Title 25, PROFESSIONS AND OCCUPATIONS

Sec. 2. Nothing herein prevents the enforcement of any other law of a member state that is not inconsistent with the compact. As added by P.L.98-2023, SEC.2.

Sec. 3. Any laws in a member state in conflict with the compact are superseded to the extent of the conflict. As added by P.L.98-2023, SEC.2.

Sec. 4. Any lawful actions of the commission, including all rules and bylaws properly promulgated by the commission, are binding upon the member states. As added by P.L.98-2023, SEC.2.

Sec. 5. All permissible agreements between the commission and the member states are binding in accordance with their terms. As added by P.L.98-2023, SEC.2.

Sec. 6. In the event any provision of the compact exceeds the constitutional limits imposed on the legislature of any member state, the provision shall be ineffective to the extent of the conflict with the constitutional provision in question in that member state. As added by P.L…

Sec. 1. As used in this chapter, "agency" refers to the Indiana professional licensing agency. As added by P.L.84-2010, SEC.19.

Sec. 10. The agency shall establish a schedule to review and evaluate each regulated occupation. Each regulated occupation must be reviewed and evaluated at least every five (5) years. As added by P.L.84-2010, SEC.19. Amended by P.L.112-2014, SEC.10; P.L.49-2017, SEC.6.

Sec. 13. The agency shall submit a report to the: (1) governor; and (2) legislative services agency; not later than July 1 of each year. The report submitted to the legislative services agency must be in an electronic format under IC 5-14-6. As added by P.L.84-2010, SEC.19. Amend…

Sec. 14. The agency shall seek public input when considering any proposals or reports concerning the elimination of a license or change to a regulated occupation. As added by P.L.112-2014, SEC.13. Amended by P.L.49-2017, SEC.10.

Sec. 15. The agency shall review and evaluate a proposal to license a new occupation upon the request of any of the following: (1) A member of the general assembly. (2) A legislative staff member on behalf of a member of the general assembly. (3) A member of the legislative servi…

Sec. 2. As used in this chapter, "board" means an entity that regulates a specific regulated occupation. As added by P.L.84-2010, SEC.19.

Sec. 4. As used in this chapter, "license" means: (1) an unlimited license, permit, certificate, or certificate of registration; (2) a temporary, limited, or probationary license, permit, certificate, or certificate of registration; (3) an intern permit; or (4) a provisional lice…

Sec. 4.5. As used in this chapter, "office" refers to the office of management and budget. As added by P.L.112-2014, SEC.6.

Sec. 5. As used in this chapter, "regulated occupation" has the meaning set forth in IC 25-1-7-1. As added by P.L.84-2010, SEC.19.

Sec. 8. (a) The agency shall review and evaluate each regulated occupation and board. The review and evaluation must include the following: (1) The functions, powers, and duties of the regulated occupation and the board, including any functions, powers, or duties that are inconsi…

Sec. 9. (a) A board shall cooperate with the agency, as the agency determines is necessary in the agency's review and evaluation of the board. (b) The agency shall allow testimony concerning each regulated occupation that is being reviewed and evaluated. As added by P.L.84-2010, …

Sec. 1. As used in this chapter, "protocol" means the policies, procedures, and protocols of a: (1) hospital listed in IC 16-18-2-161(a)(1); (2) physician licensed under IC 25-22.5; or (3) physician group practice; concerning the adjustment of a patient's drug regimen by, or othe…

Sec. 1.5. As used in this chapter, "therapeutic alternative" means a drug product that: (1) has a different chemical structure from; (2) is in the same pharmacological or therapeutic class as; and (3) usually can be expected to have similar therapeutic effects and adverse reactio…

Sec. 10. If a protocol developed under this chapter allows a pharmacist to substitute a therapeutic alternative for the drug prescribed by the individual's attending physician, the attending physician's authorization of the substitution is valid only for the duration of the presc…

Sec. 11. A pharmacist may not substitute a therapeutic alternative for a drug prescribed by an individual's attending physician unless the substitution is authorized by the attending physician under a valid protocol issued under this chapter. As added by P.L.207-2021, SEC.46.

Sec. 12. A physician assistant licensed under IC 25-27.5 or an advanced practice registered nurse licensed under IC 25-23 may refer a patient to a pharmacist under a protocol. As added by P.L.207-2021, SEC.47.

Sec. 2. For purposes of this chapter, a pharmacist adjusts a drug regimen if the pharmacist: (1) changes the duration of treatment for a current drug therapy; (2) adjusts a drug's strength, dosage form, frequency of administration, or route of administration; (3) discontinues the…

Sec. 3. (a) At the time of admission to a hospital that has adopted a protocol under this chapter, the following apply: (1) The admitting practitioner shall signify in writing in the form and manner prescribed by the hospital whether the protocol applies in the care and treatment…

Sec. 3.5. (a) This section does not apply to a protocol adopted in a hospital. (b) Upon authorization of a physician or physician group practice that has adopted a protocol under this chapter, the following apply: (1) The physician shall signify in writing or by means of electron…

Sec. 4. (a) This section applies to a pharmacist who is practicing in a hospital: (1) that is listed in IC 16-18-2-161(a)(1); and (2) in which the pharmacist is supervised by a physician as required under the protocols of the facility that are developed by health care professiona…

Sec. 4.5. (a) This section does not apply to a pharmacist who is practicing in a hospital. (b) As used in this section, "direct supervision" means that a supervising: (1) physician; (2) advanced practice registered nurse who meets the requirements of IC 25-23-1-19.5; or (3) physi…

Sec. 5. (a) If a hospital or private mental health institution elects to implement, revise, or renew a protocol under this chapter, the governing board of the hospital or private mental health institution shall consult with that facility's medical staff, pharmacists, and other he…

Sec. 6. Except for the addition or deletion of authorized practitioners and pharmacists, a modification to written protocols requires the initiation of a new protocol. As added by P.L.114-1996, SEC.2.

Sec. 7. A protocol of a health care facility, physician, or physician group practice that is developed under this chapter must be reviewed at least annually. As added by P.L.114-1996, SEC.2. Amended by P.L.197-2011, SEC.115; P.L.202-2017, SEC.17.

Sec. 8. Documentation of protocols must be maintained in a current, consistent, and readily retrievable manner. A pharmacist is required to document decisions made under this chapter in a manner that shows adequate, consistent, and regular communication with an authorizing practi…

Sec. 9. (a) This chapter does not modify the requirements of other statutes relating to the confidentiality of medical records. (b) This chapter does not make any other licensed health care provider liable for the actions of a pharmacist carried out under this section. As added b…

Sec. 1. (a) In order to strengthen access to health care, and in recognition of the advances in the delivery of health care, the member states of the interstate medical licensure compact have allied in common purpose to develop a comprehensive process that complements the existin…

Sec. 10. (a) Any disciplinary action taken by any member board against a physician licensed through the compact shall be considered discipline for unprofessional conduct that may be subject to discipline by other member boards, in addition to any violation of the medical practice…

Sec. 11. (a) The member states hereby create the interstate medical licensure compact commission. (b) The purpose of the interstate commission is the administration of the interstate medical licensure compact, which is a discretionary state function. (c) The interstate commission…

Sec. 12. The interstate commission shall have the power to perform the following functions: (1) Oversee and maintain the administration of the compact. (2) Adopt rules that shall be binding to the extent and in the manner provided for in the compact. (3) Issue, upon the request o…

Sec. 13. (a) The interstate commission may levy on and collect an annual assessment from each member state to cover the cost of the operations and activities of the interstate commission and its staff. The total assessment must be sufficient to cover the annual budget approved ea…

Sec. 14. (a) The interstate commission shall, by a majority of commissioners present and voting, adopt bylaws to govern its conduct as may be necessary or appropriate to carry out the purposes of the compact within twelve (12) months of the first interstate commission meeting. (b…

Sec. 15. (a) The interstate commission shall adopt reasonable rules in order to effectively and efficiently achieve the purposes of the compact. Notwithstanding the foregoing, in the event the interstate commission exercises its rulemaking authority in a manner that is beyond the…

Sec. 16. (a) The executive, legislative, and judicial branches of state government in each member state shall enforce the compact and shall take all actions necessary and appropriate to effectuate the compact's purposes and intent. The provisions of the compact and the rules adop…

Sec. 17. (a) The interstate commission, in the reasonable exercise of its discretion, shall enforce the provisions and rules of the compact. (b) The interstate commission may, by majority vote of the commissioners, initiate legal action in the United States District Court for the…

Sec. 18. (a) The grounds for default include but are not limited to failure of a member state to perform the obligations or responsibilities imposed upon it by the compact, or the rules and bylaws of the interstate commission adopted under the compact. (b) If the interstate commi…

Sec. 19. (a) The interstate commission shall attempt, upon the request of a member state, to resolve disputes that are subject to the compact and that may arise among member states or member boards. (b) The interstate commission shall adopt rules providing for both mediation and …

Sec. 2. The following definitions apply throughout this chapter: (1) "Bylaws" means those bylaws established by the interstate commission under section 11 of this chapter for its governance, or for directing and controlling its actions and conduct. (2) "Commissioner" means the vo…

Sec. 20. (a) Any state is eligible to become a member state of the compact. (b) The compact shall become effective and binding upon legislative enactment of the compact into law by not less than seven (7) states. Thereafter, it shall become effective and binding on a state upon e…

Sec. 21. (a) Once effective, the compact shall continue in force and remain binding upon each and every member state, provided that a member state may withdraw from the compact by specifically repealing the statute that enacted the compact into law. (b) Withdrawal from the compac…

Sec. 22. (a) The compact shall dissolve effective upon the date of the withdrawal or default of the member state that reduces the membership in the compact to one (1) member state. (b) Upon the dissolution of the compact, the compact becomes null and void and shall be of no furth…