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Bill Watch, Jan. 15, 2021: Current Health Care & Life Sciences Legislation of Note - Health Care and Life Sciences News

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Health Care and Life Sciences News


Posted on: Jan 21, 2021

The IndyBar Legislative Committee is currently monitoring the following health care and life sciences-related legislation. IndyBar members can request that the Legislative Committee track specific legislation by contacting committee chair Mindy Westrick at mwestrick@indianaenergy.org.

Click here to view the full Bill Watch reports.

HB1002    CIVIL IMMUNITY RELATED TO COVID-19 (TORR J) Protects health care providers from professional discipline for certain acts or omissions related to the provision of health care services during a state disaster emergency. Provides that the protection applies to the provision of health care services after February 29, 2020, and before April 1, 2022. Provides that a health care provider is not protected from professional discipline if the health care provider's action, omission, decision, or compliance constitutes gross negligence or willful misconduct. Provides that a health care provider is not protected from professional discipline for actions that are outside the skills, education, and training of the health care provider, unless the health care provider's actions are undertaken in good faith and in response to a lack of resources caused by a state disaster emergency. Specifies that orders and recommendations issued by local, state, and federal government agencies and officials during a state disaster emergency do not create new causes of action or new legal duties. Specifies that the orders and recommendations are presumed irrelevant to the issue of the existence of a duty or breach of a duty. Specifies that the orders and recommendations are inadmissible at trial to establish that a new cause of action has been created or proof of a duty or a breach of a duty. Prohibits bringing a civil action against another person based in whole or in part on an allegation that the person's loss, damage, injury, or death was caused by the: (1) exposure to COVID-19; (2) transmission of COVID-19; or (3) contraction of COVID-19; unless the person establishes that the other person caused the loss, damage, injury, or death by an act or omission constituting gross negligence or willful misconduct. Prohibits filing a class action lawsuit against a defendant in a civil action allowed by the statute. Specifies that a governmental entity or employee is not liable if a loss results from an act or omission arising from COVID-19 unless the act or omission constitutes gross negligence or willful misconduct. Provides that a person is not liable to a claimant for loss, damage, injury, or death arising from COVID-19 unless the claimant proves by clear and convincing evidence that the person caused the loss, damage, injury, or death by an act or omission constituting gross negligence or willful misconduct. Provides immunity from civil liability to certain persons, entities, and facilities providing health care services after February 29, 2020, and before April 1, 2022, for certain acts or omissions related to the provision of health care services during a state disaster emergency.

HB1012    HEALTH CARE CONSENT FOR PELVIC EXAMINATIONS (JACKSON C) Prohibits health practitioners and other specified individuals from performing pelvic examinations on an anesthetized or unconscious patient except in specified circumstances.

HB1021    HEALTH WORKFORCE STUDENT LOAN REPAYMENT PROGRAM (MANNING E) Establishes the following: (1) The health workforce student loan repayment program (program). (2) The health workforce council (council). (3) The health workforce student loan repayment program fund (fund) for the purpose of providing funds to repay outstanding student loans of certain health providers who meet the program requirements. Provides that the professional licensing agency (agency) shall, in coordination with the council, administer the program. Establishes: (1) the imposition of fees at the time a license is issued or renewed for certain health profession licenses; and (2) qualifications to receive a student loan repayment award under the program. Provides that, beginning July 1, 2022: (1) each board may award loan repayment to an eligible applicant who is a provider licensed by the board; and (2) the council may award loan repayment to an eligible applicant who is an eligible provider. Requires, not later than July 1, 2023, and not later than July 1 every two years thereafter, the agency to submit a report concerning the program and fund to the governor and the general assembly. Provides that money in the fund is continuously appropriated. Repeals provisions concerning the following: (1) The primary care physician loan forgiveness program. (2) The mental health services development programs. (3) The dental underserved area and minority recruitment program.

HB1048    PRACTITIONER IDENTIFICATION AND ADVERTISING (ZENT D) Provides that a practitioner holding a license issued by the board of chiropractic examiners, the state board of dentistry, the state board of health facility administrators, the medical licensing board, the state board of nursing, the optometry board, the board of pharmacy, the board of podiatric medicine, the speech-language pathology and audiology board, the state psychology board, the board of physical therapy, the respiratory care committee, the occupational therapy committee, the behavioral health and human services licensing board, the physician assistant committee, or the athletic trainers board is subject to disciplinary sanctions if the practitioner: (1) communicates or disseminates to the general public an advertisement that includes deceptive or misleading information or does not prominently state the type of license held by the practitioner; or (2) fails, while providing direct patient care, to wear an identification badge that clearly sets forth the practitioner's first and last name, type of license, and, if applicable, status as a student, intern, trainee, or resident. Establishes certain exceptions. Provides, for purposes of the law prohibiting the unlawful practice of medicine or osteopathic medicine, that "the practice of medicine or osteopathic medicine" includes attaching to an individual's name the words "anesthesiologist", "cardiologist", "dermatologist", or other specified words that identify a member of a medical specialty.

HB1052    CRIMINAL BACKGROUND CHECKS (THOMPSON J) Amends criminal background check requirements in numerous provisions throughout the Indiana Code to uniformly require an expanded criminal history check. Requires the state police department or a law enforcement agency to refund a fee collected for release or inspection of an individual's limited criminal history if the state police department or the law enforcement agency is unable to provide any information regarding the individual's history of arrest or criminal charges. Makes technical corrections.

HB1074    END OF LIFE OPTIONS (PIERCE M) Allows individuals with a terminal illness who meet certain requirements to make a request to an attending provider for medication that the individual may take to bring about a peaceful death. Specifies requirements a provider 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 bring about a peaceful death or to destroy a rescission of a request for medication to bring about a peaceful death. Establishes a Class A misdemeanor if a person, without authorization of the patient, willfully alters, forges, conceals, or destroys a request for medication or a rescission of a request for medication in order to affect a health care decision by the individual. Establishes certain criminal and civil immunity for health care providers.

HB1079    PRACTICE OF DENTISTRY; VIRTUAL CLAIM PAYMENTS (ZENT D) Amends the definition of dentistry. Provides that a dentist may administer an immunization if the dentist: (1) is certified in cardiopulmonary resuscitation; (2) has successfully completed a course of training in immunization that meets specified requirements; and (3) administers the immunization in accordance with a protocol that includes specified requirements and procedures. Prescribes reporting requirements for a dentist who administers an immunization. Provides that a dentist: (1) is not required to administer immunizations; and (2) is not required to complete immunization training if the dentist chooses not to administer immunizations. Provides that a health insurance plan, including a health management organization contract, may not require a dental provider to accept payment under the health insurance plan by virtual claim payment. Requires a health insurer, including a health maintenance organization, to do the following before providing payment to a dental provider by electronic funds transfer, including by virtual claim payment: (1) Notify the dental provider of any fees associated with the electronic funds transfer. (2) Advise the dental provider of the methods of payment available under the health insurance plan and provide clear instructions to the dental provider as to how to select an alternate payment method. (3) Notify the dental provider as to whether the health insurer is receiving a portion of the fee charged for the electronic funds transfer.

HB1099    MEDICAL PAYMENT COVERAGE (SCHAIBLEY D) Specifies that medical payment coverage is supplemental to coverage under a health plan, but does not require a health plan to provide greater benefits to an individual with medical payment coverage than an individual without medical payment coverage. Preserves rights of subrogation available under a health plan.

HB1153    MENTAL HEALTH AND ADDICTION MATTERS (SHACKLEFORD R) Specifies that an individual's incarceration, hospitalization, or other temporary cessation in substance or chemical use may not be used as a factor in determining the individual's eligibility for coverage in: (1) a state employee health care plan; (2) Medicaid; (3) the healthy Indiana plan; (4) a policy of accident and sickness insurance; or (5) a health maintenance health care contract. Requires an opioid treatment program to: (1) provide a patient of the facility referral for continuing care before releasing the patient from care by the facility; and (2) counsel female patients concerning the effects of the program treatment if the female is or becomes pregnant and provide to the patient birth control if requested by the patient. Requires the division of mental health and addiction to annually perform an audit of 20% of an opioid treatment program facility's patient plans to ensure compliance with federal and state laws and regulations. Requires the division of mental health and addiction to establish a mental health and addiction program to reduce the stigma of mental illness and addiction. Requires hospitals to establish emergency room treatment protocols concerning treatment of a patient who is overdosing, has been provided an overdose intervention drug, or is otherwise identified as having a substance use disorder.

HB1175    MASSAGE THERAPIST LICENSURE BY ENDORSEMENT (KLINKER S) Provides that a massage therapist who is licensed, certified, or registered in another state may receive an Indiana license by endorsement if the other state's credentialing standards are substantially equivalent to or exceed the credentialing standards in effect in Indiana at the time that the individual's license, certification, or registration was granted in the other state.

HB1201    EMERGENCY TRANSPORT OF INJURED OPERATIONAL CANINE (MCNAMARA W) Provides that if there is not an individual requiring medical attention or transport, a paramedic, advanced emergency medical technician, or emergency medical technician may use emergency ambulance services to transport an operational canine injured in the line of duty to a veterinary hospital or clinic. Specifies the care that may be provided to the operational canine. Specifies who is responsible for the transportation and treatment cost of an injured operational canine. Provides that a paramedic, advanced emergency medical technician, or emergency medical technician who in the performance of their duties and in good faith renders care or transportation to an injured operational canine is not liable: (1) for any act or omission when rendering the care or transportation; or (2) to the veterinary hospital or clinic for expenses incurred for emergency care provided to the injured operational canine.

HB1379    PHARMACIST CONTRACEPTIVE PRESCRIPTIONS (ZIEMKE C) Allows pharmacists to prescribe and dispense self-administered oral hormonal contraceptives and hormonal contraceptive patches (contraceptives). Establishes requirements for pharmacists who want to prescribe and dispense contraceptives. Requires the Indiana board of pharmacy to adopt rules. Requires health plans to provide coverage for contraceptives and certain services. Establishes an exception for nonprofit religious employers.

HB1393    PHARMACY BENEFIT MANAGERS (CLERE E) Prohibits the inclusion of certain provisions in a contract between a pharmacy benefit manager and an entity authorized to participate in the federal 340B Drug Pricing Program. Provides that a pharmacy benefit manager's violation of the prohibition is an unfair or deceptive act or practice in the business of insurance.

HB1399    ADVANCED PRACTICE REGISTERED NURSES (MAYFIELD P) Allows an advanced practice registered nurse (APRN) to sign the individualized family service plan to authorize services under a public employee health benefits plan, state higher education employee health benefits plan, or health insurance plan. Allows an APRN to sign certain health documents concerning driving privileges. For purposes of child care, allows an APRN to document limitations on a child's outdoor play. Allows an APRN to certify to a day care ministry that an immunization that may be detrimental to the child is not required. Allows a treating APRN to consent to the release of certain mental health information to certain persons involved in the patient's care. Allows an APRN to issue permission for a student athlete who had a symptom of sudden cardiac arrest to return to play or practice. Amends the definition of "certificate of immunity" to include an APRN certificate. Adds an APRN to the providers who may perform an examination and provide a statement concerning an injured employee for purposes of worker's compensation claims. Allows an APRN to affirm that an applicant has a temporary disability for purposes of a waiver from continuing education requirements to work on certain lift devices. Allows a pharmacist, pharmacist student, or pharmacist intern to administer an immunization under a drug order, prescription, or protocol approved by an APRN. Authorizes an APRN to adopt a protocol concerning the adjustment of a patient's drug regimen by a pharmacist. Allows an attending APRN to be responsible for the ongoing care of a person who resides in a health facility. Provides that an APRN may order a referral for physical therapy. Amends the definition of "practice of respiratory care" to include an APRN as a practitioner who may be assisted by respiratory therapists. Allows an APRN to provide direct supervision to a respiratory therapist. Makes technical corrections.

HB1400    COMMUNITY HABILITATION AND FAMILY SUPPORTS WAIVERS (HEINE D) Requires the office of the secretary of family and social services to extend the time in which a provider has to file a timely reimbursement claim when providing services under the fee for service community habilitation and family supports Medicaid waiver (waiver). Prohibits the office of the secretary from establishing or otherwise requiring ratios for the number of individuals to be provided day habilitation services in a group setting for reimbursement under the waiver.

HB1408    OCCUPATIONAL LICENSURE RECIPROCITY (CARBAUGH M) Requires a board that issues a license for certain regulated occupations to issue a license to an individual who: (1) is licensed in the regulated occupation in another state or jurisdiction; (2) has established residency in Indiana; (3) has passed a substantially equivalent examination as determined by the board; (4) is and has been in good standing in the individual's licensure in the other state or jurisdiction; (5) pays a fee to the board; and (6) completes the licensure application form required by the board. Allows a board that requires an applicant to submit to a national criminal history background check to maintain that requirement with regard to applicants for licensure who meet all of the license endorsement requirements. Provides that nothing in the bill prevents or supersedes a: (1) compact; or (2) reciprocity or comity agreement; if established by the board or the general assembly. Provides that, if a board has entered into a national reciprocal or endorsement agreement or a reciprocal or endorsement agreement with one or more states, those agreements remain in effect.

HB1410    DIRECT SUPPORT PROFESSIONAL REGISTRY (CARBAUGH M) Requires the state department of health (department) to establish a direct support professional registry (registry). Requires an authorized service provider that hires a direct support professional to: (1) submit certain information regarding the direct support professional to the department for inclusion in the registry; and (2) submit updated information to the department when the direct support professional separates from employment with the authorized service provider. Requires the department to adopt rules to implement the registry, including rules to limit access to the registry to only authorized service providers. Provides that the registry must be operational not later than January 1, 2022.

HB1421    VARIOUS HEALTH CARE MATTERS (SCHAIBLEY D) Requires the attorney general to review mergers, acquisitions, and other transactions concerning hospitals, hospital systems, and investors of hedge funds and public equity funds. Authorizes the attorney general to approve or deny the merger, acquisition, or transaction and allows for a waiver under certain circumstances. Specifies that the state employee health plan statute does not prohibit the state personnel department from directly contracting with health care providers for health care services for state employees. Allows a hospital to comply with posting requirements concerning pricing of information by complying with the federal Centers for Medicare and Medicaid Services final rule in effect on January 1, 2021, or as specified in the statute. Requires reporting by December 31 of each odd-numbered year from hospitals and hospital systems concerning activities of physician groups owned by the hospitals. Prohibits health provider contracts from including specified provisions. Sets requirements for the director of the division of public health for a health and hospital corporation and certain health officers.

HB1428    RENEWAL OF INSURANCE COVERAGE (LEHMAN M) Requires insurers offering policies of accident and sickness insurance and health maintenance organizations to provide an insured an additional 30 days from the date: (1) a preferred provider agreement or a participating provider contract is terminated; or (2) the insurer or health maintenance organization and a preferred provider or participating provider are required to complete the renegotiation of an agreement or a contract; to make a decision on the renewal of coverage under a policy of accident and sickness insurance or a health maintenance organization contract.

HB1439    COERCED ABORTIONS, PROTECTION OF A FETUS, AND WRONGFUL DEATH OR INJURY OF A CHILD (KING J) Requires that a woman seeking an abortion must be informed that a coerced abortion is illegal. Provides that certain medical personnel must inquire with a woman seeking an abortion whether the abortion is coerced. Requires certain medical personnel who believe that an abortion is coerced to offer the pregnant woman information on certain services, the use of a telephone, and an alternative exit from the health care facility. Makes it a Level 6 felony if a person knowingly or intentionally coerces a woman into having an abortion. Makes it a Level 6 felony if a father or putative father of an unborn child knowingly or intentionally coerces a pregnant woman into having an abortion. Mandates reports of a coerced abortion to law enforcement. Makes it a Class C infraction if a reproductive health facility knowingly employs a mandatory reporter who violates the mandatory reporting statute. Creates a cause of action for a wrongful death of an aborted child. Provides that a cause of action for the wrongful death or injury of a child includes a fetus in any stage of development. (Current law defines "child" as a fetus that has attained viability.) Provides that a person, or a person who is pregnant, is justified in using reasonable force to protect a fetus.

HB1443    INFANT FABRY DISEASE SCREENING (ROWRAY E) Requires every infant to be screened for Fabry disease at the earliest feasible time.

HB1446    AMBULANCE ASSESSMENT FEE AND FUND (SLAGER H) Establishes the ambulance assessment fee (fee) and the ambulance assessment fee fund (fund). Provides that the office of Medicaid policy and planning (office) shall establish the fee based upon the best available data. Defines a "provider organization" for purposes of the fee. Requires a provider organization to be assessed the fee. Provides that the fund is established for the purpose of holding fees collected. Provides that the office shall administer the fund. Provides that amounts in the fund are to be expended for Medicaid payments to provider organizations. Provides that the office shall make expenditures from the fund in a manner consistent with applicable federal law. Provides that the office shall establish and distribute a schedule of payment amounts in a manner that reduces the gap between Medicaid rates and average commercial rates. Provides that the office shall consult with the Indiana emergency medical services association in the development and implementation of the payments. Provides that the fee is in addition to, and does not replace, any state general fund appropriations to support provider organization reimbursements. Provides that the office shall not lower Medicaid rates for provider organizations as a result of the fee. Provides that the office may adopt rules.

SB3    TELEHEALTH MATTERS (CHARBONNEAU E) Prohibits the Medicaid program from specifying originating sites and distant sites for purposes of Medicaid reimbursement and voids administrative rules with these requirements. Changes the use of the term "telemedicine" to "telehealth". Specifies certain activities that are considered to be health care services for purposes of the telehealth laws. Expands the application of the telehealth statute to additional licensed practitioners instead of applying only to prescribers. Amends the definition of "telehealth". Requires that the telehealth medical records be created and maintained under the same standards of appropriate practice for medical records for patients in an in-person setting. Specifies that a patient waives confidentiality of medical information concerning individuals in the vicinity when the patient is using telehealth. Prohibits certain insurance policies and individual and group contracts from mandating the use of certain technology applications in the provision of telehealth services.

SB7    FORENSIC NURSES (CRIDER M) Provides that the definition of "advanced practice registered nurse" includes a forensic nurse. Provides that a registered nurse who desires to practice as a forensic nurse shall present to the state board of nursing a certificate of completion of a biennial forensic nursing educational program.

SB11    COLLECTION OF VETERAN STATUS INFORMATION (KRUSE D) Requires the family and social services administration, the department of education, the commission for higher education, and the professional licensing agency to include the following questions in an application for a benefit, financial assistance, a service, or a professional credential: (1) "Have you served in the armed forces of the United States or their reserves, in the National Guard, or in the Indiana National Guard?". (2) "Are you the surviving spouse of someone who served in the armed forces of the United States or their reserves, in the National Guard, or in the Indiana National Guard?". Provides that the applications must state that the applicant has the option to decline to answer the questions. Requires the agencies to keep the information submitted in a data base and to share the information with the Indiana department of veterans' affairs. Allows the Indiana department of veterans' affairs to use the shared information to develop outreach programs for veterans and their families.

SB32    PROHIBITION OF CONVERSION THERAPY (FORD J) 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.

SB36    PSYCHOLOGY INTERJURISDICTIONAL COMPACT (BECKER V) Establishes the psychology interjurisdictional compact concerning interjurisdictional telepsychology and the temporary authorization to practice psychology in another compact state. Sets forth requirements of a compact state. Sets forth the duties of the psychology interjurisdictional compact commission.

SB46    LICENSURE OF ART THERAPISTS (GROOMS R) Provides that art therapy services provided to an individual who receives mental health services or to an individual who receives services from a community mental health center are reimbursable under Medicaid. Provides for the licensure of professional art therapists and art therapist associates by the behavioral health and human services licensing board through the professional licensing agency. Establishes qualifications and requirements for a licensed art therapist and licensed art therapist associate.

SB47    CORONAVIRUS DISEASE IMMUNIZATIONS (GROOMS R) Allows a: (1) pharmacist; and (2) pharmacy technician under direct supervision; to administer an immunization for coronavirus disease. (Current law allows a pharmacist intern and pharmacist student who meets certain requirements to administer immunizations that pharmacists are allowed to administer.) Allows the Indiana board of pharmacy to adopt emergency rules concerning the administration of the immunization by a pharmacy technician.

SB51    MEDICAID REIMBURSEMENT FOR SCHOOLS (ZAY A) Allows the office of the secretary of family and social services to apply for a Medicaid state plan amendment to allow school corporations to seek Medicaid reimbursement for medically necessary, school based Medicaid covered services that are provided under federal or state mandates. Specifies possible services for Medicaid reimbursement. Adds physical therapy to the list of services a school psychologist may refer a student. Allows a school psychologist to make referrals to physical therapists for mandated school services.

SB59    OCCUPATIONAL THERAPY SERVICES (BECKER V) Allows an occupational therapist to provide occupational therapy services to an individual during a period of not more than 42 calendar days beginning on the day on which the occupational therapist first provides occupational therapy services to the individual. Allows an occupational therapist to provide occupational therapy services to an individual after the 42 day period only if the occupational therapist obtains a referral from, or acts on the order of, a physician, podiatrist, advanced practice registered nurse, psychologist, chiropractor, optometrist, or physician's assistant. Allows an occupational therapist, without a referral or order from a health care provider, to provide: (1) ergonomic or home assessment services; (2) injury or illness prevention education and wellness services; (3) occupational therapy activities provided in an educational setting; or (4) occupational therapy activities that the medical licensing board of Indiana determines to be appropriate to be conducted in a community based environment.

SB62    PRESCRIPTION DRUG REBATES AND PRICING (BECKER V) Provides that the defined cost sharing for a prescription drug under a policy of accident and sickness insurance or a health maintenance organization contract must be calculated at the point of sale and based on a price that is reduced by an amount equal to at least 85% of all rebates received by the insurer or health maintenance organization in connection with the dispensing or administration of the prescription drug.

SB73    OPIOID PRESCRIPTIONS (KRUSE D) Allows a prescriber to issue an initial prescription of an opioid for more than a seven day supply if the patient has chronic intractable pain.

SB80    CODE PUBLICATION BILL (YOUNG M) Makes Indiana Code publication amendments. (The introduced version of this bill was prepared by the code revision commission.)

SB82    MENTAL HEALTH DIAGNOSIS (CRIDER M) Defines "mental health diagnosis" and sets forth requirements that must be met in order for certain licensed professionals to provide a mental health diagnosis. Requires certain mental health professionals who are making a mental health diagnosis and who determine that the patient has not been examined by a physician in the preceding 12 months to recommend to the patient that the patient schedule an examination by a physician at the earliest opportunity. Requires notation of that recommendation in the patient's medical record.

SB123    AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY COMPACT (KRUSE D) Enacts the audiology and speech-language pathology interstate compact. Makes conforming amendments.

SB131    DISCLOSURES RELATED TO PRESCRIPTION DRUGS (WALKER K) Beginning January 1, 2022, requires: (1) a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide to a covered individual the wholesale acquisition cost of a prescription drug not later than 60 days after the prescription drug is dispensed or administered to the covered individual; and (2) a state employee health plan, a policy of accident and sickness insurance, and a health maintenance organization contract to provide a covered individual with the amount of the rebate received by the health plan for a prescription drug dispensed for the covered individual if the amount of the rebate exceeds 15% of the wholesale acquisition cost of the prescription drug.

SB139    ASSOCIATION HEALTH PLANS (ZAY A) Permits the formation of association health plans that: (1) offer coverage to "working owners", including self-employed individuals; and (2) are offered by a "sponsoring association" that: (A) has at least one substantial business purpose other than providing health plans or other employee benefits to its employer members; and (B) is made up of employer members that share a common trade, industry, line of business, or profession or have a principal place of business within the state or in a metropolitan area encompassing part of the state.

SB228    PRACTICE OF VETERINARY MEDICINE (LEISING J) Changes the definition of "accredited veterinary technology program" to include a veterinary nursing program. Makes various changes to how a veterinarian-client-patient relationship is established. Provides that a veterinarian and a registered veterinary technician must complete a required number of hours of continuing education each renewal period. Provides that a veterinarian may extend the veterinarian-client-patient relationship to another veterinarian. Provides that a veterinarian shall reasonably assure confidentiality is maintained when a veterinarian initiates communication to a client under a veterinarian-client-patient relationship. Provides that the establishment of a veterinarian-client-patient relationship does not require a veterinarian to provide treatment to a patient.

SB246    PREGNANCY AND CHILDBIRTH ACCOMMODATION (ALTING R) Requires an employer to provide reasonable employment accommodations for a pregnant employee. Requires the department of labor to investigate complaints and attempt to resolve complaints through the use of an administrative law judge. Allows for appeals.

SB313    PAID FAMILY AND MEDICAL LEAVE PROGRAM (YODER S) Requires the department of workforce development to establish a paid family and medical leave program to provide payments for employees who take family and medical leave. Establishes the family and medical leave fund to be funded with appropriations from the general assembly and payroll contributions. Specifies requirements for administration of the paid family and medical leave program. Provides for the department of workforce development to approve an employer's use of a private plan to meet the paid family and medical leave program obligations.

SB322    OUT OF STATE CHILDREN'S HOSPITALS AND MEDICAID (BOHACEK M) Specifies the reimbursement rate for inpatient and outpatient Medicaid services that are provided by an out of state children's hospital located in a state bordering Indiana.

SB325    HOSPITAL PRICE DISCLOSURE LIST (BUSCH J) Increases the number of common services that a hospital and ambulatory outpatient surgical center are required to post. Provides that, if a hospital or ambulatory outpatient surgical center does not provide a specified shoppable service, the hospital or ambulatory outpatient surgical center must: (1) indicate that the service is not offered; and (2) select an additional common service so that the total number of shoppable and common services is at least 300.

SB378    ELECTRONIC MONITORING IN NURSING HOMES (ROGERS L) Allows the residents of: (1) health facilities; and (2) residential care facilities; to consent to the authorized electronic monitoring (monitoring) of their rooms. Allows specified individuals to consent to monitoring on behalf of health facility and residential care facility residents. Allows certain individuals to request conditions and restrictions when consenting to monitoring. Requires conditions and restrictions concerning monitoring to be memorialized in writing. Requires certain forms to be created and signed by specified parties when commencing or modifying monitoring. Allows certain individuals to refuse monitoring by withdrawing or withholding consent. Requires the withdrawal or withholding of consent to be memorialized in writing. Prohibits monitoring when certain parties refuse or decline consent. Requires a facility to make a reasonable effort to cohort residents in a manner that makes monitoring feasible. Specifies that a resident who occupies a private room for the purpose of making monitoring feasible must pay a private room rate. Requires a: (1) health facility; or (2) residential care facility; to provide specified individuals with complete copies of specified paperwork concerning monitoring upon request. Requires certain paperwork concerning monitoring to be made a permanent part of a resident's clinical report. Provides: (1) health facilities; and (2) residential care facilities; with immunity from civil liability when making a good faith effort to comply with laws, conditions, and restrictions pertaining to monitoring. Specifies that no other person or entity may be held liable for certain damages by reason of an agency relationship with a: (1) health facility; or (2) residential care facility; when the health facility or residential care facility is not liable for certain damages. Specifies an exception. Specifies permitted purposes for recordings created by an electronic monitoring device (device). Provides that a person who knowingly or intentionally hampers, obstructs, tampers with, or destroys: (1) a device; or (2) a recording created by a device; commits a Class A misdemeanor. Specifies that the offense is a Level 6 felony if the person knowingly or intentionally conceals or attempts to conceal any hampering, obstruction, tampering with, or destruction of a device or recording. Specifies an exception. Requires the state department of health to create certain forms for the purpose of memorializing specified requirements concerning monitoring. Defines certain terms.

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