LEGISLATIVE SERVICES AGENCY
OFFICE OF FISCAL AND MANAGEMENT ANALYSIS
200 W. Washington, Suite 301
Indianapolis, IN 46204
(317) 233-0696
iga.in.gov
FISCAL IMPACT STATEMENT
LS 7067 NOTE PREPARED: Jan 4, 2022
BILL NUMBER: HB 1158 BILL AMENDED:
SUBJECT: Various health and human services matters.
FIRST AUTHOR: Rep. Clere BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED: GENERAL IMPACT: Pending
DEDICATED
FEDERAL
Summary of Legislation: Allows an advanced practice registered nurse to sign certain individualized
family service plans. Changes the composition and duties of the division of the disability and rehabilitative
services advisory council. Requires the services for individuals with intellectual and other developmental
disabilities task force to establish a subcommittee to make recommendations to the task force regarding: (1)
ways to minimize health and safety risks of individuals with intellectual and developmental disabilities; and
(2) the feasibility of the division establishing a pilot program to create special service review teams to assist
families or individuals in a crisis situation to identify available resources and sources of assistance. Provides
that a pharmacist may be reimbursed for health care services that are eligible Medicaid claims. Requires that
a pharmacist be reimbursed for Medicaid covered services at a federally qualified health center or rural
health clinic. Modifies provisions concerning records and information about the human immunodeficiency
virus (HIV) and acquired immune deficiency syndrome. Repeals provisions concerning the following: (1)
Reports to a health officer about a person who is believed to be a serious and present risk to the health of
others. (2) Physician notification to: (A) a patient with a serious communicable disease; (B) a health officer;
and (C) a person at risk. Requires the board of pharmacy to adopt emergency rules concerning the
preparation, dispensing, and administration of clinician-administered drugs. Provides that emergency rules
adopted by the board of pharmacy shall remain in place until final rules regarding clinician-administered
drugs become effective. Excludes pharmacists who are part of a health care organization from the practice
of medicine. Removes the requirement that a qualifying pharmacist is responsible for the legal operations
of a pharmacy. Specifies responsibilities of pharmacists and pharmacy managers concerning duties
previously responsible by a qualifying pharmacist. Allows a qualified pharmacy technician to administer
immunizations delegated by the pharmacist. (Current law allows pharmacy technicians to administer
influenza and coronavirus disease immunizations.) Allows an insurer that issues a policy of accident and
sickness insurance to reimburse a pharmacist for a health care service provided by the pharmacist. Requires
HB 1158 1 policies of accident and sickness insurance, health maintenance organization contracts, and pharmacy benefit
managers to permit a covered individual to obtain a clinician-administered drug from the provider or
pharmacy of the covered individual's choice. Prohibits policies of accident and sickness insurance, health
maintenance organization contracts, and pharmacy benefit managers from interfering with a covered
individual's right to choose where to obtain a clinician-administered drug through inducement, steering, or
offering financial or other incentives. Requires the department of state revenue to add to its forms and
schedules a box for a tax filer to check to request further information regarding health care coverage under
a public health insurance program or qualified health plan. Adds pharmacists to the law concerning immunity
for providing voluntary health care. Repeals certain offenses concerning: (1) notification, reporting, and
investigation related to communicable diseases; and (2) the donation, sale, or transfer of semen that contains
antibodies for HIV.
Effective Date: Upon passage; July 1, 2022.
Explanation of State Expenditures: As of the above date, the fiscal analysis of this bill has not been
completed. Please contact the Office of Fiscal and Management Analysis for an update of this fiscal impact
statement.
Explanation of State Revenues:
Explanation of Local Expenditures:
Explanation of Local Revenues:
State Agencies Affected:
Local Agencies Affected:
Information Sources:
Fiscal Analyst: Karen Rossen, 317-234-2106.
HB 1158 2