Indiana 2025 Regular Session

Indiana House Bill HB1011 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. 1011
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 16-18-2; IC 16-36-8; IC 27-2-30;
7	7	IC 34-30-2.1-229.2; IC 35-52-16-27.5.
8	8	Synopsis: End of life options. Allows individuals with a terminal
9	9	illness who meet certain requirements to make a request to an attending
10	10	provider for medication that the individual may self-administer to bring
11	11	about death. Specifies requirements a provider must meet in order to
12	12	prescribe the medication to a patient. Prohibits an insurer from denying
13	13	payment of benefits under a life insurance policy based upon a suicide
14	14	clause in the life insurance policy if the death of the insured individual
15	15	is the result of medical aid in dying. Establishes a Level 1 felony if a
16	16	person: (1) without authorization of the patient, willfully alters, forges,
17	17	conceals, or destroys a request for medication or a rescission of a
18	18	request for medication with the intent or effect of causing the
19	19	individual's death; or (2) knowingly or intentionally coerces or exerts
20	20	undue influence on an individual to request medication to bring about
21	21	death or to destroy a rescission of a request for medication to bring
22	22	about death. Establishes a Class A misdemeanor if a person, without
23	23	authorization of the patient, willfully alters, forges, conceals, or
24	24	destroys a request for medication or a rescission of a request for
25	25	medication in order to affect a health care decision by the individual.
26	26	Establishes certain criminal and civil immunity for health care
27	27	providers.
28	28	Effective: July 1, 2025.
29	29	Pierce M
30	30	January 8, 2025, read first time and referred to Committee on Public Health.
31	31	2025 IN 1011—LS 6048/DI 104 Introduced
32	32	First Regular Session of the 124th General Assembly (2025)
33	33	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
34	34	Constitution) is being amended, the text of the existing provision will appear in this style type,
35	35	additions will appear in this style type, and deletions will appear in this style type.
36	36	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
37	37	provision adopted), the text of the new provision will appear in this style type. Also, the
38	38	word NEW will appear in that style type in the introductory clause of each SECTION that adds
39	39	a new provision to the Indiana Code or the Indiana Constitution.
40	40	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
41	41	between statutes enacted by the 2024 Regular Session of the General Assembly.
42	42	HOUSE BILL No. 1011
43	43	A BILL FOR AN ACT to amend the Indiana Code concerning
44	44	health.
45	45	Be it enacted by the General Assembly of the State of Indiana:
46	46	1 SECTION 1. IC 16-18-2-29.1 IS ADDED TO THE INDIANA
47	47	2 CODE AS A NEW SECTION TO READ AS FOLLOWS
48	48	3 [EFFECTIVE JULY 1, 2025]: Sec. 29.1. "Attending provider", for
49	49	4 purposes of IC 16-36-8, has the meaning set forth in IC 16-36-8-1.
50	50	5 SECTION 2. IC 16-18-2-47.5 IS ADDED TO THE INDIANA
51	51	6 CODE AS A NEW SECTION TO READ AS FOLLOWS
52	52	7 [EFFECTIVE JULY 1, 2025]: Sec. 47.5. "Capable", for purposes of
53	53	8 IC 16-36-8, has the meaning set forth in IC 16-36-8-2.
54	54	9 SECTION 3. IC 16-18-2-69.1 IS ADDED TO THE INDIANA
55	55	10 CODE AS A NEW SECTION TO READ AS FOLLOWS
56	56	11 [EFFECTIVE JULY 1, 2025]: Sec. 69.1. "Consulting provider", for
57	57	12 purposes of IC 16-36-8, has the meaning set forth in IC 16-36-8-3.
58	58	13 SECTION 4. IC 16-18-2-84.5 IS ADDED TO THE INDIANA
59	59	14 CODE AS A NEW SECTION TO READ AS FOLLOWS
60	60	15 [EFFECTIVE JULY 1, 2025]: Sec. 84.5. "Counseling", for purposes
61	61	16 of IC 16-36-8, has the meaning set forth in IC 16-36-8-4.
62	62	17 SECTION 5. IC 16-18-2-302, AS AMENDED BY P.L.2-2015,
63	63	2025 IN 1011—LS 6048/DI 104 2
64	64	1 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
65	65	2 JULY 1, 2025]: Sec. 302. (a) "Qualified patient", for purposes of
66	66	3 IC 16-36-4, has the meaning set forth in IC 16-36-4-4.
67	67	4 (b) "Qualified patient", for purposes of IC 16-36-8, has the
68	68	5 meaning set forth in IC 16-36-8-5.
69	69	6 (b) (c) "Qualified patient", for purposes of IC 16-42-26, has the
70	70	7 meaning set forth in IC 16-42-26-3.
71	71	8 SECTION 6. IC 16-18-2-326.8 IS ADDED TO THE INDIANA
72	72	9 CODE AS A NEW SECTION TO READ AS FOLLOWS
73	73	10 [EFFECTIVE JULY 1, 2025]: Sec. 326.8. "Self-administer", for
74	74	11 purposes of IC 16-36-8, has the meaning set forth in IC 16-36-8-6.
75	75	12 SECTION 7. IC 16-18-2-351.5 IS AMENDED TO READ AS
76	76	13 FOLLOWS [EFFECTIVE JULY 1, 2025]: Sec. 351.5. "Terminal
77	77	14 illness" means the following:
78	78	15 (1) For purposes of IC 16-25, has the meaning set forth in
79	79	16 IC 16-25-1.1-9.
80	80	17 (2) For purposes of IC 16-36-8, the meaning set forth in
81	81	18 IC 16-36-8-7.
82	82	19 SECTION 8. IC 16-36-8 IS ADDED TO THE INDIANA CODE AS
83	83	20 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
84	84	21 1, 2025]:
85	85	22 Chapter 8. Medical Aid in Dying
86	86	23 Sec. 1. As used in this chapter, "attending provider" means the
87	87	24 provider who has primary responsibility for the care of the patient
88	88	25 and treatment of the patient's terminal illness.
89	89	26 Sec. 2. As used in this chapter, "capable" means that a patient
90	90	27 is, in the opinion of the patient's:
91	91	28 (1) attending provider; or
92	92	29 (2) consulting:
93	93	30 (A) provider;
94	94	31 (B) psychiatrist; or
95	95	32 (C) psychologist;
96	96	33 able to make and communicate health care decisions to health care
97	97	34 providers, including communication through an individual familiar
98	98	35 with the patient's manner of communicating if such an individual
99	99	36 is available.
100	100	37 Sec. 3. (a) As used in this chapter, "consulting provider" means
101	101	38 a provider who is qualified by specialty or experience to make a
102	102	39 professional diagnosis and prognosis regarding the individual's
103	103	40 disease.
104	104	41 (b) The term includes a licensed mental health care provider,
105	105	42 including the following:
106	106	2025 IN 1011—LS 6048/DI 104 3
107	107	1 (1) A consulting psychiatrist licensed under IC 25-22.5.
108	108	2 (2) A consulting psychologist licensed under IC 25-33.
109	109	3 (3) An advanced practice registered nurse licensed under
110	110	4 IC 25-23 and who is qualified to practice nursing in a mental
111	111	5 health specialty role.
112	112	6 (4) A behavioral health and human services professional
113	113	7 licensed under IC 25-23.6.
114	114	8 Sec. 4. As used in this chapter, "counseling" means at least one
115	115	9 (1) consultation as necessary with a consulting provider described
116	116	10 in section 3 of this chapter for the purpose of determining whether
117	117	11 the patient is capable and not suffering from a psychiatric
118	118	12 disorder, a psychological disorder, or depression that renders the
119	119	13 patient unable to make and communicate an informed decision.
120	120	14 Sec. 5. As used in this chapter, "qualified patient" means an
121	121	15 individual who is at least eighteen (18) years of age, is an Indiana
122	122	16 resident, and has satisfied the requirements of this chapter in order
123	123	17 to obtain a prescription for medication to bring about a peaceful
124	124	18 death in a humane and dignified manner.
125	125	19 Sec. 6. (a) As used in this chapter, "self-administer" means a
126	126	20 qualified patient performing an affirmative, conscious, voluntary
127	127	21 act to ingest medication prescribed to bring about the qualified
128	128	22 patient's death.
129	129	23 (b) The term does not include administration by parenteral
130	130	24 injection or infusion.
131	131	25 Sec. 7. As used in this chapter, "terminal illness" means an
132	132	26 incurable and irreversible illness that has been confirmed and will,
133	133	27 within reasonable medical judgment, result in death within six (6)
134	134	28 months.
135	135	29 Sec. 8. (a) An individual who:
136	136	30 (1) is at least eighteen (18) years of age;
137	137	31 (2) is an Indiana resident;
138	138	32 (3) is capable;
139	139	33 (4) is diagnosed, by a provider, with a terminal illness that is
140	140	34 confirmed by a consulting provider; and
141	141	35 (5) has voluntarily expressed to the attending provider a wish
142	142	36 to receive medical aid in dying;
143	143	37 may make a written request in accordance with this chapter for
144	144	38 medication for the purpose of bringing about the patient's peaceful
145	145	39 death in a humane and dignified manner. An individual does not
146	146	40 qualify under this chapter solely because of the individual's age or
147	147	41 disability.
148	148	42 (b) In order to receive a prescription for medication to bring
149	149	2025 IN 1011—LS 6048/DI 104 4
150	150	1 about the patient's peaceful death, a qualified patient must have:
151	151	2 (1) made an oral request;
152	152	3 (2) made a written request as described in this chapter; and
153	153	4 (3) either:
154	154	5 (A) reiterated the oral request to the patient's attending
155	155	6 provider not less than fifteen (15) days after making the
156	156	7 initial oral request; or
157	157	8 (B) if the patient's attending provider has medically
158	158	9 confirmed that the patient will, within reasonable medical
159	159	10 judgment, die within fifteen (15) days after making the
160	160	11 initial oral request under this section, reiterate the oral
161	161	12 request for the medication to the attending provider at any
162	162	13 time after making the initial oral request.
163	163	14 (c) At the time the patient makes the second oral request, the
164	164	15 attending provider shall offer the patient an opportunity to rescind
165	165	16 the request.
166	166	17 (d) Evidence of a patient's Indiana residency under subsection
167	167	18 (a) may include the following:
168	168	19 (1) Possession of a valid Indiana driver's license or
169	169	20 identification card issued under IC 9-24.
170	170	21 (2) A valid Indiana voter registration card.
171	171	22 (3) Documentation that the patient currently owns or leases
172	172	23 property in Indiana.
173	173	24 (4) The filing of an Indiana state tax return for the most
174	174	25 recent tax year.
175	175	26 Sec. 9. (a) A patient may rescind a request for medication under
176	176	27 this chapter at any time and in any manner.
177	177	28 (b) No prescription for the medication under this chapter may
178	178	29 be written without the attending provider offering the qualified
179	179	30 patient an opportunity to rescind the request.
180	180	31 Sec. 10. (a) Except as provided in subsection (b), at least:
181	181	32 (1) fifteen (15) days must elapse between the patient's initial
182	182	33 oral request for the medication; and
183	183	34 (2) forty-eight (48) hours must elapse between the patient's
184	184	35 written request under this chapter;
185	185	36 before the attending provider may dispense or write a prescription
186	186	37 for the medication under this chapter for the patient.
187	187	38 (b) If the qualified patient's attending provider has medically
188	188	39 confirmed that the qualified patient will, within reasonable medical
189	189	40 judgment, die before the expiration of at least one (1) of the waiting
190	190	41 periods described in subsection (a), the attending provider may
191	191	42 dispense or write a prescription for the medication at any time
192	192	2025 IN 1011—LS 6048/DI 104 5
193	193	1 following the later of the qualified patient's written request or
194	194	2 second oral request under this chapter.
195	195	3 Sec. 11. (a) The written request for medication required by
196	196	4 section 8 of this chapter must meet the following requirements:
197	197	5 (1) Be on a form issued by the state department, as set forth
198	198	6 in section 12 of this chapter.
199	199	7 (2) Be attested to and signed by the patient.
200	200	8 (3) Be witnessed by at least two (2) individuals who, in the
201	201	9 presence of the patient, attest that, to the best of the
202	202	10 individuals' knowledge and belief, the patient is:
203	203	11 (A) capable;
204	204	12 (B) acting voluntarily; and
205	205	13 (C) not being coerced to sign the request.
206	206	14 (b) At least one (1) of the witnesses described in subsection (a)(3)
207	207	15 may not be any of the following:
208	208	16 (1) A relative of the patient by blood, marriage, or adoption.
209	209	17 (2) An heir to any part of the patient's estate, by will or law,
210	210	18 upon the death of the patient.
211	211	19 (3) An owner, operator, or employee of a health care facility
212	212	20 where the patient is receiving medical treatment or is a
213	213	21 resident.
214	214	22 (4) The patient's attending provider at the time the request is
215	215	23 signed.
216	216	24 Sec. 12. The state department shall prepare and make available
217	217	25 the form described in section 11 of this chapter that states the
218	218	26 following:
219	219	27 "REQUEST FOR MEDICATION TO BRING ABOUT
220	220	28 MY PEACEFUL DEATH
221	221	29 I, _____________________ (insert patient's name), am an
222	222	30 adult of sound mind.
223	223	31 I have been diagnosed with and am suffering from
224	224	32 ____________ (insert the name of the terminal illness), which
225	225	33 my attending provider has determined is a terminal illness
226	226	34 and which has been medically confirmed by a consulting
227	227	35 provider.
228	228	36 I have been fully informed of my diagnosis, prognosis, the
229	229	37 nature of medication to be prescribed, and the potential
230	230	38 associated risks, the expected result, and the feasible
231	231	39 alternatives, including comfort care, hospice care, and pain
232	232	40 control.
233	233	41 I request that my attending provider dispense or prescribe
234	234	42 medication to bring about my own peaceful death in a
235	235	2025 IN 1011—LS 6048/DI 104 6
236	236	1 humane and dignified manner.
237	237	2 INITIAL ONE:
238	238	3 ___ I have informed my family of my decision and taken their
239	239	4 opinions into consideration.
240	240	5 ___ I have decided not to inform my family of my decision.
241	241	6 ___ I have no family to inform of my decision.
242	242	7 I understand that I have the right to rescind this request at
243	243	8 any time.
244	244	9 I understand the full import of this request, and I expect to die
245	245	10 when I take the medication to be prescribed. I further
246	246	11 understand that although most deaths occur within three (3)
247	247	12 hours, my death may take longer, and my provider has
248	248	13 counseled me about this possibility.
249	249	14 I make this request voluntarily and without reservation, and
250	250	15 I accept full moral responsibility for my actions.
251	251	16 Signed:_____________
252	252	17 Dated: _____________
253	253	18 DECLARATION OF WITNESSES
254	254	19 By initialing and signing below on or after the date the person
255	255	20 named above signs, I declare that the person making and
256	256	21 signing the above request:
257	257	22 is personally known to me or has provided proof of identity;
258	258	23 signed this request in my presence on the date of the person's
259	259	24 signature;
260	260	25 appears to be of sound mind and not under duress or undue
261	261	26 influence; and
262	262	27 is not a patient for whom I am the attending provider.
263	263	28 Witness 1: _____________ _________ _______
264	264	29 Printed Name Signature Date
265	265	30 Witness 2: _____________ __________________
266	266	31 Printed Name Signature Date
267	267	32 NOTE: One (1) witness shall not be a relative (by blood, marriage,
268	268	33 or adoption) of the person signing this request, shall not be entitled
269	269	34 to any portion of the person's estate upon death, and shall not own,
270	270	35 operate, or be employed at a health care facility where the person
271	271	36 is a patient or resident. However, if the patient is a resident of a
272	272	37 health facility, one (1) of the witnesses shall be an individual
273	273	38 designated by the health facility.".
274	274	39 Sec. 13. (a) For a patient who has made a request under this
275	275	40 chapter, the attending provider shall do the following:
276	276	41 (1) Make an initial determination of whether the patient:
277	277	42 (A) has a terminal illness;
278	278	2025 IN 1011—LS 6048/DI 104 7
279	279	1 (B) is capable; and
280	280	2 (C) has made the request voluntarily.
281	281	3 (2) Refer the patient to counseling if, after examining the
282	282	4 patient, the attending provider considers counseling
283	283	5 necessary.
284	284	6 (3) Refer the patient to a consulting provider for medical
285	285	7 confirmation:
286	286	8 (A) of the terminal illness diagnosis;
287	287	9 (B) of the patient's capability; and
288	288	10 (C) that the patient is voluntarily making a request under
289	289	11 this chapter.
290	290	12 (4) Request and obtain proof of the patient's Indiana
291	291	13 residency.
292	292	14 (5) Inform the patient of the following to ensure that the
293	293	15 patient is making an informed decision:
294	294	16 (A) The patient's medical diagnosis.
295	295	17 (B) The patient's prognosis.
296	296	18 (C) The potential risks associated with taking the
297	297	19 medication to be prescribed.
298	298	20 (D) The probable result of taking the medication to be
299	299	21 prescribed.
300	300	22 (E) The feasible alternatives to taking the medication,
301	301	23 including:
302	302	24 (i) alternative treatments, and the risks and benefits of
303	303	25 each alternative;
304	304	26 (ii) comfort care;
305	305	27 (iii) hospice care; and
306	306	28 (iv) pain control.
307	307	29 (6) Recommend that the patient notify next of kin.
308	308	30 (7) Counsel the patient:
309	309	31 (A) about the importance of having another individual
310	310	32 present when the patient self-administers the medication
311	311	33 prescribed under this chapter; and
312	312	34 (B) not to self-administer the medication in a public place.
313	313	35 (8) Inform the patient that the patient may rescind the request
314	314	36 for medication at any time and in any manner.
315	315	37 (9) Offer the patient an opportunity to rescind the request at
316	316	38 the end of the fifteen (15) day waiting period under section 9
317	317	39 of this chapter.
318	318	40 (10) Verify immediately before writing the prescription for
319	319	41 the medication under this chapter that the patient is making
320	320	42 an informed decision.
321	321	2025 IN 1011—LS 6048/DI 104 8
322	322	1 (11) Complete the medical record documentation required
323	323	2 under this chapter.
324	324	3 (12) Ensure that the requirements of this chapter have been
325	325	4 met before writing a prescription for medication to enable a
326	326	5 qualified patient to bring about the patient's peaceful death.
327	327	6 (13) Either:
328	328	7 (A) dispense any medication necessary to facilitate the
329	329	8 desired effect and minimize the qualified patient's
330	330	9 discomfort if the attending provider is qualified to dispense
331	331	10 the medication; or
332	332	11 (B) prescribe the medication, and with the qualified
333	333	12 patient's written consent, contact a pharmacist to inform
334	334	13 the pharmacist of the prescription, and transfer the
335	335	14 prescription to the pharmacist for dispensing of the
336	336	15 medication to:
337	337	16 (i) the attending provider;
338	338	17 (ii) the patient; or
339	339	18 (iii) the patient's expressly identified agent.
340	340	19 (b) The attending provider may sign the patient's death
341	341	20 certification.
342	342	21 (c) Not later than thirty (30) days after dispensing or writing a
343	343	22 prescription for medication under this chapter, the attending
344	344	23 provider shall file a copy of the record of the dispensing or
345	345	24 prescription with the state department in a manner and with the
346	346	25 information prescribed by the state department.
347	347	26 (d) The state department shall adopt rules under IC 4-22-2
348	348	27 prescribing the information and manner in which the report
349	349	28 required under subsection (c) must be filed with the state
350	350	29 department.
351	351	30 Sec. 14. Before a patient is qualified and may obtain a
352	352	31 prescription for medication under this chapter, a consulting
353	353	32 provider must do the following:
354	354	33 (1) Examine the patient and the patient's relevant medical
355	355	34 records.
356	356	35 (2) Confirm in writing the attending provider's terminal
357	357	36 illness diagnosis.
358	358	37 (3) Verify that the patient is capable and is making a
359	359	38 voluntary informed decision to request the medication under
360	360	39 this chapter.
361	361	40 Sec. 15. (a) If either the attending provider or the consulting
362	362	41 provider determines that the patient is suffering from any
363	363	42 psychiatric or psychological condition or depression that renders
364	364	2025 IN 1011—LS 6048/DI 104 9
365	365	1 the patient unable to make and communicate an informed decision,
366	366	2 the provider shall refer the patient for counseling.
367	367	3 (b) Medication may not be prescribed under this chapter until
368	368	4 the individual performing the counseling under subsection (a)
369	369	5 determines that the patient is capable and not suffering from a
370	370	6 psychiatric or psychological condition or depression that renders
371	371	7 the patient unable to make and communicate an informed decision.
372	372	8 (c) A patient may not receive a prescription for medication to
373	373	9 end the patient's life unless the patient has made an informed
374	374	10 decision based on an appreciation of the relevant facts and after
375	375	11 being fully informed by the attending provider under section 13 of
376	376	12 this chapter of the following:
377	377	13 (1) The patient's medical diagnosis.
378	378	14 (2) The patient's prognosis.
379	379	15 (3) The potential risks associated with taking the medication
380	380	16 to be prescribed.
381	381	17 (4) The probable result of taking the medication to be
382	382	18 prescribed.
383	383	19 (5) The feasible alternatives to taking the medication,
384	384	20 including:
385	385	21 (A) alternative treatments, and the risks and benefits of
386	386	22 each alternative;
387	387	23 (B) comfort care;
388	388	24 (C) hospice care; and
389	389	25 (D) pain control.
390	390	26 Immediately before writing a prescription for medication under
391	391	27 this chapter, the attending provider shall verify that the patient is
392	392	28 making an informed decision as described in this subsection.
393	393	29 Sec. 16. A request for medication under this chapter may not be
394	394	30 refused because a patient declines, or is unable, to notify the
395	395	31 patient's next of kin as recommended by the attending provider
396	396	32 under section 13(a)(6) of this chapter.
397	397	33 Sec. 17. The attending provider shall maintain or document the
398	398	34 following in the patient's medical record:
399	399	35 (1) All oral requests by a patient for medication to end the
400	400	36 patient's life.
401	401	37 (2) All written requests made by the patient for medication to
402	402	38 end the patient's life.
403	403	39 (3) The attending provider's diagnosis and the patient's
404	404	40 prognosis.
405	405	41 (4) The attending provider's determination that the patient is
406	406	42 capable, is acting voluntarily in making a request for the
407	407	2025 IN 1011—LS 6048/DI 104 10
408	408	1 medication, and is making an informed decision.
409	409	2 (5) The consulting provider's diagnosis and the patient's
410	410	3 prognosis.
411	411	4 (6) The consulting provider's determination that the patient
412	412	5 is capable, is acting voluntarily in making a request for the
413	413	6 medication, and is making an informed decision.
414	414	7 (7) Documentation of any counseling under section 15 of this
415	415	8 chapter and the results of the counseling.
416	416	9 (8) Documentation that the attending provider offered the
417	417	10 patient the opportunity to rescind the written request.
418	418	11 (9) Any medically confirmed certification of the imminence of
419	419	12 the patient's death.
420	420	13 (10) A statement by the attending provider that all of the
421	421	14 requirements under this chapter have been met, including a
422	422	15 notation of the medication prescribed.
423	423	16 Sec. 18. (a) After June 30, 2025, the sale, issuance, or
424	424	17 procurement of a life insurance policy, an accident and sickness
425	425	18 insurance policy, or an annuity may not be conditioned upon or
426	426	19 affected by a person making a request or taking medication under
427	427	20 this chapter if the requirements of this chapter are met.
428	428	21 (b) After June 30, 2025, any provision in a contract, will, or
429	429	22 other agreement that limits a patient's ability to make a request
430	430	23 under this chapter is void.
431	431	24 Sec. 19. (a) Nothing in this chapter authorizes a person,
432	432	25 including the qualified patient, to end a patient's life by lethal
433	433	26 injection, lethal infusion, mercy killing, or active euthanasia.
434	434	27 Actions taken in accordance with this chapter do not, for any
435	435	28 purpose, constitute neglect, suicide, assisted suicide, mercy killing,
436	436	29 or homicide under any law.
437	437	30 (b) Nothing in this chapter shall be interpreted to lower a health
438	438	31 care provider's standard of care.
439	439	32 (c) Nothing in this chapter shall be interpreted to lower the
440	440	33 requirements of informed health care consent under this article.
441	441	34 Sec. 20. (a) The state department shall review a sample of the
442	442	35 records submitted to the state department by an attending
443	443	36 provider as required by this chapter. The records submitted to the
444	444	37 state department are not public records and may not be inspected
445	445	38 by the public. Only the report described in subsection (c) is a public
446	446	39 record.
447	447	40 (b) The state department shall adopt rules under IC 4-22-2
448	448	41 concerning the procedure for submitting records to comply with
449	449	42 this chapter.
450	450	2025 IN 1011—LS 6048/DI 104 11
451	451	1 (c) Not later than February 1 of each year, the state department
452	452	2 shall generate and make available to the public an annual
453	453	3 statistical report of the records collected under this section. The
454	454	4 report may not disclose any personally identifiable information of
455	455	5 the providers or the patients whose medical records were
456	456	6 submitted.
457	457	7 Sec. 21. (a) An individual or a health care provider who in good
458	458	8 faith provides medical care in compliance with this chapter,
459	459	9 including:
460	460	10 (1) writing or dispensing a prescription for medication under
461	461	11 this chapter; or
462	462	12 (2) being present when a qualified patient self-administers the
463	463	13 medication under this chapter;
464	464	14 is immune from professional, civil, and criminal liability arising
465	465	15 from the provision of care.
466	466	16 (b) Except as provided in subsection (d), a professional
467	467	17 organization or association or a health care provider may not
468	468	18 subject a person to censure, discipline, suspension, loss of license,
469	469	19 loss of privileges, loss of membership, or other penalty for
470	470	20 participating or refusing to participate in good faith compliance
471	471	21 with this chapter.
472	472	22 (c) A health care provider may not be required to participate in
473	473	23 the dispensing or prescribing of medication under this chapter to
474	474	24 a patient who meets the requirements of this chapter. If a health
475	475	25 care provider is unwilling or unable to carry out a patient's request
476	476	26 under this chapter, the health care provider shall transfer, upon
477	477	27 the patient's request, a copy of the patient's relevant medical
478	478	28 records to the subsequent health care provider.
479	479	29 (d) A health care provider may prohibit another health care
480	480	30 provider from participating under this chapter on the prohibiting
481	481	31 health care provider's premises if the prohibiting health care
482	482	32 provider has given notice of the prohibition to health care
483	483	33 providers with privileges to practice on the prohibiting health care
484	484	34 provider's premises. This subsection does not prohibit a health
485	485	35 care provider from providing other health care services to the
486	486	36 patient. The prohibiting health care provider may sanction a health
487	487	37 care provider described in this subsection for participating under
488	488	38 this chapter in violation of the prohibition.
489	489	39 (e) A health care facility may not prohibit a health care provider
490	490	40 from providing services consistent with the applicable standard of
491	491	41 medical care, including:
492	492	42 (1) informing and providing information concerning medical
493	493	2025 IN 1011—LS 6048/DI 104 12
494	494	1 aid in dying;
495	495	2 (2) being present when a qualified patient self-administers the
496	496	3 medication, if requested by the qualified patient or
497	497	4 representative; and
498	498	5 (3) referring the patient to another health care provider.
499	499	6 (f) A request by an individual to provide medication under this
500	500	7 chapter does not solely constitute neglect or elder abuse under any
501	501	8 law and may not be the sole basis for the appointment of a
502	502	9 guardian or conservator of an individual.
503	503	10 (g) This section does not limit civil or criminal liability for
504	504	11 negligence, recklessness, or intentional misconduct.
505	505	12 Sec. 22. (a) A person who, without authorization of the patient,
506	506	13 willfully alters, forges, conceals, or destroys a request for
507	507	14 medication or a rescission of a request for medication under this
508	508	15 chapter with the intent or effect of causing the patient's death
509	509	16 commits a Level 1 felony.
510	510	17 (b) A person who knowingly or intentionally coerces or exerts
511	511	18 undue influence on a patient to request medication to bring about
512	512	19 the patient's peaceful death or to destroy a rescission of a request
513	513	20 for medication under this chapter commits a Level 1 felony.
514	514	21 (c) A person who knowingly or intentionally, without
515	515	22 authorization of the patient, alters, forges, conceals, or destroys an
516	516	23 instrument, the reinstatement or revocation of an instrument, or
517	517	24 any other evidence or document reflecting the patient's desires and
518	518	25 interests to obtain medication under this chapter with the intent or
519	519	26 effect of affecting a health care decision commits a Class A
520	520	27 misdemeanor.
521	521	28 Sec. 23. This chapter is severable as provided in IC 1-1-1-8(b).
522	522	29 SECTION 9. IC 27-2-30 IS ADDED TO THE INDIANA CODE AS
523	523	30 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
524	524	31 1, 2025]:
525	525	32 Chapter 30. Nonapplication of Suicide Clause
526	526	33 Sec. 1. For purposes of this chapter, an individual is an "insured
527	527	34 individual" if a life insurance policy provides for the payment of
528	528	35 benefits upon the death of the individual, regardless of whether the
529	529	36 payment of benefits is subject to certain conditions or exclusions.
530	530	37 Sec. 2. As used in this chapter, "life insurance policy" means
531	531	38 any policy of insurance, whether issued on an individual or group
532	532	39 basis, that:
533	533	40 (1) is issued in Indiana or issued for delivery in Indiana; and
534	534	41 (2) provides for the payment of benefits upon the death of the
535	535	42 insured individual.
536	536	2025 IN 1011—LS 6048/DI 104 13
537	537	1 Sec. 3. As used in this chapter, "suicide clause" means a
538	538	2 provision of a life insurance policy under which the payment of
539	539	3 benefits may be denied if the death of the insured individual is the
540	540	4 result of suicide.
541	541	5 Sec. 4. (a) An insurer shall not deny payment of benefits under
542	542	6 a life insurance policy based upon a suicide clause in the life
543	543	7 insurance policy if the death of the insured individual is the result
544	544	8 of medical aid in dying as provided in IC 16-36-8.
545	545	9 (b) Subsection (a) applies regardless of the length of time that
546	546	10 passes between the issuance of the policy and the death of the
547	547	11 insured individual.
548	548	12 SECTION 10. IC 34-30-2.1-229.2 IS ADDED TO THE INDIANA
549	549	13 CODE AS A NEW SECTION TO READ AS FOLLOWS
550	550	14 [EFFECTIVE JULY 1, 2025]: Sec. 229.2. IC 16-36-8-21 (Concerning
551	551	15 an individual or health care provider providing assistance to a
552	552	16 patient who is terminally ill).
553	553	17 SECTION 11. IC 35-52-16-27.5 IS ADDED TO THE INDIANA
554	554	18 CODE AS A NEW SECTION TO READ AS FOLLOWS
555	555	19 [EFFECTIVE JULY 1, 2025]: Sec. 27.5. IC 16-36-8-22 defines crimes
556	556	20 concerning medical aid in dying.
557	557	2025 IN 1011—LS 6048/DI 104