Rep. Joanna King

Provides that, if a school provides instruction on human sexuality or sexually transmitted infections, the instruction must include instruction concerning consent to sexual activity and a presentation on human growth and development during pregnancy. Provides that a school maintained by a school corporation may not use curricular materials to provide instruction on human sexuality that have not been approved by the governing body of a school corporation. Requires a school corporation to include certain information concerning instruction on human sexuality in the written consent forms provided to a parent of a student or a student, if the student is an adult or an emancipated minor, before the student may receive instruction on human sexuality. Requires the governing body of a school corporation to publish a list of materials used in connection with instruction on human sexuality on the school's website and to include a link to the list of materials on electronically formatted written consent forms. Replaces references to "sexually transmitted diseases" with "sexually transmitted infections". Makes conforming changes.

Requires the Indiana department of health (state department) to establish: (1) a statewide mobile retail food establishment license (license); (2) standards for the licensure, inspection, and operation of a mobile retail food establishment; and (3) license fees and inspection fees. Requires the state department to establish a workgroup to collaborate with in implementing specified provisions. Beginning January 1, 2027, requires a local health department to: (1) receive applications for licenses; (2) collect annual license and inspection fees; (3) issue licenses; and (4) conduct semiannual inspections of a mobile retail food establishment that is issued a license. Provides that an owner or operator of a mobile retail food establishment issued a license is not required to obtain a county or local license or permit, nor required to pay a county or local inspection fee or a license or permit fee. Provides that beginning January 1, 2027, a person may not operate a mobile retail food establishment in Indiana unless the person obtains a license. Requires the state department to adopt rules to implement these provisions. Repeals provisions of law governing mobile retail food establishment permits effective January 1, 2027.

Establishes a two year moratorium on the sale of cultivated meat products in Indiana. Prohibits a person from misbranding a cultivated meat product as a meat product. Provides that the cultivated meat product is misbranded as a meat product if the cultivated meat product is: (1) advertised; (2) labeled; or (3) offered for sale or sold; in a manner that does not clearly indicate that it is a cultivated meat product or not in accordance with rules adopted by BOAH. Requires BOAH to administer the chapter.

Establishes a limited medical license for individuals who: (1) have graduated from certain international medical programs; (2) obtain a health care facility sponsor in an underserved area; and (3) meet certain other criteria. Provides that a limited medical license authorizes the recipient to practice medicine only at a health care facility in an underserved area. Enables the medical licensing board of Indiana (board) to revoke a limited medical license if the recipient stops working as a physician at a health care facility in an underserved area. Provides that a limited medical license may be converted to an unlimited license. Allows the board to require a comprehensive evaluation to determine the individual's competency before issuing an unlimited medical license. Allows, until June 30, 2027, an applicant for an unlimited license to practice osteopathic medicine to take all levels of the Comprehensive Osteopathic Medical Licensing Examination not later than ten years from the date the applicant first passes level 1 of the examination.

Defines "squatter" as an individual who occupies the property of another and who does not have and has never had: (1) a rental agreement; (2) permission of the owner; or (3) another legal interest in the property. Permits a property owner to execute an affidavit stating that a squatter is occupying the person's property, and requires a law enforcement agency to dispatch one or more law enforcement officers to remove the squatter within 48 hours (or a later period if necessary for reasons of public safety). Provides that a property owner can execute an affidavit at the time a law enforcement officer responds to a complaint that a squatter is occupying the owner's property. Requires a dispatched law enforcement officer to remove the squatter from the property unless the law enforcement officer discovers credible evidence that the person is not a squatter. Provides that a law enforcement agency may create a form affidavit. Provides certain immunities to a law enforcement agency and a law enforcement officer. Establishes a cause of action for wrongful removal from property.

Specifies the process for a managed care organization to follow concerning home modification services. Requires a patient of an opioid treatment program (program) who has tested positive on a drug test to be given a random drug test monthly until the patient passes the test. (Current law requires the patient to be tested weekly.) Allows a program to close on Sundays and federal holidays. Prohibits the division of mental health and addiction from: (1) requiring a program's medical director to have admitting privileges at a hospital; and (2) establishing rules or guidelines concerning program admission and medication that are more stringent than federal regulations. Allows specified health care providers to perform the initial assessment, examination, and evaluation of a patient being admitted to a program. Allows the medical staff of an ambulatory outpatient surgical center to make recommendations on the granting of clinical privileges or the appointment or reappointment of an applicant to the governing board of the ambulatory outpatient surgical center for a period not to exceed 36 months. (Current law allows medical staff of hospitals to make recommendations.) Establishes the certified health care professions commission (commission). Sets forth the requirements for the: (1) certification of nurse aides and qualified medication aides; and (2) registration of home health aides. Specifies the duties of the Indiana department of health and the commission in regulating these professions. Relocates provisions concerning training for home health aides and requires the commission to approve the training. Sets forth requirements on facilities in employing nurse aides. Specifies the definition of "nurse aide" for purposes of an administrative rule. Makes changes to the release of medical information statute. Modifies the duties of the center for deaf and hard of hearing education. Adds provisions regarding "family navigators" and specifies the role of family navigators in the provisions of the bill regarding the center for deaf and hard of hearing education. Allows a prescriber to prescribe certain agonist opioids through telehealth services for the treatment or management of opioid dependence. (Current law allows only a partial agonist to be prescribed through telehealth.) Allows certain residential care administrators an exemption from taking continuing education during the initial licensing period. Allows for the provision of certain anesthesia in a physician's office or a podiatrist's office without the office being accredited. (Current law allows for this in dental offices.) Requires adverse events concerning anesthesia in an office based setting to be reported to the medical licensing board of Indiana (board). Requires the board to: (1) determine the types of adverse events to be reported; (2) establish a procedure for reporting; and (3) post the adverse events on the board's website. Creates a process for certain individuals who do not have a Social Security number and who are seeking licensure by examination as a registered nurse or practical nurse to obtain a provisional license. Requires a nursing program to offer a clinical experience for clinical hours in a hospital and a health facility setting.

Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.

Specifies that provisions of law governing the office of administrative law proceedings apply to the Indiana department of health (state department) in matters concerning the involuntary transfer or discharge of a resident of a health facility. Specifies conditions for the use of updated publications for design enforcement by the state department in the regulation of hospitals and ambulatory outpatient surgical centers. Amends the list of crimes or acts that preclude a home health aide, nurse aide, or other unlicensed employee from employment at a home health agency and certain health care facilities. Amends the list of crimes that preclude a person from operating a home health agency or personal services agency. Requires the state department to: (1) investigate any report that a nurse aide or home health aide has been convicted of a certain crime; and (2) remove the individual from the state nurse aide registry. Makes it a Class A infraction for a person convicted of a certain crime to knowingly or intentionally apply for a job as a home health aide or other unlicensed employee at a home health agency or certain health care facilities. For provisions concerning the women, infants, and children nutrition program (WIC program), defines "WIC vendor agreement". Requires the state department to: (1) select WIC program vendors based on selection criteria set forth in federal regulations; (2) review the selection criteria annually; (3) include the selection criteria in the WIC state plan; and (4) publish the selection criteria on the state department's website. For purposes of submitting a death record of a stillborn, requires the physician, physician assistant, or advanced practice registered nurse (APRN) last in attendance to initiate the document process unless the physician, physician assistant, or APRN was not present upon the deceased. Includes reporting to local child fatality review teams, the statewide child fatality review committee, local fetal-infant mortality review teams, and suicide and overdose fatality review teams for the release of mental health records without the consent of the patient. Requires the state department to: (1) approve courses concerning auto-injectable epinephrine that meet criteria established by the state department (rather than courses offered by an approved organization as defined in current law); and (2) publish the criteria on its website. Removes a provision allowing the state department to contract with a third party to create a certificate of completion for a course. Removes the expiration of the statewide maternal mortality review committee. Amends the membership of the statewide child fatality review committee.

Clarifies that certain information shall be entered into the Indiana data and communication system (IDACS) within 24 hours of the information's receipt unless otherwise provided by law. Provides that the state police department, in consultation with the criminal justice institute, may take certain actions for noncompliance. Makes conforming amendments.

Specifies that a prosecution for rape as a Level 3 felony that is barred by the statute of limitations may still be brought within 10 years from the discovery of DNA evidence.