1 | 1 | | |
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2 | 2 | | Introduced Version |
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3 | 3 | | HOUSE BILL No. 1167 |
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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 25-22.5; IC 25-23-1; IC 25-27.5. |
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7 | 7 | | Synopsis: Implicit bias continuing education. Requires the medical |
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8 | 8 | | licensing board of Indiana to adopt rules requiring a physician and a |
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9 | 9 | | physician assistant who apply for a license or renewal to complete |
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10 | 10 | | continuing education addressing the topic of implicit bias. Requires the |
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11 | 11 | | Indiana state board of nursing to adopt rules requiring a nurse who |
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12 | 12 | | applies for a license or renewal to complete continuing education |
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13 | 13 | | addressing the topic of implicit bias. Establishes certain requirements |
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14 | 14 | | for an implicit bias continuing education course. Provides that the |
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15 | 15 | | Indiana professional licensing agency must maintain on the agency's |
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16 | 16 | | website a schedule of or link to implicit bias continuing education |
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17 | 17 | | courses that are available. |
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18 | 18 | | Effective: Upon passage. |
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19 | 19 | | Shackleford |
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20 | 20 | | January 8, 2024, read first time and referred to Committee on Public Health. |
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21 | 21 | | 2024 IN 1167—LS 6387/DI 141 Introduced |
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22 | 22 | | Second Regular Session of the 123rd General Assembly (2024) |
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23 | 23 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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24 | 24 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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25 | 25 | | additions will appear in this style type, and deletions will appear in this style type. |
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26 | 26 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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27 | 27 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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28 | 28 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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29 | 29 | | a new provision to the Indiana Code or the Indiana Constitution. |
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30 | 30 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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31 | 31 | | between statutes enacted by the 2023 Regular Session of the General Assembly. |
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32 | 32 | | HOUSE BILL No. 1167 |
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33 | 33 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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34 | 34 | | professions and occupations. |
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35 | 35 | | Be it enacted by the General Assembly of the State of Indiana: |
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36 | 36 | | 1 SECTION 1. IC 25-22.5-1-1.2, AS AMENDED BY P.L.2-2007, |
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37 | 37 | | 2 SECTION 327, IS AMENDED TO READ AS FOLLOWS |
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38 | 38 | | 3 [EFFECTIVE UPON PASSAGE]: Sec. 1.2. As used in this article: |
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39 | 39 | | 4 "Implicit bias" means an attitude or internalized stereotype that |
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40 | 40 | | 5 affects an individual's perceptions, actions, and decisions in an |
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41 | 41 | | 6 unconscious manner. |
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42 | 42 | | 7 "Nursing school" includes a hospital nursing school, a nursing |
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43 | 43 | | 8 program, and a nursing department of a postsecondary educational |
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44 | 44 | | 9 institution. This shall include two (2), three (3), and four (4) year |
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45 | 45 | | 10 programs of nursing education. |
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46 | 46 | | 11 "Shortage area" is an area in which there is a less than adequate |
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47 | 47 | | 12 supply of physicians or nurses relative to the need for nursing or |
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48 | 48 | | 13 physician services. |
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49 | 49 | | 14 SECTION 2. IC 25-22.5-5-7 IS ADDED TO THE INDIANA CODE |
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50 | 50 | | 15 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE |
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51 | 51 | | 16 UPON PASSAGE]: Sec. 7. (a) Before July 1, 2025, the board shall |
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52 | 52 | | 17 adopt rules in accordance with IC 25-1-4 to require a physician |
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53 | 53 | | 2024 IN 1167—LS 6387/DI 141 2 |
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54 | 54 | | 1 who applies for a license or renewal under this article to obtain |
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55 | 55 | | 2 continuing education addressing the topic of implicit bias. |
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56 | 56 | | 3 (b) A continuing education course required under subsection (a) |
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57 | 57 | | 4 must include at least one (1) of the following topics: |
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58 | 58 | | 5 (1) Examples of how implicit bias: |
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59 | 59 | | 6 (A) affects perceptions and treatment decisions of |
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60 | 60 | | 7 physicians; and |
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61 | 61 | | 8 (B) leads to disparities in health outcomes. |
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62 | 62 | | 9 (2) Strategies to address how unintended biases in decision |
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63 | 63 | | 10 making may contribute to health care disparities by: |
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64 | 64 | | 11 (A) shaping behavior; and |
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65 | 65 | | 12 (B) producing differences in medical treatment in regard |
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66 | 66 | | 13 to race, ethnicity, gender identity, sexual orientation, age, |
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67 | 67 | | 14 socioeconomic status, or other characteristics. |
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68 | 68 | | 15 (c) All continuing education courses required under subsection |
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69 | 69 | | 16 (a) must be: |
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70 | 70 | | 17 (1) approved by the board; or |
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71 | 71 | | 18 (2) offered by an approved organization (as defined in |
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72 | 72 | | 19 IC 25-1-4-0.2). |
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73 | 73 | | 20 (d) The agency shall maintain on the agency's website a schedule |
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74 | 74 | | 21 of or link to implicit bias continuing education courses that are |
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75 | 75 | | 22 available under subsection (c). |
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76 | 76 | | 23 SECTION 3. IC 25-23-1-1.8 IS ADDED TO THE INDIANA CODE |
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77 | 77 | | 24 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE |
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78 | 78 | | 25 UPON PASSAGE]: Sec. 1.8. As used in this chapter, "implicit bias" |
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79 | 79 | | 26 means an attitude or internalized stereotype that affects an |
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80 | 80 | | 27 individual's perceptions, actions, and decisions in an unconscious |
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81 | 81 | | 28 manner. |
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82 | 82 | | 29 SECTION 4. IC 25-23-1-35.5 IS ADDED TO THE INDIANA |
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83 | 83 | | 30 CODE AS A NEW SECTION TO READ AS FOLLOWS |
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84 | 84 | | 31 [EFFECTIVE UPON PASSAGE]: Sec. 35.5. (a) Before July 1, 2025, |
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85 | 85 | | 32 the board shall adopt rules in accordance with IC 25-1-4 to require |
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86 | 86 | | 33 an applicant for a license or renewal under this article to obtain |
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87 | 87 | | 34 continuing education addressing the topic of implicit bias. |
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88 | 88 | | 35 (b) A continuing education course required under subsection (a) |
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89 | 89 | | 36 must include at least one (1) of the following topics: |
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90 | 90 | | 37 (1) Examples of how implicit bias: |
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91 | 91 | | 38 (A) affects perceptions and treatment decisions of a nurse |
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92 | 92 | | 39 practicing the nurse's profession under this article; and |
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93 | 93 | | 40 (B) leads to disparities in health outcomes. |
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94 | 94 | | 41 (2) Strategies to address how unintended biases in decision |
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95 | 95 | | 42 making may contribute to health care disparities by: |
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96 | 96 | | 2024 IN 1167—LS 6387/DI 141 3 |
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97 | 97 | | 1 (A) shaping behavior; and |
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98 | 98 | | 2 (B) producing differences in medical treatment in regard |
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99 | 99 | | 3 to race, ethnicity, gender identity, sexual orientation, age, |
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100 | 100 | | 4 socioeconomic status, or other characteristics. |
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101 | 101 | | 5 (c) All continuing education courses required under subsection |
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102 | 102 | | 6 (a) must be: |
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103 | 103 | | 7 (1) approved by the board; or |
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104 | 104 | | 8 (2) offered by an approved organization (as defined in |
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105 | 105 | | 9 IC 25-1-4-0.2). |
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106 | 106 | | 10 (d) The Indiana professional licensing agency shall maintain on |
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107 | 107 | | 11 the agency's website a schedule of or link to implicit bias |
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108 | 108 | | 12 continuing education courses that are available under subsection |
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109 | 109 | | 13 (c). |
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110 | 110 | | 14 SECTION 5. IC 25-27.5-2-7.4 IS ADDED TO THE INDIANA |
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111 | 111 | | 15 CODE AS A NEW SECTION TO READ AS FOLLOWS |
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112 | 112 | | 16 [EFFECTIVE UPON PASSAGE]: Sec. 7.4. "Implicit bias" means an |
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113 | 113 | | 17 attitude or internalized stereotype that affects an individual's |
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114 | 114 | | 18 perceptions, actions, and decisions in an unconscious manner. |
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115 | 115 | | 19 SECTION 6. IC 25-27.5-4-10 IS ADDED TO THE INDIANA |
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116 | 116 | | 20 CODE AS A NEW SECTION TO READ AS FOLLOWS |
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117 | 117 | | 21 [EFFECTIVE UPON PASSAGE]: Sec. 10. (a) Before July 1, 2025, |
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118 | 118 | | 22 the board shall adopt rules in accordance with IC 25-1-4 to require |
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119 | 119 | | 23 an individual who applies for a license or renewal under this article |
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120 | 120 | | 24 to obtain continuing education addressing the topic of implicit bias. |
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121 | 121 | | 25 (b) A continuing education course required under subsection (a) |
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122 | 122 | | 26 must include at least one (1) of the following topics: |
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123 | 123 | | 27 (1) Examples of how implicit bias: |
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124 | 124 | | 28 (A) affects perceptions and treatment decisions of |
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125 | 125 | | 29 physician assistants licensed under this article; and |
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126 | 126 | | 30 (B) leads to disparities in health outcomes. |
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127 | 127 | | 31 (2) Strategies to address how unintended biases in decision |
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128 | 128 | | 32 making may contribute to health care disparities by: |
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129 | 129 | | 33 (A) shaping behavior; and |
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130 | 130 | | 34 (B) producing differences in medical treatment in regard |
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131 | 131 | | 35 to race, ethnicity, gender identity, sexual orientation, age, |
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132 | 132 | | 36 socioeconomic status, or other characteristics. |
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133 | 133 | | 37 (c) All continuing education courses required under subsection |
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134 | 134 | | 38 (a) must be: |
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135 | 135 | | 39 (1) approved by the board; or |
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136 | 136 | | 40 (2) offered by an approved organization (as defined in |
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137 | 137 | | 41 IC 25-1-4-0.2). |
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138 | 138 | | 42 (d) The Indiana professional licensing agency shall maintain on |
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139 | 139 | | 2024 IN 1167—LS 6387/DI 141 4 |
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140 | 140 | | 1 the agency's website a schedule of or link to implicit bias |
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141 | 141 | | 2 continuing education courses that are available under subsection |
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142 | 142 | | 3 (c). |
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143 | 143 | | 4 SECTION 7. An emergency is declared for this act. |
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144 | 144 | | 2024 IN 1167—LS 6387/DI 141 |
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