Indiana 2023 Regular Session Status: Enacted Bipartisan · 27 D · 24 R cosponsors

SB 4 — Public health commission.

Last action — Signed by the Governor

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Senate
  4. ✓
    Passed House
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced January 09, 2023. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 78% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 63 sponsors

    4 primary, 59 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (27 D · 24 R) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Defines "core public health services" for purposes of public health laws. Adds members to the executive board of the Indiana department of health (state department). Removes a provision allowing the state department to establish branch offices. Provides that the state department may provide services to local health departments. Requires each local board of health to establish a local public health services fund to receive state funding. Provides a method of allocation of state funding to local boards of health, subject to state appropriations. Specifies the percentage of how additional funding may be expended on core public health services. Allows the local health department to enter into contracts or approve grants for core public health services. Allows the state department to issue guidance to local health departments. Requires the state department to make annual local health department reports available to the public. Changes the qualification requirements for a local health officer and requires certain training. Requires the state department to identify state level metrics and county level metrics and requires certain local health departments to report to the state department activities and metrics on the delivery of core public health services. Requires the state department to annually report on the metrics to the budget committee and publish information concerning the metrics on the Internet. Requires that a local health department post a position or contract for the provision or administration of core public health services for at least 30 days. Requires a local health department to provide certain education before administering a vaccine. Requires a multiple county health department to maintain at least one physical office in each represented county. Provides that a new city health department cannot be created after December 31, 2022, but allows current city health departments to continue to operate. Creates the Indiana trauma care commission. Allows a school corporation that cannot obtain an ophthalmologist or optometrist to perform the modified clinical technique vision test to conduct certain specified vision screenings. Requires the school to send to the parent of a student any recommendation for further testing by the vision screener. Allows for standing orders to be used for emergency stock medication in schools. Allows the state health commissioner or designee to issue a statewide standing order, prescription, or protocol for emergency stock medication for schools. Removes the distance requirement for an access practice dentist to provide communication with a dental hygienist. Repeals provisions concerning the Indiana local health department trust account.

Bill Text

We don't have the full text on file for this bill yet.

Read SB 4 on the official Indiana source →

Action History

  1. Signed by the Governor

  2. Public Law 164

  3. Signed by the Speaker

  4. Signed by the President of the Senate

  5. Signed by the President Pro Tempore

  6. Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 500: yeas 39, nays 10

  7. Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 529: yeas 74, nays 21

  8. CCR # 1 filed in the House

  9. CCR # 1 filed in the Senate

  10. Senator Johnson removed as coauthor

  11. House advisors appointed: Vermilion, Ledbetter, Zent, Fleming and Porter

  12. House conferees appointed: Barrett and DeLaney

  13. Senate advisors appointed: Breaux, Garten and Busch

  14. Senate conferees appointed: Charbonneau and Yoder

  15. Senate dissented from House amendments

  16. Motion to dissent filed

  17. Returned to the Senate with amendments

  18. Representatives Negele, Heine, McNamara, Rowray E, Vermilion A, Pressel, Olthoff, Manning, Soliday, Genda M, DeVon, Zent added as cosponsors

  19. Representatives Abbott D, Schaibley, Torr, Harris, Pfaff, Pryor, Smith, V., Shackleford, Porter, Summers, Klinker, Bauer M, Hatcher, Garcia Wilburn V, Andrade M, Hamilton, Miller K, Moed, Campbell, Fleming, Pack R, Jackson, Boy, Gore M, Moseley, Bartlett, GiaQuinta added as cosponsors

  20. Rule 105.1 suspended

  21. Third reading: passed; Roll Call 423: yeas 78, nays 21

  22. Motion to Suspend House Rule 118 (DeLaney) failed; Roll Call 416: yeas 27, nays 68

  23. Second reading: amended, ordered engrossed

  24. Amendment #19 (DeLaney) motion withdrawn

  25. Amendment #8 (Jeter) prevailed; voice vote

  26. Amendment #21 (Porter) failed; Roll Call 415: yeas 30, nays 65

  27. Amendment #11 (Cash) prevailed; voice vote

  28. Amendment #18 (DeLaney) failed; Roll Call 414: yeas 32, nays 62

  29. Amendment #28 (Prescott) motion withdrawn

  30. Amendment #3 (Jordan) prevailed; voice vote

  31. Amendment #2 (Jordan) prevailed; voice vote

  32. Amendment #22 (Barrett) prevailed; voice vote

  33. Committee report: amend do pass, adopted

  34. Referred to the Committee on Ways and Means pursuant to House Rule 127

  35. Committee report: amend do pass, adopted

  36. Representative Cherry added as cosponsor

  37. First reading: referred to Committee on Public Health

  38. Referred to the House

  39. Senator Qaddoura added as coauthor

  40. Cosponsors: Representatives Karickhoff and DeLaney

  41. House sponsor: Representative Barrett

  42. Third reading: passed; Roll Call 152: yeas 41, nays 7

  43. Senator Johnson added as coauthor

  44. Second reading: amended, ordered engrossed

  45. Amendment #2 (Johnson) prevailed; voice vote

  46. Amendment #1 (Johnson) prevailed; voice vote

  47. Amendment #3 (Rogers) prevailed; voice vote

  48. Amendment #9 (Charbonneau) prevailed; voice vote

  49. Amendment #8 (Charbonneau) prevailed; voice vote

  50. Senator Randolph added as coauthor

  51. Committee report: amend do pass, adopted

  52. Senator Yoder added as coauthor

  53. Senator Niezgodski added as coauthor

  54. Senator Ford J.D. added as coauthor

  55. Senators Garten, Glick, Breaux added as coauthors

  56. Senator Walker K added as coauthor

  57. Senator Bohacek removed as coauthor

  58. Committee report: amend do pass adopted; reassigned to Committee on Appropriations

  59. Senators Crider, Melton, Brown L, Baldwin added as coauthors

  60. Senators Bassler, Becker, Bohacek, Donato, Raatz added as coauthors

  61. Senator Perfect added as third author

  62. Senator Leising added as second author

  63. First reading: referred to Committee on Health and Provider Services

  64. Authored by Senator Charbonneau

Sponsors

Sponsorship breakdown

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4 sponsors · 59 co-sponsors · 87 not signed on

Sponsors (4)

Co-sponsors (59)

Not signed on (87)

87 members have not signed on to this bill.

Show all 87 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

public-safety healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 4 do?
Defines "core public health services" for purposes of public health laws. Adds members to the executive board of the Indiana department of health (state department). Removes a provision allowing the state department to establish branch offices. Provides that the state department may provide services to local health departments. Requires each local board of health to establish a local public health services fund to receive state funding. Provides a method of allocation of state funding to local boards of health, subject to state appropriations. Specifies the percentage of how additional funding may be expended on core public health services. Allows the local health department to enter into contracts or approve grants for core public health services. Allows the state department to issue guidance to local health departments. Requires the state department to make annual local health department reports available to the public. Changes the qualification requirements for a local health officer and requires certain training. Requires the state department to identify state level metrics and county level metrics and requires certain local health departments to report to the state department activities and metrics on the delivery of core public health services. Requires the state department to annually report on the metrics to the budget committee and publish information concerning the metrics on the Internet. Requires that a local health department post a position or contract for the provision or administration of core public health services for at least 30 days. Requires a local health department to provide certain education before administering a vaccine. Requires a multiple county health department to maintain at least one physical office in each represented county. Provides that a new city health department cannot be created after December 31, 2022, but allows current city health departments to continue to operate. Creates the Indiana trauma care commission. Allows a school corporation that cannot obtain an ophthalmologist or optometrist to perform the modified clinical technique vision test to conduct certain specified vision screenings. Requires the school to send to the parent of a student any recommendation for further testing by the vision screener. Allows for standing orders to be used for emergency stock medication in schools. Allows the state health commissioner or designee to issue a statewide standing order, prescription, or protocol for emergency stock medication for schools. Removes the distance requirement for an access practice dentist to provide communication with a dental hygienist. Repeals provisions concerning the Indiana local health department trust account.
Who sponsors SB 4?
SB 4 is sponsored by Garcia Wilburn, Dennis Zent, Dale DeVon (Republican), Mark Genda (Republican), Edmond Soliday (Republican), Ethan Manning (Republican), Julie Olthoff (Republican), Jim Pressel (Republican), Ann Vermilion, Elizabeth Rowray (Republican), Wendy McNamara (Republican), Dave Heine (Republican), Sharon Negele, Philip GiaQuinta (Democrat), John Bartlett (Democrat), Chuck Moseley (Democrat), Mitch Gore (Democrat), Pat Boy, Carolyn Jackson (Democrat), Renee Pack (Democrat), Rita Fleming, Chris Campbell (Democrat), Justin Moed (Democrat), Kyle Miller (Democrat), Carey Hamilton (Democrat), Mike Andrade (Democrat), Ragen Hatcher (Democrat), Maureen Bauer (Democrat), Sheila Klinker (Democrat), Vanessa Summers (Democrat), Gregory Porter (Democrat), Robin Shackleford (Democrat), Vernon Smith (Democrat), Cherrish Pryor (Democrat), Tonya Pfaff (Democrat), Earl Harris (Democrat), Jerry Torr, Donna Schaibley, David Abbott (Republican), Robert Cherry, Edward DeLaney (Democrat), Michael Karickhoff (Republican), Brad Barrett (Republican), Fady Qaddoura (Democrat), Lonnie Randolph (Democrat), Shelli Yoder (Democrat), David Niezgodski (Democrat), J.D. Ford (Democrat), Jean Breaux, Susan Glick (Republican), Chris Garten (Republican), Kyle Walker (Republican), Scott Baldwin (Republican), Liz Brown (Republican), Eddie Melton, Michael Crider (Republican), Jeff Raatz (Republican), Stacey Donato (Republican), Vaneta Becker (Republican), Eric Bassler (Republican), Chip Perfect, Jean Leising (Republican), and Ed Charbonneau (Republican).
What is the current status of SB 4?
This bill has been enacted into law. Introduced January 09, 2023. Enacted.
Where can I track SB 4?
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