Provides that the office of administrative legal proceedings (OALP) is the ultimate authority for agencies subject to the jurisdiction of the OALP. Provides that a court conducting a judicial review hearing shall review questions of law and fact de novo. Makes conforming amendments.
Establishes the social work licensure compact.
Provides that a physician owned hospital that is ineligible to receive certain Medicaid or Medicare reimbursement is not considered to be a hospital for purposes of the hospital assessment fee.
Exempts public schools and charter schools from: (1) certain paths to quality program requirements; and (2) certain prekindergarten program eligible provider requirements. Provides that a prekindergarten child care program located in a public school or a charter school is in compliance with certain child care and development fund voucher program requirements if approved by another state regulatory authority. Requires the office of family and social services (office) to request an amendment to include public schools and charter schools in the office's child care and development fund voucher program.
Establishes restrictions on a state educational institution (institution) in regard to the following: (1) A student's or employee's ideological or political viewpoints or refusal to support or endorse one or more divisive concepts. (2) Requiring a student to submit or affirm a personal diversity statement. (3) Conducting any mandatory training that includes divisive concepts or taking other specified actions related to divisive concepts. (4) Exhibiting bias against or favoritism for certain individuals or groups of individuals. (5) Requiring a student group to pay fees or security deposits that are not charged to all other student groups or denying a student group access to institution property that is routinely used by other student groups. Establishes requirements for institutions regarding the following: (1) Maintaining and posting reports of violations submitted by students or employees on the institution's website. (2) Informing students and employees regarding certain restrictions and requirements to which the institution is subject and to the definition of divisive concept. (3) Conducting, posting the results of, and submitting a report to the legislative council regarding a biennial survey. (4) Posting a current syllabus for each course offered in the current semester at the institution on the institution's website. (5) Submitting the following: (A) Certain reports to the institution's chief executive officer. (B) Certain reports to the commission for higher education (commission). Provides that a student or employee of an institution who believes that an institution has violated certain restrictions on institutions may file a report of the alleged violation with the institution. Establishes requirements regarding individuals employed by an institution whose primary or secondary job duties or job title includes diversity, equity, or inclusion. Allows and requires the commission to adopt rules.
Allows the legislative body of a: (1) unit in which a fire protection district has not been established; and (2) fire protection district; to establish a length of service award program for the active volunteer members of the emergency service organizations operating under the unit's or fire protection district's jurisdiction. Sets forth requirements for the establishment and administration of a length of service award program. Specifies penalties for a person who knowingly violates the requirements, misrepresents the credit earned by a volunteer, or includes an individual on a certification list who is not a qualified member of an emergency service organization. Requires a political subdivision that establishes a length of service award program to make an annual report to the state board of accounts.
Establishes the government reform task force (task force). Provides for members of the task force. Requires the task force to submit a report. Prohibits the consideration of the number or amount of fines or civil penalties imposed on regulated entities by an employee in an agency's evaluation or compensation of the employee. Makes various procedural changes concerning the adoption of administrative rules, including the following: (1) Requires budget agency and office of management and budget review of a regulatory analysis of all proposed rules. (2) Requires a state budget committee review of rules adding or increasing fees, fines, or civil penalties. (3) Requires publication of the text of a proposed rule in the first public comment period and allows a proposed rule to be adopted after one public comment period if no substantive public testimony is received and the rule is not more stringent than applicable federal standards. (4) Replaces various laws granting emergency rulemaking authority with a description of the circumstances when emergency rulemaking (renamed "provisional" rules and "interim" rules) may be used, increases governor and attorney general oversight of provisional or interim rules, and adds a public comment period for interim rules. (5) Reduces from seven to five years the time in which rules need to be readopted to remain effective. (6) Requires agencies to webcast public hearings and allow remote testimony. Prohibits state standards for disposal of coal combustion residuals to be more stringent than federal standards. Allows for certain rules on certain pesticides that are more stringent than federal law. Permits a person to recover attorney's fees if an agency issues an order that is based on an invalid rule or issued without legal authority. Permits an applicant or licensee to recover damages if a professional or occupational licensing agency fails to adopt a rule required to obtain a license. Repeals superseded statutes and makes cross-reference, name, and other conforming changes.
Provides that, beginning with the cohort of students who are expected to graduate from a public school, a charter school, or a state accredited nonpublic school in 2028, an individual must successfully complete a personal financial responsibility course (course) before the individual may graduate. Creates requirements for content that must be covered in a course. Provides that a public school, a charter school, or a state accredited nonpublic school must offer instruction on a course as a separate subject. Provides that the state board may allow a course to satisfy one or more diploma course requirements.
Requires the state employee health plan, policies of accident and sickness insurance, and health maintenance organization contracts to provide coverage for wearable cardioverter defibrillators. Specifies requirements for credentialing a provider for the Medicaid program, an accident and sickness insurance policy, and a health maintenance organization contract. Establishes a provisional credential until a decision is made on a provider's credentialing application and allows for retroactive reimbursement. Provides that a hospital's quality assessment and improvement program must include a process for determining and reporting the occurrence of serious reportable events. Provides that the medical staff of a hospital may make recommendations on the granting of clinical privileges and the appointment or reappointment of an applicant to the governing board for a period not to exceed 36 months. Requires a hospital with an emergency department to have at least one physician on site and on duty who is responsible for the emergency department. Requires the legislative services agency to conduct an analysis of licensing fees and provide a report to the budget committee. Allows the commissioner of the department of insurance (commissioner) to issue an order to discontinue a violation of a law (current law specifies orders or rules). Requires the commissioner to consider specified information before approving or disapproving a premium rate increase. Requires a domestic stock insurer to file specified information with the department of insurance. Prohibits the state employee health plan from requiring prior authorization for certain specified services. Changes prior authorization time requirements for urgent care situations. Adds an employee benefit plan that is subject to the federal Employee Retirement Income Security Act of 1974 and a state employee health plan to the definition of "health payer" for the purposes of the all payer claims data base (data base). Allows the department of insurance to adopt rules on certain matters concerning the data base. Requires a health plan to post certain information on the health plan's website. Prohibits an insurer and a health maintenance organization from altering a CPT code for a claim or paying for a CPT code of lesser monetary value unless: (1) the CPT code submitted is not in accordance with certain guidelines and rules, or the terms and conditions of a participating provider's agreement or contract with the insurer or health maintenance organization; or (2) the medical record of the claim has been reviewed by an employee or contractor of the insurer or health maintenance organization. Requires an insurer and a health maintenance organization to provide a contracted provider with a current reimbursement rate schedule at specified times. Urges the study by an interim committee of: (1) prior authorization exemptions for certain health care providers; and (2) whether Indiana should adopt an interstate mobility of occupational licensing. Requires a collaborating physician or physician designee to review certain patient encounters performed by a physician assistant within 14 business days. Requires a health plan to offer a health care provider the option to request a peer to peer review by a clinical peer concerning an adverse determination on a prior authorization request.
Provides that beginning July 1, 2023, a primary care physician and an employer may not enter into a noncompete agreement. Provides that beginning July 1, 2023, a physician noncompete agreement is not enforceable if any of the following circumstances occur: (1) The employer terminates the physician's employment without cause. (2) The physician terminates the physician's employment for cause. (3) The physician's employment contract has expired and the physician and employer have fulfilled the obligations of the contract. Specifies a process by which a physician or employer may pursue mediation to determine a reasonable price to purchase a release from a noncompete agreement.
