reglab/statecodes huggingface dataset:
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-19.6. Advanced Practice Registered Nurses; Identification Numbers

Sec. 19.6. (a) When the board grants authority to an advanced practice registered nurse to prescribe legend drugs under this chapter, the board shall assign an identification number to the advanced practice registered nurse.
(b) An advanced practice registered nurse who is granted authority by the board to prescribe legend drugs must do the following:
(1) Enter on each prescription form that the advanced practice registered nurse uses to prescribe a legend drug:
(A) the signature of the advanced practice registered nurse;
(B) initials indicating the credentials awarded to the advanced practice registered nurse under this chapter; and
(C) the identification number assigned to the advanced practice registered nurse under subsection (a).
(2) Transmit the prescription in an electronic format for an electronically transmitted prescription.
(3) Comply with all applicable state and federal laws concerning prescriptions for legend drugs, including the requirement to issue electronically transmitted prescriptions under IC 25-1-9.3.
(c) An advanced practice registered nurse may be granted authority to prescribe legend drugs under this chapter only within the scope of practice of the advanced practice registered nurse and the scope of the licensed collaborating health practitioner.
As added by P.L.185-1993, SEC.9. Amended by P.L.129-2018, SEC.32; P.L.28-2019, SEC.14.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-19.7. Renewal of Prescriptive Authority

Sec. 19.7. (a) This subsection applies to an applicant for renewal who has never received a renewal of prescriptive authority under section 19.5 of this chapter and whose prescriptive authority has never lapsed. If the applicant was initially granted prescriptive authority:
(1) less than twelve (12) months before the expiration date of the prescriptive authority, no continuing education is required; or
(2) at least twelve (12) months before the expiration date of the prescriptive authority, the applicant shall, subject to IC 25-1-4-3, attest to the board that the applicant has successfully completed at least fifteen (15) contact hours of continuing education. The hours must:
(A) be completed after the prescriptive authority was granted and before the expiration of the prescriptive authority;
(B) include at least four (4) contact hours of pharmacology; and
(C) be approved by a nationally approved sponsor of continuing education for nurses, approved by the board, and listed by the Indiana professional licensing agency as approved hours.
(b) This subsection applies to an applicant for renewal of prescriptive authority under section 19.5 of this chapter who is not described in subsection (a). The applicant shall, subject to IC 25-1-4-3, attest to the board that the applicant has successfully completed at least thirty (30) contact hours of continuing education. The hours must:
(1) be completed within the two (2) years immediately preceding the renewal;
(2) include at least eight (8) contact hours of pharmacology; and
(3) be approved by a nationally approved sponsor of continuing education for nurses, be approved by the board, and be listed by the Indiana professional licensing agency as approved hours.
(c) An applicant for renewal of prescriptive authority under this section must maintain national certification or certification equivalence, as required by section 19.5(d) of this chapter.
As added by P.L.83-2000, SEC.2. Amended by P.L.269-2001, SEC.18; P.L.1-2006, SEC.452; P.L.129-2018, SEC.33.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-19.9. Inspect Program Report in Patient's Medical File

Sec. 19.9. (a) This section does not apply to certified registered nurse anesthetists.
(b) An advanced practice registered nurse may include a report from the INSPECT program in a patient's medical file. Any disclosure or release of a patient's medical file must be in compliance with IC 25-26-24-19.
As added by P.L.82-2016, SEC.6. Amended by P.L.129-2018, SEC.35; P.L.51-2019, SEC.7.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-20. Application for Nursing Education Program; Employment of Registered Nurses

Sec. 20. (a) Any institution which desires to conduct a nursing education program shall apply to the board and submit evidence that:
(1) it is prepared to give a minimum curriculum of organized instruction and clinical experience in nursing in conformity to the provisions of this chapter and the rules of the board. Such instruction and experience may be secured in one (1) or more institutions or agencies approved by the board; and
(2) it is prepared to meet other standards established by this chapter and by the board.
(b) An institution that conducts a nursing education program may employ a person who:
(1) is a registered nurse with a bachelor's degree in nursing; and
(2) has at least three (3) years of experience in nursing in the previous six (6) years;
to instruct nursing students on a part-time basis for the purpose of clinical instruction.
Formerly: Acts 1949, c.159, s.20; Acts 1951, c.34, s.6. As amended by Acts 1982, P.L.154, SEC.81; P.L.149-1987, SEC.63; P.L.177-2009, SEC.43.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-20.1. Nursing School Enrollment Rates

Sec. 20.1. (a) As used in this section, "eligible associate or bachelor's degree registered nursing program" means an associate or bachelor's degree registered nursing program that:
(1) is accredited by the board; and
(2) has an annual rate of successful completion of the National Council Licensure Examination (NCLEX) score of at least eighty percent (80%).
(b) As used in this section, "nursing program" means any of the following:
(1) A licensed practical nursing program.
(2) An associate degree nursing program.
(3) A diploma nursing program.
(4) A baccalaureate degree nursing program.
(c) An eligible associate degree or bachelor's degree registered nursing program that has been operating for at least five (5) years may increase enrollment in the program at any rate the program considers appropriate.
(d) A nursing program that:
(1) is operated by a postsecondary educational institution, as defined in IC 21-7-13-6(a)(1);
(2) was accredited by the board on a date after June 30, 2020; and
(3) has been operating for at least one (1) year;
may increase its enrollment rate by not more than one hundred percent (100%).
As added by P.L.69-2022, SEC.7. Amended by P.L.148-2023, SEC.16.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-20.2. Substitution of Simulation Hours

Sec. 20.2. (a) As used in this section, "clinical experience" means the learning experiences provided in facilities appropriate to the curriculum objectives.
(b) As used in this section, "clinical hours" refers to the number of hours of clinical experience a nursing student is required to complete.
(c) As used in this section, "NCLEX" refers to the National Council Licensure Examination that is:
(1) provided by the National Council of State Boards of Nursing; and
(2) used to determine the competency of graduates of nursing school.
(d) As used in this section, "nursing program" means one (1) of the following:
(1) A licensed practical nursing program.
(2) An associate degree nursing program.
(3) A diploma nursing program.
(4) A baccalaureate degree nursing program.
(e) As used in this section, "simulation hours" refers to the hours spent by a nursing student participating in an educational process:
(1) that replicates real world clinical scenarios in a simulation lab; and
(2) in which a nursing student develops and practices the nursing student's nursing skills.
(f) A nursing program may allow substitution of simulation hours for clinical hours in the following manner:
(1) Simulation for not more than fifty percent (50%) of clinical hours if a nursing program has an overall pass rate of at least eighty percent (80%) on the NCLEX.
(2) Simulation for not more than twenty-five percent (25%) of clinical hours if a nursing program has an overall pass rate of less than eighty percent (80%) on the NCLEX.
(g) The board may adopt rules under IC 4-22-2 to implement this section. Nothing in this section prohibits a nursing program from substituting simulation hours for clinical hours in accordance with this section before the board adopts rules under this section.
As added by P.L.69-2022, SEC.8.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-20.3. Clinical Preceptor Qualifications; Rules

Sec. 20.3. (a) As used in this section, "clinical preceptor" means an individual who is:
(1) employed by a cooperating agency; and
(2) responsible for supervising one (1) nursing student at a time in a clinical facility.
(b) As used in this section, "cooperating agency" means an institution that cooperates with a nursing program to provide clinical facilities for the clinical experiences (as defined in section 20.2 of this chapter) of nursing students.
(c) Each clinical preceptor must:
(1) be a nurse licensed under this article; and
(2) have at least eighteen (18) months of experience as a registered nurse.
(d) Not later than July 1, 2023, the board shall adopt rules under IC 4-22-2 to implement this section.
As added by P.L.69-2022, SEC.9.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-20.4. Part-Time Faculty

Sec. 20.4. (a) As used in this section, "faculty" refers to a group of individuals who are employed to administer and teach in a nursing program.
(b) Beginning July 1, 2022, the majority of employees on the faculty of a nursing program that:
(1) is operated by a state educational institution, as defined in IC 21-7-13-32; and
(2) predominantly issues associate degrees;
may be part-time employees of the educational institution or hospital that conducts the nursing program.
(c) The board of nursing may adopt rules under IC 4-22-2 to implement this section.
As added by P.L.69-2022, SEC.10.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-21. Survey by Board; Approval; Surveys of Accredited Schools

Sec. 21. (a) A survey of the institution or institutions of which the nursing education program is a part and of institutions affiliating with the nursing education program shall be made by a designated representative of the board. The surveyor shall submit a written report of the survey to the board. If, in the opinion of the board, the requirements for an accredited school of nursing are met, it shall approve the school as an accredited school of nursing.
(b) From time to time as considered necessary by the board, it shall be the duty of the board, through a designated representative of the board, to survey all nursing education programs in the state. Written reports of such surveys shall be submitted to the board. If the board determines that any accredited nursing education program is not maintaining the standards required by the statutes and by the board, notice in writing specifying the defect or defects shall be immediately given to the nursing education program. A nursing education program which fails to correct these conditions to the satisfaction of the board within a reasonable time shall be removed from the list of accredited nursing education programs.
(c) The board may elect to utilize a nursing education program's accreditation by a national accrediting body approved by the board and the Council on Postsecondary Accreditation (COPA) as evidence that the program has met all or part of the required state standards and prescribed curricula for continuing accreditation of nursing education programs.
Formerly: Acts 1949, c.159, s.21. As amended by Acts 1981, P.L.222, SEC.172; P.L.149-1987, SEC.64; P.L.137-2021, SEC.7.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-21.5. Education Compliance Officer

Sec. 21.5. The board may hire an education compliance officer who reports directly to the director of the board to oversee and perform the educational duties required under this chapter.
As added by P.L.74-2013, SEC.1.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-22. Repealed

Formerly: Acts 1949, c.159, s.22. As amended by Acts 1982, P.L.154, SEC.82. Repealed by P.L.149-1987, SEC.120.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-23. Repealed

Formerly: Acts 1949, c.159, s.23. As amended by Acts 1981, P.L.222, SEC.173. Repealed by P.L.149-1987, SEC.120.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-24. Repealed

Formerly: Acts 1949, c.159, s.24. As amended by Acts 1982, P.L.154, SEC.83. Repealed by P.L.169-1985, SEC.97.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-25. Repealed

Formerly: Acts 1949, c.159, s.25. As amended by Acts 1977, P.L.172, SEC.30; Acts 1979, P.L.87, SEC.8. Repealed by Acts 1981, P.L.222, SEC.296.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-25.1. Repealed

As added by Acts 1981, P.L.222, SEC.174. Amended by P.L.169-1985, SEC.77; P.L.149-1987, SEC.65. Repealed by P.L.152-1988, SEC.30.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-26. Duty of Attorney General

Sec. 26. It shall be the duty of the attorney-general to represent the board in any court in which an action may be filed for the review of an order of the board. The attorney-general may, at his discretion, call to his assistance in such action, the prosecuting attorney of the county in which such action is filed.
Formerly: Acts 1949, c.159, s.26.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-27. Violations; Penalty

Sec. 27. A person who:
(1) sells or fraudulently obtains or furnishes any nursing diploma, license or record;
(2) practices nursing under cover of any diploma or license or record illegally or fraudulently obtained or assigned or issued unlawfully or under fraudulent representation;
(3) practices nursing as a registered nurse or licensed practical nurse unless licensed to do so under this chapter or IC 25-42;
(4) uses in connection with the person's name any designation tending to imply that the person is a registered nurse or a licensed practical nurse unless licensed to practice under this chapter or IC 25-42;
(5) practices nursing during the time the person's license issued under this chapter or IC 25-42 is suspended or revoked;
(6) conducts a school of nursing or a program for the training of practical nurses unless the school or program has been accredited by the board; or
(7) otherwise violates this chapter;
commits a Class B misdemeanor.
Formerly: Acts 1949, c.159, s.27; Acts 1974, P.L.119, SEC.4. As amended by Acts 1978, P.L.2, SEC.2543; Acts 1981, P.L.222, SEC.175; P.L.181-2002, SEC.9; P.L.1-2007, SEC.175; P.L.134-2008, SEC.32; P.L.156-2020, SEC.105.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-27.1. "Licensed Professional"; Limitations on Application of Chapter

Sec. 27.1. (a) As used in this section, "licensed health professional" means:
(1) a registered nurse;
(2) a licensed practical nurse;
(3) a physician with an unlimited license to practice medicine or osteopathic medicine;
(4) a licensed dentist;
(5) a licensed chiropractor;
(6) a licensed optometrist;
(7) a licensed pharmacist;
(8) a licensed physical therapist;
(9) a licensed psychologist;
(10) a licensed podiatrist; or
(11) a licensed speech-language pathologist or audiologist.
(b) This chapter does not prohibit:
(1) furnishing nursing assistance in an emergency;
(2) the practice of nursing by any student enrolled in a board approved nursing education program where such practice is incidental to the student's program of study;
(3) the practice of any nurse who is employed by the government of the United States or any of its bureaus, divisions, or agencies while in the discharge of the nurse's official duties;
(4) the gratuitous care of sick, injured, or infirm individuals by friends or the family of that individual;
(5) the care of the sick, injured, or infirm in the home for compensation if the person assists only:
(A) with personal care;
(B) in the administration of a domestic or family remedy; or
(C) in the administration of a remedy that is ordered by a licensed health professional and that is within the scope of practice of the licensed health professional under Indiana law;
(6) performance of tasks by persons who provide health care services which are delegated or ordered by licensed health professionals, if the delegated or ordered tasks do not exceed the scope of practice of the licensed health professionals under Indiana law;
(7) a physician with an unlimited license to practice medicine or osteopathic medicine in Indiana, a licensed dentist, chiropractor, dental hygienist, optometrist, pharmacist, physical therapist, podiatrist, psychologist, speech-language pathologist, or audiologist from practicing the person's profession;
(8) a school corporation or school employee from acting under IC 34-30-14;
(9) a personal services attendant from providing authorized attendant care services under IC 12-10-17.1;
(10) an attendant who provides attendant care services (as defined in IC 16-18-2-28.5); or
(11) the practice of nursing by a:
(A) registered nurse applicant; or
(B) licensed practical nurse applicant.
As added by Acts 1981, P.L.222, SEC.176. Amended by P.L.169-1985, SEC.78; P.L.149-1987, SEC.66; P.L.156-1988, SEC.2; P.L.255-2001, SEC.18; P.L.212-2005, SEC.21; P.L.141-2006, SEC.107; P.L.148-2023, SEC.17.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-27.2. Injunction From Continuing Violation of Chapter; Punishment

Sec. 27.2. The attorney general, the board, the prosecuting attorney, or any citizen of any county in which a person violates this article may maintain an action in the name of the state to enjoin the person from continuing in violation of this article. A person who is enjoined and who violates an injunction shall be punished for contempt of court. An injunction issued under this section does not relieve a person from criminal prosecution but is in addition to any remedy provided under criminal law.
As added by P.L.149-1987, SEC.67.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-28. Repealed

Formerly: Acts 1949, c.159, s.29. Amended by Acts 1982, P.L.154, SEC.84. Repealed by P.L.134-2008, SEC.52.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-29. Practitioners of Church of Christ Scientist

Sec. 29. (a) This chapter does not apply to a nurse practicing in accordance with the practice and principles of the body known as the Church of Christ Scientist.
(b) A sanitarium, nursing home, or rest home provided that it is listed and certified by the Commission for Accreditation of Christian Science Nursing Organizations/Facilities, Inc. does not have to comply with any rule adopted by the board, except a rule that concerns the following:
(1) The sanitary and safe conditions of the premises.
(2) The cleanliness of operation.
(3) The physical equipment.
(c) The chapter does not apply to a person if:
(1) the person is licensed as a nurse in another jurisdiction;
(2) the person is employed by an individual, an agency, or a legal business entity located in that jurisdiction;
(3) the person's employment responsibilities include transporting a patient between jurisdictions;
(4) no trip made by the person into Indiana for the purpose of transporting a patient lasts more than seventy-two (72) hours; and
(5) the person does not make more than six (6) trips into Indiana for the purpose of transporting a patient during any twelve (12) month period.
As added by P.L.187-1991, SEC.1. Amended by P.L.1-1992, SEC.132; P.L.185-1993, SEC.10; P.L.111-1996, SEC.3.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-30. Administration of Anesthesia by Certified Registered Nurse Anesthetist

Sec. 30. (a) A certified registered nurse anesthetist may administer anesthesia if the certified registered nurse anesthetist acts under the direction of and in the immediate presence of a physician.
(b) Nothing in this chapter shall be construed as requiring a certified registered nurse anesthetist to obtain prescriptive authority to administer anesthesia under subsection (a).
As added by P.L.185-1993, SEC.11. Amended by P.L.177-2009, SEC.44.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-31. Rehabilitation of Impaired Registered Nurse or Licensed Practical Nurse; Use of Information After Noncompliance

Sec. 31. (a) As used in this section, "impaired registered nurse or licensed practical nurse" means a registered nurse or licensed practical nurse who has been affected by the use or abuse of alcohol or other drugs.
(b) The board shall assist in the rehabilitation of an impaired registered nurse or licensed practical nurse.
(c) The board may do the following:
(1) Enter into agreements, provide grants, and make other arrangements with statewide nonprofit professional associations, foundations, or other entities specifically devoted to the rehabilitation of impaired health care professionals to identify and assist impaired registered nurses and licensed practical nurses.
(2) Accept and designate grants, public and private financial assistance, and licensure fees to fund programs under subdivision (1) to assist impaired registered nurses and licensed practical nurses.
(d) Except as provided in subsection (f), all:
(1) information furnished to a nonprofit professional association, foundation, or other entity specifically devoted to the rehabilitation of impaired health care professionals, including interviews, reports, statements, and memoranda; and
(2) findings, conclusions, or recommendations that result from a proceeding of the professional association, foundation, or other entity specifically devoted to the rehabilitation of impaired health care professionals;
are privileged and confidential.
(e) The records of a proceeding under subsection (d) may be used only in the exercise of proper functions of the board, and may not become public records or subject to a subpoena or discovery proceeding.
(f) Information received by the board from the board designated rehabilitation program for noncompliance by the registered nurse or licensed practical nurse may be used by the board in any disciplinary or criminal proceedings instituted against the impaired registered nurse or licensed practical nurse.
(g) The board designated rehabilitation program shall:
(1) immediately report to the board the name and results of any contact or investigation concerning an impaired registered nurse or licensed practical nurse who the program believes constitutes a certain, immediate, and impending danger to either the public or the impaired registered nurse or licensed practical nurse; and
(2) in a timely fashion report to the board an impaired registered nurse or licensed practical nurse:
(A) who refuses to cooperate with the program;
(B) who refuses to submit to treatment; or
(C) whose impairment is not substantially or significantly alleviated through treatment, as determined by accepted medical standards.
As added by P.L.185-1993, SEC.12. Amended by P.L.243-1995, SEC.2; P.L.181-2002, SEC.10.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-33. Professing to Be Nurse Practitioner or Clinical Nurse Specialist; Use of Title

Sec. 33. (a) An individual may not:
(1) profess to be a nurse practitioner; or
(2) use the title "nurse practitioner";
unless the individual is a nurse practitioner.
(b) An individual may not:
(1) profess to be a clinical nurse specialist; or
(2) use the title "clinical nurse specialist";
unless the individual is a clinical nurse specialist.
As added by P.L.185-1993, SEC.13.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-34. Impaired Nurses Account

Sec. 34. (a) The impaired nurses account is established within the state general fund for the purposes of providing money for:
(1) providing rehabilitation of impaired registered nurses or licensed practical nurses under this article;
(2) funding the education compliance officer provided for under section 21.5 of this chapter; and
(3) carrying out any of the duties of the board.
The account shall be administered by the Indiana professional licensing agency.
(b) Expenses of administering the account shall be paid from money in the account. The account consists of the following:
(1) Funds collected for the rehabilitation of impaired registered nurses and impaired licensed practical nurses under sections 11(h), 12(g), and 16.1(d) of this chapter.
(2) Funds collected under section 31(c)(2) of this chapter.
(3) Fines collected from registered nurses or licensed practical nurses under IC 25-1-9-9(a)(6).
(c) The treasurer of state shall invest the money in the account not currently needed to meet the obligations of the account in the same manner as other public money may be invested.
(d) Money in the account is appropriated to the board for the purposes stated in subsection (a).
(e) The amount paid from the impaired nurses account in a state fiscal year for the purposes stated in subsection (a)(2) and (a)(3) may not exceed twelve and one-half percent (12.5%) of the average yearly revenue of the impaired nurses account for the two (2) preceding state fiscal years.
As added by P.L.127-1994, SEC.3. Amended by P.L.181-2002, SEC.11; P.L.1-2006, SEC.454; P.L.1-2007, SEC.176; P.L.134-2008, SEC.33; P.L.74-2013, SEC.2; P.L.69-2022, SEC.11; P.L.148-2023, SEC.18.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23. Nurses › Chapter 1. Licensing of Nurses; Creation of Board; Education Programs › 25-23-1-35. Requirements to Practice as a Forensic Nurse; Continuing Education

Sec. 35. (a) Except as provided in subsection (c), in order for an individual to practice as a forensic nurse, the individual must meet the following requirements:
(1) Holds an active license as a registered nurse under this article.
(2) Completes a biennial forensic nursing educational program that has either been:
(A) identified by the state department of health's statewide sexual assault nurse examiners (SANE) coordinator and administered by the Indiana SANE training project; or
(B) approved by the board and that is substantially equivalent to a program described in clause (A).
(3) Submits to the board a certificate of completion of a program described in subdivision (2).
(b) The board shall determine the criteria and requirements for biennial continuing education for a forensic nurse, taking into consideration programs approved by the state department of health's statewide sexual assault nurse examiners (SANE) coordinator or provided by the Indiana SANE training project. A forensic nurse shall meet the continuing education requirements set by the board under this subsection in order to continue practicing as a forensic nurse.
(c) A forensic nurse who is practicing as a forensic nurse on June 30, 2021, is not required to meet the education requirements set forth in subsection (a)(2) until June 30, 2023.
As added by P.L.90-2021, SEC.2.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.1. Repealed

[Pre-1993 Title 16 Recodification Citations:
25-23.1-1-1New25-23.1-1-2formerly 16-1-46-10 part25-23.1-1-3formerly 16-1-46-125-23.1-1-4formerly 16-1-46-225-23.1-1-5formerly 16-1-46-325-23.1-1-6formerly 16-1-46-425-23.1-2-1formerly 16-1-46-525-23.1-2-2formerly 16-1-46-625-23.1-2-3formerly 16-1-46-725-23.1-2-4formerly 16-1-46-825-23.1-2-5formerly 16-1-46-925-23.1-2-6formerly 16-1-46-10 part25-23.1-2-7formerly 16-1-46-1125-23.1-2-8formerly 16-1-46-1225-23.1-2-9formerly 16-1-46-1325-23.1-2-10formerly 16-1-46-1425-23.1-2-11formerly 16-1-46-1525-23.1-2-12formerly 16-1-46-16.]
Repealed by P.L.142-1995, SEC.32.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-2. "Antepartum Period"

Sec. 2. "Antepartum period" means the period that begins when a woman becomes pregnant and ends when the birthing period begins.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-4. "Certified Direct Entry Midwife"; "Cdem"

Sec. 4. (a) "Certified direct entry midwife" or "CDEM" means an individual who is a certified direct entry midwife and certified under this article.
(b) The term does not include any of the following:
(1) An individual engaged in the practice of medicine under IC 25-22.5.
(2) A certified nurse midwife engaged only in the practice of midwifery under IC 25-23.
(3) An individual providing emergency medical services.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-5. "Committee"

Sec. 5. "Committee" refers to the midwifery committee established by IC 25-23.4-2.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-6. "Intrapartum Period"

Sec. 6. "Intrapartum period" means the period that begins when a woman starts labor and ends when the woman gives birth.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-8. "Postpartum Period"

Sec. 8. "Postpartum period" means the six (6) week period after a birth.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 1. Definitions › 25-23.4-1-9. "Practice of Midwifery"

Sec. 9. "Practice of midwifery" means services delivered by a certified direct entry midwife, including, for compensation, to advise, attend, or assist a woman during pregnancy, labor, natural childbirth, or the postpartum period. The term includes the following:
(1) Providing the mother with individualized prenatal care.
(2) Identifying and referring women who require obstetrical attention.
(3) Providing the mother with continuous direct participation and assistance during labor and delivery.
(4) Administering medications as provided in IC 25-23.4-4-5.
(5) Providing the mother with postpartum support.
(6) Providing normal newborn care.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-1. Midwifery Committee Established

Sec. 1. The midwifery committee is established to provide recommendations and information to the board.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-2. Members

Sec. 2. Subject to IC 25-1-6.5-3, the committee consists of three (3) members appointed by the governor who are certified direct entry midwives.
As added by P.L.232-2013, SEC.20. Amended by P.L.249-2019, SEC.101.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-3. Terms

Sec. 3. (a) Each committee member serves a term under IC 25-1-6.5.
(b) A committee member serves until the committee member's successor is appointed. A vacancy occurring in the membership of the committee shall be filled by appointment by the governor under IC 25-1-6.5.
(c) A committee member may be removed under IC 25-1-6.5-4.
(d) Committee members annually shall select a chairperson and a vice chairperson from among the committee's members.
As added by P.L.232-2013, SEC.20. Amended by P.L.249-2019, SEC.102.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-4. Meetings; Quorum

Sec. 4. (a) The committee shall meet at least one (1) time each year at the call of the chairperson.
(b) With the approval of the executive director of the licensing agency, the committee may meet upon:
(1) the call of the chairperson; or
(2) the request of a majority of the members of the committee.
(c) Two (2) members of the committee constitute a quorum.
(d) The affirmative vote of two (2) members of the committee is required for the committee to take action.
As added by P.L.232-2013, SEC.20. Amended by P.L.249-2019, SEC.103.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-6. Duties

Sec. 6. (a) The board shall, after receiving information, proposals, or recommendations from the committee, do the following:
(1) Establish as a requirement for certification as a certified direct entry midwife the Certified Professional Midwife credentials developed by the North American Registry of Midwives or a successor organization.
(2) Subject to IC 25-1-8-2, establish fees to administer this article.
(3) Establish annual continuing education requirements to renew a certified direct entry midwife's certificate, which must include continuing education in pharmacology. The requirements established under this subdivision must provide for at least fifteen (15) hours of continuing education every twelve (12) months.
(4) Develop a peer review procedure, using as guidelines the peer review procedures established by:
(A) the Indiana Midwives Association or a successor organization; and
(B) the North American Registry of Midwives or a successor organization.
(b) The board shall, after receiving recommendations from the committee, do the following:
(1) In addition to the requirements under IC 25-23.4-5, adopt rules under IC 4-22-2 to provide for adequate collaboration between a certified direct entry midwife and a collaborating physician.
(2) Adopt rules under IC 4-22-2 that define the competent practice for certified direct entry midwives. Rules adopted under this subdivision must limit the practice of certified direct entry midwives to nonhospital settings.
(3) Adopt rules under IC 4-22-2 that establish standards for an emergency plan of care, including that a plan must allow for the timely provision of emergency care at a hospital.
(4) In addition to the requirements under IC 25-23.4-4-1(a)(6), adopt rules under IC 4-22-2 to set standards for determining the geographic area close enough to the planned location of the delivery to make the collaborating physician a reasonable choice to provide backup care.
(5) In addition to the requirements under IC 25-23.4-5-1(b), adopt rules under IC 4-22-2 to establish standards or conditions that require additional review of a certified direct entry midwife's client encounters by the collaborating physician.
(6) Adopt rules under IC 4-22-2 to determine the number of certified direct entry midwives with whom a physician may collaborate.
(7) In addition to the requirements under IC 25-23.4-6-1(b), establish the conditions that require a certified direct entry midwife to refer a client for an examination by a physician.
(8) Adopt rules under IC 4-22-2, establishing the health conditions that require a referral to a physician under IC 25-23.4-6-1(c).
(c) The board may not adopt rules to grant a certified direct entry midwife prescriptive authority other than the authority specified in IC 25-23.4-4-5.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 2. Midwifery Committee › 25-23.4-2-7. Rules

Sec. 7. The committee may propose rules to the board for adoption. The board shall adopt rules under IC 4-22-2 to administer this article.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-0.5. Chapter Effective Date

Sec. 0.5. This chapter is effective beginning January 1, 2014.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-1. Application of Chapter; Requirements

Sec. 1. (a) This section does not apply to an individual who has a license under IC 25-23-1-13.1 to practice midwifery as a certified nurse midwife and is practicing within the scope of that license.
(b) After July 1, 2018, an individual may not engage in the practice of midwifery unless:
(1) the individual is issued a certificate by a board under IC 25-1-5 and is acting within the scope of the person's license; or
(2) the individual has a certified direct entry midwife certificate under this article and has a collaborative agreement with a physician as set forth in this article.
(c) To become certified as a certified direct entry midwife, an applicant must satisfy the following requirements:
(1) Be at least twenty-one (21) years of age.
(2) Possess at least:
(A) an associate degree in nursing, associate degree in midwifery accredited by the Midwifery Education Accreditation Council (MEAC), or other similar science related associate degree; or
(B) a bachelor's degree;
from a postsecondary educational institution.
(3) Satisfactorily complete educational curriculum approved by:
(A) the Midwifery Education Accreditation Council (MEAC) or a successor organization; or
(B) the educational equivalent of a Midwifery Education Accreditation Council curriculum approved by the board.
(4) Acquire and document practical experience as outlined in the Certified Professional Midwife credentialing process in accordance with the standards of the North American Registry of Midwives or a successor organization.
(5) Obtain certification by an accredited association in adult cardiopulmonary resuscitation that is approved by the board.
(6) Complete the program sponsored by the American Academy of Pediatrics in neonatal resuscitation, excluding endotracheal intubation and the administration of drugs.
(7) Comply with the birth requirements of the Certified Professional Midwife credentialing process, observe an additional twenty (20) births, attend twenty (20) births conducted by a physician, assist with an additional twenty (20) births, and act as the primary attendant for an additional twenty (20) births.
(8) Provide proof to the board that the applicant has obtained the Certified Professional Midwife credential as administered by the North American Registry of Midwives or a successor organization.
(9) Present additional documentation or certifications required by the board. The board may adopt standards that require more training than required by the North American Registry of Midwives.
(10) Maintain sufficient liability insurance.
As added by P.L.232-2013, SEC.20. Amended by P.L.112-2014, SEC.28; P.L.5-2015, SEC.56; P.L.185-2015, SEC.21; P.L.78-2017, SEC.16; P.L.32-2021, SEC.71.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-2. Education Requirements

Sec. 2. The board shall, after receiving recommendations from the committee, do the following:
(1) Determine the education that satisfies the requirements in section 1 of this chapter.
(2) Establish formal education requirements in addition to those required in section 1 of this chapter. The requirements must include course material on:
(A) emergency life support procedures;
(B) identification of high risk births for mothers;
(C) identification of potential complications during labor; and
(D) other material the board specifies.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-3. Issuance of Certificate to Practice

Sec. 3. The board shall issue a certificate to practice certified direct entry midwifery to an applicant who satisfies the requirements of sections 1 and 2 of this chapter.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-4. Expiration of Certificate; Renewal

Sec. 4. (a) Subject to IC 25-1-2-6(e), a certificate issued under this chapter expires after two (2) years, on a date established by the licensing agency. Failure to renew a certificate on or before the expiration date makes the certificate invalid without any action by the board.
(b) To be eligible for the renewal of a certificate issued under this chapter, an individual must:
(1) meet continuing education requirements set by the board;
(2) maintain a Certified Professional Midwife credential; and
(3) maintain sufficient liability insurance.
As added by P.L.232-2013, SEC.20. Amended by P.L.177-2015, SEC.51.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-5. Use of Title

Sec. 5. After July 1, 2014, only an individual who is issued a certificate under this article may use the title "certified direct entry midwife".
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-6. Reciprocity

Sec. 6. The board may issue a certificate to an individual who is licensed or certified as a midwife in another state if:
(1) the board determines that the midwife has fulfilled requirements that are at least equal to the certification requirements of this article;
(2) the midwife holds a license or certificate in good standing from another state and the midwife has practiced for at least three (3) out of the past five (5) years under the license or certificate;
(3) the midwife discloses to the board any judgment or settlement of malpractice and the board makes a determination that the judgment or settlement does not affect the midwife's ability to practice as a midwife; and
(4) the midwife does not have a conviction in the previous five (5) years that has a direct bearing on the midwife's ability to practice competently.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 3. Certified Direct Entry Midwifery Certificates › 25-23.4-3-7. Penalty

Sec. 7. (a) This section does not apply to an individual who has a license under IC 25-23-1-13.1 to practice midwifery as a certified nurse midwife.
(b) After July 1, 2018, an individual who knowingly or intentionally practices midwifery without a certificate required under this article commits a Level 6 felony (for a crime committed after June 30, 2014).
As added by P.L.232-2013, SEC.20. Amended by P.L.112-2014, SEC.29; P.L.185-2015, SEC.22; P.L.78-2017, SEC.17.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 4. Informed Consent for the Practice of Certified Direct Entry Midwifery › 25-23.4-4-1. Requirements to Accept a Client

Sec. 1. (a) All the following must occur before a certified direct entry midwife may accept a client for midwifery care:
(1) The certified direct entry midwife must provide the potential client with an informed disclosure of practice form.
(2) The potential client must sign and date the form.
(3) The certified direct entry midwife must sign and date the form.
(4) If the potential client refuses a procedure or treatment required by law, the potential client must so indicate on a separate procedure or treatment form.
(5) The certified direct entry midwife must have an emergency plan for the care of the client if an emergency arises. As part of the emergency plan, the client must sign a release of the client's medical records that allows the certified direct entry midwife to provide the client's medical records to a physician if an emergency arises.
(6) Subject to rules adopted under IC 25-23.4-2-6(b)(5), the certified direct entry midwife must have a collaborative agreement with a physician to provide for consultation and care for the client. The physician shall examine the client at least one (1) time during the client's first trimester and one (1) time during the client's third trimester. The collaborating physician should be located in an area close to where the delivery will occur.
(7) The certified direct entry midwife must provide the client with a list of options for additional screening and assessments, including visits to a physician.
(8) The certified direct entry midwife must maintain medical records on the client through the entire course of care and transfer the medical records to a treating physician if an emergency arises. The medical records must contain all the forms that are required under this subsection.
(b) A certified direct entry midwife may not have a minor as a client unless the minor's parent or guardian has agreed in writing to use the certified direct entry midwife and all other requirements of this article have been met.
As added by P.L.232-2013, SEC.20.
2023 Indiana Code › Title 25. Professions and Occupations › Article 23.4. Certified Direct Entry Midwives › Chapter 4. Informed Consent for the Practice of Certified Direct Entry Midwifery › 25-23.4-4-2. Disclosure of Procedures and Treatment

Sec. 2. (a) A certified direct entry midwife may not perform on a client a specific procedure or treatment that is not described on the informed disclosure of practice form described in section 1 of this chapter until both of the following occur:
(1) The specific procedure or treatment is disclosed to the client in writing on a form that is separate from the informed disclosure of practice form.
(2) The client agrees to the procedure or treatment by signing the procedure or treatment form.
(b) If the potential client refuses a procedure or treatment required by law, the client must so indicate on a separate procedure or treatment form, which must be maintained in the client's medical records.
As added by P.L.232-2013, SEC.20.