IndianaSB 282Second Regular Session 124th General Assembly (2026)SenateWALLET

Compounding drugs; registration of medical spas.

Sponsored By: Ed Charbonneau (Republican)

Became Law

health and provider servicesthe housepublic health

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 1 benefits, 3 costs, 0 mixed.

Limits and penalties for medical spas

Beginning July 1, 2026, a medical spa may not give health or cosmetic services at a place other than the spa office, except for education or training. Spas must follow state advertising rules; the board can suspend a registration for violations. The board can investigate a responsible practitioner and send proven claims to the practitioner’s licensing board. Licensed workers who break this law can be disciplined under state professional rules. The board also works with other professional boards to align standards.

Medical spas must register and staff safely

Beginning July 1, 2026, the law defines what counts as a medical spa and who may serve as a practitioner. The board creates a public list of registered spas and removes private health details. Starting January 1, 2027, every medical spa must register and list its services, whether it compounds drugs, and name a responsible practitioner with a license and prescriptive authority. That practitioner must have training and be on‑site enough to ensure compliance, and must confirm staff are licensed and trained. Spas must report any serious adverse event to the board within 15 days and include required details. Operating without registration can bring a fine up to $5,000 and the board can require you to register.

Stricter rules for drug compounding

Beginning July 1, 2026, you may compound with a bulk drug substance only if key rules are met. The substance cannot be research grade (unless in an IRB‑approved study) or veterinary grade, must be made by an FDA‑registered human drug establishment, must have a valid certificate of analysis, and must pass quality control testing. Compounding must follow the federal Food, Drug, and Cosmetic Act and any applicable USP chapters. Sellers and distributors must keep acquisition, exam, and testing records for at least two years after the last lot’s expiration. Out‑of‑state pharmacies shipping compounded drugs into Indiana must give compliance documents to the board on request. Entities must also follow the federal 503A/503B rules and, when required, new drug approval and cGMP standards.

More state oversight of compounding

Beginning July 1, 2026, the board of pharmacy can investigate sourcing, storage, labeling, handling, and compounding of prescription drugs and any violations. The state must publish oversight reports by March 1 and September 1 each year with license and facility counts, violations, investigations, and discipline, and post them online. The law defines “bulk drug substance” and “compounding” to set clear rules. These compounding rules do not apply to drugs made for animals.

Sponsors & Cosponsors

Sponsor

  • Ed Charbonneau

    Republican • Senate

Cosponsors

  • Brad Barrett

    Republican • House

  • Chris Judy

    Republican • House

  • Gregory Porter

    Democratic • House

  • Julie McGuire

    Republican • House

  • Justin Busch

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 183 • No: 11

Senate vote 2/26/2026

Roll Call 302 on SB0282.05.ENGH.CON01

Yes: 43 • No: 6 • Other: 1

House vote 2/24/2026

Roll Call 357 on SB0282.04.COMH

Yes: 93 • No: 4 • Other: 2

Senate vote 1/29/2026

Roll Call 143 on SB0282.02.COMS

Yes: 47 • No: 1

Actions Timeline

  1. Public Law 136

    3/5/2026Senate
  2. Signed by the Governor

    3/5/2026Senate
  3. Signed by the President Pro Tempore

    2/27/2026Senate
  4. Signed by the President of the Senate

    2/27/2026Senate
  5. Signed by the Speaker

    2/27/2026House
  6. Senate concurred with House amendments; Roll Call 302: yeas 43, nays 6

    2/26/2026Senate
  7. Returned to the Senate with amendments

    2/25/2026House
  8. Motion to concur filed

    2/25/2026Senate
  9. Third reading: passed; Roll Call 357: yeas 93, nays 4

    2/24/2026House
  10. Representative Judy added as cosponsor

    2/24/2026House
  11. Amendment #1 (Barrett) prevailed; voice vote

    2/23/2026House
  12. Second reading: amended, ordered engrossed

    2/23/2026House
  13. Committee report: amend do pass, adopted

    2/19/2026House
  14. Representative Porter added as cosponsor

    2/12/2026House
  15. First reading: referred to Committee on Public Health

    2/2/2026House
  16. Representative McGuire added as cosponsor

    1/29/2026House
  17. Referred to the House

    1/29/2026Senate
  18. Third reading: passed; Roll Call 143: yeas 47, nays 1

    1/29/2026Senate
  19. House sponsor: Representative Barrett

    1/29/2026Senate
  20. Amendment #5 (Johnson T) prevailed; voice vote

    1/28/2026Senate
  21. Second reading: amended, ordered engrossed

    1/28/2026Senate
  22. Committee report: amend do pass, adopted

    1/22/2026Senate
  23. Senator Busch added as second author

    1/12/2026Senate
  24. Authored by Senator Charbonneau

    1/12/2026Senate
  25. First reading: referred to Committee on Health and Provider Services

    1/12/2026Senate

Bill Text

  • Engrossed Senate Bill (H)

  • Engrossed Senate Bill (S)

  • Enrolled Senate Bill (S)

  • Introduced Senate Bill (S)

  • Senate Bill (H)

  • Senate Bill (S)

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