reglab/statecodes huggingface dataset:
2023 Indiana Code › Title 16. Health › Article 21. Hospitals › Chapter 17. Health Care Pricing Information › 16-21-17-0.3. Definitions

Sec. 0.3. (a) As used in this chapter, "de-identified maximum negotiated charge" means the highest charge that an ambulatory outpatient surgical center has negotiated with any third party payer for an item or service.
(b) As used in this chapter, "de-identified minimum negotiated charge" means the lowest charge that an ambulatory outpatient surgical center has negotiated with any third party payer for an item or service.
(c) As used in this chapter, "discounted cash price" means the charge that applies to an individual who pays cash or the cash equivalent for an ambulatory outpatient surgical center item or service.
(d) As used in this chapter, "gross charge" means the charge for an individual item or service that is reflected on an ambulatory outpatient surgical center's chargemaster, absent any discounts.
(e) As used in this chapter, "item or service" means any item or service, including service packages, that could be provided by an ambulatory outpatient surgical center to a patient for which the ambulatory outpatient surgical center has established a standard charge. The term includes the following:
(1) Supplies.
(2) Procedures.
(3) Use of the facility and other facility fees.
(4) Services of employed physicians and non-physician practitioners, including professional charges.
(5) Anything that an ambulatory outpatient surgical center has established as a standard charge.
(f) As used in this chapter, "payer-specific negotiated charge" means the charge that an ambulatory outpatient surgical center has negotiated with a third party payer for an item or service.
(g) As used in this chapter, "standard charge" means the regular rate established by the ambulatory outpatient surgical center for an item or service provided to a specific group of paying patients. The term includes the following:
(1) Gross charge.
(2) Payer-specific negotiated charge.
(3) De-identified minimum negotiated charge.
(4) De-identified maximum negotiated charge.
(5) Discounted cash price.
As added by P.L.151-2021, SEC.9 and P.L.198-2021, SEC.12.
2023 Indiana Code › Title 16. Health › Article 21. Hospitals › Chapter 17. Health Care Pricing Information › 16-21-17-1. Internet Posting of Pricing and Information

Sec. 1. (a) Not later than December 31, 2021, an ambulatory outpatient surgical center shall post on the Internet web site of the ambulatory outpatient surgical center pricing and other information specified in this chapter for the following:
(1) For as many of the seventy (70) shoppable services specified in the final rule of the Centers for Medicare and Medicaid Services published in 84 FR 65524 that are provided by the ambulatory outpatient surgical center.
(2) In addition to the services specified in subdivision (1):
(A) the thirty (30) most common services that are provided by the ambulatory outpatient surgical center not included in subdivision (1); or
(B) if the ambulatory outpatient surgical center offers less than thirty (30) services not included under subdivision (1), all of the services provided by the ambulatory outpatient surgical center.
(b) The following information, to the extent applicable, must be included on the Internet web site by an ambulatory outpatient surgical center for the shoppable and common services described in subsection (a):
(1) A description of the shoppable and common service.
(2) The standard charge per item or service for each of the following categories:
(A) Any nongovernment sponsored health benefit plan or insurance plan provided by a health carrier in which the provider is in the network.
(B) Medicare, including fee for service and Medicare Advantage.
(C) Self-pay without charitable assistance from the ambulatory outpatient surgical center.
(D) Self-pay with charitable assistance from the ambulatory outpatient surgical center.
(E) Medicaid, including fee for service and risk based managed care.
(c) If:
(1) the federal Hospital Price Transparency Rule is repealed; or
(2) federal enforcement of the federal Hospital Price Transparency Rule is stopped;
the state health commissioner shall notify the legislative council of the occurrence referred to in subdivision (1) or (2) in an electronic format under IC 5-14-6.
(d) This subsection takes effect when the legislative council receives a notification from the state health commissioner under subsection (c). A hospital shall post pricing information in compliance with the federal Hospital Price Transparency Rule of the federal Centers for Medicare and Medicaid Services as published at 84 FR 65524 and in effect on January 1, 2021.
As added by P.L.50-2020, SEC.2. Amended by P.L.93-2020, SEC.4; P.L.151-2021, SEC.11; P.L.198-2021, SEC.14.
2023 Indiana Code › Title 16. Health › Article 21. Hospitals › Chapter 17. Health Care Pricing Information › 16-21-17-2. Easy to Read Format for Posting

Sec. 2. (a) The information displayed on the Internet web site must be in an easy to read, understandable format, and include the standard charges as described in section 1 of this chapter for each service.
(b) An ambulatory outpatient surgical center shall update the information on the Internet web site on an annual basis.
As added by P.L.50-2020, SEC.2. Amended by P.L.151-2021, SEC.12.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 1. Applicability › 16-22-1-1. Application of Article

Sec. 1. This article applies to the following:
(1) Hospitals organized or established before September 2, 1971, under IC 16-12 or IC 16-12.1.
(2) Hospitals organized or established under IC 16-12 or IC 16-12.1 before July 1, 1993.
(3) Hospitals organized or established under this article.
[Pre-1993 Recodification Citation: 16-12.1-1-1.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-1. Establishment

Sec. 1. (a) A county executive may establish a hospital in the following manner:
(1) The county executive shall promptly determine the following:
(A) The buildings and the estimated cost of the buildings needed to serve the needs of the county.
(B) The method of financing the hospital buildings.
(C) The estimated amount of money to be raised by the sale of general obligation bonds of the county or revenue bonds of an authority.
(2) The county executive shall enter an order establishing the hospital.
(b) The appointment of the members of the board and the acquisition and financing of hospital buildings shall be done under this article.
[Pre-1993 Recodification Citation: 16-12.1-2-1.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-2. Board; Qualifications; Appointments; Terms; Vacancies

Sec. 2. (a) Except as otherwise provided in this article or in IC 16-12.1 (before its repeal on July 1, 1993), each hospital established under this article or IC 16-12.1 (before its repeal on July 1, 1993) must have a board of four (4) members, appointed by the county executive. All four (4) members must be residents of the county in which the hospital is located and one (1) member may be a licensed physician who is a member of the medical staff of the hospital. When appointing a physician member, the county executive shall consider the recommendation of the medical staff of the hospital.
(b) The initial appointments made under this section are as follows:
(1) One (1) member holds office for one (1) year.
(2) One (1) member holds office for two (2) years.
(3) One (1) member holds office for three (3) years.
(4) One (1) member holds office for four (4) years.
(c) After the initial appointments, board members shall be appointed to serve terms of four (4) years.
(d) Except as provided in section 11 of this chapter, a vacancy on the board shall be filled by the county executive, and the appointee shall be appointed to complete the unexpired term of the member whose office has been vacated.
[Pre-1993 Recodification Citation: 16-12.1-2-2(a).]
As added by P.L.2-1993, SEC.5. Amended by P.L.91-2002, SEC.1 and P.L.100-2002, SEC.1.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-3. Governing Board; Qualifications; Appointments; Terms; Residence Limitations

Sec. 3. (a) This section applies to hospitals operated under IC 16-12-1 (before its repeal on July 1, 1993).
(b) The management of a hospital shall be under the control of a governing board consisting of eleven (11) members. Three (3) of the members of the governing board must be the members of the county executive.
(c) Subject to subsection (e), if the hospital is acquired or equipped without the aid of a hospital association:
(1) three (3) members of the governing board shall be appointed by the county executive; and
(2) five (5) members of the governing board, one (1) of whom may be a licensed physician, shall be appointed by the county fiscal body.
(d) Subject to subsection (e), if the hospital is acquired or equipped with the aid of a hospital association:
(1) four (4) members of the governing board, one (1) of whom may be a licensed physician, shall be appointed by the hospital association;
(2) two (2) members of the governing board shall be appointed by the county executive; and
(3) two (2) members of the governing board shall be appointed by the county fiscal body.
(e) Not more than two (2) members of a governing board appointed under this section may reside in a county other than the county in which the hospital is located. A member who is not a resident of the county in which the hospital is located must:
(1) be an Indiana resident; and
(2) be appointed upon a submission made under section 11 of this chapter by the governing board of the hospital to the appointing authority.
(f) The term of an appointed member of the governing board is two (2) years, except a person appointed by the county executive under subsection (c)(1) or (d)(2) serves a one (1) year term. Thereafter, the persons appointed by the county executive to succeed initial persons serve two (2) year terms.
[Pre-1993 Recodification Citation: 16-12-1-3(a), (b), (c), (d), (e), (g).]
As added by P.L.2-1993, SEC.5. Amended by P.L.80-2011, SEC.1.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-3.1. Governing Board in Certain Counties; Members; Residence Limitations; Terms; Vacancy

Sec. 3.1. (a) This section applies to a hospital operated under IC 16-12-4-2 (before its repeal on July 1, 1993) that is located in a county having a population of more than forty-six thousand four hundred (46,400) and less than forty-seven thousand (47,000).
(b) The management of a hospital is under the control of a governing board. The governing board consists of nine (9) members appointed by the county executive as follows:
(1) Three (3) members must be members of the county executive.
(2) Six (6) members meeting the following requirements:
(A) At least four (4) members must be residents of the county.
(B) Not more than two (2) members appointed under this subdivision may reside in a county other than the county in which the hospital is located. A member who is not a resident of the county in which the hospital is located must:
(i) be an Indiana resident; and
(ii) be appointed upon a submission made under section 11 of this chapter by the governing board of the hospital to the appointing authority.
(C) One (1) member appointed under this subdivision may also be a licensed physician.
(c) The term of each member of the governing board is three (3) years.
(d) If a vacancy occurs due to the expiration of an appointed member's term and the county executive does not fill the vacancy within sixty (60) days from the date of expiration, the member whose term has expired is automatically reappointed for another term.
As added by P.L.56-1995, SEC.2. Amended by P.L.91-2002, SEC.2 and P.L.100-2002, SEC.2; P.L.80-2011, SEC.2; P.L.119-2012, SEC.131; P.L.104-2022, SEC.106.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-4. Governing Board in Certain Counties; Members; Residence Limitations; Terms

Sec. 4. (a) This section applies to the governing board of a county hospital in a county having a population of more than thirty-six thousand (36,000) and less than thirty-six thousand five hundred (36,500).
(b) Subject to subsection (c), the governing board of a county hospital consists of seven (7) members, as follows:
(1) Three (3) members must be the members of the county executive.
(2) Four (4) members, one (1) of whom may be a licensed physician, shall be appointed by the judge of the circuit court of the county.
(c) Not more than two (2) members of a governing board appointed under this section may reside in a county other than the county in which the hospital is located. A member who is not a resident of the county in which the hospital is located must:
(1) be an Indiana resident; and
(2) be appointed upon a submission made under section 11 of this chapter by the governing board of the hospital to the appointing authority.
(d) The term of office for members of the governing board, other than the members of the county executive, is two (2) years.
[Pre-1993 Recodification Citation: 16-12-1-3.1(a), (b).]
As added by P.L.2-1993, SEC.5. Amended by P.L.170-2002, SEC.103; P.L.80-2011, SEC.3; P.L.119-2012, SEC.132; P.L.104-2022, SEC.107.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-5. Governing Board in Certain Counties; Members; Residence Limitations; Terms

Sec. 5. (a) This section applies to a county hospital in a county having a population of more than sixteen thousand seven hundred (16,700) and less than nineteen thousand (19,000).
(b) Subject to subsection (e), the hospital and the affairs and business of the hospital shall be under the management and control of a governing board consisting of seven (7) members as follows:
(1) Three (3) members must be members of the county executive.
(2) Two (2) members shall be appointed by the county fiscal body, one (1) of whom may be a licensed physician.
(3) Two (2) members shall be appointed by the county executive.
(c) One (1) of the members initially appointed by the county fiscal body serves for one (1) year and one (1) of the members initially appointed serves for two (2) years. After the initial appointment, the members serve for two (2) years.
(d) One (1) of the members initially appointed by the county executive serves for one (1) year and one (1) of the members initially appointed serves for two (2) years. After the initial appointment, the members serve for two (2) years.
(e) Not more than two (2) members of a governing board appointed under this section may reside in a county other than the county in which the hospital is located. A member who is not a resident of the county in which the hospital is located must:
(1) be an Indiana resident; and
(2) be appointed upon a submission made under section 11 of this chapter by the governing board of the hospital to the appointing authority.
[Pre-1993 Recodification Citation: 16-12-1-3(h).]
As added by P.L.2-1993, SEC.5. Amended by P.L.35-1997, SEC.2; P.L.91-2002, SEC.3 and P.L.100-2002, SEC.3; P.L.80-2011, SEC.4; P.L.119-2012, SEC.133; P.L.104-2022, SEC.108.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-6. County Hospital Governing Board; Membership; Terms of Office

Sec. 6. (a) This section applies to hospitals established under Acts 1917, c.144, s.1.
(b) Except as provided in section 7 of this chapter, the management of the hospital shall be under the control of a governing board consisting of four (4) members appointed by the county executive. One (1) of the members may be a licensed physician. The members shall be chosen from the residents of the county.
(c) The initial terms of the members are as follows:
(1) One (1) member has a term of one (1) year.
(2) One (1) member has a term of two (2) years.
(3) One (1) member has a term of three (3) years.
(4) One (1) member has a term of four (4) years.
After the initial appointments, the members serve for four (4) years.
[Pre-1993 Recodification Citation: 16-12-2-2(a).]
As added by P.L.2-1993, SEC.5. Amended by P.L.35-1997, SEC.3; P.L.91-2002, SEC.4 and P.L.100-2002, SEC.4.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-10. Conflicts of Interest; Disclosure; Abstention; Removal

Sec. 10. (a) An individual is not prohibited from serving as a member of the governing board if the member:
(1) has a pecuniary interest in; or
(2) derives a profit from;
a contract or purchase connected with the hospital. However, the member shall disclose the interest or profit in writing to the board and provide a copy to the state board of accounts. The member shall abstain from voting on any matter that affects the interest or profit.
(b) The governing board shall adopt a written conflict of interest policy that meets the requirements of subsection (a). The written conflict of interest policy may contain other requirements as determined by the board.
(c) A member of a governing board who violates this section or the written conflict of interest policy described in subsection (b) may be removed from the governing board by action of the board.
(d) The county executive may not:
(1) reappoint to a governing board; or
(2) appoint to a governing board;
an individual who violates this section or the written conflict of interest policy described in subsection (b) while serving or after serving as a member of a governing board.
[Pre-1993 Recodification Citations: 16-12-1-3(i); 16-12-1-3.1(c); 16-12-2-2(b); 16-12.1-2-2(d); 16-12.1-3-29; 16-12.1-4-3.]
As added by P.L.2-1993, SEC.5. Amended by P.L.125-2006, SEC.3.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-11. Vacancies on Governing Board

Sec. 11. (a) Except as provided in section 12 of this chapter, whenever a vacancy occurs on the governing board, the existing governing board shall submit a list of the following:
(1) At least one (1) but not more than three (3) candidates for each vacancy to be filled to the appointing authority.
(2) Qualifications for assessment of a candidate for each vacancy.
(b) For each vacancy, the appointing authority may do one (1) of the following:
(1) Appoint one (1) of the candidates submitted by the governing board.
(2) Request and receive from the governing board a second list of at least one (1) but not more than three (3) candidates.
(3) Appoint an individual who meets the requirements concerning board members and who was not named in the initial list submitted by the governing board.
The appointing authority shall consider the list of qualifications submitted by the governing board under subsection (a)(2) when making an appointment.
(c) If the appointing authority requests and receives a second list of candidates under subsection (b)(2), the appointing authority may do one (1) of the following:
(1) Appoint one (1) candidate named in the second list.
(2) Appoint an individual who meets the requirements concerning board members and who was not named in the second list of candidates submitted by the governing board.
(d) The appointment for a vacancy shall be made not more than sixty (60) days after submission of the initial list of candidates under subsection (a).
(e) If the vacancy occurred due to the expiration of a member's term and the vacancy is not filled within sixty (60) days of the expiration date, the member whose term expired is automatically reappointed for another term.
(f) Each candidate submitted by the governing board must meet the requirements concerning governing board members.
[Pre-1993 Recodification Citations: 16-12-1-3(f), (j), (k), (l), (m), (n); 16-12-1-3.1(d), (e), (f), (g), (h), (i); 16-12-2-2(c), (d), (e), (f), (g); 16-12.1-2-2(c), (e), (f), (g), (h), (i).]
As added by P.L.2-1993, SEC.5. Amended by P.L.56-1995, SEC.4; P.L.80-2011, SEC.7.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-12. Vacancies on Governing Board in Certain Counties

Sec. 12. (a) This section applies to governing boards of a county hospital in a county having a population of more than:
(1) sixteen thousand seven hundred (16,700) and less than nineteen thousand (19,000);
(2) twenty-four thousand five hundred (24,500) and less than twenty-four thousand six hundred (24,600); or
(3) forty-six thousand four hundred (46,400) and less than forty-seven thousand (47,000).
(b) The appointing authority shall appoint a member to fill a vacancy on the governing board within sixty (60) days after the vacancy occurs.
As added by P.L.56-1995, SEC.5. Amended by P.L.170-2002, SEC.104; P.L.119-2012, SEC.135; P.L.104-2022, SEC.110.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2. County Hospital Governing Boards › 16-22-2-13. Governing Board Membership Limitation

Sec. 13. Except as otherwise required by state law, a member of an appointing authority for the governing board of a hospital established and operated under this article, except a hospital established and operated under IC 16-22-8, may not serve on the hospital's governing board.
As added by P.L.100-2002, SEC.7.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2.5. Standards for Members of a Governing Board › 16-22-2.5-1. Discharge of Duties

Sec. 1. (a) A member of a governing board shall, based on facts then known to the member, discharge the member's duties as follows:
(1) In good faith.
(2) With the care an ordinarily prudent person in a like position would exercise under similar circumstances.
(3) In a manner the member reasonably believes to be in the best interests of the hospital.
(b) In discharging the member's duties, a member may rely on information, opinions, reports, or statements, including financial statements and other financial data, if prepared or presented by one (1) of the following:
(1) A person whom the member reasonably believes to be reliable and competent in the matters presented.
(2) Legal counsel, public accountants, or other persons as to matters the member reasonably believes are within the person's professional or expert competence.
(c) A member is not acting in good faith if the member has knowledge concerning a matter in question that makes reliance otherwise permitted by subsection (b) unwarranted.
As added by P.L.125-2006, SEC.4.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2.5. Standards for Members of a Governing Board › 16-22-2.5-2. Confidential Information

Sec. 2. All proprietary and competitive information concerning the county hospital is confidential. A member of a governing board may not disclose confidential information concerning the county hospital to any person not authorized to receive this information.
As added by P.L.125-2006, SEC.4.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2.5. Standards for Members of a Governing Board › 16-22-2.5-3. Removal of Member

Sec. 3. (a) A member of a governing board who violates this chapter may be removed from the governing board by action of the board.
(b) The county executive may not:
(1) reappoint to a governing board; or
(2) appoint to a governing board;
an individual who violated this chapter while serving or after serving as a member of a governing board.
As added by P.L.125-2006, SEC.4.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 2.5. Standards for Members of a Governing Board › 16-22-2.5-4. Physician Members

Sec. 4. (a) A licensed physician is eligible for appointment to a county hospital governing board only if the physician is an active member of the medical staff of the hospital or holds a position that is equivalent to being an active member of the medical staff of the hospital.
(b) A physician who is terminated from the medical staff of the hospital is removed from the governing board by operation of law.
(c) A physician whose clinical privileges or staff membership privileges have been significantly reduced shall be removed from the governing board by action of the board.
(d) If a hospital governing board has two (2) physician members under IC 16-22-2-7 or IC 16-22-2-8, only one (1) physician member must be an active member of the medical staff of the hospital or hold a position that is equivalent to being an active member of the medical staff of the hospital.
As added by P.L.125-2006, SEC.4.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-1. General Powers and Responsibilities

Sec. 1. (a) The governing board is the supreme authority in a hospital and is responsible for the management, control, and operation of the hospital. The board has the powers and duties set forth in this chapter.
(b) The governing board has the powers granted to boards of nonprofit corporations under IC 23-17, including the powers to:
(1) join or sponsor membership in organizations and associations that benefit hospitals;
(2) enter into partnerships and joint ventures;
(3) incorporate other corporations; and
(4) offer to the general public products and services of any organization, association, partnership, or corporation described under this subsection;
except to the extent the powers are inconsistent with this article or are specifically prohibited by law.
(c) In construing subsection (b), the existence of the authority or a power shall be determined in favor of the hospital if generally authorized or existing under IC 23-17. A resolution of the governing board is presumptive evidence of the existence of the hospital's power under IC 23-17.
(d) The governing board may appoint and specify the privileges of the medical staff, with the advice and recommendations of the medical staff in accordance with section 9 of this chapter. The medical staff is responsible to the board for the clinical and scientific work of the hospital and shall advise the board regarding professional problems and policies.
[Pre-1993 Recodification Citation: 16-12.1-3-1.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-2. Acquisition of Real and Personal Property for Hospital Purposes

Sec. 2. (a) The governing board may purchase, construct, remodel, repair, enlarge, or acquire buildings and real or personal property for hospital purposes, upon terms and conditions acceptable to the board.
(b) The governing board may use hospital funds if adequate provision is made for working capital and other known and anticipated hospital needs.
[Pre-1993 Recodification Citations: 16-12.1-3-2; 16-12.1-4-2.]
As added by P.L.2-1993, SEC.5. Amended by P.L.56-1995, SEC.6; P.L.91-2002, SEC.7 and P.L.100-2002, SEC.8.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-3. Lease of Property

Sec. 3. (a) The governing board may lease real or personal property, with or without an option to purchase, on reasonable terms and conditions. If a lease agreement gives the hospital an option to purchase the property and if any part of the lease rental is to be applied on the purchase price if the option is exercised, the agreement shall be treated as a purchase and is subject to this chapter and other Indiana laws relating to purchases by county hospitals.
(b) The governing board may authorize the purchase or lease of a hospital building from the Indiana finance authority established by IC 5-1.2-3.
[Pre-1993 Recodification Citations: 16-12.1-4-3; 16-12.1-4-5.]
As added by P.L.2-1993, SEC.5. Amended by P.L.43-1993, SEC.19; P.L.189-2018, SEC.142.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-4. Equipment and Supplies Acquisitions

Sec. 4. The governing board may purchase or acquire materials, services, equipment, and supplies required to operate and maintain the hospital at prices the board considers reasonable.
[Pre-1993 Recodification Citation: 16-12.1-3-3.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-5. Bids, Proposals, or Quotations Submitted by Trust

Sec. 5. (a) This section applies to the award of a contract under this chapter for the procurement of property by acceptance of bids, proposals, or quotations.
(b) A bid, proposal, or quotation submitted by a trust (as defined in IC 30-4-1-1(a)) must identify each:
(1) beneficiary of the trust; and
(2) settlor empowered to revoke or modify the trust.
[Pre-1993 Recodification Citation: 16-12.1-3-3.5.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-6. Contracts for Services

Sec. 6. The governing board may contract for the following services on terms and conditions the governing board finds reasonable:
(1) The services of consultants, architects, engineers, or other professionals, including shared services or purchasing organizations.
(2) Services reasonably required to operate and maintain the hospital, including the management of the hospital.
[Pre-1993 Recodification Citation: 16-12.1-3-4.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-7. Claims

Sec. 7. Claims against the hospital must be allowed and approved by the governing board before payment by the disbursing officer. However, the board may, subject to review and approval at the board's next regular meeting, authorize the following:
(1) Compensation of hospital employees upon certification of payrolls by the executive director.
(2) Payment of invoices for materials, services, equipment, and supplies required for the operation and maintenance of the hospital upon certification by the executive director of the following:
(A) The invoices are true and correct.
(B) The items were ordered and received by the hospital.
The claim or invoice furnished by the supplier need not contain the certificate provided for in IC 5-11-10-1.
[Pre-1993 Recodification Citation: 16-12.1-3-5.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-8. Executive Director

Sec. 8. The governing board shall appoint an executive director as the administrative head of the hospital. The executive director:
(1) is the executive agent of the board in the administration of the board's policies;
(2) is the liaison officer between the board and the medical staff;
(3) shall employ hospital personnel; and
(4) has the other powers and duties delegated to the executive director by the board or specifically assigned to the executive director in this article.
[Pre-1993 Recodification Citation: 16-12.1-3-6.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-9. Medical Staff Appointment; Eligibility; Standards and Rules; Staff Self-Government

Sec. 9. (a) The governing board may determine appointments and reappointments to the medical staff and delineate privileges of the members of the medical staff.
(b) All licensed physicians are eligible for membership on the medical staff of the hospital, but the board may establish and enforce reasonable standards and rules concerning the qualifications for the following:
(1) Admission to the medical staff.
(2) Practice in the hospital.
(3) Retention of membership.
(4) The granting of medical staff privileges within the hospital.
(c) The standards and rules described in subsection (b) may not discriminate against a licensed physician of any school of medicine but may, in the interest of good patient care, consider the applicant's postgraduate medical education, training, experience, and other facts concerning the applicant that may affect the physician's professional competence. The rules may include a requirement for the following:
(1) The submission of proof that a medical staff member has qualified as a health care provider under IC 16-18-2-163.
(2) The performance of patient care and related duties in a manner that is not disruptive to the delivery of quality medical care in the hospital setting.
(3) Standards of quality medical care that recognize the efficient and effective utilization of hospital resources as developed by the medical staff.
(d) The medical staff shall originate and the board must approve bylaws and rules for self-government. The bylaws must provide for a hearing for a physician whose medical staff membership the medical staff has recommended for termination.
[Pre-1993 Recodification Citation: 16-12.1-3-7; 16-12.1-5-1.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-10. Personnel; Compensation; Policies

Sec. 10. Upon the recommendation of the executive director, a governing board shall do the following:
(1) Fix the compensation, including incentives for productivity, of all hospital employees.
(2) Adopt personnel and management policies consistent with the governing boards of other hospitals in Indiana.
[Pre-1993 Recodification Citation: 16-12.1-3-8 part.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-11. Permissible Personnel Programs and Policies

Sec. 11. A governing board may do the following:
(1) Adopt an employee benefit program that may include a vacation policy and employee discounts.
(2) Authorize expenditure of hospital funds for payment of advertising and placement fees for personnel and physicians.
(3) Expend hospital funds in an amount not to exceed one-half percent (0.5%) of hospital revenues for the preceding calendar year for a program that directly contributes to the productivity or morale of personnel, volunteers, or physicians. However, this subdivision does not apply to:
(A) an employee benefit program under subdivision (1); or
(B) an employee compensation arrangement, including a productivity bonus.
(4) Adopt a plan that provides for hospital employee sickness or accident disability and contract for and purchase insurance plans from an insurance company licensed to transact business in Indiana.
(5) Contract for and purchase adequate pension and retirement plans for hospital personnel from the Indiana public retirement system or from any company authorized to do such business in Indiana.
(6) Enter into deferred compensation agreements with employees and other contractual personnel and fund deferred obligations by contracting with insurance companies licensed to transact business in Indiana.
(7) Expend hospital funds to pay dues of the executive director and department heads for memberships in local, state, or national hospital or professional associations or organizations that the board determines are of direct benefit to the hospital.
(8) Establish and operate employee registries for part-time or temporary hospital employees.
(9) Pay a part or all of the costs of these plans out of hospital funds.
(10) Expend hospital funds for reasonable expenses incurred by persons and their spouses who are interviewed for employment or for medical staff appointment and for reasonable moving expenses for the persons and their spouses if employed or appointed to the hospital medical staff.
(11) Expend hospital funds, advance tuition payments, or establish a tuition refund program for the education or professional improvement of nurses and other professional or technical employees of the hospital for inservice training and attending seminars or other special courses of instruction when the board determines that the expenditures directly benefit the hospital.
(12) Conduct business in a state adjacent to Indiana.
[Pre-1993 Recodification Citations: 16-12.1-3-8 part; 16-12.1-3-9; 16-12.1-3-24 part.]
As added by P.L.2-1993, SEC.5. Amended by P.L.56-1995, SEC.7; P.L.35-1997, SEC.6; P.L.35-2012, SEC.100.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-13. Patient Charges; Building and Improvement Funds

Sec. 13. (a) The governing board shall establish reasonable charges for patient care and other hospital services for the residents of the county and may provide patient care and other hospital services to nonresidents of the county upon terms and conditions the board establishes by rule.
(b) The governing board may give appropriate discounts of charges to patients.
(c) In establishing charges, the governing board may include a reasonable charge for depreciation and obsolescence of property, plant, and equipment.
(d) The board may periodically transfer all or part of the charges for depreciation and obsolescence to a fund to be used by and at the discretion of the board only for the purpose of building, remodeling, repairing, replacing, or making additions to the hospital building or buildings. However, in any year in which there is a tax levy for the general operation and maintenance of the hospital, the board shall not make a transfer to the fund. In an emergency, the board may borrow from the fund for the operating fund of the hospital and shall reimburse the fund within two (2) years.
(e) The authority granted to establish the fund does not limit the power and authority of the board, the county executive, the county fiscal body, or other units of government to finance hospital buildings by other methods.
[Pre-1993 Recodification Citations: 16-12-24-1; 16-12.1-3-11.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-14. Hospital Funds; Authorized Transfers

Sec. 14. (a) The governing board shall take, hold, disburse, and dispose of, for the benefit of the hospital, all real or personal property or other property that is a part of hospital funds in accordance with this article.
(b) The board may accept gifts, devises, bequests, or grants upon the conditions directed by the donor if the conditions are not contrary to law. However, if the hospital was constructed by a county building authority under IC 36-9-13, the powers of the board do not include those powers vested by IC 36-9-13 in the building authority.
(c) The board may transfer a part of the hospital funds to a nonprofit corporation organized under IC 23-7-1.1 (before its repeal on August 1, 1991) or IC 23-17 that is:
(1) a hospital foundation organized and operated for the exclusive benefit of the hospital; or
(2) a related or controlled entity;
if adequate provision is made for working capital and other known and anticipated hospital needs.
(d) If a transfer includes public funds of the hospital, the public funds transferred to the foundation or related or controlled entity may be audited by the state board of accounts unless:
(1) the hospital foundation or related or controlled entity files annually with the treasurer of the hospital a copy of an audit report prepared by an independent certified public accountant; and
(2) the audit report is on file at the hospital and is made available to the state board of accounts.
[Pre-1993 Recodification Citation: 16-12.1-3-12.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-15. Patient Refunds Fund

Sec. 15. The governing board may establish a special fund for patient refunds in an amount not to exceed five thousand dollars ($5,000) if the money is deposited in a checking account in a depository designated for the deposit of money of the hospital and checks are issued by the person designated by the board. The special funds are supplemental to those otherwise permitted by law.
[Pre-1993 Recodification Citation: 16-12.1-3-13.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-16. Deposit of Funds

Sec. 16. Money in the hospital funds shall be deposited in the manner determined by the governing board.
[Pre-1993 Recodification Citation: 16-12.1-3-14.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-18.5. Conveyance of Real or Personal Property to State Authority for Lease Back to Hospital

Sec. 18.5. (a) Notwithstanding any requirement or restriction in this chapter on the transfer of real or personal property of the hospital, this section applies if the board determines to obtain financing for capital improvements through the state authority.
(b) The board may convey real or personal property of the hospital by sale or lease to the state authority for lease back to the hospital from the state authority.
As added by P.L.43-1993, SEC.13.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-19. Medical Care Trust Board

Sec. 19. (a) This section applies to a medical care trust board appointed by a county executive to govern a nonexpendable trust fund established under section 17(j) or 18(e) of this chapter.
(b) The county executive may adopt an ordinance providing that the medical care trust board is subject to this section.
(c) After the effective date of an ordinance adopted under subsection (b), the medical care trust board may do the following:
(1) Approve and the treasurer may disburse payment of a claim against the trust for payment of hospital and medical services provided to an indigent person and reasonable administrative expenses, without the necessity of filing a claim with the county auditor for approval by the county executive.
(2) Except as provided in section 19.5 of this chapter, invest the funds of the trust:
(A) in accordance with IC 5-13-9 and guidelines adopted by the board under IC 5-13-9-1; and
(B) without being subject to guidelines adopted by the county executive under IC 5-13-9-1.
[Pre-1993 Recodification Citations: 16-12.1-3-15.5; 16-12.1-3-15.7.]
As added by P.L.2-1993, SEC.5. Amended by P.L.35-1997, SEC.9; P.L.257-2019, SEC.88.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-20. Investment of Hospital Funds

Sec. 20. (a) As used in this section, "financial institution" has the meaning set forth in IC 5-13-4-10.
(b) The board may invest money in the hospital funds within the county or the state as the board determines. The money may be invested in the following:
(1) Any account paying interest and subject to withdrawal by negotiable orders of withdrawal, unlimited as to amount or number (NOW accounts).
(2) Passbook savings accounts.
(3) Certificates of deposit.
(4) Money market deposit accounts.
(5) Any interest bearing account that is authorized to be set up and offered by a financial institution or brokerage firm registered and authorized to do business in Indiana.
(6) Repurchase or resale agreements involving the purchase and guaranteed resale of any interest bearing obligations issued or fully insured or guaranteed by the United States or any United States government agency in which type of agreement the amount of money must be fully collateralized by interest bearing obligations as determined by the current market value computed on the day the agreement is effective.
(7) Mutual funds offered by a financial institution or brokerage firm registered and authorized to do business in Indiana.
(8) Securities backed by the full faith and credit of the United States Treasury or fully insured or guaranteed by the United States or any United States government agency.
(9) Pooled fund investments for participating hospitals offered, managed, and administered by a financial institution or brokerage firm registered or authorized to do business in Indiana.
This subsection does not prevent the board from using money in the hospital funds to capitalize projects undertaken under section 1(b) and 1(c) of this chapter.
(c) Any interest derived from an investment under subsection (b) becomes a part of the hospital funds invested. Interest derived from the investment of money raised by bonded or other indebtedness in excess of funds needed for hospital buildings may be applied by the governing board to the appropriate bond redemption, interest, or sinking fund.
[Pre-1993 Recodification Citation: 16-12.1-3-16.]
As added by P.L.2-1993, SEC.5.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-21. Insurance

Sec. 21. (a) The governing board may contract for and purchase, for the protection of the hospital, all types of insurance provided for in the Indiana insurance law in amounts and under terms and conditions the board considers reasonable and necessary. The insurance may include liability or malpractice coverage for the members of the board, the officers, employees, volunteers, and members of medical staff committees while performing services for the hospital. The board may, for the purpose of acquiring malpractice coverage, assist in the formation of a nonassessable mutual insurance company under IC 27-1-6 and IC 27-1-7-19.
(b) The governing board of a hospital organized or operated under this article may enter into a group purchasing agreement to purchase medical malpractice insurance with the following:
(1) One (1) or more hospitals organized or operated under this article.
(2) One (1) or more hospitals organized or operated under IC 16-23.
[Pre-1993 Recodification Citation: 16-12.1-3-17.]
As added by P.L.2-1993, SEC.5. Amended by P.L.91-2002, SEC.9 and P.L.100-2002, SEC.10.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-22. Leases

Sec. 22. (a) The governing board may lease a part of the hospital buildings if the board determines that the use of the leased premises will aid the hospital in the performance of the hospital's services. A lease must:
(1) be in writing;
(2) be for definite periods; and
(3) require payment of lease rentals at least monthly.
(b) If the board enters into a lease or sublease contract with the state authority, the board may pledge as security for payment under the contract the funds that the governing board receives from a tax levy under section 27 of this chapter.
[Pre-1993 Recodification Citation: 16-12.1-3-18.]
As added by P.L.2-1993, SEC.5. Amended by P.L.43-1993, SEC.14.
2023 Indiana Code › Title 16. Health › Article 22. County Hospitals › Chapter 3. Powers of Hospital Governing Boards › 16-22-3-23. Related Facilities and Services

Sec. 23. The governing board may do the following:
(1) Permit the hospital to provide services for the mentally disordered under IC 12-29 and may limit the services to short term care.
(2) Contract for or establish and maintain a training school for nurses and for paramedical personnel, with a curriculum that conforms to the requirements of the Indiana state board of nursing or other appropriate board.
(3) Acquire suitable facilities for housing graduate and student nurses in training or employed by the hospital.
(4) Provide suitable facilities for the temporary detention and examination of persons whose sanity is being officially inquired into preparatory to admission to hospitals for the insane.
However, a person known to be dangerously insane or who has been adjudged insane shall not be confined in or about the hospital unless specific facilities necessary for the temporary confinement of these patients, separate and apart from the other patients, have been provided in the hospital.
[Pre-1993 Recodification Citation: 16-12.1-3-19.]
As added by P.L.2-1993, SEC.5.