IN
Indiana Senate Bill SB0045

Indiana 2024 Regular Session

Indiana Senate Bill SB0045 Compare Versions

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1-*SB0045.1*
2-January 26, 2024
1+
2+Introduced Version
33 SENATE BILL No. 45
44 _____
5-DIGEST OF SB 45 (Updated January 24, 2024 12:34 pm - DI 104)
6-Citations Affected: IC 25-23.
7-Synopsis: Trauma informed care. Requires the Indiana state board of
8-nursing to study whether trauma informed care should be included as
9-part of the required curriculum for nursing education programs.
10-Requires an individual who holds an active license as a nurse and has
11-direct patient contact to complete a trauma informed care training
12-program within a specified time. Requires the employer of an employee
13-who is required to obtain the training to maintain a record of the
14-completion of the training in the employee's employment records.
15-States that receiving the training as part of curriculum at a nursing
16-education program satisfies the training requirement.
5+DIGEST OF INTRODUCED BILL
6+Citations Affected: IC 25-23-1.
7+Synopsis: Trauma informed care. Requires an individual who holds
8+an active license as a nurse to complete a trauma informed care training
9+program (program) at least once every two years. Establishes
10+requirements for a program.
1711 Effective: July 1, 2024.
18-Crider, Charbonneau
12+Crider
1913 January 8, 2024, read first time and referred to Committee on Health and Provider
2014 Services.
21-January 25, 2024, amended, reported favorably — Do Pass; reassigned to Committee on
22-Appropriations.
23-SB 45—LS 6277/DI 147 January 26, 2024
15+2024 IN 45—LS 6277/DI 147 Introduced
2416 Second Regular Session of the 123rd General Assembly (2024)
2517 PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
2618 Constitution) is being amended, the text of the existing provision will appear in this style type,
2719 additions will appear in this style type, and deletions will appear in this style type.
2820 Additions: Whenever a new statutory provision is being enacted (or a new constitutional
2921 provision adopted), the text of the new provision will appear in this style type. Also, the
3022 word NEW will appear in that style type in the introductory clause of each SECTION that adds
3123 a new provision to the Indiana Code or the Indiana Constitution.
3224 Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
3325 between statutes enacted by the 2023 Regular Session of the General Assembly.
3426 SENATE BILL No. 45
3527 A BILL FOR AN ACT to amend the Indiana Code concerning
3628 professions and occupations.
3729 Be it enacted by the General Assembly of the State of Indiana:
3830 1 SECTION 1. IC 25-23-1-1.7 IS ADDED TO THE INDIANA CODE
3931 2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
4032 3 1, 2024]: Sec. 1.7. As used in this chapter, "trauma informed care"
4133 4 refers to an approach used to provide health care to a patient that
4234 5 acknowledges the effects of trauma and adversity on the patient.
43-6 SECTION 2. IC 25-23-1-7, AS AMENDED BY P.L.69-2022,
44-7 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
45-8 JULY 1, 2024]: Sec. 7. (a) The board shall do the following:
46-9 (1) Adopt under IC 4-22-2 rules necessary to enable it to carry
47-10 into effect this chapter.
48-11 (2) Prescribe standards and approve curricula for nursing
49-12 education programs preparing persons for licensure under this
50-13 chapter.
51-14 (3) Provide for surveys of such programs at such times as it
52-15 considers necessary.
53-16 (4) Accredit such programs as meet the requirements of this
54-17 chapter and of the board.
55-SB 45—LS 6277/DI 147 2
56-1 (5) Deny or withdraw accreditation from nursing education
57-2 programs for failure to meet prescribed curricula or other
58-3 standards.
59-4 (6) Examine, license, and renew the license of qualified
60-5 applicants.
61-6 (7) Issue subpoenas, compel the attendance of witnesses, and
62-7 administer oaths to persons giving testimony at hearings.
63-8 (8) Cause the prosecution of all persons violating this chapter and
64-9 have power to incur necessary expenses for these prosecutions.
65-10 (9) Adopt rules under IC 4-22-2 that do the following:
66-11 (A) Prescribe standards for the competent practice of
67-12 registered, practical, and advanced practice registered nursing.
68-13 (B) Establish with the approval of the medical licensing board
69-14 created by IC 25-22.5-2-1 requirements that advanced practice
70-15 registered nurses must meet to be granted authority to
71-16 prescribe legend drugs and to retain that authority.
72-17 (C) Establish, with the approval of the medical licensing board
73-18 created by IC 25-22.5-2-1, requirements for the renewal of a
74-19 practice agreement under section 19.4 of this chapter, which
75-20 shall expire on October 31 in each odd-numbered year.
76-21 (10) Keep a record of all its proceedings.
77-22 (11) Collect and distribute annually demographic information on
78-23 the number and type of registered nurses and licensed practical
79-24 nurses employed in Indiana.
80-25 (12) Adopt rules and administer the interstate nurse licensure
81-26 compact under IC 25-42.
82-27 (13) Adopt or amend rules to implement the nursing licensure by
83-28 endorsement available for foreign nursing school graduates under
84-29 sections 11 and 12 of this chapter.
85-30 (b) The board may do the following:
86-31 (1) Create ad hoc subcommittees representing the various nursing
87-32 specialties and interests of the profession of nursing. Persons
88-33 appointed to a subcommittee serve for terms as determined by the
89-34 board.
90-35 (2) Utilize the appropriate subcommittees so as to assist the board
91-36 with its responsibilities. The assistance provided by the
92-37 subcommittees may include the following:
93-38 (A) Recommendation of rules necessary to carry out the duties
94-39 of the board.
95-40 (B) Recommendations concerning educational programs and
96-41 requirements.
97-42 (C) Recommendations regarding examinations and licensure
98-SB 45—LS 6277/DI 147 3
99-1 of applicants.
100-2 (3) Appoint nurses to serve on each of the ad hoc subcommittees.
101-3 (c) Nurses appointed under subsection (b) must:
102-4 (1) be committed to advancing and safeguarding the nursing
103-5 profession as a whole; and
104-6 (2) represent nurses who practice in the field directly affected by
105-7 a subcommittee's actions.
106-8 (d) The board shall study whether trauma informed care
107-9 training described in section 36 of this chapter should be included
108-10 as part of the required curriculum for nursing education
109-11 programs.
110-12 SECTION 3. IC 25-23-1-36 IS ADDED TO THE INDIANA CODE
111-13 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
112-14 1, 2024]: Sec. 36. (a) An individual who holds an active license
113-15 under this article and has direct contact with patients shall
114-16 complete a trauma informed care training program that meets one
115-17 (1) of the following:
116-18 (1) The trauma informed care training program provides a
117-19 foundational trauma informed care curriculum that includes
118-20 information on:
119-21 (A) the definition of trauma informed care;
120-22 (B) the prevalence and impact of trauma;
121-23 (C) trauma informed care as a universal precaution;
122-24 (D) the five (5) principles of trauma informed care;
123-25 (E) the difference between trauma informed treatment and
124-26 trauma specific treatment;
125-27 (F) practical strategies for adopting and integrating
126-28 trauma informed care into practice; and
127-29 (G) trauma informed care as a strategy to promote
128-30 resilience and prevent secondary traumatic stress in
129-31 nurses.
130-32 (2) The trauma informed care training program:
131-33 (A) is substantially equivalent to the curriculum described
132-34 in subdivision (1), as determined by the board; and
133-35 (B) has been approved by the board.
134-36 (b) The employer of an employee required to complete training
135-37 under this section shall maintain a record of the completion of the
136-38 training in the individual's employment records.
137-39 (c) An individual who meets the requirements under this section
138-40 to complete trauma informed care training under this section shall
139-41 complete the training not later than five (5) years from the date the
140-42 individual meets the requirements for the training.
141-SB 45—LS 6277/DI 147 4
142-1 (d) An individual who completes trauma informed care training
143-2 within a nursing education program satisfies the requirements of
144-3 this section.
145-SB 45—LS 6277/DI 147 5
146-COMMITTEE REPORT
147-Madam President: The Senate Committee on Health and Provider
148-Services, to which was referred Senate Bill No. 45, has had the same
149-under consideration and begs leave to report the same back to the
150-Senate with the recommendation that said bill be AMENDED as
151-follows:
152-Page 1, between lines 5 and 6, begin a new paragraph and insert:
153-"SECTION 2. IC 25-23-1-7, AS AMENDED BY P.L.69-2022,
154-SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
155-JULY 1, 2024]: Sec. 7. (a) The board shall do the following:
156-(1) Adopt under IC 4-22-2 rules necessary to enable it to carry
157-into effect this chapter.
158-(2) Prescribe standards and approve curricula for nursing
159-education programs preparing persons for licensure under this
160-chapter.
161-(3) Provide for surveys of such programs at such times as it
162-considers necessary.
163-(4) Accredit such programs as meet the requirements of this
164-chapter and of the board.
165-(5) Deny or withdraw accreditation from nursing education
166-programs for failure to meet prescribed curricula or other
167-standards.
168-(6) Examine, license, and renew the license of qualified
169-applicants.
170-(7) Issue subpoenas, compel the attendance of witnesses, and
171-administer oaths to persons giving testimony at hearings.
172-(8) Cause the prosecution of all persons violating this chapter and
173-have power to incur necessary expenses for these prosecutions.
174-(9) Adopt rules under IC 4-22-2 that do the following:
175-(A) Prescribe standards for the competent practice of
176-registered, practical, and advanced practice registered nursing.
177-(B) Establish with the approval of the medical licensing board
178-created by IC 25-22.5-2-1 requirements that advanced practice
179-registered nurses must meet to be granted authority to
180-prescribe legend drugs and to retain that authority.
181-(C) Establish, with the approval of the medical licensing board
182-created by IC 25-22.5-2-1, requirements for the renewal of a
183-practice agreement under section 19.4 of this chapter, which
184-shall expire on October 31 in each odd-numbered year.
185-(10) Keep a record of all its proceedings.
186-(11) Collect and distribute annually demographic information on
187-SB 45—LS 6277/DI 147 6
188-the number and type of registered nurses and licensed practical
189-nurses employed in Indiana.
190-(12) Adopt rules and administer the interstate nurse licensure
191-compact under IC 25-42.
192-(13) Adopt or amend rules to implement the nursing licensure by
193-endorsement available for foreign nursing school graduates under
194-sections 11 and 12 of this chapter.
195-(b) The board may do the following:
196-(1) Create ad hoc subcommittees representing the various nursing
197-specialties and interests of the profession of nursing. Persons
198-appointed to a subcommittee serve for terms as determined by the
199-board.
200-(2) Utilize the appropriate subcommittees so as to assist the board
201-with its responsibilities. The assistance provided by the
202-subcommittees may include the following:
203-(A) Recommendation of rules necessary to carry out the duties
204-of the board.
205-(B) Recommendations concerning educational programs and
206-requirements.
207-(C) Recommendations regarding examinations and licensure
208-of applicants.
209-(3) Appoint nurses to serve on each of the ad hoc subcommittees.
210-(c) Nurses appointed under subsection (b) must:
211-(1) be committed to advancing and safeguarding the nursing
212-profession as a whole; and
213-(2) represent nurses who practice in the field directly affected by
214-a subcommittee's actions.
215-(d) The board shall study whether trauma informed care
216-training described in section 36 of this chapter should be included
217-as part of the required curriculum for nursing education
218-programs.".
219-Page 1, line 8, delete "At least once every two (2) years, an" and
220-insert "An".
221-Page 1, line 9, after "article" insert "and has direct contact with
222-patients".
223-Page 2, delete lines 13 through 15, begin a new paragraph and
224-insert:
225-"(b) The employer of an employee required to complete training
226-under this section shall maintain a record of the completion of the
227-training in the individual's employment records.
228-(c) An individual who meets the requirements under this section
229-to complete trauma informed care training under this section shall
230-SB 45—LS 6277/DI 147 7
231-complete the training not later than five (5) years from the date the
232-individual meets the requirements for the training.
233-(d) An individual who completes trauma informed care training
234-within a nursing education program satisfies the requirements of
235-this section.".
236-Renumber all SECTIONS consecutively.
237-and when so amended that said bill do pass and be reassigned to the
238-Senate Committee on Appropriations.
239-(Reference is to SB 45 as introduced.)
240-CHARBONNEAU, Chairperson
241-Committee Vote: Yeas 10, Nays 0.
242-SB 45—LS 6277/DI 147
35+6 SECTION 2. IC 25-23-1-36 IS ADDED TO THE INDIANA CODE
36+7 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
37+8 1, 2024]: Sec. 36. (a) At least once every two (2) years, an individual
38+9 who holds an active license under this article shall complete a
39+10 trauma informed care training program that meets one (1) of the
40+11 following:
41+12 (1) The trauma informed care training program provides a
42+13 foundational trauma informed care curriculum that includes
43+14 information on:
44+15 (A) the definition of trauma informed care;
45+16 (B) the prevalence and impact of trauma;
46+17 (C) trauma informed care as a universal precaution;
47+2024 IN 45—LS 6277/DI 147 2
48+1 (D) the five (5) principles of trauma informed care;
49+2 (E) the difference between trauma informed treatment and
50+3 trauma specific treatment;
51+4 (F) practical strategies for adopting and integrating
52+5 trauma informed care into practice; and
53+6 (G) trauma informed care as a strategy to promote
54+7 resilience and prevent secondary traumatic stress in
55+8 nurses.
56+9 (2) The trauma informed care training program:
57+10 (A) is substantially equivalent to the curriculum described
58+11 in subdivision (1), as determined by the board; and
59+12 (B) has been approved by the board.
60+13 (b) Upon completion of a training program described in
61+14 subsection (a), an individual shall submit documentation of
62+15 completion of the training program to the board.
63+2024 IN 45—LS 6277/DI 147