Indiana 2025 Regular Session

Indiana House Bill HB1310 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. 1310
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 16-18-2-109.1; IC 16-31-2-9.5; IC 16-41-17.5.
7	7	Synopsis: Statewide stroke plan. Requires the Indiana department of
8	8	health (state department) to include Indiana hospitals certified as a
9	9	thrombectomy-capable stroke center in certain lists maintained by the
10	10	state department concerning certified stroke centers. Amends the list
11	11	of entities that certify stroke centers. Requires a hospital certified as a
12	12	thrombectomy-capable stroke center to provide certain information to
13	13	the state department. Prohibits a health care facility from advertising
14	14	that the facility is a thrombectomy-capable stroke center unless the
15	15	facility is certified by a specified entity. Requires the state department
16	16	to establish and implement a statewide stroke plan. Sets forth
17	17	requirements of the plan and requirements for certain health care
18	18	providers to report stroke data. Requires the state department to
19	19	establish a data base for the reported data and sets forth additional
20	20	requirements. Requires the state department to annually report certain
21	21	stroke data to the governor and the executive director of the legislative
22	22	services agency.
23	23	Effective: July 1, 2025.
24	24	Andrade, Barrett, Haggard,
25	25	Hamilton
26	26	January 13, 2025, read first time and referred to Committee on Public Health.
27	27	2025 IN 1310—LS 6557/DI 147 Introduced
28	28	First Regular Session of the 124th General Assembly (2025)
29	29	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
30	30	Constitution) is being amended, the text of the existing provision will appear in this style type,
31	31	additions will appear in this style type, and deletions will appear in this style type.
32	32	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
33	33	provision adopted), the text of the new provision will appear in this style type. Also, the
34	34	word NEW will appear in that style type in the introductory clause of each SECTION that adds
35	35	a new provision to the Indiana Code or the Indiana Constitution.
36	36	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
37	37	between statutes enacted by the 2024 Regular Session of the General Assembly.
38	38	HOUSE BILL No. 1310
39	39	A BILL FOR AN ACT to amend the Indiana Code concerning
40	40	health.
41	41	Be it enacted by the General Assembly of the State of Indiana:
42	42	1 SECTION 1. IC 16-18-2-109.1, AS AMENDED BY P.L.32-2021,
43	43	2 SECTION 36, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
44	44	3 JULY 1, 2025]: Sec. 109.1. "Emergency medical dispatch agency", for
45	45	4 purposes of IC 16-31-3.5 and IC 16-41-17.5, has the meaning set forth
46	46	5 in IC 16-31-3.5-1. IC 16-31-3.5-1(c).
47	47	6 SECTION 2. IC 16-31-2-9.5, AS ADDED BY P.L.138-2017,
48	48	7 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
49	49	8 JULY 1, 2025]: Sec. 9.5. (a) Before July 1, 2018, The commission shall
50	50	9 do the following:
51	51	10 (1) Adopt rules under IC 4-22-2 concerning protocols for the
52	52	11 identification, transport, and treatment of stroke patients by
53	53	12 personnel providing emergency medical services. The rules must
54	54	13 include standards for stroke triage and transport protocols to be
55	55	14 implemented by regional and local emergency medical services
56	56	15 entities and programs to promote the efficiency and quality of
57	57	16 care for stroke patients based on evidence based science and
58	58	17 nationally recognized guidelines.
59	59	2025 IN 1310—LS 6557/DI 147 2
60	60	1 (2) Adopt and distribute a nationally recognized stroke
61	61	2 assessment tool to personnel providing emergency medical
62	62	3 services.
63	63	4 (b) Before July 1, 2018, October 1, 2025, the state department shall
64	64	5 do the following:
65	65	6 (1) Compile and maintain a list of Indiana hospitals that are
66	66	7 certified as a comprehensive stroke center, a primary stroke
67	67	8 center, or an acute stroke ready hospital, or a
68	68	9 thrombectomy-capable stroke center by one (1) of the
69	69	10 following:
70	70	11 (A) The American Heart Association.
71	71	12 (B) The Joint Commission.
72	72	13 (C) DNV GL.
73	73	14 (D) The Healthcare Facilities Accreditation Program. The
74	74	15 Accreditation Commission for Health Care.
75	75	16 (E) A nationally recognized organization that provides:
76	76	17 (i) comprehensive stroke center hospital certification;
77	77	18 (ii) primary stroke center hospital certification; or
78	78	19 (iii) acute stroke ready hospital certification; or
79	79	20 (iv) thrombectomy-capable stroke center certification;
80	80	21 for stroke care and that has been approved by the commission.
81	81	22 (2) Compile and maintain a list of Indiana network participating
82	82	23 hospitals that have a written agreement to transfer a stroke patient
83	83	24 to a certified primary stroke center, certified comprehensive
84	84	25 stroke center, or certified acute stroke ready hospital, or certified
85	85	26 thrombectomy-capable stroke center for stroke treatment
86	86	27 therapies that the network participating hospital is not capable of
87	87	28 providing.
88	88	29 (c) A hospital that is certified under subsection (b)(1) shall:
89	89	30 (1) provide the state department with the certification
90	90	31 information, including a copy of the actual certification and the
91	91	32 date the certification is set to expire; and
92	92	33 (2) notify the state department not more than forty-eight (48)
93	93	34 hours after the hospital's certification has been suspended,
94	94	35 revoked, or lowered in the stroke care status level.
95	95	36 (d) A hospital that is an Indiana network participating hospital under
96	96	37 subsection (b)(2) must provide the state department with a copy of the
97	97	38 written transfer agreement.
98	98	39 (e) A health care facility may not advertise that the facility is a
99	99	40 certified comprehensive stroke center, a primary stroke center, or an
100	100	41 acute stroke ready hospital, or a thrombectomy-capable stroke
101	101	42 center, unless the facility has been certified by an entity set forth in
102	102	2025 IN 1310—LS 6557/DI 147 3
103	103	1 subsection (b)(1). A health care facility that violates this subsection is
104	104	2 subject to the penalties set forth in IC 16-21-5.
105	105	3 (f) The commission and the state department shall enter into a
106	106	4 memorandum of understanding to share information to implement this
107	107	5 section.
108	108	6 SECTION 3. IC 16-41-17.5 IS ADDED TO THE INDIANA CODE
109	109	7 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
110	110	8 JULY 1, 2025]:
111	111	9 Chapter 17.5. Prevention and Treatment Programs: Statewide
112	112	10 Stroke Plan
113	113	11 Sec. 1. (a) The state department shall establish and implement
114	114	12 a statewide stroke plan for the purpose of achieving continuous
115	115	13 quality improvements in stroke response and treatment in Indiana.
116	116	14 (b) The state department shall coordinate with national health
117	117	15 organizations that specialize in stroke quality improvement in the
118	118	16 establishment of the statewide plan.
119	119	17 Sec. 2. The statewide plan required under section 1 of this
120	120	18 chapter must include the following:
121	121	19 (1) A statewide stroke data base that compiles information
122	122	20 and statistics on stroke care in Indiana, in accordance with
123	123	21 stroke consensus metrics developed and approved by the
124	124	22 American Heart Association, the American Stroke
125	125	23 Association, the Centers for Disease Control and Prevention,
126	126	24 and the Joint Commission.
127	127	25 (2) Use of the Get With The Guidelines-Stroke program
128	128	26 maintained by the American Heart Association and the
129	129	27 American Stroke Association or a nationally recognized data
130	130	28 set platform that includes strong confidentiality standards
131	131	29 under subdivision (1) and this subdivision.
132	132	30 (3) Transfer of a stroke patient to the closest appropriate
133	133	31 facility for stroke treatment.
134	134	32 Sec. 3. (a) A hospital that is licensed under IC 16-21 and
135	135	33 certified as a:
136	136	34 (1) comprehensive stroke center;
137	137	35 (2) thrombectomy-capable stroke center; or
138	138	36 (3) primary stroke center;
139	139	37 as described in IC 16-31-2-9.5(b) shall report to the state
140	140	38 department data concerning each stroke case and the treatment of
141	141	39 these individuals in Indiana with a confirmed diagnosis of a stroke.
142	142	40 A hospital described under this subsection that provides
143	143	41 mechanical endovascular thrombectomy shall report data
144	144	42 concerning the process, any complications, and outcomes of the
145	145	2025 IN 1310—LS 6557/DI 147 4
146	146	1 procedure.
147	147	2 (b) The following may report the data described in subsection
148	148	3 (a) to the state department:
149	149	4 (1) A hospital that is licensed under IC 16-21 and that is
150	150	5 certified as an acute stroke ready hospital.
151	151	6 (2) An emergency medical dispatch agency.
152	152	7 (c) The state department shall do the following:
153	153	8 (1) Develop and maintain a data base for the storage of data
154	154	9 reported under this section.
155	155	10 (2) Establish a procedure for hospitals and emergency
156	156	11 medical dispatch agencies to report the data under this
157	157	12 section.
158	158	13 (3) Encourage and facilitate the sharing of information and
159	159	14 data by health care providers and health care systems for the
160	160	15 purpose of improving the quality of care provided to stroke
161	161	16 patients in Indiana.
162	162	17 (4) Establish a data oversight process and plan for the
163	163	18 purpose of achieving quality improvement in the treatment
164	164	19 and care of individuals who have experienced a stroke
165	165	20 through the following:
166	166	21 (A) Analysis of the data reported and included in the
167	167	22 stroke data base.
168	168	23 (B) Identification of potential interventions to improve
169	169	24 stroke care in certain geographic regions of Indiana.
170	170	25 (C) Determination of recommendations to improve stroke
171	171	26 care in Indiana.
172	172	27 Sec. 4. The state department shall establish and disseminate
173	173	28 evidence based treatment and community based care guidelines for
174	174	29 health care providers that provide follow-up care for a patient who
175	175	30 received acute treatment for a stroke upon the patient's hospital
176	176	31 discharge.
177	177	32 Sec. 5. (a) Before June 30 of each year, the state department
178	178	33 shall report the following to the governor and, in an electronic
179	179	34 format under IC 5-14-6, the executive director of the legislative
180	180	35 services agency:
181	181	36 (1) Information concerning the stroke data collected under
182	182	37 this chapter for the previous calendar year.
183	183	38 (2) Any recommendations of the state department to improve
184	184	39 stroke care in Indiana.
185	185	40 (b) The state department shall post the report required under
186	186	41 subsection (a) on the state department's website.
187	187	42 Sec. 6. Nothing in this chapter may be construed to require the
188	188	2025 IN 1310—LS 6557/DI 147 5
189	189	1 disclosure of confidential health information in violation of the
190	190	2 federal Health Insurance Portability and Accountability Act.
191	191	2025 IN 1310—LS 6557/DI 147