2023 Indiana Code › Title 16. Health › Article 20. Local Health Departments › Chapter 1. Powers and Duties of Local Health Departments › 16-20-1-12. Applicability; Identification of Metrics; Spending of Funds; Waiver; Report; No Transfer of Authority; Posting of Positions to the Public

Sec. 12. (a) This section applies to a local health department in a county where the county executive has voted to receive additional funding to provide core public health services.
(b) Before July 1, 2023, the state department shall identify state level metrics for measuring the delivery of the core public health services and progress on preventing or reducing the prevalence of health issues impacting Indiana residents. Before December 31, 2024, the state department shall, in coordination with local health departments in a county described in subsection (a), identify the county level metrics for measuring the delivery of the core public health services.
(c) Except as provided in subsection (d), the local board of health shall spend the additional funds for core public health services as follows:
(1) At least sixty percent (60%) on the following core public health services:
(A) Communicable disease prevention and control.
(B) Vital statistics.
(C) Tobacco prevention and cessation.
(D) Supporting student health as set forth in IC 16-18-2-79.5(14).
(E) Child fatality review.
(F) Suicide and overdose fatality review.
(G) Maternal and child health.
(H) Testing and counseling for HIV, hepatitis C, and other sexually transmitted infections, in accordance with IC 20-30-5-13.
(I) Tuberculosis control and case management.
(J) Emergency preparedness.
(K) Referrals to clinical care as set forth in IC 16-18-2-79.5(22).
(L) The prevention and reduction of chronic illnesses.
(M) Screening and case management for childhood lead exposure and poisoning.
(N) Health promotion and education for preventing trauma and injury.
(O) Access to childhood and adult immunizations.
(2) Not more than forty percent (40%) on the following core public health services:
(A) Food protection.
(B) Pest and vector control and abatement.
(C) Inspection and testing of public and semipublic pools.
(D) Residential onsite sewage system permitting and inspections.
(E) Orders for the decontamination of property used to illegally manufacture a controlled substance.
(F) Sanitary inspections and surveys of public buildings.
(G) Sanitary operation of tattoo parlors and body piercing facilities.
(H) Sanitary operations of facilities where eyelash extensions are applied.
(d) A local health department may request a waiver from the percentage requirements set forth in subsection (c) if the following are met:
(1) The local health department files a written waiver request with the state department in a manner prescribed by the state department.
(2) The state department shall consider the waiver request submitted under subdivision (1). If the state department approves the waiver request, the state department shall notify the budget committee of any waiver that the state department approves and include a review of the waiver.
(e) Each local health department that provides core public health services shall report, using de-identified, aggregate data, the activities and metrics on the delivery of the core public health services to the state department semi-annually, in the form and manner determined by the state department.
(f) The state department shall:
(1) collect and analyze the information reported to the state department under subsection (e); and
(2) before July 1, 2024, develop and publish on the Internet a web page that tracks the metrics identified in subsection (b) and indicates any progress made in these metrics.
(g) The state department shall provide a report annually on the information collected in subsection (e) to the legislative council in an electronic format under IC 5-14-6.
(h) The state department shall annually present the metrics determined under this section to the budget committee.
(i) A county that accepts additional funding to provide core public health services does not transfer any authority under statute in operating the local health department to the state department in return for the additional funding.
(j) Before a local health department may hire or contract for the provision or administration of core public health services, the local health department shall post the position or contract to the public for at least thirty (30) days.
[Pre-1993 Recodification Citation: 16-1-4-7.]
As added by P.L.2-1993, SEC.3. Amended by P.L.164-2023, SEC.19.