# Indiana HB 1358: Indiana department of health. Indiana HB 1358, Indiana department of health., is a Second Regular Session 124th General Assembly (2026) House bill sponsored by Brad Barrett (Republican); status signed, last action 2026-03-04 (Public Law 96) (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/IN-HB1358-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Indiana HB 1358 - State: Indiana - Session: Second Regular Session 124th General Assembly (2026) - Title: Indiana department of health. - Status: signed - Chamber: House - Introduced: 2026-01-08 - Last action: 2026-03-04, Public Law 96 - Sponsor: Brad Barrett (Republican) - Cosponsors: 7 - Subjects: public health, the senate, health and provider services, appropriations - Touches household money: no - Roll calls: 3 (231 yes, 4 no in all) - Economic provisions PRIA read: 13 ## Summary Changes the statewide standing order for the dispensing of a smoking cessation product to a tobacco, vaping, or nicotine cessation product. Amends the date by which a hospital must submit the hospital's fiscal report and patient information report to the state department. Removes a requirement that a home health aide competency evaluation program include at least 75 hours of training and 16 hours of classroom training before supervised practical training. Adds Parkinson's disease to the definition of "chronic disease" for provisions concerning the chronic disease registry. Requires: (1) the state department to maintain a trauma registry; and (2) certain health care facilities to submit data to the registry. Establishes requirements for the handling and transporting of infectious waste. Sets forth factors the state department must consider in determining the nature of and civil penalty for a violation of infectious waste requirements. Expands provisions concerning epinephrine, including provisions allowing a pharmacist to dispense and an entity to prescribe epinephrine rather than auto-injectable epinephrine. Removes the expiration of provisions concerning lead screening for children. Requires a registered manufacturer, processor, repackager, or wholesale distributor of food, drugs, or cosmetics to comply with federal regulations concerning good manufacturing practices. Allows the state health commissioner to enter and inspect the premises of the manufacturer, processor, repackager, or wholesale distributor. Permits a local health department to conduct inspections of certain manufacturers, processors, repackagers, or wholesale distributors. Amends the information a local child fatality review team and the statewide child fatality review committee may review in conducting a child fatality review. Allows a suicide and overdose fatality review team and a fetal-infant mortality review team to provide records to the state department. Requires the state department to maintain the confidentiality of these records. Requires a medical school to: (1) include nutrition education in the school's curriculum; and (2) require students to complete a rural health rotation. Voids administrative rules concerning infectious waste and the state trauma registry. ## Bill overview: provisions PRIA read - Lead screening continues for young children: benefit, medium. The law removes the December 31, 2026, expiration date for state lead-screening guidance and provider duties. Providers treating children under six must check whether they have already been screened. They must offer screening to untested children ages nine months through 71 months, but parents do n… - Emergency epinephrine access covers more forms: benefit, low. The law expands dispensing, storage, use, and liability protections from auto-injectors to epinephrine more generally. Standing-order recipients must finish an approved course and show a completion certificate. Pharmacists must give device-specific instructions and direct recipients to summon emerg… - Pharmacists can offer nicotine quitting products: benefit, low. Beginning July 1, 2026, authorized state health prescribers can issue orders or protocols for tobacco, vaping, or nicotine cessation products. These let pharmacists administer or dispense products to eligible patients. Each order must state its purpose, eligible patients, service area, procedures,… - Death reviews share records with privacy: benefit, low. Beginning July 1, 2026, child death review teams can examine emergency medical and fire department run reports. Local fetal-infant and suicide or overdose review teams can share their records with the state health department. The department must keep the shared data confidential. The department mus… - Residents can email health project comments: benefit, low. Beginning July 1, 2026, residents can mail or email comments on certificate-of-need applications accepted for review. The health department must provide submission information on its website. Comments must be submitted by October 15 of the review period. - State disease registry adds Parkinson's disease: benefit, low. Beginning July 1, 2026, Indiana adds Parkinson's disease to the conditions covered by its chronic disease registry. This expands the registry's coverage but does not create a patient payment or a right to individual services. - Home health aide training rules ease: benefit, low. Beginning September 1, 2025, state law removes the separate 75-hour minimum for home health aide competency programs. It also removes the separate requirement for 16 classroom hours before supervised practical training. Programs must still follow federal standards under 42 CFR 484.80 and cover the… - Waste handlers face stronger safety requirements: mixed, low. Beginning July 1, 2026, infectious-waste generators remain responsible for containment, labeling, treatment, transport, and disposal, even when hiring services. Covered waste needs secure, suitable containers with biohazard labels and treatment before unsecured storage or final disposal. Storage ar… - Waste transport gains options and safeguards: mixed, low. Beginning July 1, 2026, lawful, properly installed sanitary sewers and septic systems qualify as infectious-waste treatment methods. Waste must be treated before compaction, and transporters must protect workers and the public. Off-site shipments need labels and forms identifying applicable facilit… - Hospitals must follow updated design standards: mixed, low. Beginning July 1, 2026, hospital and outpatient surgery-center licensing uses updated Facility Guidelines Institute and specified fire-safety codes. The health department must publish code versions and give notice before enforcing new versions. Enforcement starts no earlier than 270 days and no lat… - Trauma providers face statewide reporting rules: mixed, low. Beginning July 1, 2026, Indiana creates a confidential trauma registry linking injury, treatment, outcome, access, and cost data. Covered hospitals, trauma centers, rehabilitation hospitals, and patient-transporting emergency medical services must submit standardized electronic data that limits dup… - Medical students must study rural health: mixed, low. By July 1, 2030, qualifying Indiana medical schools must include nutrition education in their courses. They must also require medical students to complete a rural health rotation. The rule applies to Indiana institutions offering graduate or postgraduate degrees in medicine. - Food businesses face stronger safety oversight: mixed, low. Covered Indiana food, drug, and cosmetics manufacturers, processors, repackagers, and wholesale distributors must register before operating and re-register after ownership changes. Registered food businesses must follow federal manufacturing, hazard-analysis, and preventive-control standards. Begin… ## Sponsors and cosponsors - Sponsor: Brad Barrett (Republican), House - Cosponsor: Ed Charbonneau (Republican), Senate - Cosponsor: Gregory Porter (Democratic), House - Cosponsor: James Tomes (Republican), Senate - Cosponsor: Joanna King (Republican), House - Cosponsor: Justin Busch (Republican), Senate - Cosponsor: Lonnie Randolph (Democratic), Senate - Cosponsor: Lori Goss-Reaves (Republican), House ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-02-25 | House | House concurred with Senate amendments | pass | 96 | 0 | | | 2026-02-17 | Senate | Third reading: passed | pass | 40 | 4 | | | 2026-01-28 | House | Third reading: passed | pass | 95 | 0 | | ## Actions (23) - 2026-03-04: Public Law 96 (House) - 2026-03-04: Signed by the Governor (House) - 2026-02-27: Signed by the President of the Senate (Senate) - 2026-02-27: Signed by the President Pro Tempore (Senate) - 2026-02-26: Signed by the Speaker (House) - 2026-02-25: House concurred with Senate amendments; Roll Call 380: yeas 96, nays 0 (House) - 2026-02-25: Motion to concur filed (House) - 2026-02-18: Returned to the House with amendments (Senate) - 2026-02-17: Third reading: passed; Roll Call 193: yeas 40, nays 4 (Senate) - 2026-02-16: Senator Randolph added as cosponsor (Senate) - 2026-02-16: Second reading: ordered engrossed (Senate) - 2026-02-12: Committee report: amend do pass, adopted (Senate) - 2026-02-10: Senator Tomes added as cosponsor (Senate) - 2026-02-05: Committee report: amend do pass adopted; reassigned to Committee on Appropriations (Senate) - 2026-02-02: First reading: referred to Committee on Health and Provider Services (Senate) - 2026-01-29: Referred to the Senate (House) - 2026-01-28: Senate sponsors: Senators Charbonneau, Busch (House) - 2026-01-28: Third reading: passed; Roll Call 116: yeas 95, nays 0 (House) - 2026-01-22: Representatives King, Goss-Reaves, Porter added as coauthors (House) - 2026-01-22: Second reading: ordered engrossed (House) - 2026-01-20: Committee report: amend do pass, adopted (House) - 2026-01-08: Authored by Representative Barrett (House) - 2026-01-08: First reading: referred to Committee on Public Health (House) ## Bill text - Enrolled House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.05.ENRS?format=pdf) - House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.04.COMS?format=pdf) - House Bill (S): [PDF](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.02.COMH?format=pdf), [PDF](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.03.COMS?format=pdf) - Introduced House Bill (H): [PDF](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.01.INTR?format=pdf) ## Related bills - HB 1266: Department of education and education matters. (signed) - HB 1277: Health and human services matters. (signed) - HB 1210: Department of local government finance. (signed) - HB 1249: Various criminal law matters. (signed) - HB 1200: Bureau of motor vehicles. (signed) - HB 1115: Homeowners association governance. (signed) ## Sources - [Enrolled House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.05.ENRS?format=pdf) - [House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.04.COMS?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.02.COMH?format=pdf) - [House Bill (S) (PDF)](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.03.COMS?format=pdf) - [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2026/bills/HB1358/versions/HB1358.01.INTR?format=pdf) ## Related - [HB 1266: Department of education and education matters.](https://policyrisk.com/state-bill/IN-HB1266-2026) - [HB 1277: Health and human services matters.](https://policyrisk.com/state-bill/IN-HB1277-2026) - [HB 1210: Department of local government finance.](https://policyrisk.com/state-bill/IN-HB1210-2026) - [HB 1249: Various criminal law matters.](https://policyrisk.com/state-bill/IN-HB1249-2026) - [HB 1200: Bureau of motor vehicles.](https://policyrisk.com/state-bill/IN-HB1200-2026) - [HB 1115: Homeowners association governance.](https://policyrisk.com/state-bill/IN-HB1115-2026) - [Indiana bills](https://policyrisk.com/states/indiana/bills) - [Indiana state hub](https://policyrisk.com/states/indiana) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IN-HB1358-2026 (as of 2026-11-01).