Indiana State Nurses Association Blayne Miley, JD Director of Policy & Advocacy www.indiananurses.org bmiley@indiananurses.org @IndianaNurses Indiana State Nurses Association

Indiana General Assembly Session 1,237 Bills Introduced Session Deadlines This week: Committee Reports Feb. 26th: Initial Chamber Passage Apr. 15th: Second Chamber Passage Apr. 29th: Adjournment Decisions are being made with or without you, no one going to ask permission Nursing Code of Ethics (4 of 9) provisions #3: The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient #6: The nurse participates in establishing, maintaining, and improving healthcare environments and conditions of employment conducive to the provision of quality healthcare and consistent with the values of the profession through individual and collective action. #8: The nurse collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. #9: The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy.

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Caregiver Mandates Caregivers mandates Amended to be less prescriptive: Offer opportunity to appoint caregiver Request consent to release patient info to caregiver Attempt to notify of discharge if patient can’t Attempt to provide home care plan May include live demonstration of aftercare Lack of contact does not delay hospital services HB 1265 House Chamber

Reducing Limitations on Prescribing Allows APNs & PAs to prescribe controlled substances for weight loss Changes the limitations on physician assistant prescribing from one year and 1,800 hours of practice for all controlled substances to just one year and only for schedule II controlled substances HB 1183 Passed House Chamber

Opioid Prescribing Requires other healthcare profession boards to adopt rules that conform to those adopted by the Medical Licensing Board on opioid prescribing SB 534: deadline March 1, 2016 Senate Chamber HB 1614: once adopted, no amendments without Medical Licensing Board approval Failed at House Public Health Committee

Medical Malpractice Changes Allow claims involving the removal of the wrong body part or leaving an instrument inside a patient to bypass the medical review board SB 55 Failed before Senate Chamber Increase damages caps from $1.25 million/$250,000 (total/individual portion) to $1.65 million/$300,000 HB 1043 House Chamber

Skilled Nursing Home Moratorium Imposes a 3 year ban on new comprehensive care facilities Does not include assisted living or projects already under development Driven by levels of occupancy and state funding SB 460 Passed Senate Chamber

Cultural Competency Training for Health Profession Licensees Requires an individual seeking licensure in a health care profession to complete cultural competency training. Applies to new licenses issued after June 30, 2015 Bill specifies topics, not duration of training SB 47 Did not pass Senate Pensions and Labor Committee chiropractors, dentists, health facility administrators, physicians, nurses, optometrists, pharmacists, podiatrists, speech-language pathologists/audiologists, psychologists, physical therapists, respiratory therapists, occupational therapists, physician assistants, athletic trainers, dietitians, social workers, marriage/family therapists

Student Loan Repayment Assistance for Nurses, Teachers, and Social Workers Establishes a $2,500 annual grant for those employed in the qualifying professions for up to 5 years from starting to make student loan repayments. Would be administered by Commission on Higher Education HB 1114 Did not pass House Ways and Means Committee

Advanced Policy Legislative Conference Mar. 5th Presentations State Legislator Q&A RN Workforce Data Report FSSA on Medicaid and HIP Future Nurse Policy Goals Downtown Indianapolis Register at indiananurses.org