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 6277 NOTE PREPARED: Dec 4, 2023
BILL NUMBER: SB 45 BILL AMENDED:
SUBJECT: Trauma Informed Care.
FIRST AUTHOR: Sen. Crider BILL STATUS: As Introduced
FIRST SPONSOR:
FUNDS AFFECTED:XGENERAL IMPACT: State
XDEDICATED
FEDERAL
Summary of Legislation: The bill requires an individual who holds an active license as a nurse to complete
a trauma informed care training program (TIC program) at least once every two years. The bill establishes
requirements for a program.
Effective Date: July 1, 2024.
Explanation of State Expenditures: Summary– The Professional Licensing Agency (PLA) would likely
need to update effected practitioners on the TIC program completion requirements via emailing and/or
website updates. It is likely the PLA would also process incoming documents of completion for the Board
of Nursing. These requirements will result in an increased workload to the PLA. Any increase in workload
would have to be completed within the PLA’s existing funded staff positions and budget. As of November
2023, the PLA had seven vacant positions totaling $466,000 per year inclusive of all salary and benefits.
Additional Information– There are TIC courses available for minimal to no cost via online “at your own
pace” modules. The Indiana University TIC course totals six hours of continuing education credit upon
completion.
As of June 30, 2023, there were approximately 183,000 nurses with an active Indiana license, including
compact license holders.
Explanation of State Revenues: Summary– This provision may slightly reduce nurse licence renewal
revenue from nurses choosing to not renew their license as a result of the bill. The following table provides
a 1% (most likely), 5%, and 10% (remote probability) of potential revenue loss from the bill from non-
SB 45 1 renewals. Nurses biennially renew their license in Indiana at a fee of $50.
Table. Implied Biennial Nursing Renewal Fee Revenue Percent Loss Projections
Percentage of Non-RenewalImplied General Fund Revenue LossImplied Impaired Nurses Fund Revenue Loss
One-Percent $57,400 $19,100
Five-Percent $286,800 $95,600
Ten-Percent $573,700 $191,200
Note– Breakdowns between General Fund and Impaired Nurses Fund may not be exact due to rounding.
New initial nursing licenses issued would reduce the attrition in General Fund revenue from non-compliance
of some current license holders. Impaired Nurses fund revenue may continually see a minimal decline in
future years depending on the level of non-compliance because the Impaired Nurses fund is funded only from
renewal license fees (25% of fee for renewal).
Additional Information– Nursing License renewal fees generated approximately $7.6 M in state General
Fund and Impaired Nurses Fund revenue over the FY 2022 and FY 2023 biennium.
Explanation of Local Expenditures:
Explanation of Local Revenues:
State Agencies Affected: Professional Licensing Agency; State Board of Nursing.
Local Agencies Affected:
Information Sources: Professional Licensing Agency license counts June 30, 2023; State Staffing Table
November, 2023;
https://expand.iu.edu/browse/publichealth/publichealthandyou/courses/public-health-you-professional-de
velopment-certificate-in-trauma-informed-care.
Fiscal Analyst: Chris Baker, 317-232-9851.
SB 45 2