republic-os/legislation/us/states/in/2022/hb-1169.md

---
type: "Bill"
title: "Health matters."
description: "Prohibits certain health insurance plans from requiring authorization for covered early intervention services under an individualized family service plan signed by an advanced practice registered nurse (APRN) or a physician assistant (PA). Changes the composition and duties of the division of disability and rehabilitative services advisory council. Repeals and relocates laws concerning: (1) rules regulating the sanitary operation of tattoo parlors and body piercing facilities; (2) allowing the executive board of the state department of health (board) to adopt rules on behalf of the state department of health (department); (3) allowing the board to adopt emergency rules; (4) sanitation of public buildings and institutions; and (5) authority to adopt rules concerning the federal Clinical Laboratory Improvement Amendments. Repeals laws concerning: (1) safety guidelines for children during bad weather conditions; (2) automated external defibrillator rules in health clubs; (3) requiring the state health commissioner (commissioner) to comment on certain rules; (4) fees for serological tests; (5) the administrative unit for special institutions; (6) protection and regulation of department property; and (7) the registry of blind persons. Removes intemperance as a reason to remove a local health officer. Specifies that the department may request the office of administrative law proceedings to designate a person to administer a proceeding. Requires the department to provide facilities and disseminate information to the public concerning oral public health. Allows the department to have a designee to maintain a 24 hour poisons answering service. Adds information on prenatal care to the department's telephone information service concerning children with long term health care needs. Changes the reference from \"illegal drug use\" to \"substance abuse disorder\" for purposes of partnership and joint ventures with the department. Requires the department to employ a licensed physician as the chief medical officer. Allows the chief medical officer to perform the functions of the commissioner when the commissioner is not available. Specifies that the state health laboratory (laboratory) must be used to support public health. Changes the title of the person who manages the laboratory. Removes certain requirements concerning the appointment of the laboratory director and chemist. Removes a requirement that a director must report to the commissioner. Requires holders of a certificate of public advantage to pay for reasonable charges incurred by the department. Provides that home health agencies may enter into cooperative agreements to carry out the following activities for the Hoosier Care Connect program: (1) To form and operate, either directly or indirectly, one or more networks of home health agencies to arrange for the provision of health care services through such networks. (2) To contract, either directly or through such networks, with the office of the secretary of family and social services, or the office's contractors, to provide: (A) services to Medicaid beneficiaries; and (B) health care services in an efficient and cost effective manner on a prepaid, capitation, or other reimbursement basis. (3) To undertake other managed health care activities. Provides that a home health agency may authorize an association, corporation, or other person to undertake or effectuate any of these activities. Requires the secretary of family and social services to oversee and supervise these activities. Changes the requirement that the department \"shall\" to \"may\" use information compiled by a public or private entity to the greatest extent possible to develop a chronic disease registry. Allows the department to issue a certificate of free sale to a business that meets certain requirements. Amends the definition of \"person\" for purposes of the state health improvement plan and grant program. Amends the definition of \"deaf or hard of hearing\" for purposes of the laws governing language development for children who are deaf or hard of hearing. Changes the membership on the Indiana board of pharmacy. Removes the requirement that a qualifying pharmacist is responsible for the legal operations of a pharmacy. Amends references to certain pharmacy school accreditation organizations. Specifies responsibilities of pharmacists concerning duties previously responsible by a qualifying pharmacist. Allows a qualified pharmacy technician to administer immunizations delegated by the pharmacist. (Current law allows pharmacy technicians to administer influenza and coronavirus disease immunizations.) Amends requirements for remote pharmacies. Adds an exception to the definition of \"wholesale distribution\" for prescription drugs. Authorizes an APRN to sign an order or referral for physical therapy. Requires a health insurance plan to provide coverage for diabetes self-management training ordered by an APRN or PA. Provides that a county coroner may not certify the cause of death for certain infants as a sudden unexplained infant death until a comprehensive death investigation is performed. Makes conforming changes."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2022"
identifier: "HB 1169"
citation: "Indiana HB 1169 (2022)"
classification: ["bill"]
subjects: ["CHILDREN AND MINORS generally", "CORONERS", "HEALTH generally", "HEALTH", "Disease Control", "HEALTH", "Home Health Care", "HEALTH", "State Department and Agencies", "HEARING IMPAIRED PERSONS; SCHOOL FOR THE DEAF", "NURSES AND NURSING", "PHARMACISTS AND PHARMACIES", "WELFARE", "Medicaid"]
status: "enacted"
primary_sponsors: ["Ed Charbonneau", "Edward Clere", "Justin Busch", "Michael Crider"]
version_count: 8
action_count: 34
vote_count: 0
first_action: "2022-01-06"
last_action: "2022-03-15"
source: "openstates"
source_identifier: "ocd-bill/56d2b9d8-89e5-4cbc-a465-6a3c9efadc53"
source_url: "http://iga.in.gov/legislative/2022/bills/house/1169"
source_hash: "f1b3448fbcfbaa47be83f2c1bb39ebe0d15d0fa8c3daca5eb696316a922d8e3b"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-in"]
---

# Indiana HB 1169 (2022) — Health matters.

Prohibits certain health insurance plans from requiring authorization for covered early intervention services under an individualized family service plan signed by an advanced practice registered nurse (APRN) or a physician assistant (PA). Changes the composition and duties of the division of disability and rehabilitative services advisory council. Repeals and relocates laws concerning: (1) rules regulating the sanitary operation of tattoo parlors and body piercing facilities; (2) allowing the executive board of the state department of health (board) to adopt rules on behalf of the state department of health (department); (3) allowing the board to adopt emergency rules; (4) sanitation of public buildings and institutions; and (5) authority to adopt rules concerning the federal Clinical Laboratory Improvement Amendments. Repeals laws concerning: (1) safety guidelines for children during bad weather conditions; (2) automated external defibrillator rules in health clubs; (3) requiring the state health commissioner (commissioner) to comment on certain rules; (4) fees for serological tests; (5) the administrative unit for special institutions; (6) protection and regulation of department property; and (7) the registry of blind persons. Removes intemperance as a reason to remove a local health officer. Specifies that the department may request the office of administrative law proceedings to designate a person to administer a proceeding. Requires the department to provide facilities and disseminate information to the public concerning oral public health. Allows the department to have a designee to maintain a 24 hour poisons answering service. Adds information on prenatal care to the department's telephone information service concerning children with long term health care needs. Changes the reference from "illegal drug use" to "substance abuse disorder" for purposes of partnership and joint ventures with the department. Requires the department to employ a licensed physician as the chief medical officer. Allows the chief medical officer to perform the functions of the commissioner when the commissioner is not available. Specifies that the state health laboratory (laboratory) must be used to support public health. Changes the title of the person who manages the laboratory. Removes certain requirements concerning the appointment of the laboratory director and chemist. Removes a requirement that a director must report to the commissioner. Requires holders of a certificate of public advantage to pay for reasonable charges incurred by the department. Provides that home health agencies may enter into cooperative agreements to carry out the following activities for the Hoosier Care Connect program: (1) To form and operate, either directly or indirectly, one or more networks of home health agencies to arrange for the provision of health care services through such networks. (2) To contract, either directly or through such networks, with the office of the secretary of family and social services, or the office's contractors, to provide: (A) services to Medicaid beneficiaries; and (B) health care services in an efficient and cost effective manner on a prepaid, capitation, or other reimbursement basis. (3) To undertake other managed health care activities. Provides that a home health agency may authorize an association, corporation, or other person to undertake or effectuate any of these activities. Requires the secretary of family and social services to oversee and supervise these activities. Changes the requirement that the department "shall" to "may" use information compiled by a public or private entity to the greatest extent possible to develop a chronic disease registry. Allows the department to issue a certificate of free sale to a business that meets certain requirements. Amends the definition of "person" for purposes of the state health improvement plan and grant program. Amends the definition of "deaf or hard of hearing" for purposes of the laws governing language development for children who are deaf or hard of hearing. Changes the membership on the Indiana board of pharmacy. Removes the requirement that a qualifying pharmacist is responsible for the legal operations of a pharmacy. Amends references to certain pharmacy school accreditation organizations. Specifies responsibilities of pharmacists concerning duties previously responsible by a qualifying pharmacist. Allows a qualified pharmacy technician to administer immunizations delegated by the pharmacist. (Current law allows pharmacy technicians to administer influenza and coronavirus disease immunizations.) Amends requirements for remote pharmacies. Adds an exception to the definition of "wholesale distribution" for prescription drugs. Authorizes an APRN to sign an order or referral for physical therapy. Requires a health insurance plan to provide coverage for diabetes self-management training ordered by an APRN or PA. Provides that a county coroner may not certify the cause of death for certain infants as a sudden unexplained infant death until a comprehensive death investigation is performed. Makes conforming changes.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Engrossed House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.04.ENGH)
2. **Engrossed House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.07.ENGS)
3. **Enrolled House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.08.ENRS)
4. **House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.02.COMH)
5. **House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.03.COMH)
6. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.05.COMS)
7. **House Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.06.COMS)
8. **Introduced House Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2022/bills/HB1169/versions/HB1169.01.INTR)

## Sponsors

- Ed Charbonneau — primary (person)
- Edward Clere — primary (person)
- Justin Busch — primary (person)
- Michael Crider — primary (person)
- Brad Barrett — coauthor (person)
- Jean Breaux — cosponsor (person)
- Matt Lehman — coauthor (person)
- Rita Fleming — coauthor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-01-06** Coauthored by Representatives Barrett, Lehman, Fleming
- **2022-01-06** Authored by Representative Clere
- **2022-01-06** First reading: referred to Committee on Public Health `reading-1, referral-committee`
- **2022-01-13** Committee report: amend do pass, adopted `committee-passage`
- **2022-01-13** Referred to the Committee on Ways and Means pursuant to House Rule 127 `referral-committee`
- **2022-01-20** Committee report: do pass, adopted `committee-passage`
- **2022-01-24** Amendment #1 (Clere) prevailed; voice vote `amendment-failure, amendment-passage`
- **2022-01-24** Second reading: amended, ordered engrossed `reading-2`
- **2022-01-25** Senate sponsors: Senators Crider, Charbonneau, Busch
- **2022-01-25** Cosponsor: Senator Breaux
- **2022-01-25** Third reading: passed; Roll Call 100: yeas 90, nays 0 `passage, reading-3`
- **2022-01-26** Referred to the Senate
- **2022-02-02** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
- **2022-02-17** Committee report: do pass adopted; reassigned to Committee on Appropriations `committee-passage, referral-committee`
- **2022-02-24** Committee report: amend do pass, adopted `committee-passage`
- **2022-02-28** Amendment #2 (Crider) prevailed; voice vote `amendment-failure, amendment-passage`
- **2022-02-28** Second reading: amended, ordered engrossed `reading-2`
- **2022-03-01** Third reading: passed; Roll Call 292: yeas 41, nays 3 `passage, reading-3`
- **2022-03-02** Returned to the House with amendments `amendment-failure`
- **2022-03-02** Motion to dissent filed
- **2022-03-02** House dissented from Senate amendments `amendment-failure`
- **2022-03-02** House conferees appointed: Clere and Fleming
- **2022-03-02** House advisors appointed: Davisson J., Barrett and Shackleford
- **2022-03-02** Senate conferees appointed: Crider and Yoder
- **2022-03-02** Senate advisors appointed: Charbonneau and Breaux
- **2022-03-07** CCR # 1 filed in the House
- **2022-03-07** CCR # 1 filed in the Senate
- **2022-03-08** Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 360: yeas 75, nays 17
- **2022-03-08** Conference Committee Report 1: adopted by the Senate; Roll Call 349: yeas 49, nays 1
- **2022-03-09** Signed by the Speaker
- **2022-03-09** Signed by the President Pro Tempore
- **2022-03-15** Public Law 143
- **2022-03-15** Signed by the Governor `executive-signature`
- **2022-03-15** Signed by the President of the Senate

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/56d2b9d8-89e5-4cbc-a465-6a3c9efadc53`. Confidence: reported (aggregated from official Indiana legislature records).