Introduced Version
HOUSE BILL No. 1310
_____
DIGEST OF INTRODUCED BILL
Citations Affected: IC 16-18-2-109.1; IC 16-31-2-9.5; IC 16-41-17.5.
Synopsis: Statewide stroke plan. Requires the Indiana department of
health (state department) to include Indiana hospitals certified as a
thrombectomy-capable stroke center in certain lists maintained by the
state department concerning certified stroke centers. Amends the list
of entities that certify stroke centers. Requires a hospital certified as a
thrombectomy-capable stroke center to provide certain information to
the state department. Prohibits a health care facility from advertising
that the facility is a thrombectomy-capable stroke center unless the
facility is certified by a specified entity. Requires the state department
to establish and implement a statewide stroke plan. Sets forth
requirements of the plan and requirements for certain health care
providers to report stroke data. Requires the state department to
establish a data base for the reported data and sets forth additional
requirements. Requires the state department to annually report certain
stroke data to the governor and the executive director of the legislative
services agency.
Effective: July 1, 2025.
Andrade, Barrett, Haggard,
Hamilton
January 13, 2025, read first time and referred to Committee on Public Health.
2025 IN 1310—LS 6557/DI 147 Introduced
First Regular Session of the 124th General Assembly (2025)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2024 Regular Session of the General Assembly.
HOUSE BILL No. 1310
A BILL FOR AN ACT to amend the Indiana Code concerning
health.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 16-18-2-109.1, AS AMENDED BY P.L.32-2021,
2 SECTION 36, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
3 JULY 1, 2025]: Sec. 109.1. "Emergency medical dispatch agency", for
4 purposes of IC 16-31-3.5 and IC 16-41-17.5, has the meaning set forth
5 in IC 16-31-3.5-1. IC 16-31-3.5-1(c).
6 SECTION 2. IC 16-31-2-9.5, AS ADDED BY P.L.138-2017,
7 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
8 JULY 1, 2025]: Sec. 9.5. (a) Before July 1, 2018, The commission shall
9 do the following:
10 (1) Adopt rules under IC 4-22-2 concerning protocols for the
11 identification, transport, and treatment of stroke patients by
12 personnel providing emergency medical services. The rules must
13 include standards for stroke triage and transport protocols to be
14 implemented by regional and local emergency medical services
15 entities and programs to promote the efficiency and quality of
16 care for stroke patients based on evidence based science and
17 nationally recognized guidelines.
2025 IN 1310—LS 6557/DI 147 2
1 (2) Adopt and distribute a nationally recognized stroke
2 assessment tool to personnel providing emergency medical
3 services.
4 (b) Before July 1, 2018, October 1, 2025, the state department shall
5 do the following:
6 (1) Compile and maintain a list of Indiana hospitals that are
7 certified as a comprehensive stroke center, a primary stroke
8 center, or an acute stroke ready hospital, or a
9 thrombectomy-capable stroke center by one (1) of the
10 following:
11 (A) The American Heart Association.
12 (B) The Joint Commission.
13 (C) DNV GL.
14 (D) The Healthcare Facilities Accreditation Program. The
15 Accreditation Commission for Health Care.
16 (E) A nationally recognized organization that provides:
17 (i) comprehensive stroke center hospital certification;
18 (ii) primary stroke center hospital certification; or
19 (iii) acute stroke ready hospital certification; or
20 (iv) thrombectomy-capable stroke center certification;
21 for stroke care and that has been approved by the commission.
22 (2) Compile and maintain a list of Indiana network participating
23 hospitals that have a written agreement to transfer a stroke patient
24 to a certified primary stroke center, certified comprehensive
25 stroke center, or certified acute stroke ready hospital, or certified
26 thrombectomy-capable stroke center for stroke treatment
27 therapies that the network participating hospital is not capable of
28 providing.
29 (c) A hospital that is certified under subsection (b)(1) shall:
30 (1) provide the state department with the certification
31 information, including a copy of the actual certification and the
32 date the certification is set to expire; and
33 (2) notify the state department not more than forty-eight (48)
34 hours after the hospital's certification has been suspended,
35 revoked, or lowered in the stroke care status level.
36 (d) A hospital that is an Indiana network participating hospital under
37 subsection (b)(2) must provide the state department with a copy of the
38 written transfer agreement.
39 (e) A health care facility may not advertise that the facility is a
40 certified comprehensive stroke center, a primary stroke center, or an
41 acute stroke ready hospital, or a thrombectomy-capable stroke
42 center, unless the facility has been certified by an entity set forth in
2025 IN 1310—LS 6557/DI 147 3
1 subsection (b)(1). A health care facility that violates this subsection is
2 subject to the penalties set forth in IC 16-21-5.
3 (f) The commission and the state department shall enter into a
4 memorandum of understanding to share information to implement this
5 section.
6 SECTION 3. IC 16-41-17.5 IS ADDED TO THE INDIANA CODE
7 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
8 JULY 1, 2025]:
9 Chapter 17.5. Prevention and Treatment Programs: Statewide
10 Stroke Plan
11 Sec. 1. (a) The state department shall establish and implement
12 a statewide stroke plan for the purpose of achieving continuous
13 quality improvements in stroke response and treatment in Indiana.
14 (b) The state department shall coordinate with national health
15 organizations that specialize in stroke quality improvement in the
16 establishment of the statewide plan.
17 Sec. 2. The statewide plan required under section 1 of this
18 chapter must include the following:
19 (1) A statewide stroke data base that compiles information
20 and statistics on stroke care in Indiana, in accordance with
21 stroke consensus metrics developed and approved by the
22 American Heart Association, the American Stroke
23 Association, the Centers for Disease Control and Prevention,
24 and the Joint Commission.
25 (2) Use of the Get With The Guidelines-Stroke program
26 maintained by the American Heart Association and the
27 American Stroke Association or a nationally recognized data
28 set platform that includes strong confidentiality standards
29 under subdivision (1) and this subdivision.
30 (3) Transfer of a stroke patient to the closest appropriate
31 facility for stroke treatment.
32 Sec. 3. (a) A hospital that is licensed under IC 16-21 and
33 certified as a:
34 (1) comprehensive stroke center;
35 (2) thrombectomy-capable stroke center; or
36 (3) primary stroke center;
37 as described in IC 16-31-2-9.5(b) shall report to the state
38 department data concerning each stroke case and the treatment of
39 these individuals in Indiana with a confirmed diagnosis of a stroke.
40 A hospital described under this subsection that provides
41 mechanical endovascular thrombectomy shall report data
42 concerning the process, any complications, and outcomes of the
2025 IN 1310—LS 6557/DI 147 4
1 procedure.
2 (b) The following may report the data described in subsection
3 (a) to the state department:
4 (1) A hospital that is licensed under IC 16-21 and that is
5 certified as an acute stroke ready hospital.
6 (2) An emergency medical dispatch agency.
7 (c) The state department shall do the following:
8 (1) Develop and maintain a data base for the storage of data
9 reported under this section.
10 (2) Establish a procedure for hospitals and emergency
11 medical dispatch agencies to report the data under this
12 section.
13 (3) Encourage and facilitate the sharing of information and
14 data by health care providers and health care systems for the
15 purpose of improving the quality of care provided to stroke
16 patients in Indiana.
17 (4) Establish a data oversight process and plan for the
18 purpose of achieving quality improvement in the treatment
19 and care of individuals who have experienced a stroke
20 through the following:
21 (A) Analysis of the data reported and included in the
22 stroke data base.
23 (B) Identification of potential interventions to improve
24 stroke care in certain geographic regions of Indiana.
25 (C) Determination of recommendations to improve stroke
26 care in Indiana.
27 Sec. 4. The state department shall establish and disseminate
28 evidence based treatment and community based care guidelines for
29 health care providers that provide follow-up care for a patient who
30 received acute treatment for a stroke upon the patient's hospital
31 discharge.
32 Sec. 5. (a) Before June 30 of each year, the state department
33 shall report the following to the governor and, in an electronic
34 format under IC 5-14-6, the executive director of the legislative
35 services agency:
36 (1) Information concerning the stroke data collected under
37 this chapter for the previous calendar year.
38 (2) Any recommendations of the state department to improve
39 stroke care in Indiana.
40 (b) The state department shall post the report required under
41 subsection (a) on the state department's website.
42 Sec. 6. Nothing in this chapter may be construed to require the
2025 IN 1310—LS 6557/DI 147 5
1 disclosure of confidential health information in violation of the
2 federal Health Insurance Portability and Accountability Act.
2025 IN 1310—LS 6557/DI 147