmacy interns in the limitations of the number of individuals that may be supervised by a pharmacist, and specifies that not more than three of the six individuals being supervised by a pharmacist may be pharmacy technicians in training.
Urging the Governor to proclaim May 6 as Moyamoya Awareness Day.
Availability of electronic medical records. Requires a health care provider to electronically record information from the examination of or provision of services to a patient into the patient's electronic health record within 72 hours after the patient visit. Sets forth a civil penalty of $500 per patient visit for a health care provider who fails to update the patient's electronic health record, and requires the state department of health to enforce violations.
Cigarette tax. Increases the cigarette tax by $1 to $1.995 per pack of regular size cigarettes (and a corresponding increase for larger cigarettes) and uses the additional revenue for reimbursements of Medicaid providers.
Advanced practice nurses. Removes the requirements that an advanced practice nurse have a practice agreement with a collaborating physician. Repeals law concerning the audit of practice agreements. Makes conforming changes. Makes technical changes.
Notice for home health service patients. Provides that a home health agency may not terminate or discontinue providing some or all home health services provided for a patient unless the home health agency has provided the patient written notification at least 15 days before the termination or discontinuation of the home health services.
Pharmacy security measures. Beginning January 1, 2018, requires a holder of a retail pharmacy permit to install: (1) a time delay safe to secure certain drugs; and (2) an emergency call button.
Telemedicine and medical devices. Removes the restriction on the prescribing of ophthalmic devices through telemedicine and sets conditions on when a provider may, through telemedicine, prescribe medical devices. Prohibits the Indiana optometry board from setting standards for the practice of ocular telemedicine or ocular telehealth that are more restrictive than the standards established for in person practice.
Birth certificate information. Provides that, subject to certain exceptions, the gender listed on an individual's birth certificate and permanent record made from the birth certificate may not be changed.
Cigarette taxes. Increases the cigarette tax from $0.995 per pack to $2.995 per pack and uses the additional revenue ($2 per pack) as follows: (1) Transfers $1 of the additional revenue per pack to the Indiana tobacco use prevention and cessation trust fund to be used for one or more of the following purposes: (A) To emphasize the prevention and reduction of tobacco use by minorities, pregnant women, children, and youth, including youth with serious and emotional disturbances. (B) To encourage smoking cessation. (C) To provide research on issues related to the reduction of tobacco use. (2) Transfers $1 of
Hospital admissions and organ donor designation. Requires a hospital to: (1) ask a patient or the patient's health care representative as soon as practicable following the patient's admission to the hospital whether the patient wants to be a human organ donor; and (2) designate the choice in the patient's medical record.
Sexually transmitted disease tests. Requires that if an alleged victim is less than 18 years of age, a prosecuting attorney shall petition a court to order the defendant charged with the commission of a potentially disease transmitting offense or an offense involving the transmission of a bodily fluid to submit to a screening test to determine whether the defendant is infected with a dangerous disease. (Current law requires the prosecuting attorney to petition the court after receiving a request from the alleged victim's parent, guardian, or custodian (parent).) Requires that the health officer of the county where the alleged victim
Newborn screenings. Establishes when a blood sample must be taken from a newborn infant for testing for certain disorders. Provides that the time requirement for taking a blood sample does not apply to preterm infants or newborn infants who receive a total exchange blood transfusion.
Smoking in public places. Removes the exemptions to places where smoking is prohibited. Makes conforming changes.
Hospital publication of contracts. Requires a hospital or a physician practice that is owned by the hospital to make public contracts related to terms and conditions of third party payment for health care services.
Publication of Medicare information. Requires a hospital to publish Medicare reimbursement amounts for health care services provided by the hospital and Medicare quality rating information concerning the hospital.
Use of restraints in health facilities. Provides that if a patient has had at least one injury as a result of the patient's diagnosed Alzheimer's disease, dementia, or a related disorder and if the injury would have been prevented if the patient had been restrained, a health facility may use mechanical restraints on the patient. Sets certain conditions that must be met. Requires development and review of a plan or guidelines for use of restraints.
Prescription drug cost reporting. Requires the office of the secretary of family and social services to identify any prescription drug under the Medicaid program for which the annual wholesale cost or the per course cost of treatment of the drug is at least $10,000, and directs the office to notify the manufacturer that the manufacturer is required to prepare a report on the drug to the drug utilization review board (board). Specifies requirements of the report. Authorizes the board to request additional information, establish forms, and specify other requirements that a manufacturer must meet in the filing of the report.
Lyme disease information. Requires a health care provider or health care provider's designee who orders a laboratory test for the presence of Lyme disease to provide the patient or the patient's legal representative with certain written information concerning Lyme disease.
Nonaddictive substance abuse drugs and Medicaid. Specifies that long acting, nonaddictive medication assistance treatment drugs are included within prescribed drugs as a Medicaid service and the office of Medicaid policy and planning may not require prior authorization for the drug.
Dissolution of human remains. Requires a crematory that is registered after July 1, 2017, to be supervised by a funeral director. Requires that a person who operates a cremation chamber must receive training and be certified as a crematory operator. Provides for alkaline hydrolysis as a means for the dissolution of human remains. Requires the state board of funeral and cemetery service to adopt rules governing the operation of alkaline hydrolysis facilities.
Health care charges. Beginning in 2018, requires health care providers to publish and provide to patients the charges for procedures rendered by the health care provider. Beginning in 2020, requires health care providers to publish and provide to patients the charges for each product or service rendered by the health care provider.
Deceased law enforcement or service animals. Provides that if specified conditions are met, the cremated remains of a deceased animal of a deceased record owner of burial rights in a grave space may be: (1) scattered or placed on top of the deceased owner's burial plot; or (2) interred in the earth on top of the deceased owner's burial plot if the interment does not involve the digging or penetration of earth at a depth that exceeds one foot. Provides that for purposes of these provisions, a "deceased animal" means a deceased: (1) law enforcement animal; or (2) service animal;
Professional licensing matters. Requires a practitioner to provide the Indiana professional licensing agency (agency) and the practitioner's specific board with certain information concerning continuing education. (Current law requires a practitioner to provide the information to a specific board.) Allows an individual who holds a professional or occupational license and is called to active duty to fulfill all continuing education requirements through distance learning. Allows the practitioner's specific board, in consultation with the agency, to conduct random audits of license renewals of practitioners required to take continuing education courses. Removes language that limited notification by a facility concerning mammography results only
Dental hygienists. Increases from 45 days to 90 days the period during which a written order for specific dental care is valid under prescriptive supervision. Allows a dentist to consult with a dental hygienist or a dental assistant if the dental hygienist or dental assistant requests the consultation after determining that treatment of the patient by the dental hygienist or dental assistant would result in harm to the patient, dental hygienist, or dental assistant. Increases from 14 hours to 19 hours the continuing education that a dental hygienist must receive during a license period. Urges the legislative council to assign
Medicaid provider audit work group. Requires the office of Medicaid policy and planning (office) to establish a work group to discuss the policies and procedures used in Medicaid provider audits. Requires the office to submit the work group's findings and any statutory recommendations to legislative council before December 1, 2016.
Opioid dependence treatment. Requires Medicaid coverage for inpatient detoxification for the treatment of opioid or alcohol dependence. Adds requirements for an opioid treatment program to meet in order to operate in Indiana. Requires the division of mental health and addiction (division) to adopt specified administrative rules concerning opioid treatment by an opioid treatment provider. Requires the office of the secretary and the division to develop a treatment protocol containing best practice guidelines for the treatment of opiate dependent patients to be used by certain office based opioid treatment providers. Requires an opioid treatment program to provide specified information upon request
Distribution of cord blood donation information. Directs persons that provide birthing services and prenatal care to distribute information about postnatal fluid and postnatal tissue donation, including cord blood donation, to pregnant patients as part of the postnatal donation initiative.
Criminal history background checks for home health workers. Requires a home health agency or personal services agency to obtain a national criminal history background check or an expanded criminal history check on employees. (Current law requires a limited criminal history record unless certain circumstances exist that would require a national criminal history background check or an expanded criminal history check.)
Overdose intervention drugs. Requires an entity acting under a standing order issued by a prescriber for an overdose intervention drug to report annually certain information to the state department of health (state department). Requires the state department to ensure that a statewide standing order for the dispensing of an overdose intervention drug is issued for Indiana. Allows the state health commissioner or a public health authority to issue a statewide standing order for the dispensing of an overdose intervention drug. Requires certain emergency ambulance services responsible for submitting the report to report the number of times an overdose intervention drug
Release of medical tests of pregnant women. Prohibits certain practitioners from releasing to law enforcement the results of certain screenings and test results of a pregnant woman.
Ephedrine and pseudoephedrine. Requires the Indiana board of pharmacy (board) to adopt emergency rules that are effective July 1, 2016, concerning: (1) professional determinations made; and (2) a relationship on record with the pharmacy; concerning the sale of ephedrine or pseudoephedrine. Requires the board to: (1) review professional determinations made; and (2) discipline a pharmacist who violates a rule concerning a professional determination made; concerning the sale of ephedrine or pseudoephedrine. Allows the board, in consultation with the state police, to declare a product to be an extraction resistant or a conversion resistant form of ephedrine or pseudoephedrine. Specifies that
Healthy Indiana plan. Repeals the prior healthy Indiana plan statutes and makes revisions to the currently operating healthy Indiana plan. Repeals statutes governing the high risk Indiana check-up plan.
Department of health matters. Allows the state department of health (state department) to use information from the cancer registry to conduct an investigation into the incidence of cancer diagnosis in a geographic region and to share the information with a local health department if certain conditions are met. Allows a local child fatality team to investigate the death of a child whose death occurred in the area served by the local child fatality review team. Requires that a report must be submitted to the state child fatality review coordinator before July 1 each year. Requires the state department to study
County hospital board compensation. Increases from $3,600 to $6,000 the maximum compensation for county hospital board members. Allows for additional compensation for the board chair.
FSSA matters. Allows the secretary of family and social services (secretary) to delegate appointment authorities, the issuance of certain orders, and other acts to carry out the functions of the divisions to an individual. Authorizes the secretary to adopt rules concerning the implementation and administration of the early education grant pilot program. Changes references from intermediate care facility for the mentally retarded to intermediate care facility for individuals with intellectual disabilities. Removes the expiration of the law concerning the waiver to set an emergency placement priority for individuals in certain situations. Allows the office of Medicaid policy and planning to
Fresh food initiative. Urges the legislative council to assign to an appropriate study committee the topics related to the establishment of a food desert grant and loan program.
Controlled substances. Prohibits Medicaid reimbursement for Subutex, Suboxone, or a similar trade name or generic of the drug if the drug was prescribed for the treatment of pain or pain management and the drug is only indicated for addiction treatment. Requires the office of the secretary and the division of mental health and addiction to develop a treatment protocol containing best practice guidelines for the treatment of opiate dependent patients to be used by certain office based opioid treatment providers. Requires the office of the secretary to recommend certain best practice guidelines to: (1) the professional licensing agency; (2) the
Pharmacists, ephedrine, and methamphetamine. Requires the division of state court administration to report certain methamphetamine-related felonies to the National Precursor Log Exchange (NPLEx) so that NPLEx can generate a stop sale alert to prevent persons convicted of those felonies from purchasing ephedrine or pseudoephedrine. Requires the Indiana board of pharmacy (board) to adopt emergency rules that are effective July 1, 2016, concerning: (1) professional determinations made; and (2) a relationship on record with the pharmacy; concerning the sale of ephedrine or pseudoephedrine. Authorizes the board to: (1) review professional determinations made; and (2) discipline a pharmacist who violates a rule
INSPECT program. Allows a dentist, physician, advanced practice nurse, physician assistant, and podiatrist to include an INSPECT program report in a patient's file. Establishes requirements to obtain reciprocity for an out-of-state person seeking to provide home medical equipment services in Indiana. Removes a provision that allows the board of pharmacy to adopt rules for an out-of-state person seeking to provide home medical equipment services in Indiana. Allows an individual who holds a temporary fellowship permit to access the INSPECT program. Allows a county coroner conducting a medical investigation of the cause of death to access the INSPECT program. Makes certain
Mental health matters. Requires the office of Medicaid policy and planning to reimburse under the Medicaid program: (1) certain advanced practice nurses for specified Medicaid services; (2) certain graduate and post-graduate degree level students in specified fields who are interning or in a practicum at a community mental health center under the direct supervision of a licensed professional; and (3) licensed clinical addiction counselors who under the clinical supervision of a physician or health service provider in psychology. Requires the department of insurance (department), in consultation with the office of the secretary of family and social services, to review, study,
Health information; telemedicine. Requires the secretary of family and social services to provide information concerning the Medicaid program, the healthy Indiana plan, and the children's health insurance program to the legislative services agency upon request for the purposes of doing analysis related to those programs. Sets forth requirements that must be met before: (1) a physician; (2) a physician assistant; (3) an advanced practice nurse; or (4) an optometrist; with prescriptive authority may issue a prescription to a patient receiving telemedicine services. Provides that certain drugs and devices may not be prescribed through the use of telemedicine. Specifies jurisdiction for
Provider organizations, audits, and peer review. Requires a provider organization to conduct audits at least quarterly to assess, monitor, and evaluate the quality of patient care. Sets forth requirements of the audits and specifies that the audits are confidential. Adds the following to the definition of "professional health care provider" for purposes of inclusion in the peer review committee statute: (1) a provider organization; (2) an emergency medical technician; (3) an emergency medical responder; and (4) an advanced emergency medical technician.
Methamphetamine matters. Requires the division of state court administration to report certain methamphetamine-related felonies to the National Precursor Log Exchange (NPLEx) so that NPLEx can generate a stop sale alert to prevent individuals convicted of those felonies from purchasing ephedrine or pseudoephedrine.
Death certificates. Provides that in circumstances where a person dies or is declared dead in the emergency department and the emergency department physician is the physician last in attendance and is uncertain as to the cause and manner of death, the case may be referred to a coroner for investigation. Specifies the person who is responsible for referring the cases that are caused by other than natural causes and the emergency department cases that are uncertain as to the cause and manner of death to the coroner.
Developmental disability bracelet and identification card. Requires the state department of health (state department), upon request, to issue a bracelet, an identification card, or both indicating that an individual has been medically diagnosed with a developmental disability. Allows the state department to charge a fee for the bracelet and identification card. Provides that the information collected by the state department is confidential and establishes requirements before information may be released under a court order.
Hospital immunizations. Urges the legislative council to refer to an interim study committee topics concerning hospital immunizations.
Military service and Medicaid eligibility. Allows an individual (and the individual's dependent) who is: (1) an active member of the armed services of the United States or the national guard; (2) a legal Indiana resident; (3) assigned for duty or deployed outside Indiana; and (4) eligible for Medicaid waiver services or Medicaid assistance; to resume Medicaid eligibility and remain on Medicaid waiver waiting lists.
Ephedrine or pseudoephedrine. Requires the Indiana board of pharmacy (board) to adopt emergency rules that are effective July 1, 2016, concerning: (1) professional determinations made; and (2) a relationship on record with the pharmacy; concerning the sale of ephedrine or pseudoephedrine. Requires the board to: (1) review professional determinations made; and (2) discipline a pharmacist who violates a rule concerning a professional determination made; concerning the sale of ephedrine or pseudoephedrine. Allows the board, in consultation with the state police, to declare a product to be an extraction resistant or a conversion resistant form of ephedrine or pseudoephedrine. Specifies that
Cancers associated with human papillomavirus. Requires the state department of health (department) to develop a strategic plan to identify and significantly reduce morbidity and mortality from cancers associated with human papillomavirus. Requires the department to collaborate with the family and social services administration and certain cancer facilities. Allows the department to establish workgroups. Establishes requirements for the department in developing the strategic plan. Requires that a report on the strategic plan and recommendations on goal implementation and schedule compliance must be delivered to the governor and general assembly.
Massage therapists. Provides that an individual must be licensed by the state board of massage therapy (board) to practice massage therapy. (Under current law, massage therapists are certified by the board but certification is not required to practice massage therapy.) Provides that the massage therapy licensing requirements do not apply to individuals who meet certain requirements. Amends the definition of "massage therapy" to include certain acts. Amends the definition of "massage therapist" to include a person who offers massage therapy. Removes provisions that prohibit: (1) membership in a professional massage therapy association being a requirement to serve on the board;
Veterans' recovery program. Establishes, for five years, the veterans' recovery program and fund to provide treatment for veterans with traumatic brain injury or posttraumatic stress disorder and to obtain reimbursement from third parties. Requires the commissioner of insurance to establish program standards. Allows the commissioner to appoint an advisory board for the program. Requires annual reporting.
Applied behavior analysis programs. Urges the legislative council to assign the study, during the 2016 legislative interim, of the appropriate regulatory structure and agency to regulate independent centers that provide applied behavioral analysis services.
Medicaid provider audits. Sets forth requirements for Medicaid recovery audits of Medicaid providers.
Dispensing without a prescription. Allows a pharmacist who meets certain requirements to furnish specified tobacco cessation products and immunization drugs or devices to individuals who are at least 18 years of age without a prescription or drug order. Provides that a third party contract or other agreement that restricts a pharmacist from practicing any legally allowed duty or action is void.
Medical cannabis. Defines "qualifying patient", and permits a qualifying patient to use medical cannabis under certain circumstances. Requires the state department of health to adopt rules before July 1, 2017, concerning the use, distribution, cultivation, production, and testing of medical cannabis. Provides limited reciprocity for holders of nonresident medical cannabis cards. Provides immunity for physicians who recommend the medical use of cannabis. Makes conforming amendments.
Medicaid and members of the military. Allows an individual and the individual's dependent to maintain Medicaid eligibility and remain on Medicaid waiver waiting lists if the individual is: (1) an active member of the armed services of the United States or the national guard; (2) a legal Indiana resident; and (3) assigned for duty or deployed outside of Indiana.
Video recordings of surgeries. Requires specified health care facilities to provide the option to patients to video record certain surgical procedures. Sets forth certain requirements. Requires: (1) a state employee health plan; (2) Medicaid; (3) a policy of accident and sickness insurance; and (4) a health maintenance organization; to provide coverage for the video recording of a surgical procedure. Authorizes the state department of health to: (1) inspect a facility's video recording equipment at least once every four months; (2) adopt rules concerning the video recording of surgical procedures by facilities; and (3) assess fines for certain violations.
Diabetes assessment reports. Requires the state department of health, the state personnel department, and the office of the secretary of family and social services to: (1) collaborate to identify plans to reduce the incidence of diabetes and diabetes complications; and (2) submit two reports to the general assembly concerning the financial impact of diabetes and diabetes complications in Indiana and plans to reduce the incidence of diabetes in Indiana.
Pharmacy security measures. Beginning January 1, 2017, requires a holder of a retail pharmacy permit to implement certain security measures.
Syringe exchange program. Allows the state health commissioner to extend a syringe exchange program in a county or municipality where the commissioner has declared a public health emergency if certain conditions are met.
Ephedrine and pseudoephedrine sales. Changes the amounts of drugs containing ephedrine or pseudoephedrine that a pharmacy or National Precursor Log Exchange (NPLEx) retailer may sell and that a person may purchase without a prescription. Provides that a person who purchases the statutory maximum amount of over-the-counter drugs containing ephedrine or pseudoephedrine may obtain additional drugs containing ephedrine or pseudoephedrine with a valid prescription or order of a practitioner.
Emergency services protocols for stroke patients. Requires the emergency medical services commission to adopt rules concerning protocols for the identification, transport, and treatment of stroke patients by personnel providing emergency medical services. Urges the legislative council to assign during the 2016 interim the topic of establishing and implementing a statewide plan for the improvement of care in Indiana for stroke patients.
Diabetes incidence plan and report. Requires the state department of health, the state personnel department, and the office of the secretary of family and social services to: (1) collaborate to reduce the incidence of diabetes and diabetes complications in Indiana; (2) submit a report to the general assembly by January 1, 2017, including current diabetes related information and recommendations; and (3) report updated information to the general assembly by January 1, 2019.
Study of treatment of and recovery from heroin use. Urges the legislative council to assign to the appropriate committee a study of heroin use, treatment, and recovery in Indiana.
Smoking exemptions. Removes the exemptions to places where smoking is prohibited. Makes conforming changes.
Newborn screenings. Establishes when a blood sample must be taken from a newborn infant for testing for certain disorders. Provides that the time requirement for taking a blood sample does not apply to preterm infants or newborn infants who receive a total exchange blood transfusion.
Hepatitis C reporting. Requires providers to report certain information to the local or state health department concerning a patient who is diagnosed with hepatitis C.
Comprehensive care health facilities. Prohibits the state department of health from approving: (1) the licensure of comprehensive care health facilities; (2) new or converted comprehensive care beds; or (3) the certification of new or converted comprehensive care beds for participation in the state Medicaid program; through June 30, 2018. Makes exceptions for certain facilities that are: (1) under development; (2) small house health facilities; (3) replacement facilities; (4) continuing care retirement communities; (5) facilities located in counties whose comprehensive care bed occupancy rate exceeds 90%; and (6) facilities that undergo a change of ownership for certain purposes. Limits small house
Mental health issues. Specifies limitations for reimbursement for methadone by: (1) the state employee health plan; (2) Medicaid; (3) certain policies of accident and sickness insurance; and (4) certain health maintenance organization contracts; if the drug is prescribed for the treatment of pain. Provides that addiction counseling, inpatient detoxification, case management, daily living skills, and long acting, nonaddictive medication may be required to treat opioid or alcohol addiction as a condition of parole, probation, community corrections, pretrial diversion, or participation in a problem solving court. Requires the department of correction to estimate the amount of operational cost savings as a
Human services and health matters. Amends the definition of "autism". Makes multiple changes to the administration of the office of the secretary of family and social services. Moves the authority to operate a disability determination bureau from the division of disability and rehabilitative services (division) to the office of the secretary. Expires the health facility preadmission screening assessment process statute June 30, 2016. Requires the division of aging to: (1) meet with stakeholders to collaborate on changes in the health facility preadmission screening assessment process; and (2) submit a written report to the general assembly before November 1, 2015, concerning
Health matters. Amends the definition of "basic life support" to include blood glucose monitoring. Authorizes the state department of health (state department) to enter into partnerships to encourage best practices in: (1) identification and testing of populations at risk of disease related to illegal drug use; and (2) the health care treatment of incarcerated individuals for conditions related to illegal drug use. Authorizes the state health commissioner to declare a public health emergency. Specifies that hospital discharge information filed with the state department is confidential except under specified circumstances. Sets forth conditions in which a local health department, a municipality,
Controlled substance data base. Permits physicians who hold a temporary medical license to have access to confidential information in the Indiana scheduled prescription electronic collection and tracking (INSPECT) program.
Spinal cord and brain injury fund. Allows the spinal cord and brain injury fund to be used to provide funding for facilities, treatment, and services for spinal cord and brain injuries. Specifies the percent of funds that must be used for treatment and services grants for spinal injury related services and the amount to be used for brain injury related services. Adds two members to the spinal cord and brain injury research board (board). Requires the board: (1) to consider applications and make grants to nonprofit health care clinics that employ physical therapists and provide activity based therapy services in
Medical peer review. Provides for use of a peer review committee by a medical school located in Indiana. Allows sharing of peer review information between a medical school peer review committee and another peer review committee.
Higher education. Revises the law setting forth the locations and names for centers for comprehensive medical education.
Professional licensing matters. Requires an individual who holds a professional license or certificate and who is convicted of a misdemeanor or felony to provide written notice of the conviction to the appropriate professional licensing board not later than 90 days after entry of the order or judgment of conviction. Provides that if a professional license or certificate is initially issued to the holder less than 90 days before the date on which such licenses or certificates generally expire, the license or certificate does not expire on the general expiration date but instead expires at the conclusion of the next licensing
Health matters. Makes the department of correction (DOC) an inmate's authorized representative for applying for Medicaid for inmates who are potentially eligible for Medicaid and who incur medical care expenses that are not otherwise reimbursable. Requires the DOC and the office of the secretary of family and social services to enter into an agreement in which the DOC pays the state share of the Medicaid costs incurred for the inmate. Makes the sheriff the individual's authorized representative for applying for Medicaid for individuals subject to lawful detention who are potentially eligible for Medicaid. Requires a county executive to enter into
Developmental disability terminology. Changes the term "mental retardation" to "intellectual disability". Makes technical corrections.
Mental health drugs and coverage. Includes inpatient substance abuse detoxification services as a Medicaid service. Authorizes the office of Medicaid policy and planning to require prior authorization for addictive medication used as medication assisted treatment for substance abuse. Allows money in the forensic treatment services account to be used to fund grants and vouchers for licensed mental health or addiction providers. Requires information and training to judges, prosecutors, and public defenders concerning diversion programs, probationary programs, and involuntary commitment.
Dental hygiene practice. Amends the definition of "prescriptive supervision" for purposes of the practice of dental hygiene. Provides that a dental hygienist may not use a laser that cuts, ablates, or cauterizes hard or soft tissue to provide treatment to a patient. Requires that if a dental hygienist practices under the prescriptive supervision of a licensed dentist, the dentist's written order must be recorded, signed, and dated in the patient's records.
Designation of caregiver for patients. Requires a hospital to provide each admitted patient or the patient's health care representative with an opportunity to designate a lay caregiver within a specified time. Specifies documentation of whether the patient designates a lay caregiver. Requires the hospital to do certain acts including the following: (1) Request written consent to release medical information to the designated lay caregiver. (2) Record certain information concerning the designated lay caregiver in the patient's medical chart. (3) Attempt to consult with the designated lay caregiver before release of the patient. (4) Prepare an at home care plan. (5)
Qualified dietitians. Defines "qualified dietitian". Allows qualified dietitians to order medically prescribed diets. Requires the state department of health to adopt rules to comply with federal law concerning food and dietetic services.
Physician assistants. Allows a physician assistant who is delegated authority to prescribe a controlled substance after practicing for at least 1,800 hours. (Current law allows a physician assistant to be delegated to prescribe a controlled substance after practicing for one year after graduating from a physician assistant program and practicing for at least 1,800 hours.) Removes requirement that supervising physician must delegate prescribing authority by the name of the drug or drug classification. Specifies that a physician assistant may refill a prescription as allowed for in the physician assistant's supervisory agreement. Provides that a pharmacist may not require the supervising
Medications. Defines "medication therapy management" for the purposes of the regulation of pharmacies and pharmacists. Adds the provision of medication therapy management to the definition of "the practice of pharmacy". Includes advanced practice nurses and physician assistants in the definition of "direct supervision" for the purposes of consulting with a pharmacist on certain drug regimen protocols. Establishes the INSPECT oversight committee. Provides the committee's approval for the board to execute a contract with a vendor to administer the INSPECT program. Requires approval from the chairperson of the board of pharmacy to hire a director of the INSPECT program. Provides that
Information concerning certain disabilities. Requires the state department of health to collect certain information to be disseminated by health care facilities and health care providers to parents who receive prenatal test results for Down syndrome or any other condition diagnosed prenatally.
Newborn safety incubators. Requires the commission on improving the status of children in Indiana to submit, before January 1, 2016, to the general assembly and the governor's office recommendations concerning: (1) new methods or mechanisms for carrying out policies relating to abandoned children; and (2) the production and distribution of information and posting of uniform signs regarding certain laws regarding emergency custody of abandoned children. Requires the state department of health to prepare and submit, before January 1, 2016, to the general assembly and the governor's office recommendations concerning standards and protocols for the installation and operation of newborn safety
Legend drug investigations. Provides that certain laws concerning obtaining a legend drug or the validity of a prescription or drug order do not apply to actions of a person, practitioner, or pharmaceutical manufacturer performed in an investigation of a pharmaceutical manufacturer's legend drug that is suspected of being counterfeited, adulterated, or misbranded. Requires a pharmaceutical manufacturer that collects drug samples during an investigation to maintain records of the drug samples and to make the records available to certain law enforcement agencies. Prohibits a person from owning or operating a store, facility, or other place of business in Indiana where: (1)
Rules for prescribing controlled substances. Requires the medical licensing board to adopt standards and protocols for the prescribing of controlled substances, including the use of abuse deterrent formulations. Requires, before March 1, 2016, the following boards to adopt rules concerning the prescribing of opioid controlled substances for pain management treatment: (1) the medical licensing board, concerning physician assistants; (2) the board of podiatric medicine, concerning podiatrists; (3) the state board of dentistry, concerning dentists; and (4) the Indiana state board of nursing, concerning advanced practice nurses. Requires each board to report before December 31, 2015, to the legislative council with
Aggregate purchasing of prescription drugs. Exempts the purchase of prescription drugs dispensed from an onsite clinic from inclusion in the program for aggregate purchasing of prescription drugs by the state personnel department and state educational institutions.
Coverage of prescription eye drops. Requires that, beginning January 1, 2016, certain state employee health plans, policies of accident and sickness insurance, and health maintenance organization contracts must cover refills of prescription eye drops under specified conditions. (The introduced version of this bill was prepared by the interim committee on public health, behavioral health, and human services.)
Controlled substances. Authorizes optometrists who meet certain requirements to prescribe Tramadol. Adds Tramadol as a schedule IV controlled substance. Includes hydrocodone combination products as schedule II controlled substances. Removes dihydrocodeinone from the schedule III controlled substance list.
Auto-injectable epinephrine. Allows a health care provider with prescriptive authority to prescribe auto-injectable epinephrine to a business, association, or governmental entity (entity) or an entity's branch office. Sets requirements for certain individuals employed by an entity to fill, store, and administer auto-injectable epinephrine. Provides civil immunity for: (1) a certain entity's employees in the administration of auto-injectable epinephrine; and (2) health care providers in the prescribing of auto-injectable epinephrine and in the training of employees in the administration of auto-injectable epinephrine.
Opioid treatment. Limits Medicaid reimbursement for Subutex and Suboxone or an similar trade name or generic of the drug when the drug was prescribed for the treatment of pain management to only if the drug was prescribed by a physician who meets certain requirements. Allows for the office of Medicaid policy and planning to require prior authorization for these drugs when being prescribed for substance abuse treatment as determined by the board or when being prescribed for more than six months. Authorizes the division of mental health and addiction (division) to approve before June 30, 2018, not more than five
Overdose intervention drugs. Requires certain emergency personnel to report to the state department of health the number of times an overdose intervention medication is administered. Allows specified health care professionals with prescriptive authority to dispense, write a prescription, or prepare a standing order for an overdose intervention drug without examining the individual to whom it may be administered if specified conditions are met. Allows for an individual who is a person at risk, a family member, friend, or other individual or entity in a position to assist another individual who, there is reason to believe, is at risk of experiencing
Family and social services administration. Specifies that the secretary of family and social services, rather than certain division directors, is: (1) the appointing authority for divisions within the office of the secretary of family and social services (office of the secretary); (2) authorized to advise the governor concerning adopted rules; (3) authorized to adopt administrative rules; (4) authorized to enter into contracts for the office of the secretary; and (5) the authority for administering specified programs and grants.
Massage therapists. Provides that massage therapists are governed by the health professions standards of practice. (Under current law, massage therapists are governed by the professional licensing standards of practice.)
Use of investigational drugs, biological products, and devices. Provides that a manufacturer of an investigational drug, biological product, or device may make the drug, biological product, or device available to a patient who meets certain requirements. Adds to the requirements concerning experimental or nonconventional medical treatment and the authority to allow a patient to receive an experimental or nonconventional medical treatment if a physician determines that the patient: (1) has been diagnosed with a terminal disease or condition; and (2) does not have comparable or satisfactory treatment options. Specifies that a new cause of action is not created. Makes a
Controlled substances. Limits Medicaid reimbursement for Subutex and Suboxone or an similar trade name or generic of the drug when the drug was prescribed for the treatment of pain management to only if the drug was prescribed by a physician who meets certain requirements. Allows for the office of Medicaid policy and planning to require prior authorization for these drugs when being prescribed for substance abuse treatment as determined by the board or when being prescribed for more than six months. Requires the division of mental health and addiction to adopt rules concerning: (1) opioid treatment by an opioid treatment
Advertising by health care practitioners. Specifies certain information to be included beginning January 1, 2016, in health care advertisements by a health care practitioner. Sets forth requirements that must be met in order for a physician to use the term "board certified".
Inmates and Medicaid. Makes the department of correction (department) an inmate's authorized representative for applying for Medicaid for inmates who are potentially eligible for Medicaid and who incur medical care expenses that are not otherwise reimbursable. Requires the department and the office of the secretary of family and social services to enter into an agreement in which the department pays the state share of the Medicaid costs incurred for the inmate. Makes the sheriff the individual's authorized representative for applying for Medicaid for individuals subject to lawful detention who are potentially eligible for Medicaid. Requires a sheriff to enter into
Oocyte cryopreservation. Amends the definition of "qualified third party" to "qualified egg bank". Specifies qualifications for a physician overseeing medical services related to oocyte cryopreservation. Specifies requirements that must be met by a fertility clinic or an entity in order to be considered a qualified egg bank. Exempts from the criminal penalty of unlawful transfer of a human organism the payment to or receipt by a qualified egg bank of an amount for: (1) the retrieval of a human ovum; (2) the cryopreservation of a human ovum; (3) the transportation of a human ovum; or (4) other aspects of specified
Waste blood specimen requirements. Adds retention and destruction requirements to the state department of health's epidemiological survey and research system for waste blood specimens. Specifies consent required under certain circumstances concerning waste blood specimens. Allows a parent to request that the waste blood specimen of a newborn be destroyed not later than six months after collection. Requires a fee to be assessed for certain people applying to use samples of the waste blood specimens. Specifies when identifiable information of waste blood specimens can be released, and sets forth requirements.
Midwives. Removes the requirement that a direct entry midwife (midwife) have a collaborative agreement with a physician requiring that the midwife's client have a consulting physician. Requires a client to be examined by a physician who is qualified in obstetrics and gynecology at certain times during the pregnancy unless the client refuses and meets certain conditions. Extends the date: (1) by which a midwife is required to submit certain information to obtain an exemption from certain certification requirements; (2) relating to restrictions of use of the title "certified direct entry midwife"; and (3) after which practicing midwifery without a certificate
Immunizations. Requires the state department of health (department) to establish a program to provide information about the human papillomavirus (HPV) to parents, health care providers, and other individuals approved to administer the HPV vaccine and to establish goals and plans to increase the vaccination rate for the HPV infection. Requires the department to prepare an annual report concerning the program. Repeals and relocates the immunization laws from the education laws to the health laws. Requires a school to provide parents of grade 6 students information concerning the HPV infection. (Current law requires the information to be provided to the parents
Dissolution of human remains. Requires a crematory that is registered after July 1, 2015 to be supervised by a funeral director. Requires that a person who operates a cremation chamber to receive training and be certified as a crematory operator. Provides for alkaline hydrolysis as a means for the dissolution of human remains. Requires the state board of funeral and cemetery service to adopt rules governing the operation of alkaline hydrolysis facilities.
Veterans' recovery program. Establishes, for five years, the veterans' recovery program and fund to provide treatment for veterans with traumatic brain injury or posttraumatic stress disorder and to obtain reimbursement from third parties. Requires the commissioner of insurance to establish program standards. Allows the commissioner to appoint an advisory board for the program. Requires annual reporting. Makes an appropriation.
Sickle cell disease grant program. Adds specific requirements to the sickle cell program of the state department of health (department). Requires the department to establish sickle cell disease centers in various regions of Indiana. Requires the department to conduct a study concerning certain aspects of sickle cell disease and treatment.
Nursing facility restrictions. Prohibits the state department of health from approving: (1) the licensure of comprehensive care health facilities; (2) new or converted comprehensive care beds; or (3) the certification of new or converted comprehensive care beds for participation in the state Medicaid program; through June 30, 2018. Makes exceptions for certain facilities that are: (1) under development; (2) small house health facilities; (3) replacement facilities; (4) continuing care retirement communities; and (5) facilities located in counties whose comprehensive care bed occupancy rate exceeds 90%. Limits small house facilities to 100 new licensed or Medicaid certified comprehensive care beds per
Reporting ephedrine to INSPECT drug monitoring program. Requires that when a prescription for ephedrine or pseudoephedrine products is dispensed, a dispenser transmit specified information to the Indiana scheduled prescription electronic collection and tracking (INSPECT) program.
Medicaid expansion and affordable care study committee. Establishes the affordable care study committee. Allows the department of state revenue to establish a procedure to set off the earned income credit and the tax refund of certain Medicaid recipients for out-of-pocket expenses owed by the recipient. Modifies Medicaid provider reimbursement rates to mirror Medicare reimbursement rates for services provided to certain Medicaid recipients. Adds Medicaid rehabilitation option services, chiropractic services, dental services, and optometric services to the Indiana check-up plan and requires certain services to be included if Medicaid is expanded. Requires the office of Medicaid policy and planning (office) to
Opioid prescriptions for pain management treatment. Requires the Indiana board of pharmacy or any licensing board, commission, or agency that controls, authorizes, or oversees controlled substance registrations to adopt rules to establish standards and protocols for practitioners who prescribe opioid controlled substances for pain management treatment. Provides that the rules may not be amended unless the proposed amendment has been approved by the medical licensing board. Makes a technical correction.
Treatment of opioid and alcohol abuse. Provides that addictions counseling, inpatient detoxification, and the administration of Vivitrol or a similar substance may be required to treat opioid or alcohol addiction as a condition of parole, probation, community corrections, pretrial diversion, or participation in a problem solving court. Provides that the division of mental health and addiction may consider the administration of Vivitrol or a similar substance as an alternative to methadone treatment.
Medicaid coverage for fluoride dental treatments. Adds fluoride treatments for individuals who reside in a health facility to the services that are provided under Medicaid.
Medical history forms. Prohibits the medical licensing board of Indiana from requiring a physician to obtain a completed medical history from a patient.
Coverage for spinal adjustments. Provides that the Indiana check-up plan must include chiropractic services, including spinal adjustments. Provides that implementation of the state plan to cover individuals eligible for Medicaid resulting from passage of the federal Patient Protection and Affordable Care Act must include chiropractic services. Requires the office of Medicaid policy and planning to apply for any necessary federal waiver or state plan amendment.
Medicaid and members of the military. Allows an individual who is: (1) an active member of the armed services of the United States or the national guard; (2) a legal Indiana resident; and (3) assigned for duty or deployed outside of Indiana; to maintain Medicaid eligibility and remain on Medicaid waiver waiting lists.
Diabetes assessment report. Requires the state department of health, the state personnel department, and the office of the secretary of family and social services to: (1) collaborate to identify plans to reduce the incidence of diabetes and diabetes complications; and (2) submit a report to the general assembly by January 1, 2016, concerning the financial impact of diabetes and diabetes complications in Indiana and plans to reduce the incidence of diabetes in Indiana.
Funeral directors. Requires a funeral director or funeral director intern to inquire of an immediate family member as to whether a decedent had authorized an anatomical gift on the decedent's driver's license or identification card, and if so, to inform the member about procedures available for making a gift of all or any part of the remains of the decedent. Provides that a funeral director or funeral director intern who fails to make an inquiry or inform an immediate family member is not subject to civil liability, criminal liability, or administrative sanctions.
Ephedrine and pseudoephedrine. Provides that materials, compounds, mixtures, or preparations that contain ephedrine or pseudoephedrine are schedule III controlled substances that may be dispensed only by prescription. Repeals: (1) the law concerning the sale of drugs that contain ephedrine and pseudoephedrine without a prescription; and (2) provisions related to that law.
Coverage of telemedicine services. Includes, within the health care consent law, telemedicine services. Provides for coverage of telemedicine services under a policy of accident and sickness insurance and a health maintenance organization contract.
Ephedrine and pseudoephedrine. Changes the amounts of drugs containing ephedrine or pseudoephedrine that a pharmacy or National Precursor Log Exchange (NPLEx) retailer may sell and that a person may purchase without a prescription. Provides that a person who purchases the statutory maximum amount of over-the-counter drugs containing ephedrine or pseudoephedrine may obtain additional drugs containing ephedrine or pseudoephedrine with a valid prescription or order of a practitioner.
Publication of health care charges. Requires physicians and health facilities to make health care charge information available to the public.
Certified registered nurse anesthetist. Allows a certified registered nurse anesthetist to administer anesthesia under the direction of and in the immediate presence of a podiatrist if the administration takes place in a hospital and a licensed physician is available to respond immediately in person to a medical emergency.
Testing of special fuel and natural gas. Requires the state department of health to inspect and test special fuel in the same manner that the department inspects and tests gasoline and kerosene.
Anatomical gifts. Requires an individual who harvests human bone, skin, tissue, heart valves, ligaments, or tendons to register with the medical licensing board. Provides that if a person authorized to make an anatomical gift objects to the making of an anatomical gift, neither the hospital nor the procurement organization may contact the person at a later time to ask the person to allow the anatomical gift. Requires that before obtaining consent for an anatomical gift of a decedent, the hospital or procurement organization shall provide the person authorized to make an anatomical gift with written information concerning the procedures that
Cost of medical procedures. Requires each hospital and ambulatory outpatient surgical center (facility) to: (1) prepare a list of the facility's average charge for the treatment of common or frequent diagnostic, inpatient, and outpatient procedures and treatment; and (2) disclose to a prospective patient before admission the facility's average charge for the procedure or treatment.
Veterinarians. Requires a person, who is not the owner or caretaker of a domesticated animal, to have a prescription before administering a veterinary prescription product.
Implied consent for forensic examination.
Hearing aids.
Medicaid reimbursement for wheelchairs for children.
Biosimilar drugs.
Health matters.
Veteran matters.
Minors and tanning devices.
Medicaid matters.
Psychiatric crisis intervention services study.
Extends the office of minority health until July 1, 2017.
Addiction treatment and services.
Treatment of miscarried remains.
Umbilical cord blood bank.
Drug treatment and reporting.
Professional licensing matters.
Electronic health data work group.
Telehealth pilot program.
Occupational therapy.
Dental hygiene practice.
CHOICE program; nursing facility moratorium.
Legend drug prescriptions by optometrists.
State department of health issues.
Administration of Medicaid.
Insulin and Tramadol.
Department of health matters.
Hepatitis C testing and study of needle exchanges.
Smoking restrictions for bars and taverns.
Medicaid matters.
Hearing aid study.
Tissue procurement professionals.
Licensing of diabetes educators.
Birth problems registry.
Ephedrine and pseudoephedrine.
Study on the use and prescribing of methadone.
Certified registered nurse anesthetists.
Dental matters.
Vision testing.
Residential settings for developmentally disabled individuals.
Department of health matters.
Telehealth and telemedicine services reimbursement under Medicaid.
Study of electronic medical records.
Controlled substances.
Mental health matters.
Prescriptions for brand name drugs.
Health care provider peer review committees.
Immunizations by pharmacists and pharmacy students.
Prescriptions and INSPECT program.
State board of nursing.
Professional health services.
Physician order for scope of treatment forms.
Midwives.
Physician assistants.
Anatomic pathology services.
Blood donation testing.
Physical therapy services without a referral.
Professions and occupations.
Licensing of diabetes educators.
Prescription products.
Federal health care reform.
Practice of occupational therapy.
Certified registered nurse anesthetists.
Health provider reporting of domestic violence.
Dietitian licensure.
Medicaid matters.
Practice of polysomnography.
Ephedrine and pseudoephedrine.
Home and community based services and brain injury services.
Hospital and health facility assessment fees.
Health care professionals conscience clause.
Study of the use and prescribing of methadone.
Meningitis immunizations.
Study of pharmacy take-back programs.
Indiana check-up plan chiropractor services.
Dissolution of human remains.
Anatomical gift agencies.
Death certificates.
Controlled substances data fund.
Prescriptions.
County coroners.
Health facility nursing staff ratios.
Immunizations by pharmacists.
Spinal manipulation.