Indiana 2023 Regular Session

Indiana House Bill HB1567 Compare Versions

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22 Introduced Version
33 HOUSE BILL No. 1567
44 _____
55 DIGEST OF INTRODUCED BILL
66 Citations Affected: IC 16-18-2-341; IC 16-21-11-6; IC 16-34-3-4.
77 Synopsis: Stillbirths. Amends the definition of "stillbirth" to mean a
88 birth after 12 weeks of gestation that is not a live birth or if the gender
99 of the child can be visually determined, a birth after 10 weeks of
1010 gestation that is not a live birth.
1111 Effective: July 1, 2023.
1212 Rowray
1313 January 19, 2023, read first time and referred to Committee on Public Health.
1414 2023 IN 1567—LS 6990/DI 77 Introduced
1515 First Regular Session of the 123rd General Assembly (2023)
1616 PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
1717 Constitution) is being amended, the text of the existing provision will appear in this style type,
1818 additions will appear in this style type, and deletions will appear in this style type.
1919 Additions: Whenever a new statutory provision is being enacted (or a new constitutional
2020 provision adopted), the text of the new provision will appear in this style type. Also, the
2121 word NEW will appear in that style type in the introductory clause of each SECTION that adds
2222 a new provision to the Indiana Code or the Indiana Constitution.
2323 Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
2424 between statutes enacted by the 2022 Regular Session of the General Assembly.
2525 HOUSE BILL No. 1567
2626 A BILL FOR AN ACT to amend the Indiana Code concerning
2727 health.
2828 Be it enacted by the General Assembly of the State of Indiana:
2929 1 SECTION 1. IC 16-18-2-341, AS AMENDED BY P.L.31-2019,
3030 2 SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
3131 3 JULY 1, 2023]: Sec. 341. "Stillbirth", for purposes of IC 16-37 and
3232 4 IC 16-49-6, means any of the following:
3333 5 (1) A birth after twenty (20) twelve (12) weeks of gestation that
3434 6 is not a live birth.
3535 7 (2) If the gender of the child can be visually determined, a
3636 8 birth after ten (10) weeks of gestation that is not a live birth.
3737 9 SECTION 2. IC 16-21-11-6, AS AMENDED BY P.L.213-2016,
3838 10 SECTION 11, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
3939 11 JULY 1, 2023]: Sec. 6. (a) If the parent or parents choose a location of
4040 12 final disposition other than the location of final disposition that is usual
4141 13 and customary for the health care facility, the parent or parents are
4242 14 responsible for the costs related to the final disposition of the fetus at
4343 15 the chosen location.
4444 16 (b) A health care facility having possession of a miscarried fetus
4545 17 shall provide for the final disposition of the miscarried fetus. The burial
4646 2023 IN 1567—LS 6990/DI 77 2
4747 1 transit permit requirements under IC 16-37-3 apply to the final
4848 2 disposition of the miscarried fetus, which must be cremated or interred.
4949 3 However:
5050 4 (1) a person is not required to designate a name for the miscarried
5151 5 fetus on the burial transit permit and the space for a name may
5252 6 remain blank; and
5353 7 (2) any information submitted under this section that may be used
5454 8 to identify the parent or parents is confidential and must be
5555 9 redacted from any public records maintained under IC 16-37-3.
5656 10 Miscarried fetuses may be cremated by simultaneous cremation.
5757 11 (c) The local health officer shall provide the person in charge of
5858 12 interment with a permit for the disposition of the body. A certificate of
5959 13 stillbirth is not required to be issued for a final disposition of a
6060 14 miscarried fetus having a gestational age of less than twenty (20) any
6161 15 of the following:
6262 16 (1) Twelve (12) weeks of gestation.
6363 17 (2) If the gender of the miscarried fetus can be visually
6464 18 determined, a miscarried birth after ten (10) weeks of
6565 19 gestation.
6666 20 (d) IC 23-14-31-26, IC 23-14-55-2, IC 25-15-9-18, and
6767 21 IC 29-2-19-17 concerning the authorization of disposition of human
6868 22 remains apply to this section.
6969 23 SECTION 3. IC 16-34-3-4, AS AMENDED BY P.L.179-2022(ss),
7070 24 SECTION 31, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
7171 25 JULY 1, 2023]: Sec. 4. (a) A hospital or ambulatory outpatient surgical
7272 26 center having possession of an aborted fetus shall provide for the final
7373 27 disposition of the aborted fetus. The burial transit permit requirements
7474 28 of IC 16-37-3 apply to the final disposition of an aborted fetus, which
7575 29 must be interred or cremated. However:
7676 30 (1) a person is not required to designate a name for the aborted
7777 31 fetus on the burial transit permit and the space for a name may
7878 32 remain blank; and
7979 33 (2) any information submitted under this section that may be used
8080 34 to identify the pregnant woman is confidential and must be
8181 35 redacted from any public records maintained under IC 16-37-3.
8282 36 Aborted fetuses may be cremated by simultaneous cremation.
8383 37 (b) If the hospital or ambulatory outpatient surgical center conducts
8484 38 the cremation of aborted fetal remains on site, the hospital or
8585 39 ambulatory outpatient surgical center must comply with all state laws
8686 40 concerning the cremation of human remains as prescribed in
8787 41 IC 23-14-31. The hospital or ambulatory outpatient surgical center
8888 42 must make the onsite cremation equipment available to the state
8989 2023 IN 1567—LS 6990/DI 77 3
9090 1 department for inspection at the time the hospital or ambulatory
9191 2 outpatient surgical center is inspected. When the hospital or
9292 3 ambulatory outpatient surgical center contracts with a licensed funeral
9393 4 home for the disposal of the aborted fetal remains, the contract must be
9494 5 made available for review by the state department at the time the
9595 6 hospital or ambulatory outpatient surgical center is inspected.
9696 7 (c) Except in extraordinary circumstances where the required
9797 8 information is unavailable or unknown, a burial transit permit issued
9898 9 under IC 16-37-3 that includes multiple fetal remains must be
9999 10 accompanied by a log prescribed by the state department containing the
100100 11 following information about each fetus included under the burial transit
101101 12 permit:
102102 13 (1) The date of the abortion.
103103 14 (2) Whether the abortion was surgical or induced by an abortion
104104 15 inducing drug.
105105 16 (3) The name of the funeral director licensee who will be
106106 17 retrieving the aborted fetus.
107107 18 (4) In the case of an abortion induced by an abortion inducing
108108 19 drug:
109109 20 (A) whether the pregnant woman will cremate or inter the
110110 21 fetus, or will return the fetus to the hospital or ambulatory
111111 22 outpatient surgical center for disposition; and
112112 23 (B) if the pregnant woman returns the fetus to the hospital or
113113 24 ambulatory outpatient surgical center, whether the returned
114114 25 fetus is included in the burial transit permit.
115115 26 The hospital or ambulatory outpatient surgical center must keep a copy
116116 27 of the burial transit permit and accompanying log in a permanent file.
117117 28 (d) Each time the fetal remains are transported from one entity to
118118 29 another for disposition, the entity receiving the fetal remains must
119119 30 confirm that the number of fetal remains matches the information
120120 31 contained in the burial transit permit and accompanying log. After final
121121 32 disposition, a copy of the log will be sent back to the hospital or
122122 33 ambulatory outpatient surgical center. The final log will be attached to
123123 34 the original log described in subsection (c) and will be made available
124124 35 for review by the state department at the time of inspection.
125125 36 (e) A hospital or ambulatory outpatient surgical center is responsible
126126 37 for demonstrating to the state department that the hospital or
127127 38 ambulatory outpatient surgical center has complied with the protocol
128128 39 provided in this section.
129129 40 (f) A certificate of stillbirth is not required to be issued for an
130130 41 aborted fetus with a gestational age of less than twenty (20) any of the
131131 42 following:
132132 2023 IN 1567—LS 6990/DI 77 4
133133 1 (1) Twelve (12) weeks of age. gestation.
134134 2 (2) If the gender of the aborted fetus can be visually
135135 3 determined, a birth after ten (10) weeks of gestation.
136136 4 (g) IC 23-14-31-26, IC 23-14-55-2, IC 25-15-9-18, and
137137 5 IC 29-2-19-17 concerning the authorization of disposition of human
138138 6 remains apply to this section.
139139 2023 IN 1567—LS 6990/DI 77