HB 1200-2_ Filed 03/09/2012, 22:59 ChairPerson
Adopted 03/09/2012



COMMITTEE REPORT

    Madam President: Pursuant to Joint Rule 20, your Committee on Rules and Legislative Procedure, to which was referred Engrossed House Bill 1200 because it conflicts with SEA 52-2012 without properly recognizing the existence of SEA 52-2012, has had Engrossed House Bill 1200 under consideration and begs leave to report back to the Senate with the recommendation that Engrossed House Bill 1200 be corrected as follows:

            
    In the conference committee report on EHB 1200, page 7, delete lines 49 through 50, begin a new paragraph and insert:
    "SECTION 4. IC 16-41-6-1, AS AMENDED BY SEA 52-2012, SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2012]: Sec. 1. (a) As used in this section, "physician's authorized representative" means:
        (1) an advanced practice nurse (as defined by IC 25-23-1-1(b)) who is operating in collaboration with a licensed physician; or
        (2) an individual acting under the supervision of a licensed physician and within the individual's scope of employment.
    (b) If a physician or the physician's authorized representative determines that it is medically necessary to conduct an HIV test on an individual under the care of a physician, the physician or physician's authorized representative may order the test if the physician or the physician's authorized representative:
        (1) informs the patient of the test;
        (2) provides an explanation of the test; and
        (3) informs the patient of the patient's right to refuse the test.
Subject to subsection (d), if the patient refuses the test, the physician or the physician's authorized representative may not perform the test and shall document the patient's refusal in the patient's medical record.
    (c) After ordering an HIV test for a patient, the physician or the physician's authorized representative shall:
        (1) discuss with the patient the availability of counseling concerning the test results; and


        (2) notify the patient of the test results.
If a test conducted under this section indicates that a patient is HIV infected, in addition to the requirements set forth in IC 16-41-2, the physician or the physician's authorized representative shall inform the patient of treatment and referral options available to the patient.
    (d) A physician or a physician's authorized representative may order an HIV test to be performed without informing the patient or the patient's representative (as defined in IC 16-36-1-2) of the test or regardless of the patient's or the patient's representative's refusal of the HIV test if any of the following conditions apply:
        (1) If ordered by a physician, consent can be implied due to emergency circumstances and the test is medically necessary to diagnose or treat the patient's condition.
        (2) Under a court order based on clear and convincing evidence of a serious and present health threat to others posed by an individual. A hearing held under this subdivision shall be held in camera at the request of the individual.
        (3) If the test is done on blood collected or tested anonymously as part of an epidemiologic survey under IC 16-41-2-3 or IC 16-41-17-10(a)(5).
        (4) The test is ordered under section 4 of this chapter.
        (5) The test is required or authorized under IC 11-10-3-2.5.
        (6) The individual upon whom the test will be performed is described in IC 16-41-8-6 or IC 16-41-10-2.5.
        (7) A court has ordered the individual to undergo testing for HIV under IC 35-38-1-10.5(a) or IC 35-38-2-2.3(a)(16). IC 35-38-2-2.3(a)(17).
        (8) Both of the following are met:
            (A) The individual is not capable of providing consent and an authorized representative of the individual is not immediately available to provide consent or refusal of the test.
            (B) A health care provider acting within the scope of the health care provider's employment comes into contact with the blood or body fluids of the individual in a manner that has been epidemiologically demonstrated to transmit HIV.
    (e) The state department shall make HIV testing and treatment information from the federal Centers for Disease Control and Prevention available to health care providers.
    (f) The state department may adopt rules under IC 4-22-2 necessary to implement this section. ".
    In the conference committee report on EHB 1200, page 8, delete lines 1 through 27.
    (Reference is to EHB 1200 as printed February 17, 2012 , as amended by the Conference Committee Report to EHB 1200.)

_______________________________________________

Senator LONG, Chairperson

_______________________________________________

Senator SIMPSON, R.M.M.

_______________________________________________

Senator BRAY

            


JR 120001/DI
2012