1 | 1 | | |
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2 | 2 | | Introduced Version |
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3 | 3 | | HOUSE BILL No. 1567 |
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4 | 4 | | _____ |
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5 | 5 | | DIGEST OF INTRODUCED BILL |
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6 | 6 | | Citations Affected: IC 16-18-2-341; IC 16-21-11-6; IC 16-34-3-4. |
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7 | 7 | | Synopsis: Stillbirths. Amends the definition of "stillbirth" to mean a |
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8 | 8 | | birth after 12 weeks of gestation that is not a live birth or if the gender |
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9 | 9 | | of the child can be visually determined, a birth after 10 weeks of |
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10 | 10 | | gestation that is not a live birth. |
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11 | 11 | | Effective: July 1, 2023. |
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12 | 12 | | Rowray |
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13 | 13 | | January 19, 2023, read first time and referred to Committee on Public Health. |
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14 | 14 | | 2023 IN 1567—LS 6990/DI 77 Introduced |
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15 | 15 | | First Regular Session of the 123rd General Assembly (2023) |
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16 | 16 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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17 | 17 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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18 | 18 | | additions will appear in this style type, and deletions will appear in this style type. |
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19 | 19 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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20 | 20 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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21 | 21 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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22 | 22 | | a new provision to the Indiana Code or the Indiana Constitution. |
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23 | 23 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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24 | 24 | | between statutes enacted by the 2022 Regular Session of the General Assembly. |
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25 | 25 | | HOUSE BILL No. 1567 |
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26 | 26 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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27 | 27 | | health. |
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28 | 28 | | Be it enacted by the General Assembly of the State of Indiana: |
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29 | 29 | | 1 SECTION 1. IC 16-18-2-341, AS AMENDED BY P.L.31-2019, |
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30 | 30 | | 2 SECTION 4, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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31 | 31 | | 3 JULY 1, 2023]: Sec. 341. "Stillbirth", for purposes of IC 16-37 and |
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32 | 32 | | 4 IC 16-49-6, means any of the following: |
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33 | 33 | | 5 (1) A birth after twenty (20) twelve (12) weeks of gestation that |
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34 | 34 | | 6 is not a live birth. |
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35 | 35 | | 7 (2) If the gender of the child can be visually determined, a |
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36 | 36 | | 8 birth after ten (10) weeks of gestation that is not a live birth. |
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37 | 37 | | 9 SECTION 2. IC 16-21-11-6, AS AMENDED BY P.L.213-2016, |
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38 | 38 | | 10 SECTION 11, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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39 | 39 | | 11 JULY 1, 2023]: Sec. 6. (a) If the parent or parents choose a location of |
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40 | 40 | | 12 final disposition other than the location of final disposition that is usual |
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41 | 41 | | 13 and customary for the health care facility, the parent or parents are |
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42 | 42 | | 14 responsible for the costs related to the final disposition of the fetus at |
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43 | 43 | | 15 the chosen location. |
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44 | 44 | | 16 (b) A health care facility having possession of a miscarried fetus |
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45 | 45 | | 17 shall provide for the final disposition of the miscarried fetus. The burial |
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46 | 46 | | 2023 IN 1567—LS 6990/DI 77 2 |
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47 | 47 | | 1 transit permit requirements under IC 16-37-3 apply to the final |
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48 | 48 | | 2 disposition of the miscarried fetus, which must be cremated or interred. |
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49 | 49 | | 3 However: |
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50 | 50 | | 4 (1) a person is not required to designate a name for the miscarried |
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51 | 51 | | 5 fetus on the burial transit permit and the space for a name may |
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52 | 52 | | 6 remain blank; and |
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53 | 53 | | 7 (2) any information submitted under this section that may be used |
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54 | 54 | | 8 to identify the parent or parents is confidential and must be |
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55 | 55 | | 9 redacted from any public records maintained under IC 16-37-3. |
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56 | 56 | | 10 Miscarried fetuses may be cremated by simultaneous cremation. |
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57 | 57 | | 11 (c) The local health officer shall provide the person in charge of |
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58 | 58 | | 12 interment with a permit for the disposition of the body. A certificate of |
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59 | 59 | | 13 stillbirth is not required to be issued for a final disposition of a |
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60 | 60 | | 14 miscarried fetus having a gestational age of less than twenty (20) any |
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61 | 61 | | 15 of the following: |
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62 | 62 | | 16 (1) Twelve (12) weeks of gestation. |
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63 | 63 | | 17 (2) If the gender of the miscarried fetus can be visually |
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64 | 64 | | 18 determined, a miscarried birth after ten (10) weeks of |
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65 | 65 | | 19 gestation. |
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66 | 66 | | 20 (d) IC 23-14-31-26, IC 23-14-55-2, IC 25-15-9-18, and |
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67 | 67 | | 21 IC 29-2-19-17 concerning the authorization of disposition of human |
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68 | 68 | | 22 remains apply to this section. |
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69 | 69 | | 23 SECTION 3. IC 16-34-3-4, AS AMENDED BY P.L.179-2022(ss), |
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70 | 70 | | 24 SECTION 31, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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71 | 71 | | 25 JULY 1, 2023]: Sec. 4. (a) A hospital or ambulatory outpatient surgical |
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72 | 72 | | 26 center having possession of an aborted fetus shall provide for the final |
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73 | 73 | | 27 disposition of the aborted fetus. The burial transit permit requirements |
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74 | 74 | | 28 of IC 16-37-3 apply to the final disposition of an aborted fetus, which |
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75 | 75 | | 29 must be interred or cremated. However: |
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76 | 76 | | 30 (1) a person is not required to designate a name for the aborted |
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77 | 77 | | 31 fetus on the burial transit permit and the space for a name may |
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78 | 78 | | 32 remain blank; and |
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79 | 79 | | 33 (2) any information submitted under this section that may be used |
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80 | 80 | | 34 to identify the pregnant woman is confidential and must be |
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81 | 81 | | 35 redacted from any public records maintained under IC 16-37-3. |
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82 | 82 | | 36 Aborted fetuses may be cremated by simultaneous cremation. |
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83 | 83 | | 37 (b) If the hospital or ambulatory outpatient surgical center conducts |
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84 | 84 | | 38 the cremation of aborted fetal remains on site, the hospital or |
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85 | 85 | | 39 ambulatory outpatient surgical center must comply with all state laws |
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86 | 86 | | 40 concerning the cremation of human remains as prescribed in |
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87 | 87 | | 41 IC 23-14-31. The hospital or ambulatory outpatient surgical center |
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88 | 88 | | 42 must make the onsite cremation equipment available to the state |
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89 | 89 | | 2023 IN 1567—LS 6990/DI 77 3 |
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90 | 90 | | 1 department for inspection at the time the hospital or ambulatory |
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91 | 91 | | 2 outpatient surgical center is inspected. When the hospital or |
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92 | 92 | | 3 ambulatory outpatient surgical center contracts with a licensed funeral |
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93 | 93 | | 4 home for the disposal of the aborted fetal remains, the contract must be |
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94 | 94 | | 5 made available for review by the state department at the time the |
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95 | 95 | | 6 hospital or ambulatory outpatient surgical center is inspected. |
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96 | 96 | | 7 (c) Except in extraordinary circumstances where the required |
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97 | 97 | | 8 information is unavailable or unknown, a burial transit permit issued |
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98 | 98 | | 9 under IC 16-37-3 that includes multiple fetal remains must be |
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99 | 99 | | 10 accompanied by a log prescribed by the state department containing the |
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100 | 100 | | 11 following information about each fetus included under the burial transit |
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101 | 101 | | 12 permit: |
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102 | 102 | | 13 (1) The date of the abortion. |
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103 | 103 | | 14 (2) Whether the abortion was surgical or induced by an abortion |
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104 | 104 | | 15 inducing drug. |
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105 | 105 | | 16 (3) The name of the funeral director licensee who will be |
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106 | 106 | | 17 retrieving the aborted fetus. |
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107 | 107 | | 18 (4) In the case of an abortion induced by an abortion inducing |
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108 | 108 | | 19 drug: |
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109 | 109 | | 20 (A) whether the pregnant woman will cremate or inter the |
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110 | 110 | | 21 fetus, or will return the fetus to the hospital or ambulatory |
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111 | 111 | | 22 outpatient surgical center for disposition; and |
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112 | 112 | | 23 (B) if the pregnant woman returns the fetus to the hospital or |
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113 | 113 | | 24 ambulatory outpatient surgical center, whether the returned |
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114 | 114 | | 25 fetus is included in the burial transit permit. |
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115 | 115 | | 26 The hospital or ambulatory outpatient surgical center must keep a copy |
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116 | 116 | | 27 of the burial transit permit and accompanying log in a permanent file. |
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117 | 117 | | 28 (d) Each time the fetal remains are transported from one entity to |
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118 | 118 | | 29 another for disposition, the entity receiving the fetal remains must |
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119 | 119 | | 30 confirm that the number of fetal remains matches the information |
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120 | 120 | | 31 contained in the burial transit permit and accompanying log. After final |
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121 | 121 | | 32 disposition, a copy of the log will be sent back to the hospital or |
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122 | 122 | | 33 ambulatory outpatient surgical center. The final log will be attached to |
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123 | 123 | | 34 the original log described in subsection (c) and will be made available |
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124 | 124 | | 35 for review by the state department at the time of inspection. |
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125 | 125 | | 36 (e) A hospital or ambulatory outpatient surgical center is responsible |
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126 | 126 | | 37 for demonstrating to the state department that the hospital or |
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127 | 127 | | 38 ambulatory outpatient surgical center has complied with the protocol |
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128 | 128 | | 39 provided in this section. |
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129 | 129 | | 40 (f) A certificate of stillbirth is not required to be issued for an |
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130 | 130 | | 41 aborted fetus with a gestational age of less than twenty (20) any of the |
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131 | 131 | | 42 following: |
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132 | 132 | | 2023 IN 1567—LS 6990/DI 77 4 |
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133 | 133 | | 1 (1) Twelve (12) weeks of age. gestation. |
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134 | 134 | | 2 (2) If the gender of the aborted fetus can be visually |
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135 | 135 | | 3 determined, a birth after ten (10) weeks of gestation. |
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136 | 136 | | 4 (g) IC 23-14-31-26, IC 23-14-55-2, IC 25-15-9-18, and |
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137 | 137 | | 5 IC 29-2-19-17 concerning the authorization of disposition of human |
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138 | 138 | | 6 remains apply to this section. |
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139 | 139 | | 2023 IN 1567—LS 6990/DI 77 |
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