Indiana 2024 Regular Session

Indiana House Bill HB1215 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. 1215
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 25-13-4.
7	7	Synopsis: Dental hygienists. Provides that a dental hygienist may
8	8	administer an immunization that is recommended by the federal
9	9	Centers for Disease Control and Prevention Advisory Committee on
10	10	Immunization Practices for individuals who are not less than 11 years
11	11	of age on the order of a dentist or other health care provider qualified
12	12	to order the immunization, if the dental hygienist: (1) is certified in
13	13	cardiopulmonary resuscitation; (2) has successfully completed a course
14	14	of training in immunization that meets specified requirements; and (3)
15	15	administers the immunization in accordance with a protocol that
16	16	includes specified requirements and procedures. Prescribes reporting
17	17	requirements for a dental hygienist who administers an immunization.
18	18	Provides that a dental hygienist: (1) is not required to administer
19	19	immunizations; and (2) is not required to complete immunization
20	20	training; if the dental hygienist chooses not to administer
21	21	immunizations.
22	22	Effective: Upon passage.
23	23	Zent
24	24	January 9, 2024, read first time and referred to Committee on Public Health.
25	25	2024 IN 1215—LS 6818/DI 153 Introduced
26	26	Second Regular Session of the 123rd General Assembly (2024)
27	27	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
28	28	Constitution) is being amended, the text of the existing provision will appear in this style type,
29	29	additions will appear in this style type, and deletions will appear in this style type.
30	30	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
31	31	provision adopted), the text of the new provision will appear in this style type. Also, the
32	32	word NEW will appear in that style type in the introductory clause of each SECTION that adds
33	33	a new provision to the Indiana Code or the Indiana Constitution.
34	34	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
35	35	between statutes enacted by the 2023 Regular Session of the General Assembly.
36	36	HOUSE BILL No. 1215
37	37	A BILL FOR AN ACT to amend the Indiana Code concerning
38	38	professions and occupations.
39	39	Be it enacted by the General Assembly of the State of Indiana:
40	40	1 SECTION 1. IC 25-13-4 IS ADDED TO THE INDIANA CODE AS
41	41	2 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE UPON
42	42	3 PASSAGE]:
43	43	4 Chapter 4. Dental Hygienists and Administration of
44	44	5 Immunizations
45	45	6 Sec. 1. (a) A dental hygienist may administer an immunization
46	46	7 that is recommended by the federal Centers for Disease Control
47	47	8 and Prevention Advisory Committee on Immunization Practices
48	48	9 for individuals who are not less than eleven (11) years of age on the
49	49	10 order of a dentist or other health care provider qualified to order
50	50	11 the immunization, if the dental hygienist complies with the
51	51	12 following requirements:
52	52	13 (1) Before administering an immunization to an individual,
53	53	14 the dental hygienist receives the consent of one (1) of the
54	54	15 following:
55	55	16 (A) If the individual to whom the immunization is to be
56	56	17 administered is at least eleven (11) years of age and is less
57	57	2024 IN 1215—LS 6818/DI 153 2
58	58	1 than eighteen (18) years of age, the parent or legal
59	59	2 guardian of the individual.
60	60	3 (B) If the individual to whom the immunization is to be
61	61	4 administered is at least eighteen (18) years of age and has
62	62	5 a legal guardian, the legal guardian of the individual.
63	63	6 (C) If the individual to whom the immunization is to be
64	64	7 administered is at least eighteen (18) years of age and does
65	65	8 not have a legal guardian, the individual.
66	66	9 A parent or legal guardian who is required to give consent
67	67	10 under this subdivision must be present at the time of
68	68	11 immunization.
69	69	12 (2) Is certified in cardiopulmonary resuscitation.
70	70	13 (3) Has successfully completed a course of training in
71	71	14 immunization that meets the requirements set forth in
72	72	15 subsection (b).
73	73	16 (4) Administers the immunization in accordance with a
74	74	17 protocol that meets the requirements set forth in section 2 of
75	75	18 this chapter.
76	76	19 (b) A course of training under subsection (a)(3) must:
77	77	20 (1) be provided by an accredited provider;
78	78	21 (2) be approved by the board;
79	79	22 (3) meet the standards set forth by:
80	80	23 (A) the federal Centers for Disease Control and Prevention
81	81	24 or a similar health authority; or
82	82	25 (B) a professional body approved by the board; and
83	83	26 (4) comply with guidelines issued by:
84	84	27 (A) the federal Centers for Disease Control and
85	85	28 Prevention; and
86	86	29 (B) the United States Occupational Safety and Health
87	87	30 Administration.
88	88	31 (c) A dental hygienist who administers immunizations under this
89	89	32 chapter shall maintain records of the dental hygienist's completion
90	90	33 of:
91	91	34 (1) training in cardiopulmonary resuscitation; and
92	92	35 (2) the training described in subsection (b).
93	93	36 (d) If the Indiana department of health or the department of
94	94	37 homeland security determines that an emergency exists, subject to
95	95	38 IC 16-41-9-1.7(a)(2), a dental hygienist may administer any
96	96	39 immunization in accordance with any instructions in the
97	97	40 emergency determination.
98	98	41 Sec. 2. (a) The protocol under which a dental hygienist
99	99	42 administers an immunization must include the following:
100	100	2024 IN 1215—LS 6818/DI 153 3
101	101	1 (1) For each immunization to be administered by the dental
102	102	2 hygienist:
103	103	3 (A) the name and strength of the vaccine;
104	104	4 (B) precautions and contraindications;
105	105	5 (C) the intended audience or patient population;
106	106	6 (D) the appropriate dosage;
107	107	7 (E) administration schedules in accordance with guidelines
108	108	8 issued by the federal Centers for Disease Control and
109	109	9 Prevention;
110	110	10 (F) appropriate routes of administration; and
111	111	11 (G) appropriate injection sites.
112	112	12 (2) The length of time for which the dental hygienist
113	113	13 recommends an individual be observed for adverse effects
114	114	14 following administration of an immunization to the individual.
115	115	15 (3) A procedure for addressing emergency situations,
116	116	16 including adverse and anaphylactic reactions.
117	117	17 (4) A procedure for administration of epinephrine, including
118	118	18 appropriate dosages, when required in the event of an adverse
119	119	19 or anaphylactic reaction.
120	120	20 (5) A requirement that not later than fourteen (14) days after
121	121	21 the dental hygienist administers an immunization to an
122	122	22 individual, the dental hygienist or dental hygienist's designee
123	123	23 shall provide notice of the immunization to the individual's
124	124	24 physician.
125	125	25 (6) A requirement that, for each immunization administered
126	126	26 by the dental hygienist, the dental hygienist shall maintain a
127	127	27 copy of:
128	128	28 (A) a record of immunization; and
129	129	29 (B) the notification provided by the dental hygienist or
130	130	30 dental hygienist's designee under subdivision (5);
131	131	31 in accordance with rules adopted by the board.
132	132	32 (b) The immunization protocol under which a dental hygienist
133	133	33 administers an immunization must be:
134	134	34 (1) maintained at the dental hygienist's office and available
135	135	35 for inspection by the individual receiving the immunization;
136	136	36 and
137	137	37 (2) renewed annually.
138	138	38 Sec. 3. A dental hygienist may not delegate to another person the
139	139	39 administration of an immunization under this chapter.
140	140	40 Sec. 4. (a) A dental hygienist who administers an immunization
141	141	41 to a patient under this chapter or a dental hygienist's designee
142	142	42 shall:
143	143	2024 IN 1215—LS 6818/DI 153 4
144	144	1 (1) report the immunization of the patient to the
145	145	2 immunization data registry under IC 16-38-5 unless a written
146	146	3 immunization data exemption form has been completed and
147	147	4 filed for the patient in accordance with IC 16-38-5-2; and
148	148	5 (2) report any adverse event:
149	149	6 (A) to the patient's primary care physician not later than
150	150	7 seventy-two (72) hours after the dental hygienist knows of
151	151	8 the adverse event; and
152	152	9 (B) to the Vaccine Adverse Events Reporting System
153	153	10 maintained by the federal Centers for Disease Control and
154	154	11 Prevention and the federal Food and Drug Administration.
155	155	12 (b) A dental hygienist shall maintain a record of each adverse
156	156	13 event reported by the dental hygienist or dental hygienist's
157	157	14 designee under subsection (a)(2).
158	158	15 Sec. 5. (a) A dental hygienist may not be required to:
159	159	16 (1) administer an immunization; or
160	160	17 (2) complete a course of training under section 1(a)(3) of this
161	161	18 chapter;
162	162	19 if the dental hygienist chooses not to administer immunizations.
163	163	20 (b) If a dental hygienist chooses not to administer
164	164	21 immunizations, the dental hygienist is not required to complete a
165	165	22 course of training under section 1(a)(3) of this chapter to maintain
166	166	23 a license to practice as a dental hygienist in Indiana.
167	167	24 SECTION 2. An emergency is declared for this act.
168	168	2024 IN 1215—LS 6818/DI 153