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A trauma system is an organized, coordinated effort in a geographic area that delivers the full range of care to all injured patients. Until March 2006, Indiana was one of a very few states with no laws or regulations providing legal authority for state oversight of trauma care, a necessary element of a trauma system. Public Law 155 (now codified at I.C. 16-19-3-28) provides authority for the Indiana State Department of Health to be the lead state agency for an Indiana trauma care system.
On November 6, 2009, Governor Daniels signed Executive Order 09-08 to create the Indiana State Trauma Care Committee. This order incorporates much of the language from Sen. Tom Wyss’ 2009 bill (SB464), which did not survive the 2009 legislative session.
A link to Indiana Code providing authority for the Indiana State Department of Health to be the lead state agency for an Indiana trauma care system can be found at:
A link to the full text of the Executive Order can be found at:
On January 14, 2013, Governor Pence re-issued Governor Daniels' original Executive Order creating the Indiana State Trauma Care Committee. A link to the full text of the re-issued order can be found at: http://in.gov/gov/files/EO11_01142013.pdf
During the summer of 2014, Senate Enrolled Act (SEA) 180 required the Indiana State Department of Health, in consultation with Indiana Department of Veterans Affairs and Department of Mental Health and Addiction, to study and report findings and recommendations concerning implementation of a program for the treatment of veterans who have traumatic brain injury or posttraumatic stress disorder. The report can be reviewed here.
HEA 1016 - Newborn safety incubators. Requires the commission on improving the status of children in Indiana to submit, before January 1, 2016, to the general assembly and the governor's office recommendations concerning: (1) new methods or mechanisms for carrying out policies relating to abandoned children; and (2) the production and distribution of information and posting of uniform signs regarding certain laws regarding emergency custody of abandoned children. Requires the state department of health to prepare and submit, before January 1, 2016, to the general assembly and the governor's office recommendations concerning standards and protocols for the installation and operation of newborn safety incubators. Requires the state department of health to consider certain factors in preparing the recommendations.
HEA 1145 - Civil immunity for volunteer health care providers. Specifies criteria for civil immunity from liability for certain volunteer health care providers. Requires the Indiana professional licensing agency to establish and maintain a health care volunteer registry. Provides that an approval of a location where the provision of health care services in which a provider may be immune from civil liability is valid for up to two years. Requires a person who meets the criteria for immunity from civil liability to provide a certain records and results of laboratory and imaging based screenings and tests to the patient. Requires that a person that provides the location where the health care service is provided do so without compensation as a condition of immunity. Allows a person that provides a health care service to provide recommendations for testing.
SEA 166 - Spinal cord and brain injury fund. Allows the spinal cord and brain injury fund to be used to provide funding for facilities, treatment, and services for spinal cord and brain injuries. Specifies the percent of funds that must be used for treatment and services grants for spinal injury related services and the amount to be used for brain injury related services. Adds two members to the spinal cord and brain injury research board (board). Requires the board: (1) to consider applications and make grants to nonprofit health care clinics that employ physical therapists and provide activity based therapy services in Indiana to individuals with spinal cord and brain injuries that require extended post acute care; and (2) to consider the applicant's efficacy in providing significant and sustained improvement to individuals with spinal cord and brain injuries. Requires the state department of health to provide the board with certain financial information.
SEA 406 - Overdose intervention drugs. Requires certain emergency personnel to report to the state department of health the number of times an overdose intervention medication is administered. Allows specified health care professionals with prescriptive authority to dispense, write a prescription, or prepare a standing order for an overdose intervention drug without examining the individual to whom it may be administered if specified conditions are met. Allows for an individual who is a person at risk, a family member, friend, or other individual or entity in a position to assist another individual who, there is reason to believe, is at risk of experiencing an opioid-related overdose, to obtain and administer an overdose intervention drug if certain conditions are met. Provides for civil immunity.
SEA 461 - Health matters. Amends the definition of "basic life support" to include blood glucose monitoring. Authorizes the state department of health (state department) to enter into partnerships to encourage best practices in: (1) identification and testing of populations at risk of disease related to illegal drug use; and (2) the health care treatment of incarcerated individuals for conditions related to illegal drug use. Authorizes the state health commissioner to declare a public health emergency. Specifies that hospital discharge information filed with the state department is confidential except under specified circumstances. Sets forth conditions in which a local health department, a municipality, a county, or a nonprofit organization may operate a syringe exchange program and expires the authorization of a program July 1, 2019. Further specifies the circumstances for the review of the death of a child by a local child fatality review team. Allows a local child fatality review team to review the near fatality or serious injury of a child. Adds hepatitis A to the list of schoolchildren immunizations. Requires the state department, before November 30 of each year, to publish a two year immunization calendar. Provides information to parents of grade 6 students concerning the human papillomavirus (HPV) infection. (Current language provides this information only to parents of female grade 6 students.) Requires the state department to provide the department of education with immunization materials, and requires the materials to be distributed to students' parents and guardians. Requires a health care provider who administers an immunization to enter the information into the state immunization data registry. Requires a school corporation to ensure that immunization information is complete in the state immunization data registry not later than the first Friday in February. Specifies that onsite sewage systems of private homes built by the individual are required to comply with state laws and rules. Provides exceptions to certain criminal laws concerning the funding, possession, and distribution of needles and syringes. Urges the legislative council to, during the 2015 interim, assign to a joint committee the topic of needle and syringe exchange programs and a review of the appropriate criminal penalties for certain drug offenses.
These reports come from Senate Enrolled Act 406 (see above).