Indiana 2024 Regular Session

Indiana House Bill HB1196 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	Introduced Version
3	3	HOUSE BILL No. 1196
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 6-3.6; IC 16-18-2; IC 16-46-18; IC 21-13;
7	7	IC 21-44; IC 25-14-5.
8	8	Synopsis: Health finance matters. Adds capital projects, technology
9	9	upgrades, and operational expenses for certain county hospitals to the
10	10	definition of "public safety" for purposes of local income tax revenue
11	11	use. Increases the maximum local income tax that may be imposed in
12	12	certain counties if a tax rate is adopted for purposes related to certain
13	13	hospitals located in the county. Establishes the Indiana rural hospital
14	14	and critical health care services fund (rural health care services fund)
15	15	for the purpose of awarding grants to certain rural hospitals. Provides
16	16	that the Indiana department of health (state department) administers the
17	17	rural health care services fund. Establishes the following: (1) The
18	18	health workforce student loan repayment program (program). (2) The
19	19	health workforce advisory board (advisory board). (3) The health
20	20	workforce student loan repayment program fund (repayment program
21	21	fund) for the purpose of providing funds to repay outstanding student
22	22	loans of certain health providers who meet the program requirements.
23	23	Provides that the state department shall administer the program and
24	24	repayment program fund. Establishes: (1) the imposition of fees at the
25	25	time a license is issued or renewed for certain health profession
26	26	licenses; and (2) qualifications to receive a student loan repayment
27	27	award under the program. Provides that, beginning July 1, 2025, the
28	28	state department and each board included in the program may award a
29	29	student loan repayment to an eligible applicant who is a provider
30	30	licensed by the board. Provides that money in the repayment program
31	31	fund is continuously appropriated. Repeals provisions concerning the
32	32	following: (1) The primary care physician loan forgiveness program.
33	33	(2) The mental health services development programs. (3) The dental
34	34	(Continued next page)
35	35	Effective: Upon passage; July 1, 2024.
36	36	Manning
37	37	January 9, 2024, read first time and referred to Committee on Public Health.
38	38	2024 IN 1196—LS 6492/DI 125 Digest Continued
39	39	underserved area and minority recruitment program. Urges the
40	40	legislative council to assign to an appropriate interim study committee
41	41	the task of studying topics related to the rural health care services fund.
42	42	Urges the legislative council to assign to an appropriate study
43	43	committee the task of studying certain topics related to health care
44	44	services.
45	45	2024 IN 1196—LS 6492/DI 1252024 IN 1196—LS 6492/DI 125 Introduced
46	46	Second Regular Session of the 123rd General Assembly (2024)
47	47	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
48	48	Constitution) is being amended, the text of the existing provision will appear in this style type,
49	49	additions will appear in this style type, and deletions will appear in this style type.
50	50	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
51	51	provision adopted), the text of the new provision will appear in this style type. Also, the
52	52	word NEW will appear in that style type in the introductory clause of each SECTION that adds
53	53	a new provision to the Indiana Code or the Indiana Constitution.
54	54	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
55	55	between statutes enacted by the 2023 Regular Session of the General Assembly.
56	56	HOUSE BILL No. 1196
57	57	A BILL FOR AN ACT to amend the Indiana Code concerning
58	58	health and to make an appropriation.
59	59	Be it enacted by the General Assembly of the State of Indiana:
60	60	1 SECTION 1. IC 6-3.6-2-14, AS AMENDED BY P.L.247-2017,
61	61	2 SECTION 7, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
62	62	3 JULY 1, 2024]: Sec. 14. "Public safety" refers to the following:
63	63	4 (1) A police and law enforcement system to preserve public peace
64	64	5 and order.
65	65	6 (2) A firefighting and fire prevention system.
66	66	7 (3) Emergency ambulance services (as defined in
67	67	8 IC 16-18-2-107).
68	68	9 (4) Emergency medical services (as defined in IC 16-18-2-110).
69	69	10 (5) Emergency action (as defined in IC 13-11-2-65).
70	70	11 (6) A probation department of a court.
71	71	12 (7) Confinement, supervision, services under a community
72	72	13 corrections program (as defined in IC 35-38-2.6-2), or other
73	73	14 correctional services for a person who has been:
74	74	15 (A) diverted before a final hearing or trial under an agreement
75	75	2024 IN 1196—LS 6492/DI 125 2
76	76	1 that is between the county prosecuting attorney and the person
77	77	2 or the person's custodian, guardian, or parent and that provides
78	78	3 for confinement, supervision, community corrections services,
79	79	4 or other correctional services instead of a final action
80	80	5 described in clause (B) or (C);
81	81	6 (B) convicted of a crime; or
82	82	7 (C) adjudicated as a delinquent child or a child in need of
83	83	8 services.
84	84	9 (8) A juvenile detention facility under IC 31-31-8.
85	85	10 (9) A juvenile detention center under IC 31-31-9.
86	86	11 (10) A county jail.
87	87	12 (11) A communications system (as defined in IC 36-8-15-3), an
88	88	13 enhanced emergency telephone system (as defined in
89	89	14 IC 36-8-16-2, before its repeal on July 1, 2012), a PSAP (as
90	90	15 defined in IC 36-8-16.7-20) that is part of the statewide 911
91	91	16 system (as defined in IC 36-8-16.7-22) and located within the
92	92	17 county, or the statewide 911 system (as defined in
93	93	18 IC 36-8-16.7-22).
94	94	19 (12) Medical and health expenses for jailed inmates and other
95	95	20 confined persons.
96	96	21 (13) Pension payments for any of the following:
97	97	22 (A) A member of a fire department (as defined in IC 36-8-1-8)
98	98	23 or any other employee of the fire department.
99	99	24 (B) A member of a police department (as defined in
100	100	25 IC 36-8-1-9), a police chief hired under a waiver under
101	101	26 IC 36-8-4-6.5, or any other employee hired by the police
102	102	27 department.
103	103	28 (C) A county sheriff or any other member of the office of the
104	104	29 county sheriff.
105	105	30 (D) Other personnel employed to provide a service described
106	106	31 in this section.
107	107	32 (14) Law enforcement training.
108	108	33 (15) In the case of a county that:
109	109	34 (A) has a population of less than fifty thousand (50,000);
110	110	35 and
111	111	36 (B) owns and operates a hospital under IC 16-22;
112	112	37 capital projects, technology upgrades, and operational
113	113	38 expenses for the county hospital.
114	114	39 SECTION 2. IC 6-3.6-6-2, AS ADDED BY P.L.243-2015,
115	115	40 SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
116	116	41 JULY 1, 2024]: Sec. 2. (a) This section applies to all counties.
117	117	42 (b) Except as provided in subsection (c), the adopting body may
118	118	2024 IN 1196—LS 6492/DI 125 3
119	119	1 impose a tax rate under this chapter that does not exceed:
120	120	2 (1) two and five-tenths percent (2.5%) in all counties other than
121	121	3 Marion County; and
122	122	4 (2) two and seventy-five hundredths percent (2.75%) in Marion
123	123	5 County;
124	124	6 on the adjusted gross income of local taxpayers in the county served by
125	125	7 the adopting body.
126	126	8 (c) This subsection applies only to a county having a population
127	127	9 of less than fifty thousand (50,000) in which a hospital that is a:
128	128	10 (1) hospital owned and operated by the county under
129	129	11 IC 16-22; or
130	130	12 (2) critical access hospital that meets the criteria under 42
131	131	13 CFR 485.601 et. seq. and that provides:
132	132	14 (A) an emergency department that operates twenty-four
133	133	15 (24) hours a day, seven (7) days a week, three hundred
134	134	16 sixty-five (365) days a year;
135	135	17 (B) full-time obstetric and maternal services;
136	136	18 (C) primary care services, including access to primary care
137	137	19 providers for:
138	138	20 (i) initial diagnosis and treatment of various health
139	139	21 conditions; and
140	140	22 (ii) managing chronic conditions; and
141	141	23 (D) emergency medical services, unless the county
142	142	24 government otherwise operates, maintains, or contracts for
143	143	25 emergency medical services;
144	144	26 is located. The adopting body may impose a tax rate under this
145	145	27 chapter that exceeds two and five-tenths percent (2.5%) on the
146	146	28 adjusted gross income of local taxpayers in the county served by
147	147	29 the adopting body if the adopting body adopts an ordinance under
148	148	30 section 2.6 of this chapter. However, the tax rate imposed under
149	149	31 this chapter may not exceed two and seventy-five hundredths
150	150	32 percent (2.75%).
151	151	33 SECTION 3. IC 6-3.6-6-2.6 IS ADDED TO THE INDIANA CODE
152	152	34 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
153	153	35 1, 2024]: Sec. 2.6. (a) This section applies to a county having a
154	154	36 population of less than fifty thousand (50,000) in which a hospital
155	155	37 that is a:
156	156	38 (1) county hospital; or
157	157	39 (2) critical access hospital;
158	158	40 is located.
159	159	41 (b) As used in this section, "county hospital" means a hospital
160	160	42 that is owned and operated by the county under IC 16-22.
161	161	2024 IN 1196—LS 6492/DI 125 4
162	162	1 (c) As used in this section, "critical access hospital" means a
163	163	2 critical access hospital that meets the criteria under 42 CFR
164	164	3 485.601 et. seq. and that provides:
165	165	4 (1) an emergency department that operates twenty-four (24)
166	166	5 hours a day, seven (7) days a week, three hundred sixty-five
167	167	6 (365) days a year;
168	168	7 (2) full-time obstetric and maternal services;
169	169	8 (3) primary care services, including access to primary care
170	170	9 providers for:
171	171	10 (A) initial diagnosis and treatment of various health
172	172	11 conditions; and
173	173	12 (B) managing chronic conditions; and
174	174	13 (4) emergency medical services, unless the county government
175	175	14 otherwise operates, maintains, or contracts for emergency
176	176	15 medical services.
177	177	16 (d) A county fiscal body may adopt an ordinance to impose a tax
178	178	17 rate for:
179	179	18 (1) critical access hospitals; and
180	180	19 (2) county hospitals;
181	181	20 that are located in the county. The tax rate must be in increments
182	182	21 of one-hundredth of one percent (0.01%) and may not exceed
183	183	22 twenty-five hundredths of one percent (0.25%).
184	184	23 (e) The revenue generated by a tax rate imposed under this
185	185	24 section must be distributed directly to the county before the
186	186	25 remainder of the expenditure rate revenue is distributed. The
187	187	26 revenue shall be maintained in a separate dedicated county fund.
188	188	27 The county may distribute the revenue directly to a critical access
189	189	28 hospital or a county hospital, or use the revenue to pay costs on
190	190	29 behalf of the critical access hospital or the county hospital, but the
191	191	30 revenue may be used only for paying for capital projects,
192	192	31 technology upgrades, and operational expenses of a critical access
193	193	32 hospital or a county hospital.
194	194	33 SECTION 4. IC 6-3.6-6-3, AS AMENDED BY P.L.95-2022,
195	195	34 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
196	196	35 JULY 1, 2024]: Sec. 3. (a) Revenue raised from a tax imposed under
197	197	36 this chapter shall be treated as follows:
198	198	37 (1) To make the following distributions:
199	199	38 (A) If an ordinance described in section 2.5 of this chapter is
200	200	39 in effect in a county, to make a distribution to the county equal
201	201	40 to the amount of revenue generated by the rate imposed under
202	202	41 section 2.5 of this chapter.
203	203	42 (B) If an ordinance described in section 2.6 of this chapter
204	204	2024 IN 1196—LS 6492/DI 125 5
205	205	1 is in effect in a county, to make a distribution to the county
206	206	2 equal to the amount of revenue generated by the rate
207	207	3 imposed under section 2.6 of this chapter.
208	208	4 (B) (C) If an ordinance described in section 2.7 of this chapter
209	209	5 is in effect in a county, to make a distribution to the county
210	210	6 equal to the amount of revenue generated by the rate imposed
211	211	7 under section 2.7 of this chapter.
212	212	8 (C) (D) If an ordinance described in section 2.8 of this chapter
213	213	9 is in effect in a county, to make a distribution to the county
214	214	10 equal to the amount of revenue generated by the rate imposed
215	215	11 under section 2.8 of this chapter.
216	216	12 (2) After making the distributions described in subdivision (1), if
217	217	13 any, to make distributions to school corporations and civil taxing
218	218	14 units in counties that formerly imposed a tax under IC 6-3.5-1.1
219	219	15 (repealed). The revenue categorized from the next twenty-five
220	220	16 hundredths percent (0.25%) of the rate for a former tax adopted
221	221	17 under IC 6-3.5-1.1 (repealed) shall be allocated to school
222	222	18 corporations and civil taxing units. The amount of the allocation
223	223	19 to a school corporation or civil taxing unit shall be determined
224	224	20 using the allocation amounts for civil taxing units and school
225	225	21 corporations in the county.
226	226	22 (3) After making the distributions described in subdivisions (1)
227	227	23 and (2), the remaining revenue shall be treated as additional
228	228	24 revenue (referred to as "additional revenue" in this chapter).
229	229	25 Additional revenue may not be considered by the department of
230	230	26 local government finance in determining:
231	231	27 (A) any taxing unit's maximum permissible property tax levy
232	232	28 limit under IC 6-1.1-18.5; or
233	233	29 (B) the approved property tax rate for any fund.
234	234	30 (b) In the case of a civil taxing unit that has pledged the tax from
235	235	31 additional revenue for the payment of bonds, leases, or other
236	236	32 obligations as reported by the civil taxing unit under IC 5-1-18, the
237	237	33 adopting body may not, under section 4 of this chapter, reduce the
238	238	34 proportional allocation of the additional revenue that was allocated in
239	239	35 the preceding year if the reduction for that year would result in an
240	240	36 amount less than the amount necessary for the payment of bonds,
241	241	37 leases, or other obligations payable or required to be deposited in a
242	242	38 sinking fund or other reserve in that year for the bonds, leases, or other
243	243	39 obligations for which the tax from additional revenue has been pledged.
244	244	40 To inform an adopting body with regard to allocations that affect the
245	245	41 payment of bonds, leases, or other obligations, a taxing unit may
246	246	42 provide the adopting body with information regarding any outstanding
247	247	2024 IN 1196—LS 6492/DI 125 6
248	248	1 bonds, leases, or other obligations that are secured by additional
249	249	2 revenue. The information must be provided before the date of the
250	250	3 public hearing at which the adopting body may change the allocation
251	251	4 of additional revenue under section 4 of this chapter.
252	252	5 SECTION 5. IC 6-3.6-9-10, AS AMENDED BY P.L.184-2018,
253	253	6 SECTION 9, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
254	254	7 JULY 1, 2024]: Sec. 10. The budget agency shall also certify
255	255	8 information concerning the part of the certified distribution that is
256	256	9 attributable to each of the following:
257	257	10 (1) The tax rate imposed under IC 6-3.6-5.
258	258	11 (2) The tax rate imposed under IC 6-3.6-6, separately stating:
259	259	12 (A) the part of the distribution attributable to a tax rate
260	260	13 imposed under IC 6-3.6-6-2.5; and
261	261	14 (B) the part of the distribution attributable to a tax rate
262	262	15 imposed under IC 6-3.6-6-2.6; and
263	263	16 (B) (C) the part of the distribution attributable to a tax rate
264	264	17 imposed under IC 6-3.6-6-2.7.
265	265	18 (3) Each tax rate imposed under IC 6-3.6-7.
266	266	19 (4) In the case of Marion County, the local income taxes paid by
267	267	20 local taxpayers described in IC 6-3.6-2-13(3).
268	268	21 The amount certified shall be adjusted to reflect any adjustment in the
269	269	22 certified distribution under this chapter.
270	270	23 SECTION 6. IC 16-18-2-106.8 IS ADDED TO THE INDIANA
271	271	24 CODE AS A NEW SECTION TO READ AS FOLLOWS
272	272	25 [EFFECTIVE JULY 1, 2024]: Sec. 106.8. "Eligible hospital", for
273	273	26 purposes of IC 16-46-18, has the meaning set forth in
274	274	27 IC 16-46-18-1.
275	275	28 SECTION 7. IC 16-18-2-143, AS AMENDED BY P.L.1-2010,
276	276	29 SECTION 69, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
277	277	30 JULY 1, 2024]: Sec. 143. (a) "Fund", for purposes of IC 16-26-2, has
278	278	31 the meaning set forth in IC 16-26-2-2.
279	279	32 (b) "Fund", for purposes of IC 16-31-8.5, has the meaning set forth
280	280	33 in IC 16-31-8.5-2.
281	281	34 (c) "Fund", for purposes of IC 16-41-39.4, refers to the childhood
282	282	35 lead poisoning prevention fund established by IC 16-41-39.4-3.1.
283	283	36 (d) "Fund", for purposes of IC 16-41-39.8, refers to the lead trust
284	284	37 fund established by IC 16-41-39.8-7.
285	285	38 (e) "Fund", for purposes of IC 16-46-5, has the meaning set forth in
286	286	39 IC 16-46-5-3.
287	287	40 (f) "Fund", for purposes of IC 16-46-12, has the meaning set forth
288	288	41 in IC 16-46-12-1.
289	289	42 (g) "Fund", for purposes of IC 16-41-42.2, has the meaning set forth
290	290	2024 IN 1196—LS 6492/DI 125 7
291	291	1 in IC 16-41-42.2-2.
292	292	2 (h) "Fund", for purposes of IC 16-35-8, has the meaning set forth in
293	293	3 IC 16-35-8-2.
294	294	4 (i) "Fund", for purposes of IC 16-46-18, has the meaning set
295	295	5 forth in IC 16-46-18-2.
296	296	6 SECTION 8. IC 16-46-18 IS ADDED TO THE INDIANA CODE
297	297	7 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
298	298	8 JULY 1, 2024]:
299	299	9 Chapter 18. Indiana Rural Hospital and Critical Health Care
300	300	10 Services Fund
301	301	11 Sec. 1. As used in this chapter, "eligible hospital" means a
302	302	12 hospital located in a county having a population of less than fifty
303	303	13 thousand (50,000) that is a:
304	304	14 (1) critical access hospital that meets the criteria under 42
305	305	15 CFR 485.601 et. seq.; or
306	306	16 (2) hospital owned and operated by the county under
307	307	17 IC 16-22.
308	308	18 Sec. 2. As used in this chapter, "fund" refers to the Indiana
309	309	19 rural hospital and critical health care services fund established by
310	310	20 section 3 of this chapter.
311	311	21 Sec. 3. (a) The Indiana rural hospital and critical health care
312	312	22 services fund is established for the purpose of awarding grants
313	313	23 under this chapter.
314	314	24 (b) The fund shall be administered by the state department.
315	315	25 (c) The fund consists of:
316	316	26 (1) appropriations from the general assembly; and
317	317	27 (2) grants, gifts, and donations to the fund.
318	318	28 (d) The expenses of administering the fund shall be paid from
319	319	29 money in the fund.
320	320	30 Sec. 4. An eligible hospital may apply for a grant from the fund
321	321	31 in the form and manner prescribed by the state department.
322	322	32 Sec. 5. Subject to section 6 of this chapter, of the amount
323	323	33 available to make grants in a state fiscal year, the state department
324	324	34 shall award grants in equal amounts to each eligible hospital that
325	325	35 submits an application.
326	326	36 Sec. 6. The state department shall allocate at least seventy-five
327	327	37 percent (75%) of the amount available to the state department to
328	328	38 make grants in a state fiscal year to eligible hospitals that offer the
329	329	39 following:
330	330	40 (1) An emergency department that operates twenty-four (24)
331	331	41 hours a day, seven (7) days a week, three hundred sixty-five
332	332	42 (365) days a year.
333	333	2024 IN 1196—LS 6492/DI 125 8
334	334	1 (2) Full-time obstetric and maternal services.
335	335	2 (3) Primary care services, including access to primary care
336	336	3 providers for:
337	337	4 (A) initial diagnosis and treatment of various health
338	338	5 conditions; and
339	339	6 (B) managing chronic conditions.
340	340	7 (4) Emergency medical services, unless the county
341	341	8 government otherwise operates, maintains, or contracts for
342	342	9 emergency medical services.
343	343	10 Sec. 7. A grant awarded to an eligible hospital from the fund
344	344	11 may be used for:
345	345	12 (1) facility, technology, or equipment upgrades; and
346	346	13 (2) any other operational expense or purpose as determined
347	347	14 necessary by the eligible hospital.
348	348	15 Sec. 8. Except as otherwise provided in this chapter, the state
349	349	16 department may not impose terms or conditions on a grant
350	350	17 awarded from the fund.
351	351	18 SECTION 9. IC 21-13-1-5, AS AMENDED BY P.L.148-2016,
352	352	19 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
353	353	20 JULY 1, 2024]: Sec. 5. "Fund":
354	354	21 (1) for purposes of IC 21-13-2, refers to the William A. Crawford
355	355	22 minority teacher scholarship fund established by IC 21-13-2-1;
356	356	23 (2) for purposes of IC 21-13-4, refers to the National Guard
357	357	24 tuition supplement program fund established by IC 21-13-4-1;
358	358	25 (3) for purposes of IC 21-13-5, refers to the National Guard
359	359	26 scholarship extension fund established by IC 21-13-5-1; and
360	360	27 (4) for purposes of IC 21-13-6, refers to the primary care
361	361	28 physician loan forgiveness fund established by IC 21-13-6-3; and
362	362	29 (5) (4) for purposes of IC 21-13-6.5, refers to the medical
363	363	30 residency education fund established by IC 21-13-6.5-1.
364	364	31 SECTION 10. IC 21-13-6 IS REPEALED [EFFECTIVE JULY 1,
365	365	32 2024]. (Primary Care Physician Loan Forgiveness Program).
366	366	33 SECTION 11. IC 21-13-12 IS ADDED TO THE INDIANA CODE
367	367	34 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
368	368	35 JULY 1, 2024]:
369	369	36 Chapter 12. Health Workforce Student Loan Repayment
370	370	37 Program
371	371	38 Sec. 1. As used in this chapter, "advisory board" refers to the
372	372	39 health workforce advisory board established by section 10 of this
373	373	40 chapter.
374	374	41 Sec. 2. As used in this chapter, "board" refers to any of the
375	375	42 following:
376	376	2024 IN 1196—LS 6492/DI 125 9
377	377	1 (1) The state board of dentistry (IC 25-14-1-2).
378	378	2 (2) The medical licensing board of Indiana (IC 25-22.5-2-1).
379	379	3 (3) The Indiana state board of nursing (IC 25-23-1-2).
380	380	4 (4) The occupational therapy committee (IC 25-23.5-2-1).
381	381	5 (5) The behavioral health and human services licensing board
382	382	6 (IC 25-23.6-2-1).
383	383	7 (6) The Indiana optometry board (IC 25-24-1-1).
384	384	8 (7) The Indiana board of pharmacy (IC 25-26-13-3).
385	385	9 (8) The Indiana board of physical therapy (IC 25-27-1-4).
386	386	10 (9) The physician assistant committee (IC 25-27.5-3-1).
387	387	11 (10) The board of podiatric medicine (IC 25-29-2-1).
388	388	12 (11) The state psychology board (IC 25-33-1-3).
389	389	13 (12) The speech-language pathology and audiology board
390	390	14 (IC 25-35.6-2-1).
391	391	15 Sec. 3. As used in this chapter, "eligible provider" means a
392	392	16 provider who meets the requirements described in section 15(b) of
393	393	17 this chapter.
394	394	18 Sec. 4. As used in this chapter, "fund" refers to the health
395	395	19 workforce student loan repayment program fund established by
396	396	20 section 11 of this chapter.
397	397	21 Sec. 5. As used in this chapter, "license" means:
398	398	22 (1) an unlimited license, permit, certificate, or certificate of
399	399	23 registration;
400	400	24 (2) a temporary, limited, or probationary license, permit,
401	401	25 certificate, or certificate of registration;
402	402	26 (3) an intern permit; or
403	403	27 (4) a provisional license;
404	404	28 issued by a board to a provider.
405	405	29 Sec. 6. As used in this chapter, "program" refers to the health
406	406	30 workforce student loan repayment program established by section
407	407	31 9 of this chapter.
408	408	32 Sec. 7. As used in this chapter, "provider" means any of the
409	409	33 following:
410	410	34 (1) A dentist licensed under IC 25-14.
411	411	35 (2) A physician licensed under IC 25-22.5.
412	412	36 (3) A nurse licensed under IC 25-23, including nursing faculty.
413	413	37 (4) An occupational therapist licensed under IC 25-23.5.
414	414	38 (5) A clinical social worker licensed under IC 25-23.6-5.
415	415	39 (6) A marriage and family therapist licensed under
416	416	40 IC 25-23.6-8.
417	417	41 (7) A mental health counselor licensed under IC 25-23.6-8.5.
418	418	42 (8) A clinical addiction counselor licensed under
419	419	2024 IN 1196—LS 6492/DI 125 10
420	420	1 IC 25-23.6-10.5.
421	421	2 (9) An optometrist licensed under IC 25-24.
422	422	3 (10) A pharmacist licensed under IC 25-26.
423	423	4 (11) A physical therapist licensed under IC 25-27.
424	424	5 (12) A physician assistant licensed under IC 25-27.5-4.
425	425	6 (13) A podiatrist licensed under IC 25-29.
426	426	7 (14) A psychologist licensed under IC 25-33-1.
427	427	8 (15) A speech-language pathologist licensed under IC 25-35.6.
428	428	9 (16) An audiologist licensed under IC 25-35.6.
429	429	10 Sec. 8. As used in this chapter, "state department" refers to the
430	430	11 Indiana department of health.
431	431	12 Sec. 9. The health workforce student loan repayment program
432	432	13 is established. The state department shall administer the program.
433	433	14 Sec. 10. (a) The health workforce advisory board is established
434	434	15 under the executive branch of state government for the purpose of
435	435	16 advising the state department on administration of the program.
436	436	17 (b) The advisory board consists of the following members:
437	437	18 (1) The executive director of the professional licensing agency
438	438	19 or the director's designee.
439	439	20 (2) The commissioner of the department of workforce
440	440	21 development or the commissioner's designee.
441	441	22 (3) The secretary of family and social services or the
442	442	23 secretary's designee.
443	443	24 (4) The commissioner of the state department or the
444	444	25 commissioner's designee.
445	445	26 (5) The commissioner of the commission for higher education
446	446	27 or the commissioner's designee.
447	447	28 (6) The secretary of education.
448	448	29 (7) One (1) member of the senate, appointed by the president
449	449	30 pro tempore of the senate.
450	450	31 (8) One (1) member of the house of representatives, appointed
451	451	32 by the speaker of the house of representatives.
452	452	33 (9) One (1) member who is a member of the Indiana
453	453	34 commission to combat substance abuse disorder.
454	454	35 (10) One (1) representative from the governor's workforce
455	455	36 cabinet.
456	456	37 (11) One (1) representative from the Indiana Hospital
457	457	38 Association.
458	458	39 (12) One (1) representative from the Indiana Rural Health
459	459	40 Association.
460	460	41 (13) One (1) representative from the Indiana Primary Health
461	461	42 Care Association.
462	462	2024 IN 1196—LS 6492/DI 125 11
463	463	1 (14) One (1) representative from the Indiana Minority Health
464	464	2 Coalition.
465	465	3 (15) One (1) representative from the Indiana Health Care
466	466	4 Association.
467	467	5 (16) One (1) representative from the Bowen Center for Health
468	468	6 Workforce Research and Policy at Indiana University.
469	469	7 (17) One (1) member who is a nurse licensed under IC 25-23-1
470	470	8 or has held a license as a nurse in Indiana within the last five
471	471	9 (5) years.
472	472	10 (c) The members described in subsection (b)(9) through (b)(17)
473	473	11 shall be appointed by the governor.
474	474	12 (d) The members shall annually elect a chairperson of the
475	475	13 advisory board.
476	476	14 (e) A majority of the members of the advisory board constitutes
477	477	15 a quorum. The affirmative votes of a majority of the voting
478	478	16 members of the advisory board are required for the advisory
479	479	17 board to take action.
480	480	18 (f) A member of the advisory board who is a member of the
481	481	19 general assembly is a nonvoting member of the advisory board.
482	482	20 (g) An appointed member of the advisory board serves a:
483	483	21 (1) one (1) year term, beginning July 1, 2024, and ending June
484	484	22 30, 2025; and
485	485	23 (2) two (2) year term thereafter, beginning on July 1 of every
486	486	24 odd-numbered year and ending on June 30 of the following
487	487	25 odd-numbered year.
488	488	26 An appointed member may be reappointed at the conclusion of the
489	489	27 member's term. An appointed member of the advisory board
490	490	28 serves at the will of the member's appointing authority. If a
491	491	29 vacancy occurs on the advisory board, the appointing authority
492	492	30 that appointed the member whose position is vacant shall appoint
493	493	31 an individual to fill the vacancy.
494	494	32 (h) The advisory board:
495	495	33 (1) shall meet at the call of the chairperson at least one (1)
496	496	34 time each quarter during 2024 and each year thereafter; and
497	497	35 (2) may meet at any time at the call of:
498	498	36 (A) the chairperson; or
499	499	37 (B) a majority of the members of the advisory board.
500	500	38 (i) The state department shall staff the advisory board.
501	501	39 (j) Except as provided in subsection (m), and subject to section
502	502	40 11(d) of this chapter, the expenses of the advisory board shall be
503	503	41 paid from the fund.
504	504	42 (k) A member of the advisory board who is not a state employee
505	505	2024 IN 1196—LS 6492/DI 125 12
506	506	1 is not entitled to the minimum salary per diem provided by
507	507	2 IC 4-10-11-2.1(b). The member is, however, entitled to
508	508	3 reimbursement for mileage and traveling expenses as provided
509	509	4 under IC 4-13-1-4 and other expenses actually incurred in
510	510	5 connection with the member's duties as provided in the state
511	511	6 policies and procedures established by the Indiana department of
512	512	7 administration and approved by the budget agency.
513	513	8 (l) Each member of the advisory board who is a state employee,
514	514	9 but who is not a member of the general assembly, is entitled to
515	515	10 reimbursement for mileage and traveling expenses as provided
516	516	11 under IC 4-13-1-4 and other expenses actually incurred in
517	517	12 connection with the member's duties as provided in the state
518	518	13 policies and procedures established by the Indiana department of
519	519	14 administration and approved by the budget agency.
520	520	15 (m) Each member of the advisory board who is a member of the
521	521	16 general assembly is entitled to receive the same per diem, mileage,
522	522	17 and travel allowances paid to legislative members of interim study
523	523	18 committees established by the legislative council. Per diem,
524	524	19 mileage, and travel allowances paid under this subsection shall be
525	525	20 paid from appropriations made to the legislative council or the
526	526	21 legislative services agency.
527	527	22 Sec. 11. (a) The health workforce student loan repayment
528	528	23 program fund is established for the purpose of providing funds to
529	529	24 repay outstanding student loans of providers who meet the
530	530	25 requirements of this chapter.
531	531	26 (b) The fund consists of the following:
532	532	27 (1) Appropriations made by the general assembly.
533	533	28 (2) Fees collected under section 12 of this chapter.
534	534	29 (3) Gifts, grants, devises, or bequests made to the state
535	535	30 department to achieve the purposes of the fund.
536	536	31 (c) The state department shall administer the fund.
537	537	32 (d) The expenses of administering the fund shall be paid from
538	538	33 money in the fund but may not exceed a total of one hundred
539	539	34 thousand dollars ($100,000) each biennium.
540	540	35 (e) Money in the fund is continuously appropriated to:
541	541	36 (1) carry out the purposes of the fund; and
542	542	37 (2) subject to subsection (d), cover the costs incurred by the
543	543	38 state department in administering the program.
544	544	39 (f) The state department shall establish a separate account
545	545	40 within the fund for each board. On June 30, 2026, and on June 30
546	546	41 every two (2) years thereafter, any money in a separate account
547	547	42 established under this subsection reverts to the fund.
548	548	2024 IN 1196—LS 6492/DI 125 13
549	549	1 (g) The treasurer of state shall invest the money in the fund not
550	550	2 currently needed to meet the obligations of the fund in the same
551	551	3 manner as other public funds may be invested. Interest that
552	552	4 accrues from investments under this subsection must be deposited
553	553	5 in the fund.
554	554	6 (h) Money in the fund at the end of a state fiscal year does not
555	555	7 revert to the state general fund but remains available to be used for
556	556	8 the purposes of this chapter.
557	557	9 Sec. 12. (a) Beginning not later than October 1, 2024, and in
558	558	10 addition to any other fee imposed for the issuance or renewal of a
559	559	11 license, each board shall, at the time a license is issued or renewed,
560	560	12 collect a fee in the following amounts:
561	561	13 (1) Ten dollars ($10), if a fee for the issuance or renewal of a
562	562	14 license is not more than one hundred dollars ($100).
563	563	15 (2) Twenty dollars ($20), if a fee for the issuance or renewal
564	564	16 of a license is more than one hundred dollars ($100).
565	565	17 (b) Each board shall deposit fees collected by the board under
566	566	18 this section into the fund.
567	567	19 Sec. 13. (a) Except as provided in subsection (c), the money in
568	568	20 the fund shall be allocated and used as follows:
569	569	21 (1) An amount that may not exceed one hundred thousand
570	570	22 dollars ($100,000) each biennium shall remain in the fund for
571	571	23 use by the state department to cover the costs incurred by the
572	572	24 state department in administering the program.
573	573	25 (2) An amount equal to the amount determined in STEP
574	574	26 THREE of the following formula shall remain in the fund for
575	575	27 use by the state department to award student loan repayment
576	576	28 to an eligible provider under this chapter:
577	577	29 STEP ONE: Determine the total amount of money in the
578	578	30 fund minus any gifts, grants, devises, or bequests that have
579	579	31 been directed to be used as described in subsection (b).
580	580	32 STEP TWO: Subtract the amount retained by the state
581	581	33 department under subdivision (1) from the amount
582	582	34 determined under STEP ONE.
583	583	35 STEP THREE: Determine the result of:
584	584	36 (A) the amount determined under STEP TWO;
585	585	37 multiplied by
586	586	38 (B) fifty percent (50%).
587	587	39 (3) An amount equal to the amount determined in STEP
588	588	40 THREE of the following formula shall be transferred to each
589	589	41 board's account for use by the respective board to award
590	590	42 student loan repayment to eligible providers licensed by that
591	591	2024 IN 1196—LS 6492/DI 125 14
592	592	1 board:
593	593	2 STEP ONE: Subtract the amount determined in STEP
594	594	3 THREE of subdivision (2) from the amount determined in
595	595	4 STEP TWO of subdivision (2).
596	596	5 STEP TWO: For each board, divide the total number of
597	597	6 providers licensed by that board by the total number of
598	598	7 providers licensed by all of the boards.
599	599	8 STEP THREE: Multiply the amount determined under
600	600	9 STEP ONE by the quotient determined under STEP TWO
601	601	10 for each respective board.
602	602	11 (b) A person providing a gift, grant, devise, or bequest to the
603	603	12 fund may direct that the gift, grant, devise, or bequest be used for
604	604	13 student loan repayments for eligible providers of a specific
605	605	14 profession.
606	606	15 (c) If a person has directed that a gift, grant, devise, or bequest
607	607	16 be used for student loan repayments for eligible providers of a
608	608	17 specific profession, the state department shall transfer the amount
609	609	18 of the gift, grant, devise, or bequest to the applicable board's
610	610	19 account for student loan repayments to eligible providers of that
611	611	20 profession. A board may use a gift, grant, devise, or bequest
612	612	21 described in this subsection only to award student loan repayments
613	613	22 to eligible providers of the specified profession.
614	614	23 Sec. 14. (a) The advisory board shall serve as a resource to the
615	615	24 state department as the state department administers the program.
616	616	25 (b) The advisory board shall advise the state department on the
617	617	26 following:
618	618	27 (1) The eligibility requirements for the program.
619	619	28 (2) The eligible providers the advisory board recommends be
620	620	29 awarded student loan repayments under this chapter.
621	621	30 (3) Award amounts for the award of student loan repayments
622	622	31 under this chapter.
623	623	32 (4) Areas of need for workforce and workforce development
624	624	33 in the respective professions that a board licenses.
625	625	34 (c) The state department shall provide to each board all
626	626	35 information:
627	627	36 (1) obtained from the advisory board under this section; and
628	628	37 (2) concerning the board's licensees.
629	629	38 Sec. 15. (a) Beginning July 1, 2025, the state department and
630	630	39 each board may award student loan repayments to any eligible
631	631	40 provider who:
632	632	41 (1) is a provider licensed by the board; and
633	633	42 (2) meets the requirements of this chapter.
634	634	2024 IN 1196—LS 6492/DI 125 15
635	635	1 (b) To be eligible to receive a student loan repayment award
636	636	2 under this chapter, a provider must meet the following criteria:
637	637	3 (1) Apply on a form prescribed by the state department.
638	638	4 (2) Be a provider and practice a profession that is licensed by
639	639	5 a board.
640	640	6 (3) Have an outstanding student loan balance.
641	641	7 (4) Provide essential services directly to Indiana residents.
642	642	8 (5) Agree in writing to:
643	643	9 (A) practice full time the applicable profession and provide
644	644	10 essential services for a specified number of years in a
645	645	11 health workforce shortage area in Indiana, as determined
646	646	12 by the state department; and
647	647	13 (B) meet any other requirements established by the state
648	648	14 department.
649	649	15 (6) Meet any other requirements established by the state
650	650	16 department.
651	651	17 (c) The state department shall determine the amount of a
652	652	18 student loan repayment award that an eligible provider receives
653	653	19 under this chapter.
654	654	20 (d) If the state department or a board awards student loan
655	655	21 repayment to an eligible provider under this chapter, the state
656	656	22 department or board:
657	657	23 (1) shall, subject to subdivision (3), make the student loan
658	658	24 repayment award in an amount determined by the state
659	659	25 department at the end of each state fiscal year;
660	660	26 (2) shall transfer the student loan repayment award directly
661	661	27 to the holder of the eligible provider's student loans; and
662	662	28 (3) may not make the student loan repayment award to the
663	663	29 eligible provider unless the eligible provider:
664	664	30 (A) met the requirements of this chapter during that state
665	665	31 fiscal year; and
666	666	32 (B) has, for at least one (1) year, practiced full time the
667	667	33 applicable profession and provided essential services in a
668	668	34 health workforce shortage area as described in subsection
669	669	35 (b)(5)(A).
670	670	36 (e) The state department or a board may make student loan
671	671	37 repayment awards to an eligible provider under this chapter until
672	672	38 the balance of the eligible provider's student loans are paid in full.
673	673	39 Sec. 16. (a) The state department shall prepare a report that
674	674	40 includes the following:
675	675	41 (1) The receipt, disbursement, and uses of money from the
676	676	42 fund and the separate accounts within the fund.
677	677	2024 IN 1196—LS 6492/DI 125 16
678	678	1 (2) The number of applications submitted for student loan
679	679	2 repayment under the program.
680	680	3 (3) The number and amount of student loan repayment
681	681	4 awards that have been provided by the state department and
682	682	5 each board.
683	683	6 (4) An evaluation of the short and long term impact of the
684	684	7 program on Indiana health workforce shortages.
685	685	8 (5) Any other information collected concerning the fund,
686	686	9 program, or student loan repayments awarded under this
687	687	10 chapter.
688	688	11 (b) Not later than July 1, 2026, and not later than July 1 every
689	689	12 two (2) years thereafter, the state department shall submit the
690	690	13 report described in subsection (a) to the following:
691	691	14 (1) The governor.
692	692	15 (2) The general assembly in an electronic format under
693	693	16 IC 5-14-6.
694	694	17 Sec. 17. The state department, in consultation with the advisory
695	695	18 board, shall adopt rules under IC 4-22-2 to:
696	696	19 (1) establish eligibility requirements to receive student loan
697	697	20 repayment awards under the program; and
698	698	21 (2) otherwise administer the program.
699	699	22 Sec. 18. This chapter expires July 1, 2035.
700	700	23 SECTION 12. IC 21-44-1-3, AS AMENDED BY P.L.190-2015,
701	701	24 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
702	702	25 JULY 1, 2024]: Sec. 3. (a) "Board", for purposes of IC 21-44-5, refers
703	703	26 to the medical education board established by IC 21-44-5-1.
704	704	27 (b) "Board", for purposes of IC 21-44-6, refers to the mental health
705	705	28 and addiction services development programs board established by
706	706	29 IC 21-44-6-1.
707	707	30 (c) (b) "Board", for purposes of IC 21-44-7, refers to the graduate
708	708	31 medical education board established by IC 21-44-7-2.
709	709	32 SECTION 13. IC 21-44-1-16 IS REPEALED [EFFECTIVE JULY
710	710	33 1, 2024]. Sec. 16. "Training track program", for purposes of
711	711	34 IC 21-44-6, refers to the program for individuals in the public sector
712	712	35 psychiatry development program.
713	713	36 SECTION 14. IC 21-44-6 IS REPEALED [EFFECTIVE JULY 1,
714	714	37 2024]. (Mental Health Services Development Programs).
715	715	38 SECTION 15. IC 25-14-5 IS REPEALED [EFFECTIVE JULY 1,
716	716	39 2024]. (Dental Underserved Area and Minority Recruitment Program).
717	717	40 SECTION 16. [EFFECTIVE UPON PASSAGE] (a) As used in this
718	718	41 SECTION, "fund" refers to the Indiana rural hospital and critical
719	719	42 health care services fund established by IC 16-46-18-3, as added by
720	720	2024 IN 1196—LS 6492/DI 125 17
721	721	1 this act.
722	722	2 (b) The legislative council is urged to assign to the appropriate
723	723	3 study committee during the 2024 legislative interim the task of
724	724	4 studying the following issues related to the Indiana rural hospital
725	725	5 and critical health care services fund:
726	726	6 (1) The amount of funding necessary for the number and
727	727	7 amounts of grants awarded from the fund to result in
728	728	8 increased access to critical health care services in counties
729	729	9 with a population of less than fifty thousand (50,000).
730	730	10 (2) The types of hospitals that should be eligible for a grant
731	731	11 from the fund.
732	732	12 (3) The requirements, if any, that a hospital should be
733	733	13 required to meet to be eligible, or maintain eligibility, for a
734	734	14 grant from the fund, including potential requirements
735	735	15 concerning particular health care services offered by the
736	736	16 hospital.
737	737	17 (c) This SECTION expires December 31, 2024.
738	738	18 SECTION 17. [EFFECTIVE UPON PASSAGE] (a) The legislative
739	739	19 council is urged to assign to the appropriate study committee
740	740	20 during the 2024 legislative interim the task of studying the
741	741	21 following topics:
742	742	22 (1) Whether state funded telehealth expansion grants should
743	743	23 be provided to hospitals that are located in counties with a
744	744	24 population of less than fifty thousand (50,000) and that are:
745	745	25 (A) critical access hospitals that meet the criteria under 42
746	746	26 CFR 485.601 et. seq.; or
747	747	27 (B) hospitals owned and operated by the county under
748	748	28 IC 16-22;
749	749	29 for the purposes of expanding telehealth and telemedicine
750	750	30 services, improving access to specialists, and reducing travel
751	751	31 burdens for patients.
752	752	32 (2) Whether the state should implement state funded rural
753	753	33 health care workforce training programs for health care
754	754	34 professionals in rural areas that focus on:
755	755	35 (A) helping health care professionals develop skills unique
756	756	36 to rural health care needs; and
757	757	37 (B) fostering partnerships between medical schools and
758	758	38 rural hospitals to bring medical students to rural areas,
759	759	39 including expanding and funding medical residencies in
760	760	40 rural areas.
761	761	41 (3) Increasing state funding for emergency medical services,
762	762	42 including training and equipment grants and ongoing funding
763	763	2024 IN 1196—LS 6492/DI 125 18
764	764	1 for operating expenses.
765	765	2 (4) Whether the state should provide additional grants to
766	766	3 hospitals that provide the following services:
767	767	4 (A) An emergency department that operates twenty-four
768	768	5 (24) hours a day, seven (7) days a week, three hundred
769	769	6 sixty-five (365) days a year.
770	770	7 (B) Full-time obstetric and maternal services.
771	771	8 (C) Primary care services, including access to primary
772	772	9 care providers for:
773	773	10 (i) initial diagnosis and treatment of various health
774	774	11 conditions; and
775	775	12 (ii) managing chronic conditions.
776	776	13 (D) Emergency medical services, unless the county
777	777	14 government otherwise operates, maintains, or contracts for
778	778	15 emergency medical services.
779	779	16 (E) Cardiac care services, including providing
780	780	17 electrocardiograms and managing acute cardiac events.
781	781	18 (F) Stroke care services, including assessment and initial
782	782	19 treatment of stroke patients.
783	783	20 (G) Trauma care services, including basic trauma care
784	784	21 capabilities, wound management and stabilization, and
785	785	22 basic laboratory and diagnostic imaging capabilities.
786	786	23 (H) Pharmacy services, including pharmacy services
787	787	24 related to acute conditions and stabilization of chronic
788	788	25 illnesses.
789	789	26 (I) Pediatric emergency care services.
790	790	27 (b) This SECTION expires December 31, 2024.
791	791	28 SECTION 18. An emergency is declared for this act.
792	792	2024 IN 1196—LS 6492/DI 125