Indiana Senate Bill 473

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Spectrum: Partisan Bill (Republican 5-0)
Status: Introduced on January 13 2025 - 25% progression
Action: 2025-01-30 - Senator Bohacek added as coauthor
Pending: Senate Appropriations Committee
Text: Latest bill text (Comm Sub) [PDF]

Various health care matters. Requires the office of the secretary of family and social services to establish an appeals process for a provider that disputes a determination by a managed care organization that a claim was not a clean claim after exhausting internal appeals with the managed care organization. Specifies the process for a managed care organization to follow concerning home modification services. Requires a patient of an opioid treatment program (program) who has tested positive on a drug test to be given a random drug test monthly until the patient passes the test. (Current law requires the patient to be tested weekly.) Allows a program to close on Sundays and federal holidays. Prohibits the division of mental health and addiction from requiring a program's medical director to have admitting privileges at a hospital. Allows specified health care providers to perform the initial assessment, examination, and evaluation of a patient being admitted to a program. Allows the medical staff of an ambulatory outpatient surgical center to make recommendations on the granting of clinical privileges or the appointment or reappointment of an applicant to the governing board of the ambulatory outpatient surgical center for a period not to exceed 36 months. (Current law allows medical staff of hospitals to make recommendations.) Requires the Indiana department of health (state department) to establish a home health aide registry. (Current law includes home health aides on the nurse aide registry.) Transfers the authority to administer the nurse aide registry from the state department to the nursing commission. Sets forth requirements on facilities in employing nurse aides. Specifies the definition of "nurse aide" for purposes of an administrative rule. Modifies the criminal penalties that prohibit an individual from providing nurse aide services or otherwise being employed by a health care facility. Makes changes to the release of medical information statute with references to federal regulations. Modifies the duties of the center for deaf and hard of hearing education. Allows a prescriber to prescribe certain agonist opioids through telehealth services for the treatment or management of opioid dependence. (Current law allows only a partial agonist to be prescribed through telehealth.) Allows certain residential care administrators an exemption from taking continuing education during the initial licensing period. Allows for the provision of certain anesthesia in a physician's office without the office being accredited. (Current law allows for this in dental offices.) Requires adverse events concerning anesthesia in an office based setting to be reported to the medical licensing board of Indiana (board). Requires the board to: (1) determine the types of adverse events to be reported; (2) establish a procedure for reporting; and (3) post the adverse events on the board's website. Requires a nursing program to offer a clinical experience for clinical hours in a hospital and a health facility setting. Establishes the nursing commission and sets forth the commission's duties, including the certification of nurse aides and qualified medication aides and the administration of the certified nurse aide registry. Repeals the state department's administration of the certified nurse aide registry.

Various health care matters.

Sen. Elizabeth Brown [R]	Sen. Ed Charbonneau [R]	Sen. Tyler Johnson [R]	Sen. Vaneta Becker [R]
Sen. Mike Bohacek [R]

Date	Chamber	Action
2025-01-30	Senate	Senator Bohacek added as coauthor
2025-01-29	Senate	Committee report: amend do pass adopted; reassigned to Committee on Appropriations
2025-01-16	Senate	Senator Becker added as coauthor
2025-01-16	Senate	Senator Johnson T added as third author
2025-01-13	Senate	Senator Charbonneau added as second author
2025-01-13	Senate	First reading: referred to Committee on Health and Provider Services
2025-01-13	Senate	Authored by Senator Brown L

Type	Source
Summary	https://iga.in.gov/legislative/2025/bills/senate/473/details
Text	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/SB0473.01.INTR.pdf
Text	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/SB0473.02.COMS.pdf
Amendment	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/committee-amendments/drafts/AM047302.pdf
Amendment	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/committee-amendments/amendments/SB0473.01.INTR.AMS02.pdf
Supplement	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/fiscal-notes/SB0473.01.INTR.FN001.pdf
Supplement	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/votesheets/SB0473.01.INTR.01.pdf
Supplement	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/committee-reports/SB0473.01.INTR.CRS001.pdf
Supplement	https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0473/fiscal-notes/SB0473.02.COMS.FN001.pdf