All Roll Calls
Yes: 231 • No: 4
IndianaHB 1358Second Regular Session 124th General Assembly (2026)HouseWALLET
Indiana department of health.
Sponsored By: Brad Barrett (Republican)
Became Law
public healththe senatehealth and provider servicesappropriations
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Bill Overview
Analyzed Economic Effects
11 provisions identified: 5 benefits, 2 costs, 4 mixed.
Easier access to epinephrine with training
Beginning July 1, 2026, the state approves epinephrine training courses and posts approved courses online. People who finish an approved course get a wallet‑size certificate. Pharmacists may dispense auto‑injectable epinephrine under a statewide standing order when you show this certificate. Pharmacists must give device instructions and advise you to call 911. If you administer epinephrine consistent with your training, or a pharmacist dispenses under the order, you are protected from most civil lawsuits (not gross negligence).
Medical schools add nutrition and rural rotations
Beginning July 1, 2026, Indiana medical schools must add nutrition education and require each student to complete a rural health rotation. Schools must meet these requirements by July 1, 2030.
Tougher infectious waste rules for businesses
Starting July 1, 2026, the waste generator is legally responsible for proper containment, labeling, treatment, transport, and disposal. Sharps and other infectious waste must be in strong, sealed, biohazard‑labeled containers; storage areas must be secured. Off‑site transporters must label containers with the generator’s name, address, and phone, ensure treatment before compaction, and provide a signed manifest with waste description and treatment method. Civil fines can be up to $1,000 per violation per day. The department may update rules and must allow an alternative label that does not name the generator while still allowing its identity to be found. Two related rule chapters (410 IAC 1‑3 and 410 IAC 34) are void on July 1, 2026.
Stricter hospital reporting and big fines
Beginning July 1, 2026, every hospital must file an annual financial report within 120 days after its fiscal year ends, and no later than October 1. The report must include audited financials, payer mix, charity care, research and education costs, and owners with at least 5% interest. Late filers pay $10,000 per day until filed. Hospitals also must submit patient‑level discharge data within 120 days after each calendar quarter, including diagnoses, procedures, stay dates, payer, charges, ZIP code, and injury‑cause codes.
Lead screening offers for young children
From July 1, 2026 through December 31, 2026, providers seeing a child under six must check prior blood‑lead testing. If the child is 9 to 71 months old and not yet tested, the provider must offer lead screening and document age and results. The state health department also issues screening guidance after consulting the American Academy of Pediatrics and posts it online.
Pharmacies can vaccinate people age 5+
Beginning July 1, 2026, the health commissioner may issue standing orders so pharmacists and other licensed providers can give CDC‑recommended vaccines to people age 5 and up. The commissioner may also issue standing orders for tobacco, vaping, or nicotine cessation products; pharmacists must tell patients to follow up with their prescriber. The law bars requiring COVID‑19 shots and keeps parental consent rules.
State posts more health reports online
Beginning July 1, 2026, the health department posts key health data and studies on its website. This includes lead testing data, sickle cell study results, maternal mortality information, and child and fetal‑infant review summaries.
Broader local health inspection powers
Beginning July 1, 2026, local health departments, including certain health and hospital corporations, may conduct the inspections allowed under state law. This expands local oversight and may increase checks on regulated sites.
Set yearly timeline for certificate of need
Beginning July 1, 2026, the health department runs one annual certificate‑of‑need review. It accepts applications until July 31, posts accepted applications before August 15, takes public comments through October 15, and issues decisions by April 30. The department sets rules for how the public submits comments.
State trauma data deadlines and penalties
Beginning July 1, 2026, the state keeps a trauma registry and requires hospitals, trauma centers, rehab hospitals, and EMS to send data. Hospitals and rehab hospitals must file each quarter: Jan–Mar by June 30; Apr–Jun by Sept 30; Jul–Sep by Jan 15; Oct–Dec by May 1. EMS must report incidents by the 15th day of the month of the incident. The health department can remove a trauma center’s designation or make facilities and EMS ineligible for department grants and programs if they do not submit required data.
Updated hospital building and safety codes
Beginning July 1, 2026, the health department uses the latest Facility Guidelines Institute and NFPA 101 and 99 (as adopted by CMS) for hospital licensure. The department must post each version online, then adopt it 270–360 days after posting. Plan reviews filed before July 1, 2025 use the version in effect on the filing date; filings on or after that date use the version posted when submitted.
Sponsors & Cosponsors
Sponsor
Brad Barrett
Republican • House
Cosponsors
Ed Charbonneau
Republican • Senate
Gregory Porter
Democratic • House
James Tomes
Republican • Senate
Joanna King
Republican • House
Justin Busch
Republican • Senate
Lonnie Randolph
Democratic • Senate
Lori Goss-Reaves
Republican • House
Roll Call Votes
House vote • 2/25/2026
Roll Call 380 on HB1358.04.COMS.CON01
Yes: 96 • No: 0
Senate vote • 2/17/2026
Roll Call 193 on HB1358.04.COMS
Yes: 40 • No: 4 • Other: 5
House vote • 1/28/2026
Roll Call 116 on HB1358.02.COMH
Yes: 95 • No: 0 • Other: 2
Actions Timeline
Public Law 96
3/4/2026HouseSigned by the Governor
3/4/2026HouseSigned by the President Pro Tempore
2/27/2026SenateSigned by the President of the Senate
2/27/2026SenateSigned by the Speaker
2/26/2026HouseHouse concurred with Senate amendments; Roll Call 380: yeas 96, nays 0
2/25/2026HouseMotion to concur filed
2/25/2026HouseReturned to the House with amendments
2/18/2026SenateThird reading: passed; Roll Call 193: yeas 40, nays 4
2/17/2026SenateSenator Randolph added as cosponsor
2/16/2026SenateSecond reading: ordered engrossed
2/16/2026SenateCommittee report: amend do pass, adopted
2/12/2026SenateSenator Tomes added as cosponsor
2/10/2026SenateCommittee report: amend do pass adopted; reassigned to Committee on Appropriations
2/5/2026SenateFirst reading: referred to Committee on Health and Provider Services
2/2/2026SenateReferred to the Senate
1/29/2026HouseSenate sponsors: Senators Charbonneau, Busch
1/28/2026HouseThird reading: passed; Roll Call 116: yeas 95, nays 0
1/28/2026HouseRepresentatives King, Goss-Reaves, Porter added as coauthors
1/22/2026HouseSecond reading: ordered engrossed
1/22/2026HouseCommittee report: amend do pass, adopted
1/20/2026HouseAuthored by Representative Barrett
1/8/2026HouseFirst reading: referred to Committee on Public Health
1/8/2026House
Bill Text
Enrolled House Bill (H)
House Bill (H)
House Bill (S)
Introduced House Bill (H)