Rep. Donna Schaibley

Provides that each health facility and residential care facility shall post on the facility's public website the minimum ratio of direct patient care staff to residents in the facility. Requires that the information must specify the minimum ratio for each employee classification that provides direct patient care. Provides that the website address to access the facility's information must be provided annually and upon admission to the facility to the resident, resident's guardian, and resident's health care representative. Allows the Indiana department of health to receive the information.

Provides that coaches and athletic facility staff members have a duty to report child abuse to: (1) the department of child services (department) or the local law enforcement agency; and (2) the individual in charge of the school or athletic facility. Provides that the individual in charge of the school or athletic facility has a duty to report or cause the child abuse to be reported. Provides that a criminal investigation under this law does not affect a victim's right to seek civil remedies. Requires that if a report alleges that a youth coach is the abuser, the department shall investigate the school or athletic facility to determine whether the school or athletic facility reasonably should have known that the alleged abuse was happening. Provides that in determining whether the school or athletic facility reasonably should have known, the department may consider: (1) whether there have been previous allegations against the coach; (2) whether there are disciplinary records for the coach involving inappropriate behavior with a minor; and (3) whether the school or athletic facility properly reported any previous allegations against the coach or disciplinary records involving the coach's inappropriate behavior with a minor. Raises the penalty for failure to report to a Level 5 felony. (Under current law, it is a Class B misdemeanor.)

Requires the Indiana department of health (department) to establish and administer a medical school loan forgiveness pilot program (program) for the purpose of attracting physicians to practice medicine in Indiana. Establishes the medical school loan forgiveness fund (fund). Sets forth criteria for the program. Requires the department to, not later than November 1, 2024, and each November 1 thereafter, prepare and submit a report to the general assembly regarding the program. Makes an appropriation to the fund.

Requires a nonprofit hospital and a health carrier to post and provide certain information at least 45 days before a public forum. Modifies requirements concerning the: (1) date on which a public forum must be held; (2) topics that must be discussed at a public forum; (3) requirements of a public forum; and (4) use of technology to allow attendance at a public forum through real time audio and video through the Internet. Requires the Indiana department of health and the department of insurance to post specified information concerning public forums on the agency website.

Provides that, for individual health insurance coverage, the defined cost sharing for a prescription drug be calculated at the point of sale and based on a price that is reduced by an amount equal to at least 85% of all rebates received by the insurer in connection with the dispensing or administration of the prescription drug. Requires that, for group health insurance coverage, an insurer: (1) pass through to a plan sponsor 100% of all rebates received or estimated to be received by the insurer concerning the dispensing or administration of prescription drugs to the covered individuals of the plan sponsor; (2) provide a plan sponsor, at the time of contracting, the option of calculating defined cost sharing for covered individuals of the plan sponsor at the point of sale based on a price that is reduced by some or all of the rebates received or estimated to be received by the insurer concerning the dispensing or administration of the prescription drug; and (3) disclose specified information to the plan sponsor. Allows the department of insurance to enforce the provisions and impose a civil penalty.

Allows a county or municipality to limit the use of consumer fireworks between certain hours on June 29, June 30, July 1, July 2, July 6, July 7, July 8, and July 9.

Limits the amount that a state employee health plan may pay for a medical facility service provided to a covered individual to: (1) 200% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an in network provider; and (2) 185% of the amount paid by the Medicare program for that type of medical facility service or for a medical facility service of a similar type, if the medical facility service is provided by an out of network provider. Provides that a determination of the state personnel department, a state employee health plan, or a firm providing administrative services to a state employee health plan that a medical facility service provided to a covered individual is of a type similar to a particular type of medical facility service covered by the Medicare program is conclusive. Requires a medical facility that provides drugs to a covered individual, in billing a state employee health plan for the cost of the drugs, to include in the billing the same "JG" modifier that the medical facility would include in the billing if the medical facility were billing the Medicare program for the drugs.

Requires a hospital to post certain pricing information on the hospital's website. Sets forth civil penalties for the Indiana department of health to assess a hospital or ambulatory outpatient surgical center that fails to post the pricing information.

Provides that if the department of child services (department) takes a child into custody, the department may not release the child to the child's parent, guardian, or custodian if: (1) the parent, guardian, or custodian, or a household member of the parent, guardian, or custodian, is the subject of a substantiated allegation of abuse of a child; and (2) the child expresses a desire to not be released to the parent, guardian, or custodian; and may not allow the parent, guardian, or custodian to have contact with the child until: (A) the child consents to contact with the parent, guardian, or custodian; or (B) the child's child in need of services case is closed; whichever occurs first. Provides that if a dispositional decree requires a child's parent, guardian, or custodian to participate in a program of care, treatment, or rehabilitation and the court finds that the parent, guardian, or custodian has failed to make consistent and timely progress toward the goals set forth in the dispositional decree, the department: (1) may not return the child to the home of the parent, guardian, or custodian; and (2) may not allow the parent, guardian, or custodian in person contact with the child unless the contact is approved as being in the child's best interest by: (A) a court appointed special advocate or guardian ad litem; and (B) a licensed marriage and family therapist, if one has been appointed for the child; until the court finds that the parent, guardian, or custodian is making consistent and timely progress toward the goals set forth in the dispositional decree. Provides that if, in a 12 month periodic case review for a child in need of services, the court finds that the child's parent, guardian, or custodian has failed to make consistent and timely progress in any service that was ordered by the court and that was made available to the parent, guardian, or custodian by the department, the court shall order: (1) that the permanency plan for the child be changed to a concurrent plan in which at least one intended permanency arrangement is not reunification; or (2) that the intended permanency arrangement for the child be changed to placement of the child for adoption. Provides: (1) that in a 15 month periodic case review for a child in need of services, the court shall order: (A) that the permanency plan for the child be changed to a concurrent plan in which at least one intended permanency arrangement is not reunification; or (B) that the intended permanency arrangement for the child be changed to placement of the child for adoption; and (2) that thereafter, the intended permanency arrangement for the child may not be changed to solely reunification. Amends and adds to the conditions under which reasonable efforts to reunify a child with the child's parent, guardian, or custodian, or preserve a child's family, are not required. Provides that: (1) if a parent, guardian, or custodian of a child in need of services is involuntarily discharged three or more times from a program or service in which the parent, guardian, or custodian is required to participate under the child's dispositional decree, the court may order the parent, guardian, or custodian to pay the cost of subsequent participation in the program or service; and (2) if the dispositional decree requires the parent, guardian, or custodian to submit to drug testing and the parent, guardian, or custodian: (A) tests positive for a controlled substance; or (B) fails to submit to a required drug test; three or more times, the court may order the parent, guardian, or custodian to pay the cost of any subsequent drug testing required under the dispositional decree. Establishes conditions under which a parent's consent to termination of the parent's parent-child relationship with respect to a child is implied without further action of the court, and provides that the parent's implied consent is a factor weighing in favor of terminating the parent's relationship with the child. Provides that a court finding that a parent has failed to make consistent and timely progress in any service that was ordered by the court in a dispositional decree and that was made available to the parent by the department is a factor weighing in favor of terminating the parent's relationship with the child. Requires termination of the parent-child relationship with regard to a child who is: (1) taken into custody; and (2) adjudicated a child in need of services; on two separate occasions in a two year period. Provides, for purposes of a petition to terminate the parent-child relationship, that: (1) the court finding that there is a satisfactory plan for the care and treatment of the child, and that the plan is in the child's best interests, is a factor weighing in favor of terminating the parent-child relationship; and (2) if the intended permanency arrangement for the child is placement of the child for adoption, a specific adoptive home need not have been identified in order for the plan to be satisfactory or in the child's best interests.

Provides that the department of child services (department) shall disclose to the public certain information regarding child fatalities or near fatalities. Provides that, upon request, the department shall provide additional information regarding cases of child fatalities or near fatalities after consulting with the county attorney about the potential for specific, material harm to a criminal investigation or prosecution. Allows a person to bring a cause of action to seek judicial review of the department's decision not to disclose additional information. Makes technical and conforming changes.