LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington St., Suite 301 Indianapolis, IN 46204 (317) 233-0696 iga.in.gov FISCAL IMPACT STATEMENT LS 6908 NOTE PREPARED: Dec 29, 2021 BILL NUMBER: SB 239 BILL AMENDED: SUBJECT: Practitioner Identification and Advertising. FIRST AUTHOR: Sen. Boehnlein BILL STATUS: As Introduced FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State DEDICATED FEDERAL Summary of Legislation: This bill provides that, beginning January 1, 2023, 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. The bill establishes certain exceptions. It 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. Effective Date: July 1, 2021. Explanation of State Expenditures: A violation of the bill’s requirements would be subject to administrative orders and procedures by the board or commission within the Professional Licensing Agency (PLA) that governs the violating practitioner’s profession. The nature of the violation and the corrective SB 239 1 actions of the practitioner will determine the cost to PLA. Additionally, PLA would likely need to notify license holders of the requirements established by the bill and post updates to the PLA website. These actions are within the PLA’s routine administrative functions and should be able to be implemented with no additional appropriations. Explanation of State Revenues: If a violation occurs, the PLA may take an action that could impact state revenue. If the violator has a license denied or revoked, fee revenue would decrease to the General Fund. Health care practitioner license fees range between $40 and $200 biennially. The PLA may also impose a fine of up to $1,000, which would be deposited in the General Fund. Explanation of Local Expenditures: Explanation of Local Revenues: State Agencies Affected: Professional Licensing Agency. Local Agencies Affected: Information Sources: IC 25-1-9-9; Legislative Services Agency, Indiana Handbook of Taxes, Revenues, and Appropriations, FY 2021. Fiscal Analyst: Adam White, 317-234-1360. SB 239 2