Indiana 2025 Regular Session

Indiana Senate Bill SB0246 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2	Introduced Version
3	3	SENATE BILL No. 246
4	4	_____
5	5	DIGEST OF INTRODUCED BILL
6	6	Citations Affected: IC 25-22.5-2-7; IC 25-23-1.
7	7	Synopsis: Advanced practice registered nurses. Requires the Indiana
8	8	medical licensing board to accept and review complaints concerning
9	9	physician collaborative practice agreements with advanced practice
10	10	registered nurses (APRNs). Provides that an APRN may only: (1)
11	11	operate in collaboration with a licensed practitioner who specializes in
12	12	the same practice area as the advanced practice registered nurse; and
13	13	(2) practice within the scope of the APRN's specialty. Allows a
14	14	physician to enter into a collaborative agreement with more than four
15	15	APRNs but prohibits the physician from collaborating with more than
16	16	four APRNs at the same time.
17	17	Effective: July 1, 2025.
18	18	Johnson T
19	19	January 9, 2025, read first time and referred to Committee on Health and Provider
20	20	Services.
21	21	2025 IN 246—LS 6671/DI 147 Introduced
22	22	First Regular Session of the 124th General Assembly (2025)
23	23	PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
24	24	Constitution) is being amended, the text of the existing provision will appear in this style type,
25	25	additions will appear in this style type, and deletions will appear in this style type.
26	26	Additions: Whenever a new statutory provision is being enacted (or a new constitutional
27	27	provision adopted), the text of the new provision will appear in this style type. Also, the
28	28	word NEW will appear in that style type in the introductory clause of each SECTION that adds
29	29	a new provision to the Indiana Code or the Indiana Constitution.
30	30	Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
31	31	between statutes enacted by the 2024 Regular Session of the General Assembly.
32	32	SENATE BILL No. 246
33	33	A BILL FOR AN ACT to amend the Indiana Code concerning
34	34	professions and occupations.
35	35	Be it enacted by the General Assembly of the State of Indiana:
36	36	1 SECTION 1. IC 25-22.5-2-7, AS AMENDED BY P.L.3-2024,
37	37	2 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
38	38	3 JULY 1, 2025]: Sec. 7. (a) The board shall do the following:
39	39	4 (1) Adopt rules and forms necessary to implement this article that
40	40	5 concern, but are not limited to, the following areas:
41	41	6 (A) Qualification by education, residence, citizenship,
42	42	7 training, and character for admission to an examination for
43	43	8 licensure or by endorsement for licensure.
44	44	9 (B) The examination for licensure.
45	45	10 (C) The license or permit.
46	46	11 (D) Fees for examination, permit, licensure, and registration.
47	47	12 (E) Reinstatement of licenses and permits.
48	48	13 (F) Payment of costs in disciplinary proceedings conducted by
49	49	14 the board.
50	50	15 (2) Administer oaths in matters relating to the discharge of the
51	51	16 board's official duties.
52	52	17 (3) Enforce this article and assign to the personnel of the agency
53	53	2025 IN 246—LS 6671/DI 147 2
54	54	1 duties as may be necessary in the discharge of the board's duty.
55	55	2 (4) Maintain, through the agency, full and complete records of all
56	56	3 applicants for licensure or permit and of all licenses and permits
57	57	4 issued.
58	58	5 (5) Make available, upon request, the complete schedule of
59	59	6 minimum requirements for licensure or permit.
60	60	7 (6) Issue, at the board's discretion, a temporary permit to an
61	61	8 applicant for the interim from the date of application until the
62	62	9 next regular meeting of the board.
63	63	10 (7) Issue an unlimited license, a limited license, or a temporary
64	64	11 medical permit, depending upon the qualifications of the
65	65	12 applicant, to any applicant who successfully fulfills all of the
66	66	13 requirements of this article.
67	67	14 (8) Adopt rules establishing standards for the competent practice
68	68	15 of medicine, osteopathic medicine, or any other form of practice
69	69	16 regulated by a limited license or permit issued under this article.
70	70	17 (9) Adopt rules regarding the appropriate prescribing of Schedule
71	71	18 III or Schedule IV controlled substances for the purpose of weight
72	72	19 reduction or to control obesity.
73	73	20 (10) Adopt rules establishing standards for office based
74	74	21 procedures that require moderate sedation, deep sedation, or
75	75	22 general anesthesia.
76	76	23 (11) Adopt rules or protocol establishing the following:
77	77	24 (A) An education program to be used to educate women
78	78	25 concerning breast density, including breast density
79	79	26 classifications set forth in IC 25-22.5-13.2-1.
80	80	27 (B) Standards for providing an annual screening or diagnostic
81	81	28 test for a woman who is at least forty (40) years of age whose
82	82	29 breast and connective tissue in comparison to fat in the breast
83	83	30 is determined to be dense.
84	84	31 (12) Adopt rules establishing standards and protocols for the
85	85	32 prescribing of controlled substances.
86	86	33 (13) Adopt rules as set forth in IC 25-23.4 concerning the
87	87	34 certification of certified direct entry midwives.
88	88	35 (14) In consultation with the Indiana department of health and the
89	89	36 office of the secretary of family and social services, adopt rules
90	90	37 under IC 4-22-2 or protocols concerning the following for
91	91	38 providers that are providing office based opioid treatment:
92	92	39 (A) Requirements of a treatment agreement (as described in
93	93	40 IC 12-23-20-2) concerning the proper referral and treatment of
94	94	41 mental health and substance use.
95	95	42 (B) Parameters around the frequency and types of visits
96	96	2025 IN 246—LS 6671/DI 147 3
97	97	1 required for the periodic scheduled visits required by
98	98	2 IC 12-23-20-2.
99	99	3 (C) Conditions on when the following should be ordered or
100	100	4 performed:
101	101	5 (i) A urine toxicology screening.
102	102	6 (ii) HIV, hepatitis B, and hepatitis C testing.
103	103	7 (D) Required documentation in a patient's medical record
104	104	8 when buprenorphine is prescribed over a specified dosage.
105	105	9 (15) Adopt rules as set forth in IC 25-14.5 concerning the
106	106	10 certification of certified dietitians.
107	107	11 (16) Adopt rules and establish fees as set forth in IC 25-8.5-2-6
108	108	12 concerning the licensure of behavior analysts.
109	109	13 (17) Administer the interstate medical licensure compact under
110	110	14 IC 25-22.5-16, including appointing members to the interstate
111	111	15 medical licensure compact commission and adopting any rules
112	112	16 necessary to administer the compact.
113	113	17 (18) Accept and review complaints concerning a collaborating
114	114	18 physician's practice agreement with an advanced practice
115	115	19 registered nurse under IC 25-23-1-25.5.
116	116	20 (b) The board may adopt rules that establish:
117	117	21 (1) certification requirements for child death pathologists;
118	118	22 (2) an annual training program for child death pathologists under
119	119	23 IC 16-35-7-3(b)(2); and
120	120	24 (3) a process to certify a qualified child death pathologist.
121	121	25 (c) The board may adopt rules under IC 4-22-2 establishing
122	122	26 guidelines for the practice of telehealth in Indiana. Adoption of rules
123	123	27 under this subsection may not delay the implementation and provision
124	124	28 of telehealth services by a provider under IC 25-1-9.5.
125	125	29 SECTION 2. IC 25-23-1-19.4, AS AMENDED BY P.L.127-2020,
126	126	30 SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
127	127	31 JULY 1, 2025]: Sec. 19.4. (a) This section does not apply to certified
128	128	32 registered nurse anesthetists.
129	129	33 (b) As used in this section, "practitioner" has the meaning set forth
130	130	34 in IC 16-42-19-5. However, the term does not include the following:
131	131	35 (1) A veterinarian.
132	132	36 (2) An advanced practice registered nurse.
133	133	37 (3) A physician assistant.
134	134	38 (c) Subject to section 25.5 of this chapter, an advanced practice
135	135	39 registered nurse shall operate:
136	136	40 (1) in collaboration with a licensed practitioner as evidenced by
137	137	41 a practice agreement;
138	138	42 (2) by privileges granted by the governing board of a hospital
139	139	2025 IN 246—LS 6671/DI 147 4
140	140	1 licensed under IC 16-21 with the advice of the medical staff of the
141	141	2 hospital that sets forth the manner in which an advanced practice
142	142	3 registered nurse and a licensed practitioner will cooperate,
143	143	4 coordinate, and consult with each other in the provision of health
144	144	5 care to their patients; or
145	145	6 (3) by privileges granted by the governing body of a hospital
146	146	7 operated under IC 12-24-1 that sets forth the manner in which an
147	147	8 advanced practice registered nurse and a licensed practitioner will
148	148	9 cooperate, coordinate, and consult with each other in the
149	149	10 provision of health care to their patients.
150	150	11 (d) This subsection applies for purposes of the Medicaid program
151	151	12 to an advanced practice registered nurse who:
152	152	13 (1) is licensed pursuant to IC 25-23-1-19.5; section 19.5 of this
153	153	14 chapter; and
154	154	15 (2) has been educated and trained to work with patients with
155	155	16 addiction and mental health needs.
156	156	17 An advanced practice registered nurse who meets the requirements of
157	157	18 this subsection has all of the supervisory rights and responsibilities,
158	158	19 including prior authorization, that are available to a licensed physician
159	159	20 or a health service provider in psychology (HSPP) operating in a
160	160	21 community mental health center certified under IC 12-21-2-3(5)(C).
161	161	22 (e) Before January 1, 2021, the office of the secretary shall apply to
162	162	23 the United States Department of Health and Human Services for any
163	163	24 state plan amendment necessary to implement subsection (d).
164	164	25 SECTION 3. IC 25-23-1-25.5 IS ADDED TO THE INDIANA
165	165	26 CODE AS A NEW SECTION TO READ AS FOLLOWS
166	166	27 [EFFECTIVE JULY 1, 2025]: Sec. 25.5. (a) An advanced practice
167	167	28 registered nurse may only operate in collaboration with a licensed
168	168	29 practitioner (as defined in section 19.4 of this chapter) who
169	169	30 specializes in the same practice area as the advanced practice
170	170	31 registered nurse.
171	171	32 (b) An advanced practice registered nurse may only practice
172	172	33 within the scope of the advanced practice registered nurse's
173	173	34 specialty.
174	174	35 (c) A physician may enter into a collaborative agreement with
175	175	36 more than four (4) advanced practice registered nurses but may
176	176	37 not collaborate with more than four (4) advanced practice
177	177	38 registered nurses at the same time.
178	178	2025 IN 246—LS 6671/DI 147