1 | 1 | | |
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2 | 2 | | Introduced Version |
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3 | 3 | | SENATE BILL No. 275 |
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4 | 4 | | _____ |
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5 | 5 | | DIGEST OF INTRODUCED BILL |
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6 | 6 | | Citations Affected: IC 16-18-2; IC 16-21; IC 16-31-6.5-2; IC 16-34; |
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7 | 7 | | IC 16-41-16-1; IC 25-1-9.8-10; IC 25-22.5-8-6; IC 25-36.1-2-1; |
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8 | 8 | | IC 27-1-46-10; IC 27-2-25-11; IC 27-8-33; IC 27-13-7-7.5; |
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9 | 9 | | IC 35-41-3-12; IC 35-42-1. |
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10 | 10 | | Synopsis: Abortion. Reestablishes the licensure of abortion clinics. |
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11 | 11 | | Changes statutes concerning when an abortion may be performed. |
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12 | 12 | | Removes the eight week limitation on the use of an abortion inducing |
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13 | 13 | | drug. Allows, rather than requires, the revocation of a physician's |
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14 | 14 | | license for the performance of an abortion in violation of the law. |
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15 | 15 | | Effective: Upon passage. |
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16 | 16 | | Yoder, Hunley, Pol Jr. |
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17 | 17 | | January 13, 2025, read first time and referred to Committee on Health and Provider |
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18 | 18 | | Services. |
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19 | 19 | | 2025 IN 275—LS 6211/DI 107 Introduced |
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20 | 20 | | First Regular Session of the 124th General Assembly (2025) |
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21 | 21 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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22 | 22 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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23 | 23 | | additions will appear in this style type, and deletions will appear in this style type. |
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24 | 24 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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25 | 25 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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26 | 26 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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27 | 27 | | a new provision to the Indiana Code or the Indiana Constitution. |
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28 | 28 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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29 | 29 | | between statutes enacted by the 2024 Regular Session of the General Assembly. |
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30 | 30 | | SENATE BILL No. 275 |
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31 | 31 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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32 | 32 | | health. |
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33 | 33 | | Be it enacted by the General Assembly of the State of Indiana: |
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34 | 34 | | 1 SECTION 1. IC 16-18-2-1.3 IS ADDED TO THE INDIANA CODE |
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35 | 35 | | 2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE |
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36 | 36 | | 3 UPON PASSAGE]: Sec. 1.3. (a) "Abortion clinic", for purposes of |
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37 | 37 | | 4 IC 16-21, IC 16-31-6.5, IC 16-34, and IC 16-41-16, means a health |
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38 | 38 | | 5 care provider that: |
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39 | 39 | | 6 (1) performs surgical abortion procedures; or |
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40 | 40 | | 7 (2) provides an abortion inducing drug for the purpose of |
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41 | 41 | | 8 inducing an abortion. |
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42 | 42 | | 9 (b) The term does not include the following: |
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43 | 43 | | 10 (1) A hospital that is licensed as a hospital under IC 16-21-2. |
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44 | 44 | | 11 (2) An ambulatory outpatient surgical center that is licensed |
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45 | 45 | | 12 as an ambulatory outpatient surgical center under IC 16-21-2. |
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46 | 46 | | 13 (3) A health care provider that provides, prescribes, |
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47 | 47 | | 14 administers, or dispenses an abortion inducing drug to fewer |
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48 | 48 | | 15 than five (5) patients per year for the purposes of inducing an |
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49 | 49 | | 16 abortion. |
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50 | 50 | | 17 SECTION 2. IC 16-18-2-8.5 IS ADDED TO THE INDIANA CODE |
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51 | 51 | | 2025 IN 275—LS 6211/DI 107 2 |
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52 | 52 | | 1 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE |
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53 | 53 | | 2 UPON PASSAGE]: Sec. 8.5. "Affiliate", for purposes of |
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54 | 54 | | 3 IC 16-21-2-11, means any person who directly or indirectly |
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55 | 55 | | 4 controls, is controlled by, or is under common control of another |
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56 | 56 | | 5 person. |
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57 | 57 | | 6 SECTION 3. IC 16-18-2-14, AS AMENDED BY P.L.179-2022(ss), |
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58 | 58 | | 7 SECTION 3, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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59 | 59 | | 8 UPON PASSAGE]: Sec. 14. (a) "Ambulatory outpatient surgical |
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60 | 60 | | 9 center", for purposes of IC 16-21, IC 16-32-5, and IC 16-38-2, means |
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61 | 61 | | 10 a public or private institution that meets the following conditions: |
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62 | 62 | | 11 (1) Is established, equipped, and operated primarily for the |
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63 | 63 | | 12 purpose of performing surgical procedures and services. |
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64 | 64 | | 13 (2) Is operated under the supervision of at least one (1) licensed |
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65 | 65 | | 14 physician or under the supervision of the governing board of the |
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66 | 66 | | 15 hospital if the center is affiliated with a hospital. |
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67 | 67 | | 16 (3) Permits a surgical procedure to be performed only by a |
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68 | 68 | | 17 physician, dentist, or podiatrist who meets the following |
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69 | 69 | | 18 conditions: |
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70 | 70 | | 19 (A) Is qualified by education and training to perform the |
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71 | 71 | | 20 surgical procedure. |
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72 | 72 | | 21 (B) Is legally authorized to perform the procedure. |
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73 | 73 | | 22 (C) Is privileged to perform surgical procedures in at least one |
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74 | 74 | | 23 (1) hospital within the county or an Indiana county adjacent to |
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75 | 75 | | 24 the county in which the ambulatory outpatient surgical center |
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76 | 76 | | 25 is located. |
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77 | 77 | | 26 (D) Is admitted to the open staff of the ambulatory outpatient |
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78 | 78 | | 27 surgical center. |
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79 | 79 | | 28 (4) Requires that a licensed physician with specialized training or |
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80 | 80 | | 29 experience in the administration of an anesthetic supervise the |
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81 | 81 | | 30 administration of the anesthetic to a patient and remain present in |
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82 | 82 | | 31 the facility during the surgical procedure, except when only a |
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83 | 83 | | 32 local infiltration anesthetic is administered. |
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84 | 84 | | 33 (5) Provides at least one (1) operating room and, if anesthetics |
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85 | 85 | | 34 other than local infiltration anesthetics are administered, at least |
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86 | 86 | | 35 one (1) postanesthesia recovery room. |
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87 | 87 | | 36 (6) Is equipped to perform diagnostic x-ray and laboratory |
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88 | 88 | | 37 examinations required in connection with any surgery performed. |
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89 | 89 | | 38 (7) Does not provide accommodations for patient stays of longer |
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90 | 90 | | 39 than twenty-four (24) hours. |
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91 | 91 | | 40 (8) Provides full-time services of registered and licensed nurses |
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92 | 92 | | 41 for the professional care of the patients in the postanesthesia |
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93 | 93 | | 42 recovery room. |
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94 | 94 | | 2025 IN 275—LS 6211/DI 107 3 |
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95 | 95 | | 1 (9) Has available the necessary equipment and trained personnel |
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96 | 96 | | 2 to handle foreseeable emergencies such as a defibrillator for |
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97 | 97 | | 3 cardiac arrest, a tracheotomy set for airway obstructions, and a |
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98 | 98 | | 4 blood bank or other blood supply. |
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99 | 99 | | 5 (10) Maintains a written agreement with at least one (1) hospital |
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100 | 100 | | 6 for immediate acceptance of patients who develop complications |
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101 | 101 | | 7 or require postoperative confinement. |
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102 | 102 | | 8 (11) Provides for the periodic review of the center and the center's |
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103 | 103 | | 9 operations by a committee of at least three (3) licensed physicians |
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104 | 104 | | 10 having no financial connections with the center. |
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105 | 105 | | 11 (12) Maintains adequate medical records for each patient. |
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106 | 106 | | 12 (13) Meets all additional minimum requirements as established by |
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107 | 107 | | 13 the state department for building and equipment requirements. |
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108 | 108 | | 14 (14) Meets the rules and other requirements established by the |
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109 | 109 | | 15 state department for the health, safety, and welfare of the patients. |
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110 | 110 | | 16 (b) The term does not include a birthing center. |
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111 | 111 | | 17 (c) "Ambulatory outpatient surgical center", for purposes of |
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112 | 112 | | 18 IC 16-34, refers to an institution described in subsection (a) and that |
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113 | 113 | | 19 has a majority ownership by a hospital licensed under IC 16-21. |
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114 | 114 | | 20 SECTION 4. IC 16-18-2-163, AS AMENDED BY |
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115 | 115 | | 21 P.L.179-2022(ss), SECTION 4, IS AMENDED TO READ AS |
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116 | 116 | | 22 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 163. (a) Except as |
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117 | 117 | | 23 provided in subsection (c), "health care provider", for purposes of |
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118 | 118 | | 24 IC 16-21 and IC 16-41, means any of the following: |
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119 | 119 | | 25 (1) An individual, a partnership, a corporation, a professional |
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120 | 120 | | 26 corporation, a facility, or an institution licensed or legally |
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121 | 121 | | 27 authorized by this state to provide health care or professional |
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122 | 122 | | 28 services as a licensed physician, a psychiatric hospital, a hospital, |
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123 | 123 | | 29 a health facility, an emergency ambulance service (IC 16-31-3), |
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124 | 124 | | 30 a dentist, a registered or licensed practical nurse, a midwife, an |
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125 | 125 | | 31 optometrist, a pharmacist, a podiatrist, a chiropractor, a physical |
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126 | 126 | | 32 therapist, a respiratory care practitioner, an occupational therapist, |
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127 | 127 | | 33 a psychologist, a paramedic, an emergency medical technician, an |
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128 | 128 | | 34 advanced emergency medical technician, an athletic trainer, or a |
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129 | 129 | | 35 person who is an officer, employee, or agent of the individual, |
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130 | 130 | | 36 partnership, corporation, professional corporation, facility, or |
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131 | 131 | | 37 institution acting in the course and scope of the person's |
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132 | 132 | | 38 employment. |
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133 | 133 | | 39 (2) A college, university, or junior college that provides health |
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134 | 134 | | 40 care to a student, a faculty member, or an employee, and the |
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135 | 135 | | 41 governing board or a person who is an officer, employee, or agent |
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136 | 136 | | 42 of the college, university, or junior college acting in the course |
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137 | 137 | | 2025 IN 275—LS 6211/DI 107 4 |
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138 | 138 | | 1 and scope of the person's employment. |
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139 | 139 | | 2 (3) A blood bank, community mental health center, community |
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140 | 140 | | 3 intellectual disability center, community health center, or migrant |
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141 | 141 | | 4 health center. |
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142 | 142 | | 5 (4) A home health agency (as defined in IC 16-27-1-2). |
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143 | 143 | | 6 (5) A health maintenance organization (as defined in |
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144 | 144 | | 7 IC 27-13-1-19). |
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145 | 145 | | 8 (6) A health care organization whose members, shareholders, or |
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146 | 146 | | 9 partners are health care providers under subdivision (1). |
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147 | 147 | | 10 (7) A corporation, partnership, or professional corporation not |
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148 | 148 | | 11 otherwise qualified under this subsection that: |
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149 | 149 | | 12 (A) provides health care as one (1) of the corporation's, |
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150 | 150 | | 13 partnership's, or professional corporation's functions; |
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151 | 151 | | 14 (B) is organized or registered under state law; and |
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152 | 152 | | 15 (C) is determined to be eligible for coverage as a health care |
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153 | 153 | | 16 provider under IC 34-18 for the corporation's, partnership's, or |
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154 | 154 | | 17 professional corporation's health care function. |
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155 | 155 | | 18 Coverage for a health care provider qualified under this |
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156 | 156 | | 19 subdivision is limited to the health care provider's health care |
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157 | 157 | | 20 functions and does not extend to other causes of action. |
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158 | 158 | | 21 (b) "Health care provider", for purposes of IC 16-35, has the |
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159 | 159 | | 22 meaning set forth in subsection (a). However, for purposes of IC 16-35, |
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160 | 160 | | 23 the term also includes a health facility (as defined in section 167 of this |
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161 | 161 | | 24 chapter). |
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162 | 162 | | 25 (c) "Health care provider", for purposes of IC 16-32-5, IC 16-36-5, |
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163 | 163 | | 26 IC 16-36-6, and IC 16-41-10 means an individual licensed or |
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164 | 164 | | 27 authorized by this state to provide health care or professional services |
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165 | 165 | | 28 as: |
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166 | 166 | | 29 (1) a licensed physician; |
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167 | 167 | | 30 (2) a registered nurse; |
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168 | 168 | | 31 (3) a licensed practical nurse; |
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169 | 169 | | 32 (4) an advanced practice registered nurse; |
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170 | 170 | | 33 (5) a certified nurse midwife; |
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171 | 171 | | 34 (6) a paramedic; |
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172 | 172 | | 35 (7) an emergency medical technician; |
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173 | 173 | | 36 (8) an advanced emergency medical technician; |
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174 | 174 | | 37 (9) an emergency medical responder, as defined by section 109.8 |
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175 | 175 | | 38 of this chapter; |
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176 | 176 | | 39 (10) a licensed dentist; |
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177 | 177 | | 40 (11) a home health aide, as defined by section 174 of this chapter; |
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178 | 178 | | 41 or |
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179 | 179 | | 42 (12) a licensed physician assistant. |
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180 | 180 | | 2025 IN 275—LS 6211/DI 107 5 |
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181 | 181 | | 1 The term includes an individual who is an employee or agent of a |
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182 | 182 | | 2 health care provider acting in the course and scope of the individual's |
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183 | 183 | | 3 employment. |
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184 | 184 | | 4 (d) "Health care provider", for purposes of IC 16-36-7, has the |
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185 | 185 | | 5 meaning set forth in IC 16-36-7-12. |
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186 | 186 | | 6 (e) "Health care provider", for purposes of section 1.3 of this |
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187 | 187 | | 7 chapter and IC 16-40-4, means any of the following: |
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188 | 188 | | 8 (1) An individual, a partnership, a corporation, a professional |
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189 | 189 | | 9 corporation, a facility, or an institution licensed or authorized by |
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190 | 190 | | 10 the state to provide health care or professional services as a |
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191 | 191 | | 11 licensed physician, a psychiatric hospital, a hospital, a health |
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192 | 192 | | 12 facility, an emergency ambulance service (IC 16-31-3), an |
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193 | 193 | | 13 ambulatory outpatient surgical center, a dentist, an optometrist, a |
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194 | 194 | | 14 pharmacist, a podiatrist, a chiropractor, a psychologist, or a |
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195 | 195 | | 15 person who is an officer, employee, or agent of the individual, |
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196 | 196 | | 16 partnership, corporation, professional corporation, facility, or |
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197 | 197 | | 17 institution acting in the course and scope of the person's |
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198 | 198 | | 18 employment. |
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199 | 199 | | 19 (2) A blood bank, laboratory, community mental health center, |
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200 | 200 | | 20 community intellectual disability center, community health |
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201 | 201 | | 21 center, or migrant health center. |
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202 | 202 | | 22 (3) A home health agency (as defined in IC 16-27-1-2). |
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203 | 203 | | 23 (4) A health maintenance organization (as defined in |
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204 | 204 | | 24 IC 27-13-1-19). |
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205 | 205 | | 25 (5) A health care organization whose members, shareholders, or |
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206 | 206 | | 26 partners are health care providers under subdivision (1). |
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207 | 207 | | 27 (6) A corporation, partnership, or professional corporation not |
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208 | 208 | | 28 otherwise specified in this subsection that: |
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209 | 209 | | 29 (A) provides health care as one (1) of the corporation's, |
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210 | 210 | | 30 partnership's, or professional corporation's functions; |
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211 | 211 | | 31 (B) is organized or registered under state law; and |
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212 | 212 | | 32 (C) is determined to be eligible for coverage as a health care |
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213 | 213 | | 33 provider under IC 34-18 for the corporation's, partnership's, or |
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214 | 214 | | 34 professional corporation's health care function. |
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215 | 215 | | 35 (7) A person that is designated to maintain the records of a person |
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216 | 216 | | 36 described in subdivisions (1) through (6). |
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217 | 217 | | 37 (f) "Health care provider", for purposes of IC 16-45-4, has the |
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218 | 218 | | 38 meaning set forth in 47 CFR 54.601(a). |
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219 | 219 | | 39 SECTION 5. IC 16-21-1-7, AS AMENDED BY P.L.179-2022(ss), |
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220 | 220 | | 40 SECTION 7, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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221 | 221 | | 41 UPON PASSAGE]: Sec. 7. The executive board may adopt rules under |
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222 | 222 | | 42 IC 4-22-2 necessary to protect the health, safety, rights, and welfare of |
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223 | 223 | | 2025 IN 275—LS 6211/DI 107 6 |
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224 | 224 | | 1 patients, including the following: |
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225 | 225 | | 2 (1) Rules pertaining to the operation and management of |
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226 | 226 | | 3 hospitals, ambulatory outpatient surgical centers, abortion |
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227 | 227 | | 4 clinics, and birthing centers. |
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228 | 228 | | 5 (2) Rules establishing standards for equipment, facilities, and |
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229 | 229 | | 6 staffing required for efficient and quality care of patients. |
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230 | 230 | | 7 SECTION 6. IC 16-21-2-1, AS AMENDED BY P.L.147-2023, |
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231 | 231 | | 8 SECTION 6, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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232 | 232 | | 9 UPON PASSAGE]: Sec. 1. (a) Except as provided in subsection (b), |
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233 | 233 | | 10 this chapter applies to all hospitals, rural emergency hospitals, |
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234 | 234 | | 11 ambulatory outpatient surgical centers, abortion clinics, and birthing |
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235 | 235 | | 12 centers. |
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236 | 236 | | 13 (b) This chapter does not apply to a hospital operated by the federal |
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237 | 237 | | 14 government. |
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238 | 238 | | 15 (c) This chapter does not affect a statute pertaining to the placement |
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239 | 239 | | 16 and adoption of children. |
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240 | 240 | | 17 SECTION 7. IC 16-21-2-2, AS AMENDED BY P.L.147-2023, |
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241 | 241 | | 18 SECTION 7, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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242 | 242 | | 19 UPON PASSAGE]: Sec. 2. The state department shall license and |
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243 | 243 | | 20 regulate: |
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244 | 244 | | 21 (1) hospitals; |
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245 | 245 | | 22 (2) ambulatory outpatient surgical centers; |
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246 | 246 | | 23 (3) birthing centers; and |
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247 | 247 | | 24 (4) rural emergency hospitals; and |
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248 | 248 | | 25 (5) abortion clinics. |
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249 | 249 | | 26 SECTION 8. IC 16-21-2-2.5, AS AMENDED BY P.L.179-2022(ss), |
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250 | 250 | | 27 SECTION 10, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
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251 | 251 | | 28 UPON PASSAGE]: Sec. 2.5. (a) The state department shall adopt rules |
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252 | 252 | | 29 under IC 4-22-2 to do the following concerning birthing centers and |
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253 | 253 | | 30 other facilities as specified: abortion clinics: |
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254 | 254 | | 31 (1) Establish minimum license qualifications. |
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255 | 255 | | 32 (2) Establish the following requirements: |
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256 | 256 | | 33 (A) Sanitation standards. |
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257 | 257 | | 34 (B) Staff qualifications. |
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258 | 258 | | 35 (C) Necessary emergency equipment. |
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259 | 259 | | 36 (D) Procedures to provide emergency care. |
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260 | 260 | | 37 (E) Procedures to monitor patients after the administration of |
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261 | 261 | | 38 anesthesia. |
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262 | 262 | | 39 (F) Procedures to provide follow-up care for patient |
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263 | 263 | | 40 complications. |
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264 | 264 | | 41 (G) Quality assurance standards. |
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265 | 265 | | 42 (H) Infection control. |
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266 | 266 | | 2025 IN 275—LS 6211/DI 107 7 |
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267 | 267 | | 1 (I) Provision of informed consent brochures, as described in |
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268 | 268 | | 2 IC 16-34-2-1.5, to hospitals and ambulatory outpatient surgical |
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269 | 269 | | 3 centers in English, Spanish, and a third language determined |
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270 | 270 | | 4 by the state department, inside abortion clinics. |
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271 | 271 | | 5 (J) Provision of a hotline telephone number that provides |
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272 | 272 | | 6 assistance for patients who are: |
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273 | 273 | | 7 (i) coerced into an abortion; or |
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274 | 274 | | 8 (ii) victims of sex trafficking. |
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275 | 275 | | 9 (K) Annual training by law enforcement officers on identifying |
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276 | 276 | | 10 and assisting women who are: |
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277 | 277 | | 11 (i) coerced into an abortion; or |
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278 | 278 | | 12 (ii) victims of sex trafficking. |
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279 | 279 | | 13 (3) Prescribe the operating policies, supervision, and maintenance |
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280 | 280 | | 14 of medical records, including the requirement that all forms that |
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281 | 281 | | 15 require a patient signature be stored in the patient's medical |
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282 | 282 | | 16 record. |
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283 | 283 | | 17 (4) Establish procedures for the issuance, renewal, denial, and |
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284 | 284 | | 18 revocation of licenses under this chapter. The rules adopted under |
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285 | 285 | | 19 this subsection must address the following: |
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286 | 286 | | 20 (A) The form and content of the license. |
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287 | 287 | | 21 (B) The collection of an annual license fee. |
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288 | 288 | | 22 (5) Prescribe the procedures and standards for inspections. |
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289 | 289 | | 23 (6) Prescribe procedures for: |
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290 | 290 | | 24 (A) implementing a plan of correction to address any |
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291 | 291 | | 25 violations of any provision of this chapter or any rules adopted |
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292 | 292 | | 26 under this chapter; and |
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293 | 293 | | 27 (B) implementing a system for the state department to follow |
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294 | 294 | | 28 if the birthing center or abortion clinic fails to comply with |
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295 | 295 | | 29 the plan of correction described in clause (A) and disciplinary |
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296 | 296 | | 30 action is needed. |
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297 | 297 | | 31 (b) A person who knowingly or intentionally: |
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298 | 298 | | 32 (1) operates a birthing center or abortion clinic that is not |
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299 | 299 | | 33 licensed under this chapter; or |
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300 | 300 | | 34 (2) advertises the operation of a birthing center or abortion clinic |
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301 | 301 | | 35 that is not licensed under this chapter; |
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302 | 302 | | 36 commits a Class A misdemeanor. |
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303 | 303 | | 37 SECTION 9. IC 16-21-2-2.7 IS ADDED TO THE INDIANA CODE |
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304 | 304 | | 38 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE |
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305 | 305 | | 39 UPON PASSAGE]: Sec. 2.7. The state department shall inspect an |
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306 | 306 | | 40 abortion clinic at least one (1) time per calendar year and may |
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307 | 307 | | 41 conduct a complaint inspection as needed. |
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308 | 308 | | 42 SECTION 10. IC 16-21-2-10, AS AMENDED BY |
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309 | 309 | | 2025 IN 275—LS 6211/DI 107 8 |
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310 | 310 | | 1 P.L.179-2022(ss), SECTION 12, IS AMENDED TO READ AS |
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311 | 311 | | 2 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10. A: |
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312 | 312 | | 3 (1) person; |
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313 | 313 | | 4 (2) state, county, or local governmental unit; or |
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314 | 314 | | 5 (3) division, a department, a board, or an agency of a state, |
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315 | 315 | | 6 county, or local governmental unit; |
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316 | 316 | | 7 must obtain a license from the state health commissioner under |
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317 | 317 | | 8 IC 4-21.5-3-5 before establishing, conducting, operating, or |
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318 | 318 | | 9 maintaining a hospital, an ambulatory outpatient surgical center, an |
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319 | 319 | | 10 abortion clinic, or a birthing center. |
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320 | 320 | | 11 SECTION 11. IC 16-21-2-11, AS AMENDED BY P.L.56-2023, |
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321 | 321 | | 12 SECTION 148, IS AMENDED TO READ AS FOLLOWS |
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322 | 322 | | 13 [EFFECTIVE UPON PASSAGE]: Sec. 11. (a) An applicant must |
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323 | 323 | | 14 submit an application for a license on a form prepared by the state |
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324 | 324 | | 15 department showing that: |
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325 | 325 | | 16 (1) the applicant is of reputable and responsible character; |
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326 | 326 | | 17 (2) the applicant is able to comply with the minimum standards |
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327 | 327 | | 18 for a hospital, an ambulatory outpatient surgical center, an |
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328 | 328 | | 19 abortion clinic, or a birthing center, and with rules adopted under |
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329 | 329 | | 20 this chapter; and |
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330 | 330 | | 21 (3) the applicant has complied with section 15.4 of this chapter. |
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331 | 331 | | 22 (b) The application must contain the following additional |
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332 | 332 | | 23 information: |
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333 | 333 | | 24 (1) The name of the applicant. |
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334 | 334 | | 25 (2) The type of institution to be operated. |
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335 | 335 | | 26 (3) The location of the institution. |
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336 | 336 | | 27 (4) The name of the person to be in charge of the institution. |
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337 | 337 | | 28 (5) If the applicant is a hospital, the range and types of services to |
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338 | 338 | | 29 be provided under the general hospital license, including any |
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339 | 339 | | 30 service that would otherwise require licensure by the state |
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340 | 340 | | 31 department under the authority of IC 16-19. |
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341 | 341 | | 32 (6) Other information the state department requires. |
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342 | 342 | | 33 (c) If the department of state revenue notifies the state department |
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343 | 343 | | 34 that a person is on the most recent tax warrant list, the state department |
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344 | 344 | | 35 shall not issue or renew the person's license until: |
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345 | 345 | | 36 (1) the person provides to the state department a statement from |
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346 | 346 | | 37 the department of state revenue that the person's tax warrant has |
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347 | 347 | | 38 been satisfied; or |
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348 | 348 | | 39 (2) the state department receives a notice from the commissioner |
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349 | 349 | | 40 of the department of state revenue under IC 6-8.1-8-2(k). |
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350 | 350 | | 41 (d) An application for an abortion clinic license must require the |
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351 | 351 | | 42 applicant to do the following: |
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352 | 352 | | 2025 IN 275—LS 6211/DI 107 9 |
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353 | 353 | | 1 (1) Disclose whether the applicant, or an owner or affiliate of |
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354 | 354 | | 2 the applicant, operated an abortion clinic that was closed as |
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355 | 355 | | 3 a direct result of patient health and safety concerns. |
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356 | 356 | | 4 (2) Disclose whether a principal or clinic staff member was |
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357 | 357 | | 5 convicted of a felony. |
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358 | 358 | | 6 (3) Disclose whether a principal or clinic staff member was |
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359 | 359 | | 7 ever employed by a facility owned or operated by the |
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360 | 360 | | 8 applicant that closed as a result of administrative or legal |
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361 | 361 | | 9 action. |
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362 | 362 | | 10 (4) Provide copies of: |
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363 | 363 | | 11 (A) administrative and legal documentation relating to the |
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364 | 364 | | 12 information required under subdivisions (1) and (2); |
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365 | 365 | | 13 (B) inspection reports; and |
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366 | 366 | | 14 (C) violation remediation contracts; |
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367 | 367 | | 15 if any. |
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368 | 368 | | 16 SECTION 12. IC 16-21-2-14, AS AMENDED BY P.L.147-2023, |
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369 | 369 | | 17 SECTION 8, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
370 | 370 | | 18 UPON PASSAGE]: Sec. 14. A license to operate a hospital, an |
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371 | 371 | | 19 ambulatory outpatient surgical center, a rural emergency hospital, an |
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372 | 372 | | 20 abortion clinic, or a birthing center: |
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373 | 373 | | 21 (1) expires: |
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374 | 374 | | 22 (A) one (1) year after the date of issuance for: |
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375 | 375 | | 23 (i) an ambulatory outpatient surgical center; and |
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376 | 376 | | 24 (ii) a birthing center; and |
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377 | 377 | | 25 (iii) an abortion clinic; |
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378 | 378 | | 26 (B) beginning May 1, 2020, two (2) years after the date of |
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379 | 379 | | 27 issuance for a hospital; and |
---|
380 | 380 | | 28 (C) beginning January 1, 2023, two (2) years after the date of |
---|
381 | 381 | | 29 issuance for a rural emergency hospital; |
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382 | 382 | | 30 (2) is not assignable or transferable; |
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383 | 383 | | 31 (3) is issued only for the premises named in the application; |
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384 | 384 | | 32 (4) must be posted in a conspicuous place in the facility; and |
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385 | 385 | | 33 (5) may be renewed each year, or every two (2) years for a |
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386 | 386 | | 34 hospital or rural emergency hospital, upon the payment of a |
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387 | 387 | | 35 renewal fee at the rate adopted by the state department under |
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388 | 388 | | 36 IC 4-22-2. |
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389 | 389 | | 37 SECTION 13. IC 16-21-2-16, AS AMENDED BY |
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390 | 390 | | 38 P.L.179-2022(ss), SECTION 15, IS AMENDED TO READ AS |
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391 | 391 | | 39 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 16. A hospital, an |
---|
392 | 392 | | 40 ambulatory outpatient surgical center, an abortion clinic, or a birthing |
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393 | 393 | | 41 center that provides to a patient notice concerning a third party billing |
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394 | 394 | | 42 for a service provided to the patient shall ensure that the notice: |
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395 | 395 | | 2025 IN 275—LS 6211/DI 107 10 |
---|
396 | 396 | | 1 (1) conspicuously states that the notice is not a bill; |
---|
397 | 397 | | 2 (2) does not include a tear-off portion; and |
---|
398 | 398 | | 3 (3) is not accompanied by a return mailing envelope. |
---|
399 | 399 | | 4 SECTION 14. IC 16-31-6.5-2, AS AMENDED BY |
---|
400 | 400 | | 5 P.L.179-2022(ss), SECTION 16, IS AMENDED TO READ AS |
---|
401 | 401 | | 6 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 2. This chapter |
---|
402 | 402 | | 7 does not apply to the following: |
---|
403 | 403 | | 8 (1) A licensed physician. |
---|
404 | 404 | | 9 (2) A hospital, an ambulatory outpatient surgical center, an |
---|
405 | 405 | | 10 abortion clinic, or a birthing center. |
---|
406 | 406 | | 11 (3) A person providing health care in a hospital, an ambulatory |
---|
407 | 407 | | 12 outpatient surgical center, an abortion clinic, or a birthing center |
---|
408 | 408 | | 13 licensed under IC 16-21. |
---|
409 | 409 | | 14 (4) A person or entity certified under IC 16-31-3. |
---|
410 | 410 | | 15 SECTION 15. IC 16-34-1-8, AS AMENDED BY P.L.179-2022(ss), |
---|
411 | 411 | | 16 SECTION 18, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
412 | 412 | | 17 UPON PASSAGE]: Sec. 8. A qualified health plan (as defined in |
---|
413 | 413 | | 18 IC 27-8-33-3) offered under Subtitle D of Title 1 of the federal Patient |
---|
414 | 414 | | 19 Protection and Affordable Care Act (P.L. 111-148) may not provide |
---|
415 | 415 | | 20 coverage for abortion, unless the abortion is permitted under |
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416 | 416 | | 21 IC 16-34-2-1. except in the following cases: |
---|
417 | 417 | | 22 (1) The pregnant woman became pregnant through an act of |
---|
418 | 418 | | 23 rape or incest. |
---|
419 | 419 | | 24 (2) An abortion is necessary to avert the pregnant woman's |
---|
420 | 420 | | 25 death or a substantial and irreversible injury of a major |
---|
421 | 421 | | 26 bodily function of the pregnant woman. |
---|
422 | 422 | | 27 SECTION 16. IC 16-34-1-10, AS AMENDED BY |
---|
423 | 423 | | 28 P.L.179-2022(ss), SECTION 20, IS AMENDED TO READ AS |
---|
424 | 424 | | 29 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10. If the state or |
---|
425 | 425 | | 30 an agency of the state has wardship or guardianship of an |
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426 | 426 | | 31 unemancipated pregnant minor, the state or agency of the state may not |
---|
427 | 427 | | 32 consent to an abortion unless the abortion is permitted under |
---|
428 | 428 | | 33 IC 16-34-2-1. necessary to avert the unemancipated pregnant |
---|
429 | 429 | | 34 minor's death or a substantial and irreversible injury of a major |
---|
430 | 430 | | 35 bodily function of the unemancipated pregnant minor, as |
---|
431 | 431 | | 36 determined by the physician who certifies the determination in |
---|
432 | 432 | | 37 writing. |
---|
433 | 433 | | 38 SECTION 17. IC 16-34-2-1, AS AMENDED BY P.L.179-2022(ss), |
---|
434 | 434 | | 39 SECTION 21, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
435 | 435 | | 40 UPON PASSAGE]: Sec. 1. (a) Abortion shall in all instances be a |
---|
436 | 436 | | 41 criminal act, except when performed under the following |
---|
437 | 437 | | 42 circumstances: |
---|
438 | 438 | | 2025 IN 275—LS 6211/DI 107 11 |
---|
439 | 439 | | 1 (1) Except as prohibited in IC 16-34-4, before the earlier of |
---|
440 | 440 | | 2 viability of the fetus or twenty (20) weeks of postfertilization age |
---|
441 | 441 | | 3 of the fetus, if: during the first trimester of pregnancy for |
---|
442 | 442 | | 4 reasons based upon the professional, medical judgment of the |
---|
443 | 443 | | 5 pregnant woman's physician if: |
---|
444 | 444 | | 6 (A) for reasons based upon the professional, medical judgment |
---|
445 | 445 | | 7 of the pregnant woman's physician, if either: |
---|
446 | 446 | | 8 (i) the abortion is necessary when reasonable medical |
---|
447 | 447 | | 9 judgment dictates that performing the abortion is necessary |
---|
448 | 448 | | 10 to prevent any serious health risk to the pregnant woman or |
---|
449 | 449 | | 11 to save the pregnant woman's life; or |
---|
450 | 450 | | 12 (ii) the fetus is diagnosed with a lethal fetal anomaly; |
---|
451 | 451 | | 13 (B) (A) the abortion is performed by the physician; in a |
---|
452 | 452 | | 14 hospital licensed under IC 16-21 or an ambulatory outpatient |
---|
453 | 453 | | 15 surgical center (as defined in IC 16-18-2-14) that has a |
---|
454 | 454 | | 16 majority ownership by a hospital licensed under IC 16-21; |
---|
455 | 455 | | 17 (C) (B) the woman submitting to the abortion has filed her |
---|
456 | 456 | | 18 consent with her physician. However, if in the judgment of the |
---|
457 | 457 | | 19 physician the abortion is necessary to preserve the life of the |
---|
458 | 458 | | 20 woman, her consent is not required; and |
---|
459 | 459 | | 21 (D) (C) the woman submitting to the abortion has filed with |
---|
460 | 460 | | 22 her physician the written consent of her parent or legal |
---|
461 | 461 | | 23 guardian if required under section 4 of this chapter. and |
---|
462 | 462 | | 24 (E) before the abortion, the attending physician shall certify in |
---|
463 | 463 | | 25 writing to the hospital or ambulatory outpatient surgical center |
---|
464 | 464 | | 26 in which the abortion is to be performed, that: |
---|
465 | 465 | | 27 (i) in the attending physician's reasonable medical judgment, |
---|
466 | 466 | | 28 performing the abortion is necessary to prevent any serious |
---|
467 | 467 | | 29 health risk to the pregnant woman or to save the pregnant |
---|
468 | 468 | | 30 woman's life; or |
---|
469 | 469 | | 31 (ii) the fetus has been diagnosed with a lethal fetal anomaly. |
---|
470 | 470 | | 32 All facts and reasons supporting the certification shall be set |
---|
471 | 471 | | 33 forth by the physician in writing and attached to the certificate. |
---|
472 | 472 | | 34 However, under this article, an abortion inducing drug may not be |
---|
473 | 473 | | 35 dispensed, prescribed, administered, or otherwise given to a |
---|
474 | 474 | | 36 pregnant woman after eight (8) weeks of postfertilization age. A |
---|
475 | 475 | | 37 physician must dispense the an abortion inducing drug in person |
---|
476 | 476 | | 38 and have the pregnant woman consume the drug in the presence |
---|
477 | 477 | | 39 of the physician. A physician shall examine a pregnant woman in |
---|
478 | 478 | | 40 person before prescribing or dispensing an abortion inducing |
---|
479 | 479 | | 41 drug. The physician shall provide the pregnant woman with a |
---|
480 | 480 | | 42 copy of the manufacturer's instruction sheets and require that the |
---|
481 | 481 | | 2025 IN 275—LS 6211/DI 107 12 |
---|
482 | 482 | | 1 pregnant woman sign the manufacturer's patient agreement form. |
---|
483 | 483 | | 2 A physician shall also provide, orally and in writing, along with |
---|
484 | 484 | | 3 other discharge information, the following statement: "Some |
---|
485 | 485 | | 4 evidence suggests that the effects of Mifepristone may be |
---|
486 | 486 | | 5 avoided, ceased, or reversed if the second pill, Misoprostol, has |
---|
487 | 487 | | 6 not been taken. Immediately contact the following for more |
---|
488 | 488 | | 7 information at (insert applicable abortion inducing drug reversal |
---|
489 | 489 | | 8 Internet web site website and corresponding hotline number).". |
---|
490 | 490 | | 9 The physician shall retain a copy of the signed patient agreement |
---|
491 | 491 | | 10 form, and the signed physician's agreement form required by the |
---|
492 | 492 | | 11 manufacturer, in the patient's file. As used in this subdivision, "in |
---|
493 | 493 | | 12 person" does not include the use of telehealth or telemedicine |
---|
494 | 494 | | 13 services. |
---|
495 | 495 | | 14 (2) Except as prohibited by IC 16-34-4, during the first ten (10) |
---|
496 | 496 | | 15 after the first trimester of pregnancy and before the earlier of |
---|
497 | 497 | | 16 viability of the fetus or twenty (20) weeks of postfertilization |
---|
498 | 498 | | 17 age of the fetus, for reasons based upon the professional, |
---|
499 | 499 | | 18 medical judgment of the pregnant woman's physician if: |
---|
500 | 500 | | 19 (A) the pregnancy is a result of rape or incest; |
---|
501 | 501 | | 20 (B) (A) all the circumstances and provisions required for legal |
---|
502 | 502 | | 21 abortion set forth in subdivision (1)(C) through (1)(D) (1) |
---|
503 | 503 | | 22 during the first trimester are present and adhered to; and |
---|
504 | 504 | | 23 (C) (B) the abortion is performed in a hospital or an abortion |
---|
505 | 505 | | 24 clinic licensed under IC 16-21. or ambulatory outpatient |
---|
506 | 506 | | 25 surgical center (as defined in IC 16-18-2-14) that has a |
---|
507 | 507 | | 26 majority ownership by a hospital licensed under IC 16-21; and |
---|
508 | 508 | | 27 (D) before the abortion, the attending physician shall certify in |
---|
509 | 509 | | 28 writing to the ambulatory outpatient surgical center or hospital |
---|
510 | 510 | | 29 in which the abortion is to be performed, after proper |
---|
511 | 511 | | 30 examination, the abortion is being performed at the woman's |
---|
512 | 512 | | 31 request because the pregnancy is the result of rape or incest. |
---|
513 | 513 | | 32 All facts and reasons supporting the certification shall be set |
---|
514 | 514 | | forth by the physician in writing and attached to the certificate.33 |
---|
515 | 515 | | 34 (3) Except as provided in subsection (b) or as prohibited by |
---|
516 | 516 | | 35 IC 16-34-4, at the earlier of viability of the fetus or twenty (20) |
---|
517 | 517 | | 36 weeks of postfertilization age and any time after, for reasons |
---|
518 | 518 | | 37 based upon the professional, medical judgment of the pregnant |
---|
519 | 519 | | 38 woman's physician if: |
---|
520 | 520 | | 39 (A) based on reasonable medical judgment, performing the |
---|
521 | 521 | | 40 abortion is necessary to prevent any serious health risk to the |
---|
522 | 522 | | 41 pregnant woman or to save the pregnant woman's life; |
---|
523 | 523 | | 42 (B) (A) all the circumstances and provisions required for legal |
---|
524 | 524 | | 2025 IN 275—LS 6211/DI 107 13 |
---|
525 | 525 | | 1 abortion set forth in subdivision (1)(C) through (1)(D) before |
---|
526 | 526 | | 2 the earlier of viability of the fetus or twenty (20) weeks of |
---|
527 | 527 | | 3 postfertilization age are present and adhered to; |
---|
528 | 528 | | 4 (C) (B) the abortion is performed in a hospital licensed under |
---|
529 | 529 | | 5 IC 16-21; |
---|
530 | 530 | | 6 (D) the abortion is performed in compliance with section 3 of |
---|
531 | 531 | | 7 this chapter; and |
---|
532 | 532 | | 8 (E) (C) before the abortion, the attending physician shall |
---|
533 | 533 | | 9 certify in writing to the hospital in which the abortion is to be |
---|
534 | 534 | | 10 performed, that in the attending physician's reasonable |
---|
535 | 535 | | 11 professional, medical judgment, performing after proper |
---|
536 | 536 | | 12 examination and review of the woman's history, the |
---|
537 | 537 | | 13 abortion is necessary to prevent any serious health risk to the |
---|
538 | 538 | | 14 pregnant woman or to save the pregnant woman's life. a |
---|
539 | 539 | | 15 substantial permanent impairment of the life or physical |
---|
540 | 540 | | 16 health of the pregnant woman. All facts and reasons |
---|
541 | 541 | | 17 supporting the certification shall be set forth by the physician |
---|
542 | 542 | | 18 in writing and attached to the certificate. |
---|
543 | 543 | | 19 (b) A person may not knowingly or intentionally perform a partial |
---|
544 | 544 | | 20 birth abortion unless a physician reasonably believes that: |
---|
545 | 545 | | 21 (1) performing the partial birth abortion is necessary to save the |
---|
546 | 546 | | 22 mother's life; and |
---|
547 | 547 | | 23 (2) no other medical procedure is sufficient to save the mother's |
---|
548 | 548 | | 24 life. |
---|
549 | 549 | | 25 (c) A person may not knowingly or intentionally perform a |
---|
550 | 550 | | 26 dismemberment abortion unless reasonable medical judgment dictates |
---|
551 | 551 | | 27 that performing the dismemberment abortion is necessary: |
---|
552 | 552 | | 28 (1) to prevent any serious health risk to the mother; or |
---|
553 | 553 | | 29 (2) to save the mother's life. |
---|
554 | 554 | | 30 (d) Telehealth and telemedicine may not be used to provide any |
---|
555 | 555 | | 31 abortion, including the writing or filling of a prescription for any |
---|
556 | 556 | | 32 purpose that is intended to result in an abortion. |
---|
557 | 557 | | 33 SECTION 18. IC 16-34-2-1.1, AS AMENDED BY P.L.56-2023, |
---|
558 | 558 | | 34 SECTION 153, IS AMENDED TO READ AS FOLLOWS |
---|
559 | 559 | | 35 [EFFECTIVE UPON PASSAGE]: Sec. 1.1. (a) An abortion shall not |
---|
560 | 560 | | 36 be performed except with the voluntary and informed consent of the |
---|
561 | 561 | | 37 pregnant woman upon whom the abortion is to be performed. Except |
---|
562 | 562 | | 38 in the case of a medical emergency, consent to an abortion is voluntary |
---|
563 | 563 | | 39 and informed only if the following conditions are met: |
---|
564 | 564 | | 40 (1) At least eighteen (18) hours before the abortion and in the |
---|
565 | 565 | | 41 private, not group, presence of the pregnant woman, the physician |
---|
566 | 566 | | 42 who is to perform the abortion, the referring physician or a |
---|
567 | 567 | | 2025 IN 275—LS 6211/DI 107 14 |
---|
568 | 568 | | 1 physician assistant (as defined in IC 25-27.5-2-10), an advanced |
---|
569 | 569 | | 2 practice registered nurse (as defined in IC 25-23-1-1(b)), or a |
---|
570 | 570 | | 3 certified nurse midwife (as defined in IC 34-18-2-6.5) to whom |
---|
571 | 571 | | 4 the responsibility has been delegated by the physician who is to |
---|
572 | 572 | | 5 perform the abortion or the referring physician has informed the |
---|
573 | 573 | | 6 pregnant woman orally and in writing of the following: |
---|
574 | 574 | | 7 (A) The name of the physician performing the abortion, the |
---|
575 | 575 | | 8 physician's medical license number, and an emergency |
---|
576 | 576 | | 9 telephone number where the physician or the physician's |
---|
577 | 577 | | 10 designee may be contacted on a twenty-four (24) hour a day, |
---|
578 | 578 | | 11 seven (7) day a week basis. |
---|
579 | 579 | | 12 (B) That follow-up care by the physician or the physician's |
---|
580 | 580 | | 13 designee (if the designee is licensed under IC 25-22.5) is |
---|
581 | 581 | | 14 available on an appropriate and timely basis when clinically |
---|
582 | 582 | | 15 necessary. |
---|
583 | 583 | | 16 (C) The nature of the proposed procedure or information |
---|
584 | 584 | | 17 concerning the abortion inducing drug that includes the |
---|
585 | 585 | | 18 following statement: "Some evidence suggests that effects of |
---|
586 | 586 | | 19 Mifespristone Mifepristone may be avoided, ceased, or |
---|
587 | 587 | | 20 reversed if the second pill, Misoprostol, has not been taken. |
---|
588 | 588 | | 21 Immediately contact the following for more information at |
---|
589 | 589 | | 22 (insert applicable abortion inducing drug reversal website and |
---|
590 | 590 | | 23 corresponding hotline number).". |
---|
591 | 591 | | 24 (D) Objective scientific information of the risks of and |
---|
592 | 592 | | 25 alternatives to the procedure or the use of an abortion inducing |
---|
593 | 593 | | 26 drug, including: |
---|
594 | 594 | | 27 (i) the risk of infection and hemorrhage; |
---|
595 | 595 | | 28 (ii) the potential danger to a subsequent pregnancy; and |
---|
596 | 596 | | 29 (iii) the potential danger of infertility. |
---|
597 | 597 | | 30 (E) That human physical life begins when a human ovum is |
---|
598 | 598 | | 31 fertilized by a human sperm. |
---|
599 | 599 | | 32 (F) The probable gestational age of the fetus at the time the |
---|
600 | 600 | | 33 abortion is to be performed, including: |
---|
601 | 601 | | 34 (i) a picture of a fetus; |
---|
602 | 602 | | 35 (ii) the dimensions of a fetus; and |
---|
603 | 603 | | 36 (iii) relevant information on the potential survival of an |
---|
604 | 604 | | 37 unborn fetus; |
---|
605 | 605 | | 38 at this stage of development. |
---|
606 | 606 | | 39 (G) That objective scientific information shows that a fetus |
---|
607 | 607 | | 40 can feel pain at or before twenty (20) weeks of postfertilization |
---|
608 | 608 | | 41 age. |
---|
609 | 609 | | 42 (H) The medical risks associated with carrying the fetus to |
---|
610 | 610 | | 2025 IN 275—LS 6211/DI 107 15 |
---|
611 | 611 | | 1 term. |
---|
612 | 612 | | 2 (I) The availability of fetal ultrasound imaging and |
---|
613 | 613 | | 3 auscultation of fetal heart tone services to enable the pregnant |
---|
614 | 614 | | 4 woman to view the image and hear the heartbeat of the fetus |
---|
615 | 615 | | 5 and how to obtain access to these services. |
---|
616 | 616 | | 6 (J) That the pregnancy of a child less than fifteen (15) years of |
---|
617 | 617 | | 7 age may constitute child abuse under Indiana law if the act |
---|
618 | 618 | | 8 included an adult and must be reported to the department of |
---|
619 | 619 | | 9 child services or the local law enforcement agency under |
---|
620 | 620 | | 10 IC 31-33-5. |
---|
621 | 621 | | 11 (K) That Indiana does not allow a fetus to be aborted solely |
---|
622 | 622 | | 12 because of the fetus's race, color, national origin, ancestry, sex, |
---|
623 | 623 | | 13 or diagnosis or potential diagnosis of the fetus having Down |
---|
624 | 624 | | 14 syndrome or any other disability. |
---|
625 | 625 | | 15 (L) That no one has the right to coerce the pregnant woman to |
---|
626 | 626 | | 16 have an abortion. |
---|
627 | 627 | | 17 (2) At least eighteen (18) hours before the abortion, the pregnant |
---|
628 | 628 | | 18 woman will be informed orally and in writing of the following: |
---|
629 | 629 | | 19 (A) That medical assistance benefits may be available for |
---|
630 | 630 | | 20 prenatal care, childbirth, and neonatal care from the county |
---|
631 | 631 | | 21 office of the division of family resources. |
---|
632 | 632 | | 22 (B) That the father of the unborn fetus is legally required to |
---|
633 | 633 | | 23 assist in the support of the child. In the case of rape, the |
---|
634 | 634 | | 24 information required under this clause may be omitted. |
---|
635 | 635 | | 25 (C) That adoption alternatives are available and that adoptive |
---|
636 | 636 | | 26 parents may legally pay the costs of prenatal care, childbirth, |
---|
637 | 637 | | 27 and neonatal care. |
---|
638 | 638 | | 28 (D) That there are physical risks to the pregnant woman in |
---|
639 | 639 | | 29 having an abortion, both during the abortion procedure and |
---|
640 | 640 | | 30 after. |
---|
641 | 641 | | 31 (E) That Indiana has enacted the safe haven law under |
---|
642 | 642 | | 32 IC 31-34-2.5. |
---|
643 | 643 | | 33 (F) The: |
---|
644 | 644 | | 34 (i) website address of the state department's website; and |
---|
645 | 645 | | 35 (ii) description of the information that will be provided on |
---|
646 | 646 | | 36 the website and that is; |
---|
647 | 647 | | 37 described in section 1.5 of this chapter. |
---|
648 | 648 | | 38 (G) For the facility in which the abortion is to be performed, |
---|
649 | 649 | | 39 an emergency telephone number that is available and |
---|
650 | 650 | | 40 answered on a twenty-four (24) hour a day, seven (7) day a |
---|
651 | 651 | | 41 week basis. |
---|
652 | 652 | | 42 (H) On a form developed by the state department and as |
---|
653 | 653 | | 2025 IN 275—LS 6211/DI 107 16 |
---|
654 | 654 | | 1 described in IC 16-34-3, that the pregnant woman has a right |
---|
655 | 655 | | 2 to determine the final disposition of the remains of the aborted |
---|
656 | 656 | | 3 fetus. |
---|
657 | 657 | | 4 (I) On a form developed by the state department, that the |
---|
658 | 658 | | 5 pregnant woman has a right, after a surgical abortion, to: |
---|
659 | 659 | | 6 (i) dispose of the remains of the aborted fetus by interment |
---|
660 | 660 | | 7 in compliance with IC 23-14-54, or cremation through a |
---|
661 | 661 | | 8 licensee (as defined in IC 25-15-2-19) and in compliance |
---|
662 | 662 | | 9 with IC 23-14-31; or |
---|
663 | 663 | | 10 (ii) have the health care facility or abortion clinic dispose |
---|
664 | 664 | | 11 of the remains of the aborted fetus by interment in |
---|
665 | 665 | | 12 compliance with IC 23-14-54, or cremation through a |
---|
666 | 666 | | 13 licensee (as defined in IC 25-15-2-19) and in compliance |
---|
667 | 667 | | 14 with IC 23-14-31, and ask which method of disposition will |
---|
668 | 668 | | 15 be used by the health care facility or abortion clinic. |
---|
669 | 669 | | 16 (J) On a form developed by the state department: |
---|
670 | 670 | | 17 (i) that a pregnant woman, after an abortion induced by an |
---|
671 | 671 | | 18 abortion inducing drug, will expel an aborted fetus; and |
---|
672 | 672 | | 19 (ii) the disposition policy of the health care facility or |
---|
673 | 673 | | 20 abortion clinic concerning the disposition of the aborted |
---|
674 | 674 | | 21 fetus. The disposition policy must allow the pregnant |
---|
675 | 675 | | 22 woman to return the aborted fetus to the health care facility |
---|
676 | 676 | | 23 or abortion clinic for disposition by interment in |
---|
677 | 677 | | 24 compliance with IC 23-14-54, or cremation through a |
---|
678 | 678 | | 25 licensee (as defined in IC 25-15-2-19) and in compliance |
---|
679 | 679 | | 26 with IC 23-14-31. |
---|
680 | 680 | | 27 (K) On a form developed by the state department, information |
---|
681 | 681 | | 28 concerning any counseling that is available to a pregnant |
---|
682 | 682 | | 29 woman after having an abortion. |
---|
683 | 683 | | 30 The state department shall develop and distribute the forms |
---|
684 | 684 | | 31 required by clauses (H) through (K). |
---|
685 | 685 | | 32 (3) The pregnant woman certifies in writing, on a form developed |
---|
686 | 686 | | 33 by the state department, before the abortion is performed, that: |
---|
687 | 687 | | 34 (A) the information required by subdivisions (1) and (2) has |
---|
688 | 688 | | 35 been provided to the pregnant woman; |
---|
689 | 689 | | 36 (B) the pregnant woman has been offered by the provider the |
---|
690 | 690 | | 37 opportunity to view the fetal ultrasound imaging and hear the |
---|
691 | 691 | | 38 auscultation of the fetal heart tone if the fetal heart tone is |
---|
692 | 692 | | 39 audible and that the woman has: |
---|
693 | 693 | | 40 (i) viewed or refused to view the offered fetal ultrasound |
---|
694 | 694 | | 41 imaging; and |
---|
695 | 695 | | 42 (ii) listened to or refused to listen to the offered auscultation |
---|
696 | 696 | | 2025 IN 275—LS 6211/DI 107 17 |
---|
697 | 697 | | 1 of the fetal heart tone if the fetal heart tone is audible; and |
---|
698 | 698 | | 2 (C) the pregnant woman has been given a written copy of the |
---|
699 | 699 | | 3 printed materials described in section 1.5 of this chapter. |
---|
700 | 700 | | 4 (4) At least eighteen (18) hours before the abortion and in the |
---|
701 | 701 | | 5 presence of the pregnant woman, the physician who is to perform |
---|
702 | 702 | | 6 the abortion, the referring physician or a physician assistant (as |
---|
703 | 703 | | 7 defined in IC 25-27.5-2-10), an advanced practice registered |
---|
704 | 704 | | 8 nurse (as defined in IC 25-23-1-1(b)), or a certified nurse midwife |
---|
705 | 705 | | 9 (as defined in IC 34-18-2-6.5) to whom the responsibility has |
---|
706 | 706 | | 10 been delegated by the physician who is to perform the abortion or |
---|
707 | 707 | | 11 the referring physician has provided the pregnant woman with a |
---|
708 | 708 | | 12 color copy of the informed consent brochure described in section |
---|
709 | 709 | | 13 1.5 of this chapter by printing the informed consent brochure from |
---|
710 | 710 | | 14 the state department's website and including the following |
---|
711 | 711 | | 15 information on the back cover of the brochure: |
---|
712 | 712 | | 16 (A) The name of the physician performing the abortion and the |
---|
713 | 713 | | 17 physician's medical license number. |
---|
714 | 714 | | 18 (B) An emergency telephone number where the physician or |
---|
715 | 715 | | 19 the physician's designee may be contacted twenty-four (24) |
---|
716 | 716 | | 20 hours a day, seven (7) days a week. |
---|
717 | 717 | | 21 (C) A statement that follow-up care by the physician or the |
---|
718 | 718 | | 22 physician's designee who is licensed under IC 25-22.5 is |
---|
719 | 719 | | 23 available on an appropriate and timely basis when clinically |
---|
720 | 720 | | 24 necessary. |
---|
721 | 721 | | 25 (5) At least eighteen (18) hours before an abortion is performed |
---|
722 | 722 | | 26 and at the same time that the pregnant woman receives the |
---|
723 | 723 | | 27 information required by subdivision (1), the provider shall |
---|
724 | 724 | | 28 perform, and the pregnant woman shall view, the fetal ultrasound |
---|
725 | 725 | | 29 imaging and hear the auscultation of the fetal heart tone if the |
---|
726 | 726 | | 30 fetal heart tone is audible unless the pregnant woman certifies in |
---|
727 | 727 | | 31 writing, on a form developed by the state department, before the |
---|
728 | 728 | | 32 abortion is performed, that the pregnant woman: |
---|
729 | 729 | | 33 (A) does not want to view the fetal ultrasound imaging; and |
---|
730 | 730 | | 34 (B) does not want to listen to the auscultation of the fetal heart |
---|
731 | 731 | | 35 tone if the fetal heart tone is audible. |
---|
732 | 732 | | 36 A pregnant woman must be advised, prior to the pregnant |
---|
733 | 733 | | 37 woman's decision concerning fetal ultrasound imaging, that an |
---|
734 | 734 | | 38 ultrasound image of the fetus will be provided to the pregnant |
---|
735 | 735 | | 39 woman to keep at no charge to the pregnant woman if the fetal |
---|
736 | 736 | | 40 ultrasound is performed. |
---|
737 | 737 | | 41 (6) At least eighteen (18) hours before the abortion, the physician |
---|
738 | 738 | | 42 who is to perform the abortion, the referring physician or a |
---|
739 | 739 | | 2025 IN 275—LS 6211/DI 107 18 |
---|
740 | 740 | | 1 physician assistant (as defined in IC 25-27.5-2-10), an advanced |
---|
741 | 741 | | 2 practice registered nurse (as defined in IC 25-23-1-1(b)), or a |
---|
742 | 742 | | 3 certified nurse midwife (as defined in IC 34-18-2-6.5) to whom |
---|
743 | 743 | | 4 the responsibility has been delegated by the physician who is to |
---|
744 | 744 | | 5 perform the abortion or the referring physician shall, in the |
---|
745 | 745 | | 6 private, not group, presence of the pregnant woman, verbally ask |
---|
746 | 746 | | 7 the pregnant woman if she is being coerced to have an abortion. |
---|
747 | 747 | | 8 (b) This subsection applies to a pregnant woman whose unborn |
---|
748 | 748 | | 9 child has been diagnosed with a lethal fetal anomaly. The requirements |
---|
749 | 749 | | 10 of this subsection are in addition to the other requirements of this |
---|
750 | 750 | | 11 section. At least eighteen (18) hours before an abortion is performed on |
---|
751 | 751 | | 12 the pregnant woman, the physician who will perform the abortion shall: |
---|
752 | 752 | | 13 (1) orally and in person, inform the pregnant woman of the |
---|
753 | 753 | | 14 availability of perinatal hospice services; and |
---|
754 | 754 | | 15 (2) provide the pregnant woman copies of the perinatal hospice |
---|
755 | 755 | | 16 brochure developed by the state department under IC 16-25-4.5-4 |
---|
756 | 756 | | 17 and the list of perinatal hospice providers and programs |
---|
757 | 757 | | 18 developed under IC 16-25-4.5-5, by printing the perinatal hospice |
---|
758 | 758 | | 19 brochure and list of perinatal hospice providers from the state |
---|
759 | 759 | | 20 department's website. |
---|
760 | 760 | | 21 (c) If a pregnant woman described in subsection (b) chooses to have |
---|
761 | 761 | | 22 an abortion rather than continuing the pregnancy in perinatal hospice |
---|
762 | 762 | | 23 care, the pregnant woman shall certify in writing, on a form developed |
---|
763 | 763 | | 24 by the state department under IC 16-25-4.5-6, at least eighteen (18) |
---|
764 | 764 | | 25 hours before the abortion is performed, that the pregnant woman has |
---|
765 | 765 | | 26 been provided the information described in subsection (b) in the |
---|
766 | 766 | | 27 manner required by subsection (b). |
---|
767 | 767 | | 28 (d) For any abortion performed under this article, the physician who |
---|
768 | 768 | | 29 is to perform the abortion, the referring physician or a physician |
---|
769 | 769 | | 30 assistant (as defined in IC 25-27.5-2-10), an advanced practice |
---|
770 | 770 | | 31 registered nurse (as defined in IC 25-23-1-1(b)), or a certified nurse |
---|
771 | 771 | | 32 midwife (as defined in IC 34-18-2-6.5) to whom the responsibility has |
---|
772 | 772 | | 33 been delegated by the physician who is to perform the abortion or the |
---|
773 | 773 | | 34 referring physician shall include, or ensure the inclusion of, a copy of |
---|
774 | 774 | | 35 a pregnant woman's ultrasound report in the pregnant woman's patient |
---|
775 | 775 | | 36 file. |
---|
776 | 776 | | 37 (e) If the physician who is to perform the abortion, the referring |
---|
777 | 777 | | 38 physician, a physician assistant (as defined in IC 25-27.5-2-10), an |
---|
778 | 778 | | 39 advanced practice registered nurse (as defined in IC 25-23-1-1(b)), or |
---|
779 | 779 | | 40 a certified nurse midwife (as defined in IC 34-18-2-6.5) suspects a |
---|
780 | 780 | | 41 pregnant woman is being coerced to have an abortion after making the |
---|
781 | 781 | | 42 inquiry required under subsection (a)(6), the physician, physician |
---|
782 | 782 | | 2025 IN 275—LS 6211/DI 107 19 |
---|
783 | 783 | | 1 assistant, advanced practice registered nurse, or certified nurse midwife |
---|
784 | 784 | | 2 shall: |
---|
785 | 785 | | 3 (1) inform the pregnant woman that coercing a pregnant woman |
---|
786 | 786 | | 4 to have an abortion is illegal; |
---|
787 | 787 | | 5 (2) inform the pregnant woman that a demand by the father to |
---|
788 | 788 | | 6 have an abortion does not relieve him of financial support |
---|
789 | 789 | | 7 responsibilities; and |
---|
790 | 790 | | 8 (3) provide the pregnant woman with: |
---|
791 | 791 | | 9 (A) information about: |
---|
792 | 792 | | 10 (i) assistance; |
---|
793 | 793 | | 11 (ii) counseling; and |
---|
794 | 794 | | 12 (iii) protective services offered by social programs and local |
---|
795 | 795 | | 13 or state law enforcement agencies; |
---|
796 | 796 | | 14 (B) access to a telephone if she needs to make a private |
---|
797 | 797 | | 15 telephone call; and |
---|
798 | 798 | | 16 (C) access to an alternate exit from the health care facility. |
---|
799 | 799 | | 17 (f) Except as provided in subsection (g), if a physician, physician |
---|
800 | 800 | | 18 assistant (as defined in IC 25-27.5-2-10), advanced practice registered |
---|
801 | 801 | | 19 nurse (as defined in IC 25-23-1-1(b)), or certified nurse midwife (as |
---|
802 | 802 | | 20 defined in IC 34-18-2-6.5) has specific and credible information that |
---|
803 | 803 | | 21 a pregnant woman is being coerced into having an abortion, then an |
---|
804 | 804 | | 22 abortion may not be provided to the pregnant woman during the |
---|
805 | 805 | | 23 twenty-four (24) hour period after the physician, physician assistant (as |
---|
806 | 806 | | 24 defined in IC 25-27.5-2-10), advanced practice registered nurse (as |
---|
807 | 807 | | 25 defined in IC 25-23-1-1(b)), or certified nurse midwife (as defined in |
---|
808 | 808 | | 26 IC 34-18-2-6.5) makes a report under IC 16-34-6-6(b). |
---|
809 | 809 | | 27 (g) The twenty-four (24) hour period described in subsection (f) may |
---|
810 | 810 | | 28 be waived if a physician, in the physician's best medical judgment, |
---|
811 | 811 | | 29 determines that an abortion is necessary to prevent the death of the |
---|
812 | 812 | | 30 pregnant woman or to prevent substantial and irreversible injury to a |
---|
813 | 813 | | 31 major bodily function of the pregnant woman. |
---|
814 | 814 | | 32 SECTION 19. IC 16-34-2-3, AS AMENDED BY P.L.179-2022(ss), |
---|
815 | 815 | | 33 SECTION 23, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
816 | 816 | | 34 UPON PASSAGE]: Sec. 3. (a) All abortions performed on and after the |
---|
817 | 817 | | 35 earlier of the time a fetus is viable or the time the postfertilization age |
---|
818 | 818 | | 36 of the fetus is at least twenty (20) weeks shall be: |
---|
819 | 819 | | 37 (1) governed by section 1 1(a)(3) and 1(b) of this chapter; |
---|
820 | 820 | | 38 (2) performed in a hospital having premature birth intensive care |
---|
821 | 821 | | 39 units, unless compliance with this requirement would result in an |
---|
822 | 822 | | 40 increased risk to the life or health of the mother; and |
---|
823 | 823 | | 41 (3) performed in the presence of a second physician as provided |
---|
824 | 824 | | 42 in subsection (b). |
---|
825 | 825 | | 2025 IN 275—LS 6211/DI 107 20 |
---|
826 | 826 | | 1 (b) An abortion may be performed after the earlier of the time a |
---|
827 | 827 | | 2 fetus is viable or the time the postfertilization age of the fetus is at least |
---|
828 | 828 | | 3 twenty (20) weeks only if there is in attendance a physician, other than |
---|
829 | 829 | | 4 the physician performing the abortion, who shall take control of and |
---|
830 | 830 | | 5 provide immediate care for a child born alive as a result of the abortion. |
---|
831 | 831 | | 6 During the performance of the abortion, the physician performing the |
---|
832 | 832 | | 7 abortion, and after the abortion, the physician required by this |
---|
833 | 833 | | 8 subsection to be in attendance, shall take all reasonable steps in |
---|
834 | 834 | | 9 keeping with good medical practice, consistent with the procedure |
---|
835 | 835 | | 10 used, to preserve the life and health of the viable unborn child. |
---|
836 | 836 | | 11 However, this subsection does not apply if compliance would result in |
---|
837 | 837 | | 12 an increased risk to the life or health of the mother. |
---|
838 | 838 | | 13 (c) Any fetus born alive shall be treated as a person under the law, |
---|
839 | 839 | | 14 and a birth certificate shall be issued certifying the child's birth even |
---|
840 | 840 | | 15 though the child may subsequently die, in which event a death |
---|
841 | 841 | | 16 certificate shall be issued. Failure to take all reasonable steps, in |
---|
842 | 842 | | 17 keeping with good medical practice, to preserve the life and health of |
---|
843 | 843 | | 18 the live born person shall subject the responsible persons to Indiana |
---|
844 | 844 | | 19 laws governing homicide, manslaughter, and civil liability for wrongful |
---|
845 | 845 | | 20 death and medical malpractice. |
---|
846 | 846 | | 21 (d) If, before the abortion, the mother, and if married, her husband, |
---|
847 | 847 | | 22 has or have stated in writing that she does or they do not wish to keep |
---|
848 | 848 | | 23 the child in the event that the abortion results in a live birth, and this |
---|
849 | 849 | | 24 writing is not retracted before the abortion, the child, if born alive, shall |
---|
850 | 850 | | 25 immediately upon birth become a ward of the department of child |
---|
851 | 851 | | 26 services. |
---|
852 | 852 | | 27 SECTION 20. IC 16-34-2-4.5, AS AMENDED BY |
---|
853 | 853 | | 28 P.L.179-2022(ss), SECTION 25, IS AMENDED TO READ AS |
---|
854 | 854 | | 29 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 4.5. (a) A physician |
---|
855 | 855 | | 30 may not perform an abortion including an abortion using an abortion |
---|
856 | 856 | | 31 inducing drug, unless the physician: |
---|
857 | 857 | | 32 (1) has admitting privileges in writing at a hospital located in the |
---|
858 | 858 | | 33 county where abortions are provided or in a contiguous county; or |
---|
859 | 859 | | 34 (2) has entered into a written agreement with a physician who has |
---|
860 | 860 | | 35 written admitting privileges at a hospital in the county or |
---|
861 | 861 | | 36 contiguous county concerning the management of possible |
---|
862 | 862 | | 37 complications of the services provided. |
---|
863 | 863 | | 38 A written agreement described in subdivision (2) must be renewed |
---|
864 | 864 | | 39 annually. |
---|
865 | 865 | | 40 (b) A physician who performs an abortion including an abortion |
---|
866 | 866 | | 41 using an abortion inducing drug, shall notify the patient of the location |
---|
867 | 867 | | 42 of the hospital at which the physician or a physician with whom the |
---|
868 | 868 | | 2025 IN 275—LS 6211/DI 107 21 |
---|
869 | 869 | | 1 physician has entered into an agreement under subsection (a)(2) has |
---|
870 | 870 | | 2 admitting privileges and where the patient may receive follow-up care |
---|
871 | 871 | | 3 by the physician if complications arise. |
---|
872 | 872 | | 4 (c) A hospital or ambulatory outpatient surgical center in which |
---|
873 | 873 | | 5 abortions are performed An abortion clinic shall: |
---|
874 | 874 | | 6 (1) keep at the hospital or ambulatory outpatient surgical center |
---|
875 | 875 | | 7 abortion clinic a copy of the admitting privileges of a physician |
---|
876 | 876 | | 8 described in subsection (a)(1) and (a)(2); who is performing |
---|
877 | 877 | | 9 abortions at the hospital or ambulatory outpatient surgical center; |
---|
878 | 878 | | 10 and |
---|
879 | 879 | | 11 (2) submit a copy of the admitting privileges described in |
---|
880 | 880 | | 12 subdivision (1) to the state department as part of the abortion |
---|
881 | 881 | | 13 clinic's licensure. The state department shall verify the validity |
---|
882 | 882 | | 14 of the admitting privileges document. The state department shall |
---|
883 | 883 | | 15 remove any identifying information from the admitting privileges |
---|
884 | 884 | | 16 document before releasing the document under IC 5-14-3. |
---|
885 | 885 | | 17 (d) The state department shall annually submit a copy of the |
---|
886 | 886 | | 18 admitting privileges described in subsection (a)(1) and a copy of the |
---|
887 | 887 | | 19 written agreement described in subsection (a)(2) to: |
---|
888 | 888 | | 20 (1) each hospital located in the county in which the hospital |
---|
889 | 889 | | 21 granting the admitting privileges described in subsection (a) is |
---|
890 | 890 | | 22 located; and |
---|
891 | 891 | | 23 (2) each hospital located in a county that is contiguous to the |
---|
892 | 892 | | 24 county described in subdivision (1); |
---|
893 | 893 | | 25 where abortions are performed. |
---|
894 | 894 | | 26 (e) The state department shall confirm to a member of the public, |
---|
895 | 895 | | 27 upon request, that the admitting privileges required to be submitted |
---|
896 | 896 | | 28 under this section for a hospital or ambulatory outpatient surgical |
---|
897 | 897 | | 29 center an abortion clinic have been received by the state department. |
---|
898 | 898 | | 30 (f) Notwithstanding IC 5-14-3-6 and IC 5-14-3-6.5, this section only |
---|
899 | 899 | | 31 allows for the redaction of information that is described in subsection |
---|
900 | 900 | | 32 (c). This section does not allow the state department to limit the |
---|
901 | 901 | | 33 disclosure of information in other public documents. |
---|
902 | 902 | | 34 SECTION 21. IC 16-34-2-4.7, AS AMENDED BY |
---|
903 | 903 | | 35 P.L.179-2022(ss), SECTION 26, IS AMENDED TO READ AS |
---|
904 | 904 | | 36 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 4.7. (a) As used in |
---|
905 | 905 | | 37 this section, "abortion complication" means only the following physical |
---|
906 | 906 | | 38 or psychological conditions arising from the induction or performance |
---|
907 | 907 | | 39 of an abortion: |
---|
908 | 908 | | 40 (1) Uterine perforation. |
---|
909 | 909 | | 41 (2) Cervical laceration. |
---|
910 | 910 | | 42 (3) Infection. |
---|
911 | 911 | | 2025 IN 275—LS 6211/DI 107 22 |
---|
912 | 912 | | 1 (4) Vaginal bleeding that qualifies as a Grade 2 or higher adverse |
---|
913 | 913 | | 2 event according to the Common Terminology Criteria for Adverse |
---|
914 | 914 | | 3 Events (CTCAE). |
---|
915 | 915 | | 4 (5) Pulmonary embolism. |
---|
916 | 916 | | 5 (6) Deep vein thrombosis. |
---|
917 | 917 | | 6 (7) Failure to terminate the pregnancy. |
---|
918 | 918 | | 7 (8) Incomplete abortion (retained tissue). |
---|
919 | 919 | | 8 (9) Pelvic inflammatory disease. |
---|
920 | 920 | | 9 (10) Missed ectopic pregnancy. |
---|
921 | 921 | | 10 (11) Cardiac arrest. |
---|
922 | 922 | | 11 (12) Respiratory arrest. |
---|
923 | 923 | | 12 (13) Renal failure. |
---|
924 | 924 | | 13 (14) Shock. |
---|
925 | 925 | | 14 (15) Amniotic fluid embolism. |
---|
926 | 926 | | 15 (16) Coma. |
---|
927 | 927 | | 16 (17) Placenta previa in subsequent pregnancies. |
---|
928 | 928 | | 17 (18) Pre-term delivery in subsequent pregnancies. |
---|
929 | 929 | | 18 (19) Free fluid in the abdomen. |
---|
930 | 930 | | 19 (20) Hemolytic reaction due to the administration of |
---|
931 | 931 | | 20 ABO-incompatible blood or blood products. |
---|
932 | 932 | | 21 (21) Hypoglycemia occurring while the patient is being treated at |
---|
933 | 933 | | 22 the hospital or ambulatory outpatient surgical center. an abortion |
---|
934 | 934 | | 23 clinic. |
---|
935 | 935 | | 24 (22) Allergic reaction to anesthesia or abortion inducing drugs. |
---|
936 | 936 | | 25 (23) Psychological complications, including depression, suicidal |
---|
937 | 937 | | 26 ideation, anxiety, and sleeping disorders. |
---|
938 | 938 | | 27 (24) Death. |
---|
939 | 939 | | 28 (25) Any other adverse event as defined by criteria provided in |
---|
940 | 940 | | 29 the Food and Drug Administration Safety Information and |
---|
941 | 941 | | 30 Adverse Event Reporting Program. |
---|
942 | 942 | | 31 (b) The following persons shall report to the state department each |
---|
943 | 943 | | 32 case in which the person treated a patient suffering from an abortion |
---|
944 | 944 | | 33 complication: |
---|
945 | 945 | | 34 (1) A physician licensed under IC 25-22.5. |
---|
946 | 946 | | 35 (2) A hospital licensed under IC 16-21. |
---|
947 | 947 | | 36 (3) Beginning September 1, 2022, An ambulatory outpatient |
---|
948 | 948 | | 37 surgical center licensed under IC 16-21-2. abortion clinic |
---|
949 | 949 | | 38 licensed under IC 16-21-2-2. |
---|
950 | 950 | | 39 (c) The state department shall develop a process for the submission |
---|
951 | 951 | | 40 of a report under this section. |
---|
952 | 952 | | 41 (d) A report under this section shall be submitted to the state |
---|
953 | 953 | | 42 department in the manner prescribed by the state department. |
---|
954 | 954 | | 2025 IN 275—LS 6211/DI 107 23 |
---|
955 | 955 | | 1 (e) The report under this section must include the following |
---|
956 | 956 | | 2 information concerning the abortion complication: |
---|
957 | 957 | | 3 (1) The date the patient presented for treatment for the abortion |
---|
958 | 958 | | 4 complication. |
---|
959 | 959 | | 5 (2) The age of the patient. |
---|
960 | 960 | | 6 (3) The race of the patient. |
---|
961 | 961 | | 7 (4) The county and state of the patient's residence. |
---|
962 | 962 | | 8 (5) The type of abortion obtained by the patient. |
---|
963 | 963 | | 9 (6) The date of abortion obtained by the patient. |
---|
964 | 964 | | 10 (7) The name of the: |
---|
965 | 965 | | 11 (A) abortion clinic; |
---|
966 | 966 | | 12 (B) medical facility; or |
---|
967 | 967 | | 13 (A) (C) hospital; or |
---|
968 | 968 | | 14 (B) ambulatory outpatient surgical center; |
---|
969 | 969 | | 15 where the patient obtained the abortion. |
---|
970 | 970 | | 16 (8) Whether the patient obtained abortion medication via mail |
---|
971 | 971 | | 17 order or Internet web site, website, and if so, information |
---|
972 | 972 | | 18 identifying the source of the medication. |
---|
973 | 973 | | 19 (9) Whether the complication was previously managed by the |
---|
974 | 974 | | 20 abortion provider or the abortion provider's required back-up |
---|
975 | 975 | | 21 physician. |
---|
976 | 976 | | 22 (10) The name of the medications taken by the patient as part of |
---|
977 | 977 | | 23 the pharmaceutical abortion regimen, if any. |
---|
978 | 978 | | 24 (11) A list of each diagnosed complication. |
---|
979 | 979 | | 25 (12) A list of each treated complication, with a description of the |
---|
980 | 980 | | 26 treatment provided. |
---|
981 | 981 | | 27 (13) Whether the patient's visit to treat the complications was the |
---|
982 | 982 | | 28 original visit or a follow-up visit. |
---|
983 | 983 | | 29 (14) The date of each follow-up visit, if any. |
---|
984 | 984 | | 30 (15) A list of each complication diagnosed at a follow-up visit, if |
---|
985 | 985 | | 31 any. |
---|
986 | 986 | | 32 (16) A list of each complication treated at a follow-up visit, if any. |
---|
987 | 987 | | 33 (f) On a quarterly basis, Not later than June 30 of each year, the |
---|
988 | 988 | | 34 state department shall compile a public report summarizing the |
---|
989 | 989 | | 35 information collected under this section. The report must include |
---|
990 | 990 | | 36 statistics for the previous calendar quarter, year, with updated |
---|
991 | 991 | | 37 information for the most recent calendar quarter. year. |
---|
992 | 992 | | 38 (g) The state department shall summarize the aggregate data from |
---|
993 | 993 | | 39 the data submitted under this section and submit the data, on or before |
---|
994 | 994 | | 40 June 30 of each year, to the United States Centers for Disease Control |
---|
995 | 995 | | 41 and Prevention for its inclusion in the annual Vital Statistics Report. |
---|
996 | 996 | | 42 (h) The state department shall ensure that no identifying information |
---|
997 | 997 | | 2025 IN 275—LS 6211/DI 107 24 |
---|
998 | 998 | | 1 of a pregnant woman is included in the report described in subsection |
---|
999 | 999 | | 2 (f). |
---|
1000 | 1000 | | 3 (i) This subsection applies after August 31, 2020. Each failure to |
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1001 | 1001 | | 4 report an abortion complication as required under this section is a Class |
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1002 | 1002 | | 5 B misdemeanor. |
---|
1003 | 1003 | | 6 (j) The state department shall adopt rules under IC 4-22-2 to |
---|
1004 | 1004 | | 7 implement this section. |
---|
1005 | 1005 | | 8 SECTION 22. IC 16-34-2-5, AS AMENDED BY P.L.56-2023, |
---|
1006 | 1006 | | 9 SECTION 154, IS AMENDED TO READ AS FOLLOWS |
---|
1007 | 1007 | | 10 [EFFECTIVE UPON PASSAGE]: Sec. 5. (a) Every health care |
---|
1008 | 1008 | | 11 provider who performs a surgical abortion or provides, prescribes, |
---|
1009 | 1009 | | 12 administers, or dispenses an abortion inducing drug for the purposes of |
---|
1010 | 1010 | | 13 inducing an abortion shall report the performance of the abortion or the |
---|
1011 | 1011 | | 14 provision, prescribing, administration, or dispensing of an abortion |
---|
1012 | 1012 | | 15 inducing drug on a form drafted by the state department, the purpose |
---|
1013 | 1013 | | 16 and function of which shall be the improvement of maternal health and |
---|
1014 | 1014 | | 17 life through the compilation of relevant maternal life and health factors |
---|
1015 | 1015 | | 18 and data, and a further purpose and function shall be to monitor all |
---|
1016 | 1016 | | 19 abortions performed in Indiana to assure the abortions are done only |
---|
1017 | 1017 | | 20 under the authorized provisions of the law. For each abortion |
---|
1018 | 1018 | | 21 performed and abortion inducing drug provided, prescribed, |
---|
1019 | 1019 | | 22 administered, or dispensed, the report shall include, among other |
---|
1020 | 1020 | | 23 things, the following: |
---|
1021 | 1021 | | 24 (1) The age of the patient. |
---|
1022 | 1022 | | 25 (2) Whether a waiver of consent under section 4 of this chapter |
---|
1023 | 1023 | | 26 was obtained. |
---|
1024 | 1024 | | 27 (3) Whether a waiver of notification under section 4 of this |
---|
1025 | 1025 | | 28 chapter was obtained. |
---|
1026 | 1026 | | 29 (4) The date and location, including the facility name and city or |
---|
1027 | 1027 | | 30 town, where the: |
---|
1028 | 1028 | | 31 (A) pregnant woman: |
---|
1029 | 1029 | | 32 (i) provided consent; and |
---|
1030 | 1030 | | 33 (ii) received all information; |
---|
1031 | 1031 | | 34 required under section 1.1 of this chapter; and |
---|
1032 | 1032 | | 35 (B) abortion was performed or the abortion inducing drug was |
---|
1033 | 1033 | | 36 provided, prescribed, administered, or dispensed. |
---|
1034 | 1034 | | 37 (5) The health care provider's full name and address, including the |
---|
1035 | 1035 | | 38 name of the physicians performing the abortion or providing, |
---|
1036 | 1036 | | 39 prescribing, administering, or dispensing the abortion inducing |
---|
1037 | 1037 | | 40 drug. |
---|
1038 | 1038 | | 41 (6) The city and county where the pregnancy termination |
---|
1039 | 1039 | | 42 occurred. |
---|
1040 | 1040 | | 2025 IN 275—LS 6211/DI 107 25 |
---|
1041 | 1041 | | 1 (7) The age of the father, or the approximate age of the father if |
---|
1042 | 1042 | | 2 the father's age is unknown. |
---|
1043 | 1043 | | 3 (8) The patient's county and state of residence. |
---|
1044 | 1044 | | 4 (9) The marital status of the patient. |
---|
1045 | 1045 | | 5 (10) The educational level of the patient. |
---|
1046 | 1046 | | 6 (11) The race of the patient. |
---|
1047 | 1047 | | 7 (12) The ethnicity of the patient. |
---|
1048 | 1048 | | 8 (13) The number of the patient's previous live births. |
---|
1049 | 1049 | | 9 (14) The number of the patient's deceased children. |
---|
1050 | 1050 | | 10 (15) The number of the patient's spontaneous pregnancy |
---|
1051 | 1051 | | 11 terminations. |
---|
1052 | 1052 | | 12 (16) The number of the patient's previous induced terminations. |
---|
1053 | 1053 | | 13 (17) The date of the patient's last menses. |
---|
1054 | 1054 | | 14 (18) The physician's determination of the gestation of the fetus in |
---|
1055 | 1055 | | 15 weeks. |
---|
1056 | 1056 | | 16 (19) The reason for the abortion. |
---|
1057 | 1057 | | 17 (20) (19) Whether the patient indicated that the patient was |
---|
1058 | 1058 | | 18 seeking an abortion as a result of being: |
---|
1059 | 1059 | | 19 (A) abused; |
---|
1060 | 1060 | | 20 (B) coerced; |
---|
1061 | 1061 | | 21 (C) harassed; or |
---|
1062 | 1062 | | 22 (D) trafficked. |
---|
1063 | 1063 | | 23 (21) (20) The following information concerning the abortion or |
---|
1064 | 1064 | | 24 the provision, prescribing, administration, or dispensing of the |
---|
1065 | 1065 | | 25 abortion inducing drug: |
---|
1066 | 1066 | | 26 (A) The postfertilization age of the fetus (in weeks). |
---|
1067 | 1067 | | 27 (B) The manner in which the postfertilization age was |
---|
1068 | 1068 | | 28 determined. |
---|
1069 | 1069 | | 29 (C) The gender of the fetus, if detectable. |
---|
1070 | 1070 | | 30 (D) Whether the fetus has been diagnosed with or has a |
---|
1071 | 1071 | | 31 potential diagnosis of having Down syndrome or any other |
---|
1072 | 1072 | | 32 disability. |
---|
1073 | 1073 | | 33 (E) If after the earlier of the time the fetus obtains viability or |
---|
1074 | 1074 | | 34 the time the postfertilization age of the fetus is at least twenty |
---|
1075 | 1075 | | 35 (20) weeks, the medical reason for the performance of the |
---|
1076 | 1076 | | 36 abortion or the provision, prescribing, administration, or |
---|
1077 | 1077 | | 37 dispensing of the abortion inducing drug. |
---|
1078 | 1078 | | 38 (22) (21) For a surgical abortion, the medical procedure used for |
---|
1079 | 1079 | | 39 the abortion and, if the fetus was viable or had a postfertilization |
---|
1080 | 1080 | | 40 age of at least twenty (20) weeks: |
---|
1081 | 1081 | | 41 (A) whether the procedure, in the reasonable judgment of the |
---|
1082 | 1082 | | 42 health care provider, gave the fetus the best opportunity to |
---|
1083 | 1083 | | 2025 IN 275—LS 6211/DI 107 26 |
---|
1084 | 1084 | | 1 survive; |
---|
1085 | 1085 | | 2 (B) the basis for the determination that the pregnant woman |
---|
1086 | 1086 | | 3 had a condition described in this chapter that required the |
---|
1087 | 1087 | | 4 abortion to avert the death of or serious impairment to the |
---|
1088 | 1088 | | 5 pregnant woman; and |
---|
1089 | 1089 | | 6 (C) the name of the second doctor present, as required under |
---|
1090 | 1090 | | 7 IC 16-34-2-3(a)(3). section 3(a)(3) of this chapter. |
---|
1091 | 1091 | | 8 (23) (22) For a nonsurgical abortion, the precise drugs provided, |
---|
1092 | 1092 | | 9 prescribed, administered, or dispensed, and the means of delivery |
---|
1093 | 1093 | | 10 of the drugs to the patient. |
---|
1094 | 1094 | | 11 (24) (23) For a nonsurgical abortion, that the manufacturer's |
---|
1095 | 1095 | | 12 instructions were provided to the patient and that the patient |
---|
1096 | 1096 | | 13 signed the patient agreement. |
---|
1097 | 1097 | | 14 (25) (24) For an abortion performed before twenty (20) weeks of |
---|
1098 | 1098 | | 15 postfertilization age of the fetus, the medical indication by |
---|
1099 | 1099 | | 16 diagnosis code for the fetus and the mother. |
---|
1100 | 1100 | | 17 (26) (25) The mother's obstetrical history, including dates of other |
---|
1101 | 1101 | | 18 abortions, if any. |
---|
1102 | 1102 | | 19 (27) (26) Any preexisting medical conditions of the patient that |
---|
1103 | 1103 | | 20 may complicate the abortion. |
---|
1104 | 1104 | | 21 (28) (27) The results of pathological examinations if performed. |
---|
1105 | 1105 | | 22 (29) (28) For a surgical abortion, whether the fetus was delivered |
---|
1106 | 1106 | | 23 alive, and if so, how long the fetus lived. |
---|
1107 | 1107 | | 24 (30) (29) Records of all maternal deaths occurring at the location |
---|
1108 | 1108 | | 25 where the abortion was performed or the abortion inducing drug |
---|
1109 | 1109 | | 26 was provided, prescribed, administered, or dispensed. |
---|
1110 | 1110 | | 27 (31) (30) The date the form was transmitted to the state |
---|
1111 | 1111 | | 28 department and, if applicable, separately to the department of |
---|
1112 | 1112 | | 29 child services. |
---|
1113 | 1113 | | 30 (b) The health care provider shall complete the form provided for in |
---|
1114 | 1114 | | 31 subsection (a) and shall transmit the completed form to the state |
---|
1115 | 1115 | | 32 department, in the manner specified on the form, within thirty (30) days |
---|
1116 | 1116 | | 33 after the date of each abortion. However, if an abortion is for a female |
---|
1117 | 1117 | | 34 who is less than sixteen (16) years of age, the health care provider shall |
---|
1118 | 1118 | | 35 transmit the form to the state department and separately to the |
---|
1119 | 1119 | | 36 department of child services within three (3) days after the abortion is |
---|
1120 | 1120 | | 37 performed. |
---|
1121 | 1121 | | 38 (c) The dates supplied on the form may not be redacted for any |
---|
1122 | 1122 | | 39 reason before the form is transmitted as provided in this section. |
---|
1123 | 1123 | | 40 (d) Each failure to complete or timely transmit a form, as required |
---|
1124 | 1124 | | 41 under this section, for each abortion performed or abortion inducing |
---|
1125 | 1125 | | 42 drug that was provided, prescribed, administered, or dispensed, is a |
---|
1126 | 1126 | | 2025 IN 275—LS 6211/DI 107 27 |
---|
1127 | 1127 | | 1 Class B misdemeanor. |
---|
1128 | 1128 | | 2 (e) On a quarterly basis, Not later than June 30 of each year, the |
---|
1129 | 1129 | | 3 state department shall compile a public report providing the following: |
---|
1130 | 1130 | | 4 (1) Statistics for the previous calendar quarter year from the |
---|
1131 | 1131 | | 5 information submitted under this section. |
---|
1132 | 1132 | | 6 (2) Statistics for previous calendar years compiled by the state |
---|
1133 | 1133 | | 7 department under this subsection, with updated information for |
---|
1134 | 1134 | | 8 the calendar quarter year that was submitted to the state |
---|
1135 | 1135 | | 9 department after the compilation of the statistics. |
---|
1136 | 1136 | | 10 The state department shall ensure that no identifying information of a |
---|
1137 | 1137 | | 11 pregnant woman is contained in the report. |
---|
1138 | 1138 | | 12 (f) The state department shall: |
---|
1139 | 1139 | | 13 (1) summarize aggregate data from all data submitted under this |
---|
1140 | 1140 | | 14 section; and |
---|
1141 | 1141 | | 15 (2) submit the data, before July 1 of each year, to the United |
---|
1142 | 1142 | | 16 States Centers for Disease Control and Prevention for its inclusion |
---|
1143 | 1143 | | 17 in the annual Vital Statistics Report. |
---|
1144 | 1144 | | 18 SECTION 23. IC 16-34-2-7, AS AMENDED BY P.L.179-2022(ss), |
---|
1145 | 1145 | | 19 SECTION 28, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1146 | 1146 | | 20 UPON PASSAGE]: Sec. 7. (a) Except as provided in subsections (b) |
---|
1147 | 1147 | | 21 and (c), a person who knowingly or intentionally performs an abortion |
---|
1148 | 1148 | | 22 prohibited by section 1 of not expressly provided for in this chapter |
---|
1149 | 1149 | | 23 commits a Level 5 felony. |
---|
1150 | 1150 | | 24 (b) A physician who performs an abortion intentionally or |
---|
1151 | 1151 | | 25 knowingly in violation of section 1(a)(1)(D) 1(a)(1)(C) or 4 of this |
---|
1152 | 1152 | | 26 chapter commits a Class A misdemeanor. |
---|
1153 | 1153 | | 27 (c) A person who knowingly or intentionally performs an abortion |
---|
1154 | 1154 | | 28 in violation of section 1.1 of this chapter commits a Class A infraction. |
---|
1155 | 1155 | | 29 (d) A woman upon whom a partial birth abortion is performed may |
---|
1156 | 1156 | | 30 not be prosecuted for violating or conspiring to violate section 1(b) of |
---|
1157 | 1157 | | 31 this chapter. |
---|
1158 | 1158 | | 32 (e) A woman upon whom a dismemberment abortion is performed |
---|
1159 | 1159 | | 33 may not be prosecuted for violating or conspiring to violate section 1(c) |
---|
1160 | 1160 | | 34 of this chapter. |
---|
1161 | 1161 | | 35 SECTION 24. IC 16-34-3-2, AS AMENDED BY P.L.179-2022(ss), |
---|
1162 | 1162 | | 36 SECTION 29, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1163 | 1163 | | 37 UPON PASSAGE]: Sec. 2. (a) A pregnant woman who has an abortion |
---|
1164 | 1164 | | 38 under this article has the right to have the hospital or ambulatory |
---|
1165 | 1165 | | 39 outpatient surgical center health care facility or abortion clinic |
---|
1166 | 1166 | | 40 dispose of the aborted fetus by interment in compliance with |
---|
1167 | 1167 | | 41 IC 23-14-54, or cremation through a licensee (as defined in |
---|
1168 | 1168 | | 42 IC 25-15-2-19) and in compliance with IC 23-14-31. The pregnant |
---|
1169 | 1169 | | 2025 IN 275—LS 6211/DI 107 28 |
---|
1170 | 1170 | | 1 woman who selects to have the hospital or ambulatory outpatient |
---|
1171 | 1171 | | 2 surgical center health care facility or abortion clinic dispose of the |
---|
1172 | 1172 | | 3 aborted fetus has the right to ask which method of disposal will be |
---|
1173 | 1173 | | 4 used by the hospital or ambulatory outpatient surgical center. health |
---|
1174 | 1174 | | 5 care facility or abortion clinic. |
---|
1175 | 1175 | | 6 (b) After receiving the notification and information required by |
---|
1176 | 1176 | | 7 IC 16-34-2-1.1(a)(2)(H), IC 16-34-2-1.1(a)(2)(I), and |
---|
1177 | 1177 | | 8 IC 16-34-2-1.1(a)(2)(J), the pregnant woman shall inform the hospital |
---|
1178 | 1178 | | 9 or ambulatory outpatient surgical center: health care facility or |
---|
1179 | 1179 | | 10 abortion clinic: |
---|
1180 | 1180 | | 11 (1) in writing; and |
---|
1181 | 1181 | | 12 (2) on a form prescribed by the state department; |
---|
1182 | 1182 | | 13 of the pregnant woman's decision for final disposition of the aborted |
---|
1183 | 1183 | | 14 fetus by cremation or interment and, in an abortion induced by an |
---|
1184 | 1184 | | 15 abortion inducing drug, whether the pregnant woman will return the |
---|
1185 | 1185 | | 16 aborted fetus to the hospital or ambulatory outpatient surgical center |
---|
1186 | 1186 | | 17 health care facility or abortion clinic for disposition by interment in |
---|
1187 | 1187 | | 18 compliance with IC 23-14-54, or cremation through a licensee (as |
---|
1188 | 1188 | | 19 defined in IC 25-15-2-19) and in compliance with IC 23-14-31. |
---|
1189 | 1189 | | 20 (c) If the pregnant woman is a minor, the hospital or ambulatory |
---|
1190 | 1190 | | 21 outpatient surgical center health care facility or abortion clinic shall |
---|
1191 | 1191 | | 22 obtain parental consent in the disposition of the aborted fetus unless the |
---|
1192 | 1192 | | 23 minor has received a waiver of parental consent under IC 16-34-2-4. |
---|
1193 | 1193 | | 24 (d) The hospital or ambulatory outpatient surgical center health |
---|
1194 | 1194 | | 25 care facility or abortion clinic shall document the pregnant woman's |
---|
1195 | 1195 | | 26 decision concerning disposition of the aborted fetus in the pregnant |
---|
1196 | 1196 | | 27 woman's medical record. |
---|
1197 | 1197 | | 28 (e) In the case of an abortion induced by an abortion inducing drug, |
---|
1198 | 1198 | | 29 the pregnant woman may return the aborted fetus to the hospital or |
---|
1199 | 1199 | | 30 ambulatory outpatient surgical center health care facility or abortion |
---|
1200 | 1200 | | 31 clinic for disposition by interment in compliance with IC 23-14-54, or |
---|
1201 | 1201 | | 32 cremation through a licensee (as defined in IC 25-15-2-19) and in |
---|
1202 | 1202 | | 33 compliance with IC 23-14-31. |
---|
1203 | 1203 | | 34 SECTION 25. IC 16-34-3-3, AS AMENDED BY P.L.179-2022(ss), |
---|
1204 | 1204 | | 35 SECTION 30, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1205 | 1205 | | 36 UPON PASSAGE]: Sec. 3. If the pregnant woman chooses a location |
---|
1206 | 1206 | | 37 for final disposition other than the location of final disposition that is |
---|
1207 | 1207 | | 38 usual and customary for a hospital or ambulatory outpatient surgical |
---|
1208 | 1208 | | 39 center, health care facility or an abortion clinic, the pregnant woman |
---|
1209 | 1209 | | 40 is responsible for the costs related to the final disposition of the aborted |
---|
1210 | 1210 | | 41 fetus at the chosen location. |
---|
1211 | 1211 | | 42 SECTION 26. IC 16-34-3-4, AS AMENDED BY P.L.179-2022(ss), |
---|
1212 | 1212 | | 2025 IN 275—LS 6211/DI 107 29 |
---|
1213 | 1213 | | 1 SECTION 31, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1214 | 1214 | | 2 UPON PASSAGE]: Sec. 4. (a) A hospital or ambulatory outpatient |
---|
1215 | 1215 | | 3 surgical center health care facility or an abortion clinic having |
---|
1216 | 1216 | | 4 possession of an aborted fetus shall provide for the final disposition of |
---|
1217 | 1217 | | 5 the aborted fetus. The burial transit permit requirements of IC 16-37-3 |
---|
1218 | 1218 | | 6 apply to the final disposition of an aborted fetus, which must be |
---|
1219 | 1219 | | 7 interred or cremated. However: |
---|
1220 | 1220 | | 8 (1) a person is not required to designate a name for the aborted |
---|
1221 | 1221 | | 9 fetus on the burial transit permit and the space for a name may |
---|
1222 | 1222 | | 10 remain blank; and |
---|
1223 | 1223 | | 11 (2) any information submitted under this section that may be used |
---|
1224 | 1224 | | 12 to identify the pregnant woman is confidential and must be |
---|
1225 | 1225 | | 13 redacted from any public records maintained under IC 16-37-3. |
---|
1226 | 1226 | | 14 Aborted fetuses may be cremated by simultaneous cremation. |
---|
1227 | 1227 | | 15 (b) If the hospital or ambulatory outpatient surgical center health |
---|
1228 | 1228 | | 16 care facility or abortion clinic conducts the cremation of aborted fetal |
---|
1229 | 1229 | | 17 remains on site, the hospital or ambulatory outpatient surgical center |
---|
1230 | 1230 | | 18 health care facility or abortion clinic must comply with all state laws |
---|
1231 | 1231 | | 19 concerning the cremation of human remains as prescribed in |
---|
1232 | 1232 | | 20 IC 23-14-31. The hospital or ambulatory outpatient surgical center |
---|
1233 | 1233 | | 21 health care facility or abortion clinic must make the onsite cremation |
---|
1234 | 1234 | | 22 equipment available to the state department for inspection at the time |
---|
1235 | 1235 | | 23 the hospital or ambulatory outpatient surgical center health care |
---|
1236 | 1236 | | 24 facility or abortion clinic is inspected. When the hospital or |
---|
1237 | 1237 | | 25 ambulatory outpatient surgical center health care facility or abortion |
---|
1238 | 1238 | | 26 clinic contracts with a licensed funeral home for the disposal of the |
---|
1239 | 1239 | | 27 aborted fetal remains, the contract must be made available for review |
---|
1240 | 1240 | | 28 by the state department at the time the hospital or ambulatory |
---|
1241 | 1241 | | 29 outpatient surgical center health care facility or abortion clinic is |
---|
1242 | 1242 | | 30 inspected. |
---|
1243 | 1243 | | 31 (c) Except in extraordinary circumstances where the required |
---|
1244 | 1244 | | 32 information is unavailable or unknown, a burial transit permit issued |
---|
1245 | 1245 | | 33 under IC 16-37-3 that includes multiple fetal remains must be |
---|
1246 | 1246 | | 34 accompanied by a log prescribed by the state department containing the |
---|
1247 | 1247 | | 35 following information about each fetus included under the burial transit |
---|
1248 | 1248 | | 36 permit: |
---|
1249 | 1249 | | 37 (1) The date of the abortion. |
---|
1250 | 1250 | | 38 (2) Whether the abortion was surgical or induced by an abortion |
---|
1251 | 1251 | | 39 inducing drug. |
---|
1252 | 1252 | | 40 (3) The name of the funeral director licensee who will be |
---|
1253 | 1253 | | 41 retrieving the aborted fetus. |
---|
1254 | 1254 | | 42 (4) In the case of an abortion induced by an abortion inducing |
---|
1255 | 1255 | | 2025 IN 275—LS 6211/DI 107 30 |
---|
1256 | 1256 | | 1 drug: |
---|
1257 | 1257 | | 2 (A) whether the pregnant woman will cremate or inter the |
---|
1258 | 1258 | | 3 fetus, or will return the fetus to the hospital or ambulatory |
---|
1259 | 1259 | | 4 outpatient surgical center health care facility or abortion |
---|
1260 | 1260 | | 5 clinic for disposition; and |
---|
1261 | 1261 | | 6 (B) if the pregnant woman returns the fetus to the hospital or |
---|
1262 | 1262 | | 7 ambulatory outpatient surgical center, health care facility or |
---|
1263 | 1263 | | 8 abortion clinic, whether the returned fetus is included in the |
---|
1264 | 1264 | | 9 burial transit permit. |
---|
1265 | 1265 | | 10 The hospital or ambulatory outpatient surgical center health care |
---|
1266 | 1266 | | 11 facility or abortion clinic must keep a copy of the burial transit permit |
---|
1267 | 1267 | | 12 and accompanying log in a permanent file. |
---|
1268 | 1268 | | 13 (d) Each time the fetal remains are transported from one entity to |
---|
1269 | 1269 | | 14 another for disposition, the entity receiving the fetal remains must |
---|
1270 | 1270 | | 15 confirm that the number of fetal remains matches the information |
---|
1271 | 1271 | | 16 contained in the burial transit permit and accompanying log. After final |
---|
1272 | 1272 | | 17 disposition, a copy of the log will be sent back to the hospital or |
---|
1273 | 1273 | | 18 ambulatory outpatient surgical center. health care facility or abortion |
---|
1274 | 1274 | | 19 clinic. The final log will be attached to the original log described in |
---|
1275 | 1275 | | 20 subsection (c) and will be made available for review by the state |
---|
1276 | 1276 | | 21 department at the time of inspection. |
---|
1277 | 1277 | | 22 (e) A hospital or ambulatory outpatient surgical center health care |
---|
1278 | 1278 | | 23 facility or an abortion clinic is responsible for demonstrating to the |
---|
1279 | 1279 | | 24 state department that the hospital or ambulatory outpatient surgical |
---|
1280 | 1280 | | 25 center health care facility or abortion clinic has complied with the |
---|
1281 | 1281 | | 26 protocol provided in this section. |
---|
1282 | 1282 | | 27 (f) A certificate of stillbirth is not required to be issued for an |
---|
1283 | 1283 | | 28 aborted fetus with a gestational age of less than twenty (20) weeks of |
---|
1284 | 1284 | | 29 age. |
---|
1285 | 1285 | | 30 (g) IC 23-14-31-26, IC 23-14-55-2, IC 25-15-9-18, and |
---|
1286 | 1286 | | 31 IC 29-2-19-17 concerning the authorization of disposition of human |
---|
1287 | 1287 | | 32 remains apply to this section. |
---|
1288 | 1288 | | 33 SECTION 27. IC 16-34-4-5, AS AMENDED BY P.L.179-2022(ss), |
---|
1289 | 1289 | | 34 SECTION 32, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1290 | 1290 | | 35 UPON PASSAGE]: Sec. 5. (a) A person may not intentionally perform |
---|
1291 | 1291 | | 36 or attempt to perform an abortion allowed under IC 16-34-2 before the |
---|
1292 | 1292 | | 37 earlier of viability of the fetus or twenty (20) weeks of |
---|
1293 | 1293 | | 38 postfertilization age if the person knows that the pregnant woman is |
---|
1294 | 1294 | | 39 seeking a sex selective abortion. |
---|
1295 | 1295 | | 40 (b) A person may not intentionally perform or attempt to perform an |
---|
1296 | 1296 | | 41 abortion allowed under IC 16-34-2 after viability of the fetus or |
---|
1297 | 1297 | | 42 twenty (20) weeks of postfertilization age if the person knows that |
---|
1298 | 1298 | | 2025 IN 275—LS 6211/DI 107 31 |
---|
1299 | 1299 | | 1 the pregnant woman is seeking a sex selective abortion. |
---|
1300 | 1300 | | 2 (c) This section is severable as specified in IC 1-1-1-8. |
---|
1301 | 1301 | | 3 SECTION 28. IC 16-34-4-6, AS AMENDED BY P.L.179-2022(ss), |
---|
1302 | 1302 | | 4 SECTION 33, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1303 | 1303 | | 5 UPON PASSAGE]: Sec. 6. (a) A person may not intentionally perform |
---|
1304 | 1304 | | 6 or attempt to perform an abortion allowed under IC 16-34-2 before the |
---|
1305 | 1305 | | 7 earlier of viability of the fetus or twenty (20) weeks of |
---|
1306 | 1306 | | 8 postfertilization age if the person knows that the pregnant woman is |
---|
1307 | 1307 | | 9 seeking the abortion solely because the fetus has been diagnosed with |
---|
1308 | 1308 | | 10 Down syndrome or has a potential diagnosis of Down syndrome. |
---|
1309 | 1309 | | 11 (b) A person may not intentionally perform or attempt to perform an |
---|
1310 | 1310 | | 12 abortion allowed under IC 16-34-2 after viability of the fetus or |
---|
1311 | 1311 | | 13 twenty (20) weeks of postfertilization age if the person knows that |
---|
1312 | 1312 | | 14 the pregnant woman is seeking the abortion solely because the fetus has |
---|
1313 | 1313 | | 15 been diagnosed with Down syndrome or has a potential diagnosis of |
---|
1314 | 1314 | | 16 Down syndrome. |
---|
1315 | 1315 | | 17 (c) This section is severable as specified in IC 1-1-1-8. |
---|
1316 | 1316 | | 18 SECTION 29. IC 16-34-4-7, AS AMENDED BY P.L.179-2022(ss), |
---|
1317 | 1317 | | 19 SECTION 34, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1318 | 1318 | | 20 UPON PASSAGE]: Sec. 7. (a) A person may not intentionally perform |
---|
1319 | 1319 | | 21 or attempt to perform an abortion allowed under IC 16-34-2 before the |
---|
1320 | 1320 | | 22 earlier of viability of the fetus or twenty (20) weeks of |
---|
1321 | 1321 | | 23 postfertilization age if the person knows that the pregnant woman is |
---|
1322 | 1322 | | 24 seeking the abortion solely because the fetus has been diagnosed with |
---|
1323 | 1323 | | 25 any other disability or has a potential diagnosis of any other disability. |
---|
1324 | 1324 | | 26 (b) A person may not intentionally perform or attempt to perform an |
---|
1325 | 1325 | | 27 abortion allowed under IC 16-34-2 after viability of the fetus or |
---|
1326 | 1326 | | 28 twenty (20) weeks of postfertilization age if the person knows that |
---|
1327 | 1327 | | 29 the pregnant woman is seeking the abortion solely because the fetus has |
---|
1328 | 1328 | | 30 been diagnosed with any other disability or has a potential diagnosis of |
---|
1329 | 1329 | | 31 any other disability. |
---|
1330 | 1330 | | 32 (c) This section is severable as specified in IC 1-1-1-8. |
---|
1331 | 1331 | | 33 SECTION 30. IC 16-34-4-8, AS AMENDED BY P.L.179-2022(ss), |
---|
1332 | 1332 | | 34 SECTION 35, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1333 | 1333 | | 35 UPON PASSAGE]: Sec. 8. (a) A person may not intentionally perform |
---|
1334 | 1334 | | 36 or attempt to perform an abortion allowed under IC 16-34-2 before the |
---|
1335 | 1335 | | 37 earlier of viability of the fetus or twenty (20) weeks of |
---|
1336 | 1336 | | 38 postfertilization age if the person knows that the pregnant woman is |
---|
1337 | 1337 | | 39 seeking the abortion solely because of the race, color, national origin, |
---|
1338 | 1338 | | 40 or ancestry of the fetus. |
---|
1339 | 1339 | | 41 (b) A person may not intentionally perform or attempt to perform an |
---|
1340 | 1340 | | 42 abortion allowed under IC 16-34-2 after viability of the fetus or |
---|
1341 | 1341 | | 2025 IN 275—LS 6211/DI 107 32 |
---|
1342 | 1342 | | 1 twenty (20) weeks of postfertilization age if the person knows that |
---|
1343 | 1343 | | 2 the pregnant woman is seeking the abortion solely because of the race, |
---|
1344 | 1344 | | 3 color, national origin, or ancestry of the fetus. |
---|
1345 | 1345 | | 4 (c) This section is severable as specified in IC 1-1-1-8. |
---|
1346 | 1346 | | 5 SECTION 31. IC 16-34-5.1 IS ADDED TO THE INDIANA CODE |
---|
1347 | 1347 | | 6 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE |
---|
1348 | 1348 | | 7 UPON PASSAGE]: |
---|
1349 | 1349 | | 8 Chapter 5.1. Miscellaneous Provisions |
---|
1350 | 1350 | | 9 Sec. 1. (a) The state department shall consider the results of an |
---|
1351 | 1351 | | 10 abortion clinic inspection when making a determination |
---|
1352 | 1352 | | 11 concerning the renewal of an abortion clinic license. |
---|
1353 | 1353 | | 12 (b) The state department may not renew the license of an |
---|
1354 | 1354 | | 13 abortion clinic until any noncompliance discovered during the |
---|
1355 | 1355 | | 14 course of an inspection is remedied in a manner prescribed by the |
---|
1356 | 1356 | | 15 state department under 410 IAC 26-2-8. |
---|
1357 | 1357 | | 16 Sec. 2. (a) During the course of an abortion clinic's annual |
---|
1358 | 1358 | | 17 inspection, the state department shall randomly select and review |
---|
1359 | 1359 | | 18 patient files to ensure compliance with inspection form |
---|
1360 | 1360 | | 19 requirements and IC 16-34-2-1.1(d). The number of files selected |
---|
1361 | 1361 | | 20 and reviewed under this subsection must be consistent with |
---|
1362 | 1362 | | 21 applicable administrative state department provisions concerning |
---|
1363 | 1363 | | 22 patient file inspections. |
---|
1364 | 1364 | | 23 (b) An abortion clinic's failure to comply with IC 16-34-2-1.1(d) |
---|
1365 | 1365 | | 24 shall constitute an inspection violation for purposes of section 1(b) |
---|
1366 | 1366 | | 25 of this chapter. |
---|
1367 | 1367 | | 26 SECTION 32. IC 16-41-16-1, AS AMENDED BY |
---|
1368 | 1368 | | 27 P.L.179-2022(ss), SECTION 37, IS AMENDED TO READ AS |
---|
1369 | 1369 | | 28 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 1. (a) This chapter |
---|
1370 | 1370 | | 29 applies to persons and facilities that handle infectious waste, including |
---|
1371 | 1371 | | 30 the following: |
---|
1372 | 1372 | | 31 (1) Hospitals. |
---|
1373 | 1373 | | 32 (2) Ambulatory surgical facilities. |
---|
1374 | 1374 | | 33 (3) Medical laboratories. |
---|
1375 | 1375 | | 34 (4) Diagnostic laboratories. |
---|
1376 | 1376 | | 35 (5) Blood centers. |
---|
1377 | 1377 | | 36 (6) Pharmaceutical companies. |
---|
1378 | 1378 | | 37 (7) Academic research laboratories. |
---|
1379 | 1379 | | 38 (8) Industrial research laboratories. |
---|
1380 | 1380 | | 39 (9) Health facilities. |
---|
1381 | 1381 | | 40 (10) Offices of health care providers. |
---|
1382 | 1382 | | 41 (11) Diet or health care clinics. |
---|
1383 | 1383 | | 42 (12) Offices of veterinarians. |
---|
1384 | 1384 | | 2025 IN 275—LS 6211/DI 107 33 |
---|
1385 | 1385 | | 1 (13) Veterinary hospitals. |
---|
1386 | 1386 | | 2 (14) Emergency medical services providers. |
---|
1387 | 1387 | | 3 (15) Mortuaries. |
---|
1388 | 1388 | | 4 (16) Abortion clinics. |
---|
1389 | 1389 | | 5 (b) Except as provided in sections 2, 4, and 7.5 of this chapter, this |
---|
1390 | 1390 | | 6 chapter does not apply to: |
---|
1391 | 1391 | | 7 (1) home health agencies; or |
---|
1392 | 1392 | | 8 (2) hospice services delivered in the home of a hospice patient. |
---|
1393 | 1393 | | 9 SECTION 33. IC 25-1-9.8-10, AS AMENDED BY |
---|
1394 | 1394 | | 10 P.L.179-2022(ss), SECTION 40, IS AMENDED TO READ AS |
---|
1395 | 1395 | | 11 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10. (a) As used in |
---|
1396 | 1396 | | 12 this chapter, "provider facility" means any of the following: |
---|
1397 | 1397 | | 13 (1) A hospital licensed under IC 16-21-2. |
---|
1398 | 1398 | | 14 (2) An ambulatory outpatient surgical center licensed under |
---|
1399 | 1399 | | 15 IC 16-21-2. |
---|
1400 | 1400 | | 16 (3) An abortion clinic licensed under IC 16-21-2. |
---|
1401 | 1401 | | 17 (3) (4) A birthing center licensed under IC 16-21-2. |
---|
1402 | 1402 | | 18 (4) (5) Except for an urgent care facility (as defined by |
---|
1403 | 1403 | | 19 IC 27-1-46-10.5), a facility that provides diagnostic services to |
---|
1404 | 1404 | | 20 the medical profession or the general public. |
---|
1405 | 1405 | | 21 (5) (6) A laboratory where clinical pathology tests are carried out |
---|
1406 | 1406 | | 22 on specimens to obtain information about the health of a patient. |
---|
1407 | 1407 | | 23 (6) (7) A facility where radiologic and electromagnetic images are |
---|
1408 | 1408 | | 24 made to obtain information about the health of a patient. |
---|
1409 | 1409 | | 25 (7) (8) An infusion center that administers intravenous |
---|
1410 | 1410 | | 26 medications. |
---|
1411 | 1411 | | 27 (b) The term does not include the following: |
---|
1412 | 1412 | | 28 (1) A private mental health institution licensed under IC 12-25. |
---|
1413 | 1413 | | 29 (2) A Medicare certified, freestanding rehabilitation hospital. |
---|
1414 | 1414 | | 30 SECTION 34. IC 25-22.5-8-6, AS AMENDED BY P.L.56-2023, |
---|
1415 | 1415 | | 31 SECTION 234, IS AMENDED TO READ AS FOLLOWS |
---|
1416 | 1416 | | 32 [EFFECTIVE UPON PASSAGE]: Sec. 6. (a) As used in this section, |
---|
1417 | 1417 | | 33 "abortion" has the meaning set forth in IC 16-18-2-1. |
---|
1418 | 1418 | | 34 (b) Notwithstanding IC 25-1-9, the board |
---|
1419 | 1419 | | 35 (1) may revoke the license of a physician if, after appropriate |
---|
1420 | 1420 | | 36 notice and an opportunity for a hearing, the attorney general |
---|
1421 | 1421 | | 37 proves by a preponderance of the evidence that the physician: |
---|
1422 | 1422 | | 38 (1) failed to transmit the form to the Indiana department of health |
---|
1423 | 1423 | | 39 as described in IC 16-34-2-5(b); and or |
---|
1424 | 1424 | | 40 (2) shall revoke the license of a physician if, after appropriate |
---|
1425 | 1425 | | 41 notice and an opportunity for a hearing, the attorney general |
---|
1426 | 1426 | | 42 proves by a preponderance of the evidence that the physician |
---|
1427 | 1427 | | 2025 IN 275—LS 6211/DI 107 34 |
---|
1428 | 1428 | | 1 performed an abortion in violation of IC 16-34-2-7(a) through |
---|
1429 | 1429 | | 2 IC 16-34-2-7(c) with the intent to avoid the requirements of |
---|
1430 | 1430 | | 3 IC 16-34-2-1. IC 16-34-2. |
---|
1431 | 1431 | | 4 SECTION 35. IC 25-36.1-2-1, AS AMENDED BY |
---|
1432 | 1432 | | 5 P.L.179-2022(ss), SECTION 42, IS AMENDED TO READ AS |
---|
1433 | 1433 | | 6 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 1. As used in this |
---|
1434 | 1434 | | 7 chapter, "health care facility" means the following: |
---|
1435 | 1435 | | 8 (1) A hospital that is licensed under IC 16-21-2. |
---|
1436 | 1436 | | 9 (2) An ambulatory outpatient surgical center licensed under |
---|
1437 | 1437 | | 10 IC 16-21-2. |
---|
1438 | 1438 | | 11 (3) A birthing center licensed under IC 16-21-2. |
---|
1439 | 1439 | | 12 (4) An abortion clinic licensed under IC 16-21-2. |
---|
1440 | 1440 | | 13 SECTION 36. IC 27-1-46-10, AS AMENDED BY |
---|
1441 | 1441 | | 14 P.L.179-2022(ss), SECTION 43, IS AMENDED TO READ AS |
---|
1442 | 1442 | | 15 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 10. (a) As used in |
---|
1443 | 1443 | | 16 this chapter, "provider facility" means any of the following: |
---|
1444 | 1444 | | 17 (1) A hospital licensed under IC 16-21-2. |
---|
1445 | 1445 | | 18 (2) An ambulatory outpatient surgical center licensed under |
---|
1446 | 1446 | | 19 IC 16-21-2. |
---|
1447 | 1447 | | 20 (3) An abortion clinic licensed under IC 16-21-2. |
---|
1448 | 1448 | | 21 (3) (4) A birthing center licensed under IC 16-21-2. |
---|
1449 | 1449 | | 22 (4) (5) Except for an urgent care facility, a facility that provides |
---|
1450 | 1450 | | 23 diagnostic services to the medical profession or the general |
---|
1451 | 1451 | | 24 public, including outpatient facilities. |
---|
1452 | 1452 | | 25 (5) (6) A laboratory where clinical pathology tests are carried out |
---|
1453 | 1453 | | 26 on specimens to obtain information about the health of a patient. |
---|
1454 | 1454 | | 27 (6) (7) A facility where radiologic and electromagnetic images are |
---|
1455 | 1455 | | 28 made to obtain information about the health of a patient. |
---|
1456 | 1456 | | 29 (7) (8) An infusion center that administers intravenous |
---|
1457 | 1457 | | 30 medications. |
---|
1458 | 1458 | | 31 (b) The term does not include the following: |
---|
1459 | 1459 | | 32 (1) A private mental health institution licensed under IC 12-25. |
---|
1460 | 1460 | | 33 (2) A Medicare certified, freestanding rehabilitation hospital. |
---|
1461 | 1461 | | 34 SECTION 37. IC 27-2-25-11, AS AMENDED BY |
---|
1462 | 1462 | | 35 P.L.179-2022(ss), SECTION 44, IS AMENDED TO READ AS |
---|
1463 | 1463 | | 36 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 11. As used in this |
---|
1464 | 1464 | | 37 chapter, "provider facility" means any of the following: |
---|
1465 | 1465 | | 38 (1) A hospital licensed under IC 16-21-2. |
---|
1466 | 1466 | | 39 (2) An ambulatory outpatient surgical center licensed under |
---|
1467 | 1467 | | 40 IC 16-21-2. |
---|
1468 | 1468 | | 41 (3) An abortion clinic licensed under IC 16-21-2. |
---|
1469 | 1469 | | 42 (3) (4) A birthing center licensed under IC 16-21-2. |
---|
1470 | 1470 | | 2025 IN 275—LS 6211/DI 107 35 |
---|
1471 | 1471 | | 1 (4) (5) Except for an urgent care facility (as defined by |
---|
1472 | 1472 | | 2 IC 27-1-46-10.5), a facility that provides diagnostic services to |
---|
1473 | 1473 | | 3 the medical profession or the general public. |
---|
1474 | 1474 | | 4 (5) (6) A laboratory where clinical pathology tests are carried out |
---|
1475 | 1475 | | 5 on specimens to obtain information about the health of a patient. |
---|
1476 | 1476 | | 6 (6) (7) A facility where radiologic and electromagnetic images are |
---|
1477 | 1477 | | 7 made to obtain information about the health of a patient. |
---|
1478 | 1478 | | 8 (7) (8) An infusion center that administers intravenous |
---|
1479 | 1479 | | 9 medications. |
---|
1480 | 1480 | | 10 SECTION 38. IC 27-8-33-1, AS AMENDED BY P.L.179-2022(ss), |
---|
1481 | 1481 | | 11 SECTION 45, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1482 | 1482 | | 12 UPON PASSAGE]: Sec. 1. As used in this chapter, "abortion" has the |
---|
1483 | 1483 | | 13 meaning set forth in IC 16-18-2-1. means the termination of human |
---|
1484 | 1484 | | 14 pregnancy with an intention other than to produce a live birth or |
---|
1485 | 1485 | | 15 to remove a dead fetus. |
---|
1486 | 1486 | | 16 SECTION 39. IC 27-8-33-4, AS AMENDED BY P.L.179-2022(ss), |
---|
1487 | 1487 | | 17 SECTION 46, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1488 | 1488 | | 18 UPON PASSAGE]: Sec. 4. A qualified health plan offered under |
---|
1489 | 1489 | | 19 Subtitle D of Title 1 of the federal Patient Protection and Affordable |
---|
1490 | 1490 | | 20 Care Act may not provide coverage for abortion, except when an |
---|
1491 | 1491 | | 21 abortion is permitted under IC 16-34-2-1. in the following cases: |
---|
1492 | 1492 | | 22 (1) The pregnant woman became pregnant through an act of |
---|
1493 | 1493 | | 23 rape or incest (as defined in IC 16-18-2-306.7). |
---|
1494 | 1494 | | 24 (2) An abortion is necessary to avert the pregnant woman's |
---|
1495 | 1495 | | 25 death or a substantial and irreversible impairment of a major |
---|
1496 | 1496 | | 26 bodily function of the pregnant woman. |
---|
1497 | 1497 | | 27 SECTION 40. IC 27-13-7-7.5, AS AMENDED BY |
---|
1498 | 1498 | | 28 P.L.179-2022(ss), SECTION 47, IS AMENDED TO READ AS |
---|
1499 | 1499 | | 29 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 7.5. (a) A health |
---|
1500 | 1500 | | 30 maintenance organization that provides coverage for basic health care |
---|
1501 | 1501 | | 31 services and that is entered into, delivered, amended, or renewed after |
---|
1502 | 1502 | | 32 December 31, 2014, under a group contract or an individual contract |
---|
1503 | 1503 | | 33 may not provide coverage for abortion unless the abortion is permitted |
---|
1504 | 1504 | | 34 under IC 16-34-2-1. except in the following cases: |
---|
1505 | 1505 | | 35 (1) The pregnant woman became pregnant through an act of |
---|
1506 | 1506 | | 36 rape or incest (as defined in IC 16-18-2-306.7). |
---|
1507 | 1507 | | 37 (2) An abortion is necessary to avert the pregnant woman's |
---|
1508 | 1508 | | 38 death or a substantial and irreversible impairment of a major |
---|
1509 | 1509 | | 39 bodily function of the pregnant woman. |
---|
1510 | 1510 | | 40 (b) A health maintenance organization that enters into a group |
---|
1511 | 1511 | | 41 contract or an individual contract described in subsection (a) may offer |
---|
1512 | 1512 | | 42 coverage for an abortion permitted under IC 16-34-2-1 through a rider |
---|
1513 | 1513 | | 2025 IN 275—LS 6211/DI 107 36 |
---|
1514 | 1514 | | 1 or an endorsement. |
---|
1515 | 1515 | | 2 SECTION 41. IC 35-41-3-12 IS REPEALED [EFFECTIVE UPON |
---|
1516 | 1516 | | 3 PASSAGE]. Sec. 12. (a) It is a defense to any crime involving the death |
---|
1517 | 1517 | | 4 of or injury to a fetus that the defendant was a pregnant woman who |
---|
1518 | 1518 | | 5 committed the unlawful act with the intent to terminate her pregnancy. |
---|
1519 | 1519 | | 6 (b) Except as provided in subsection (c), it is a defense to any crime |
---|
1520 | 1520 | | 7 involving the death of or injury to a fetus that the mother of the fetus |
---|
1521 | 1521 | | 8 requested that the defendant terminate her pregnancy, and that the |
---|
1522 | 1522 | | 9 death or injury to the fetus was the result of the defendant's termination |
---|
1523 | 1523 | | 10 or attempted termination of her pregnancy. |
---|
1524 | 1524 | | 11 (c) Subsection (b) is not a defense to: |
---|
1525 | 1525 | | 12 (1) performing an unlawful abortion under IC 16-34-2-7; or |
---|
1526 | 1526 | | 13 (2) feticide (IC 35-42-1-6). |
---|
1527 | 1527 | | 14 SECTION 42. IC 35-42-1-6, AS AMENDED BY P.L.179-2022(ss), |
---|
1528 | 1528 | | 15 SECTION 49, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
1529 | 1529 | | 16 UPON PASSAGE]: Sec. 6. (a) This section does not apply to: |
---|
1530 | 1530 | | 17 (1) the pregnant mother whose pregnancy is terminated; |
---|
1531 | 1531 | | 18 (2) a person who in good faith provides medical treatment to a |
---|
1532 | 1532 | | 19 pregnant woman that results in the accidental or unintentional |
---|
1533 | 1533 | | 20 termination of the pregnancy; or |
---|
1534 | 1534 | | 21 (3) a physician licensed under IC 25-22.5 who, upon the request |
---|
1535 | 1535 | | 22 of a pregnant woman, performs a medical procedure to terminate |
---|
1536 | 1536 | | 23 her pregnancy, even if the procedure is not authorized under |
---|
1537 | 1537 | | 24 IC 16-34-2-1. |
---|
1538 | 1538 | | 25 (b) Except as provided in section 6.5 of this chapter, a person |
---|
1539 | 1539 | | 26 who knowingly or intentionally terminates a human pregnancy with an |
---|
1540 | 1540 | | 27 intention other than to produce a live birth or to remove a dead fetus |
---|
1541 | 1541 | | 28 commits feticide, a Level 3 felony. |
---|
1542 | 1542 | | 29 SECTION 43. IC 35-42-1-6.5, AS AMENDED BY |
---|
1543 | 1543 | | 30 P.L.179-2022(ss), SECTION 50, IS AMENDED TO READ AS |
---|
1544 | 1544 | | 31 FOLLOWS [EFFECTIVE UPON PASSAGE]: Sec. 6.5. (a) The |
---|
1545 | 1545 | | 32 following sections of this chapter do not apply to an abortion performed |
---|
1546 | 1546 | | 33 in compliance with IC 16-34-2: IC 16-34 or IC 35-1-58.5 (before its |
---|
1547 | 1547 | | 34 repeal): |
---|
1548 | 1548 | | 35 (1) Section 1 (murder). |
---|
1549 | 1549 | | 36 (2) Section 3 (voluntary manslaughter). |
---|
1550 | 1550 | | 37 (3) Section 4 (involuntary manslaughter). |
---|
1551 | 1551 | | 38 (4) Section 6 (feticide). |
---|
1552 | 1552 | | 39 (b) The following sections of this chapter do not apply to a pregnant |
---|
1553 | 1553 | | 40 woman who terminates her own pregnancy or kills a fetus that she is |
---|
1554 | 1554 | | 41 carrying: |
---|
1555 | 1555 | | 42 (1) Section 1 (murder). |
---|
1556 | 1556 | | 2025 IN 275—LS 6211/DI 107 37 |
---|
1557 | 1557 | | 1 (2) Section 3 (voluntary manslaughter). |
---|
1558 | 1558 | | 2 (3) Section 4 (involuntary manslaughter). |
---|
1559 | 1559 | | 3 (4) Section 6 (feticide). |
---|
1560 | 1560 | | 4 SECTION 44. [EFFECTIVE UPON PASSAGE] (a) 410 IAC 26 |
---|
1561 | 1561 | | 5 (before being voided by P.L.179-2022(ss), SECTION 51) is |
---|
1562 | 1562 | | 6 reinstated as if the rule were never voided. The publisher of the |
---|
1563 | 1563 | | 7 Indiana Administrative Code and Indiana Register shall republish |
---|
1564 | 1564 | | 8 this article in the Indiana Administrative Code. |
---|
1565 | 1565 | | 9 (b) 410 IAC 26.5 (before being voided by P.L.179-2022(ss), |
---|
1566 | 1566 | | 10 SECTION 52) is reinstated as if the rule were never voided. The |
---|
1567 | 1567 | | 11 publisher of the Indiana Administrative Code and Indiana Register |
---|
1568 | 1568 | | 12 shall republish this article in the Indiana Administrative Code. |
---|
1569 | 1569 | | 13 (c) This SECTION expires December 31, 2026. |
---|
1570 | 1570 | | 14 SECTION 45. An emergency is declared for this act. |
---|
1571 | 1571 | | 2025 IN 275—LS 6211/DI 107 |
---|