*ES0505.1* March 13, 2025 ENGROSSED SENATE BILL No. 505 _____ DIGEST OF SB 505 (Updated March 11, 2025 11:27 am - DI 147) Citations Affected: IC 16-18; IC 16-31. Synopsis: Emergency transport to appropriate facility. Allows, subject to a written agreement concerning the transport of individuals, an emergency medical responder, an emergency medical technician, an advanced emergency medical technician, or a paramedic (emergency medical services personnel) to transport an individual to: (1) a health care facility; (2) a mental health facility; or (3) an urgent care facility; that can provide the individual with appropriate and necessary treatment. Specifies information that must be included in a written agreement. Requires reimbursement for transporting the individual to the facility. Effective: July 1, 2025. Deery, Charbonneau, Johnson T, Crider, Ford J.D., Jackson L, Niezgodski, Randolph Lonnie M (HOUSE SPONSORS — GOSS-REAVES, BARRETT, ANDRADE) January 16, 2025, read first time and referred to Committee on Health and Provider Services. January 29, 2025, amended, reported favorably — Do Pass; reassigned to Committee on Appropriations. February 13, 2025, reported favorably — Do Pass. February 17, 2025, read second time, amended, ordered engrossed. February 18, 2025, engrossed. February 20, 2025, read third time, passed. Yeas 49, nays 0. HOUSE ACTION March 3, 2025, read first time and referred to Committee on Public Health. March 13, 2025, amended, reported — Do Pass. Referred to Committee on Ways and Means pursuant to Rule 126.3. ES 505—LS 7520/DI 147 March 13, 2025 First Regular Session of the 124th General Assembly (2025) PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana Constitution) is being amended, the text of the existing provision will appear in this style type, additions will appear in this style type, and deletions will appear in this style type. Additions: Whenever a new statutory provision is being enacted (or a new constitutional provision adopted), the text of the new provision will appear in this style type. Also, the word NEW will appear in that style type in the introductory clause of each SECTION that adds a new provision to the Indiana Code or the Indiana Constitution. Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts between statutes enacted by the 2024 Regular Session of the General Assembly. ENGROSSED SENATE BILL No. 505 A BILL FOR AN ACT to amend the Indiana Code concerning health. Be it enacted by the General Assembly of the State of Indiana: 1 SECTION 1. IC 16-18-2-110, AS AMENDED BY P.L.170-2022, 2 SECTION 19, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 3 JULY 1, 2025]: Sec. 110. "Emergency medical services", for purposes 4 of IC 16-31, means an integrated medical care delivery system in which 5 emergency medical responders, emergency medical technicians, 6 advanced emergency medical technicians, and paramedics provide 7 emergency and nonemergency medical care to protect against the loss 8 of life or aggravation of illness or injury: 9 (1) during an emergency response; 10 (2) while transporting a patient in a ground or air ambulance 11 outside of a hospital, or a health care facility, a mental health 12 facility, or an urgent care facility (as defined in 13 IC 16-24.5-1-1); or 14 (3) as part of a mobile integrated healthcare program described in 15 IC 16-31-12. 16 SECTION 2. IC 16-18-2-225.6 IS ADDED TO THE INDIANA 17 CODE AS A NEW SECTION TO READ AS FOLLOWS ES 505—LS 7520/DI 147 2 1 [EFFECTIVE JULY 1, 2025]: Sec. 225.6. "Mental health facility", 2 for purposes of IC 16-31, means the following: 3 (1) A certified community behavioral health clinic (as defined 4 in IC 12-15-1.3-25(a)). 5 (2) A community mental health center (as defined in 6 IC 12-7-2-38) certified under IC 12-21-2-3(5)(C). 7 SECTION 3. IC 16-18-2-362.1, AS ADDED BY P.L.50-2020, 8 SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 9 JULY 1, 2025]: Sec. 362.1. "Urgent care facility", for purposes of 10 IC 16-24.5-1 and IC 16-31, has the meaning set forth in 11 IC 16-24.5-1-1. 12 SECTION 4. IC 16-31-4.5 IS ADDED TO THE INDIANA CODE 13 AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE 14 JULY 1, 2025]: 15 Chapter 4.5. Emergency Medical Services Transport 16 Sec. 1. Subject to the terms of a written agreement described in 17 section 2 of this chapter, an emergency medical responder, an 18 emergency medical technician, an advanced emergency medical 19 technician, or a paramedic may transport an individual to: 20 (1) a health care facility; 21 (2) a mental health facility; or 22 (3) an urgent care facility; 23 that can provide the individual with appropriate and necessary 24 treatment. 25 Sec. 2. (a) As used in this section, "employing entity" means an 26 entity that employs: 27 (1) an emergency medical responder; 28 (2) an emergency medical technician; 29 (3) an advanced emergency medical technician; or 30 (4) a paramedic. 31 (b) An employing entity or an individual described in subsection 32 (a)(1) through (a)(4) shall enter into a written agreement with a 33 facility described section 1 of this chapter detailing procedures for 34 the transport of individuals to the facility, including the following 35 information: 36 (1) The facility's operating hours. 37 (2) Criteria for determining whether the facility is an 38 appropriate facility to transport the individual. 39 (3) Procedures for: 40 (A) directing the transport of an individual to another 41 facility; and 42 (B) individuals who decline care or transport to a facility. ES 505—LS 7520/DI 147 3 1 Sec. 3. An emergency medical responder, an emergency medical 2 technician, an advanced emergency medical technician, or a 3 paramedic shall be reimbursed for transporting an individual to a 4 facility described in section 1 of this chapter. 5 SECTION 5. IC 16-31-6-1, AS AMENDED BY P.L.166-2021, 6 SECTION 2, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE 7 JULY 1, 2025]: Sec. 1. (a) A certified emergency medical responder, 8 a certified emergency medical technician, a certified advanced 9 emergency medical technician, or a licensed paramedic who provides 10 emergency medical services to an emergency patient is not liable for an 11 act or omission in providing those services unless the act or omission 12 constitutes gross negligence or willful misconduct. If the certified 13 emergency medical services provider is not liable for an act or 14 omission, no other person incurs liability by reason of an agency 15 relationship with the certified emergency medical services provider. 16 (b) This section does not affect the liability of a driver of an 17 ambulance for negligent operation of the ambulance. 18 (c) Except as provided in subsections (a) and (b), a certified 19 emergency medical technician, a certified advanced emergency 20 medical technician, or a licensed paramedic who provides emergency 21 medical services is not liable for transporting any person to an 22 appropriate health care facility, mental health facility, or urgent care 23 facility when the certified emergency medical technician, the certified 24 advanced emergency medical technician, or the licensed paramedic 25 makes a good faith judgment that the emergency patient or the 26 emergency patient's primary caregiver lacks the capacity to make an 27 informed decision about the patient's: 28 (1) safety; or 29 (2) need for medical attention; 30 and the emergency patient is reasonably likely to suffer disability or 31 death without the medical intervention available at the facility. ES 505—LS 7520/DI 147 4 COMMITTEE REPORT Mr. President: The Senate Committee on Health and Provider Services, to which was referred Senate Bill No. 505, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill be AMENDED as follows: Page 2, line 2, delete "means the following:" and insert "refers to a certified community behavioral health clinic (as defined in IC 12-15-1.3-25(a)).". Page 2, delete lines 3 through 5. and when so amended that said bill do pass and be reassigned to the Senate Committee on Appropriations. (Reference is to SB 505 as introduced.) CHARBONNEAU, Chairperson Committee Vote: Yeas 12, Nays 0. _____ COMMITTEE REPORT Mr. President: The Senate Committee on Appropriations, to which was referred Senate Bill No. 505, has had the same under consideration and begs leave to report the same back to the Senate with the recommendation that said bill DO PASS. (Reference is to SB 505 as printed January 30, 2025.) MISHLER, Chairperson Committee Vote: Yeas 13, Nays 0 _____ SENATE MOTION Mr. President: I move that Senate Bill 505 be amended to read as follows: Page 2, line 2, delete "refers to a" and insert "means the following: (1) A". Page 2, between lines 3 and 4, begin a new line block indented and insert: ES 505—LS 7520/DI 147 5 "(2) A community mental health center (as defined in IC 12-7-2-38) certified under IC 12-21-2-3(5)(C).". Page 2, line 13, delete "An" and insert "Subject to the terms of a written agreement described in section 2 of this chapter, an". Page 2, between lines 20 and 21, begin a new paragraph and insert: "Sec. 2. (a) As used in this section, "employing entity" means an entity that employs: (1) an emergency medical responder; (2) an emergency medical technician; (3) an advanced emergency medical technician; or (4) a paramedic. (b) An employing entity or an individual described in subsection (a)(1) through (a)(4) shall enter into a written agreement with a facility described section 1 of this chapter detailing procedures for the transport of individuals to the facility, including the following information: (1) The facility's operating hours. (2) Criteria for determining whether the facility is an appropriate facility to transport the individual. (3) Procedures for: (A) directing the transport of an individual to another facility; and (B) individuals who decline care or transport to a facility.". Page 2, line 21, delete "2." and insert "3.". (Reference is to SB 505 as printed February 14, 2025.) JOHNSON T _____ COMMITTEE REPORT Mr. Speaker: Your Committee on Public Health, to which was referred Senate Bill 505, has had the same under consideration and begs leave to report the same back to the House with the recommendation that said bill be amended as follows: Page 3, line 3, delete "may" and insert "shall". and when so amended that said bill do pass. ES 505—LS 7520/DI 147 6 (Reference is to SB 505 as reprinted February 18, 2025.) BARRETT Committee Vote: yeas 13, nays 0. ES 505—LS 7520/DI 147