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 6156 NOTE PREPARED: Nov 6, 2023
BILL NUMBER: HB 1015 BILL AMENDED:
SUBJECT: Health Care Staffing.
FIRST AUTHOR: Rep. Ledbetter BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED:XGENERAL IMPACT: State & Local
DEDICATED
FEDERAL
Summary of Legislation: The bill requires a hospital to establish a nurse staffing council or assign the
functions of the council to an entity in the hospital to develop a nurse staffing plan and review any reported
deviations from the plan. It prohibits a hospital from taking certain actions against an employee or contract
worker for filing a deviation report. The bill also prohibits a hospital, ambulatory outpatient surgical center,
health facility, or residential care facility from requiring a registered nurse or licensed practical nurse to work
mandatory overtime. It establishes exceptions. It prohibits a hospital, ambulatory outpatient surgical center,
health facility, or residential care facility from taking certain actions against an employee who does not
consent to work mandatory overtime.
Effective Date: July 1, 2024.
Explanation of State Expenditures: The Family and Social Services Administration will experience a
minor workload increase to ensure the required facilities are following the bill’s requirements. This is within
the agency’s routine administrative functions and should be able to be implemented with no additional
appropriations, assuming near customary agency staffing and resource levels.
The bill will result in additional workload for state owned health facilities to establish a council, assist in
developing an annual patient care unit and shift based nurse plan, and adhere to the mandatory overtime
provision of the bill.
Explanation of State Revenues:
Explanation of Local Expenditures: The bill will result in additional workload for locally owned health
HB 1015 1 facilities to establish a council, assist in developing an annual patient care unit and shift based nurse plan,
and adhere to the mandatory overtime provision of the bill.
Additional Information: The bill requires hospitals to establish a council where at least 51% of the members
are registered nurses who spend at least 50% of their time in direct patient care. The council is then required
to assist in developing an annual patient care unit and shift based nurse plan, communicate the details of the
plan with all nurses, and develop a feedback system for individuals who feel that the staffing plan is not
being followed. The council is also required to meet at least quarterly to review deviation reports.
Hospitals and ambulatory outpatient surgery centers will also be required to inform current and prospective
employees of the protections available to the employee, the hours and on call requirements stated in the
employee’s employment agreement, and that the employee will not be required to work in excess of the hours
and on call requirements stated in the employment agreement without the employee’s consent.
The bill also restricts hospitals, ambulatory outpatient surgery centers, health facilities, and residential care
facilities from requiring registered nurses or licensed practical nurses to work mandatory overtime, except
for limited circumstances
Currently, there are 8 states with committees comprised of at least 50% direct care nurses - Connecticut,
Illinois, Nevada, New York, Ohio, Oregon, Texas, and Washington.
Explanation of Local Revenues:
State Agencies Affected: Family and Social Services Administration; State owned health facilities.
Local Agencies Affected: Locally owned health facilities.
Information Sources:
https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-advocacy/#:~:text=As%20of
%20March%202022%2C%2016,a%20core%20staffing%20plan%3A%20MN.
Fiscal Analyst: Jasmine Noel, 317-234-1360.
HB 1015 2