republic-os/legislation/us/states/in/2023/sb-474.md

---
type: "Bill"
title: "Home health agencies."
description: "Allows a home health agency to: (1) provide services in any county in Indiana; and (2) satisfy supervising home health aide services requirements by complying with federal law. Allows: (1) the Indiana department of health (state department) to adopt rules concerning the oversight and supervision of the services a home health agency provides in noncontiguous counties; and (2) the state health commissioner to waive rules adopted concerning home health agencies if certain conditions are met. Provides that a home health agency is not required to conduct a preemployment physical on a job applicant before the individual has contact with a home health agency patient. Allows a registered home health aide to administer gastrointestinal and jejunostomy tube feedings to a specific patient if specified conditions are met. Requires the state department to approve at least one training curriculum concerning the administration of tube feedings. Repeals laws concerning drug testing of home health agency employees."
jurisdiction: "us/states/in"
legislature: "Indiana General Assembly"
session: "2023"
identifier: "SB 474"
citation: "Indiana SB 474 (2023)"
classification: ["bill"]
subjects: ["HEALTH", "Health Care Professionals", "HEALTH", "Home Health Care", "HEALTH", "State Department and Agencies", "NURSES AND NURSING"]
status: "enacted"
primary_sponsors: ["Cindy Ledbetter", "Tyler Johnson", "Vaneta Becker"]
version_count: 4
action_count: 21
vote_count: 1
first_action: "2023-01-19"
last_action: "2023-05-01"
source: "openstates"
source_identifier: "ocd-bill/d8f48985-399d-4a3d-8c2f-a97ff64c8743"
source_url: "http://iga.in.gov/legislative/2023/bills/senate/474"
source_hash: "b7e1bcf771b5e6f32de55aaa5b37052803569b5fdb6aeb6564185cc741b7b7f3"
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 SB 474 (2023) — Home health agencies.

Allows a home health agency to: (1) provide services in any county in Indiana; and (2) satisfy supervising home health aide services requirements by complying with federal law. Allows: (1) the Indiana department of health (state department) to adopt rules concerning the oversight and supervision of the services a home health agency provides in noncontiguous counties; and (2) the state health commissioner to waive rules adopted concerning home health agencies if certain conditions are met. Provides that a home health agency is not required to conduct a preemployment physical on a job applicant before the individual has contact with a home health agency patient. Allows a registered home health aide to administer gastrointestinal and jejunostomy tube feedings to a specific patient if specified conditions are met. Requires the state department to approve at least one training curriculum concerning the administration of tube feedings. Repeals laws concerning drug testing of home health agency employees.

## Version chain

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

1. **Enrolled Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2023/bills/SB0474/versions/SB0474.04.ENRH)
2. **Introduced Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2023/bills/SB0474/versions/SB0474.01.INTR)
3. **Senate Bill (H)** (committee substitute) — [source](http://in-proxy.openstates.org/2023/bills/SB0474/versions/SB0474.03.COMH)
4. **Senate Bill (S)** (committee substitute) — [source](http://in-proxy.openstates.org/2023/bills/SB0474/versions/SB0474.02.COMS)

## Votes

- SB 474 - Ledbetter C - 3rd Reading — **97–1** (pass) · lower

## Sponsors

- Cindy Ledbetter — primary (person)
- Tyler Johnson — primary (person)
- Vaneta Becker — primary (person)
- Brad Barrett — cosponsor (person)
- Ed Charbonneau — coauthor (person)
- James Tomes — coauthor (person)
- Lonnie Randolph — coauthor (person)

## Timeline

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

- **2023-01-19** Authored by Senators Becker and Johnson
- **2023-01-19** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
- **2023-01-30** Senator Charbonneau added as coauthor
- **2023-02-02** Committee report: amend do pass, adopted `committee-passage`
- **2023-02-06** Second reading: ordered engrossed `reading-2`
- **2023-02-07** Third reading: passed; Roll Call 88: yeas 48, nays 0 `passage, reading-3, reading-3`
- **2023-02-07** House sponsor: Representative Ledbetter
- **2023-02-07** Senator Randolph added as coauthor
- **2023-02-09** Referred to the House `referral`
- **2023-02-28** First reading: referred to Committee on Public Health `reading-1, referral-committee`
- **2023-04-10** Representative Barrett added as cosponsor
- **2023-04-11** Committee report: do pass, adopted `committee-passage`
- **2023-04-13** Second reading: ordered engrossed `reading-2`
- **2023-04-17** Third reading: passed; Roll Call 437: yeas 97, nays 1 `passage, reading-3, reading-3`
- **2023-04-18** Returned to the Senate without amendments `receipt`
- **2023-04-18** Senator Tomes added as coauthor
- **2023-04-21** Signed by the President Pro Tempore `passage`
- **2023-04-24** Signed by the Speaker `passage`
- **2023-04-26** Signed by the President of the Senate `passage`
- **2023-05-01** Signed by the Governor `executive-signature`
- **2023-05-01** Public Law 117 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d8f48985-399d-4a3d-8c2f-a97ff64c8743`. Confidence: reported (aggregated from official Indiana legislature records).