Transfer of high risk persons from county jail. Establishes a procedure for the transfer of an inmate from a county jail to another county jail or the department of correction if the inmate: (1) poses a serious risk of escape; (2) demonstrates violent or aggressive behavior; or (3) needs to be protected from other inmates.

Definition of sex and gender; birth certificates. Defines "sex" and "gender" for the purposes of the Indiana Code. States that the definition of "sex" and "gender" are meant to be synonymous in the Indiana Code unless specifically defined otherwise and is clarifying language. Requires the bureau of motor vehicles and the Indiana department of health (state department) to update the definition of sex used by the agencies. Requires the state department to: (1) identify birth certificates issued with a change in sex classification by court order; (2) change the sex on the birth certificate back to the originating sex and reissue the birth certificate; and (3) void the superseded document.

Accelerated depreciation. Couples Indiana depreciation provisions with federal depreciation provisions under Section 179 of the Internal Revenue Code (Section 179). Increases the Section 179 threshold from $25,000 to $100,000 for Indiana adjusted gross income purposes. Makes technical changes.

Mental health and substance abuse coverage. Sets forth certain standards regarding reimbursement rates for providers of mental illness or substance abuse services. Provides that if a provider of health care services that provides both medical or surgical services and mental illness or substance abuse services is credentialed with an insurer or health maintenance organization for purposes of providing medical or surgical services, the provider must be considered automatically credentialed for purposes of providing mental illness or substance abuse services in instances under which the insurer provides coverage of mental illness or substance abuse services through a third party vendor.

Prior authorization. Sets forth requirements for a utilization review entity that requires prior authorization of a health care service. Prohibits a utilization review entity from requiring prior authorization for the first 12 physical therapy or chiropractic visits of each new episode of care. Provides that a claim for reimbursement for a covered service or item provided to an insured or enrollee may not be denied on the sole basis that the referring provider is an out of network provider. Repeals superseded provisions regarding prior authorization. Makes corresponding changes.

Lobbying prohibition. Provides that an individual who is a member of the general assembly after November 5, 2024, may not be registered as a lobbyist during the period that begins on the day the individual ceases to be a member of the general assembly and ends 1,095 days after the date the individual ceases to be a member of the general assembly. Provides an exception. Provides that an individual who is appointed by the governor to: (1) serve in the governor's cabinet; or (2) serve as the executive director or director of an agency; may not be registered as a lobbyist during the period that begins on the day the individual ceases to be a member of the cabinet or ceases to be the executive director or director of an agency and ends 1,095 days after the date the individual ceases to be a member of the cabinet or ceases to be the executive director or director of an agency.

Environmental matters. Provides that the environmental rules board may adopt rules establishing requirements for the reclamation and reuse of treated wastewater. Requires certain entities to: (1) conduct an annual public water system cybersecurity vulnerability assessment; (2) annually provide the office of technology with the name and contact information of any individual who will act as the primary reporter of a cybersecurity incident; (3) submit an annual certification to the department of environmental management via a secured portal verifying certain information; and (4) when an actual or suspected cybersecurity breach occurs, report the incident to the office of technology.

Parental support services. Requires the governing body of a school corporation to adopt rules establishing a safety plan that provides steps for the school corporation to request assistance from the department of child services (department) to ensure a student is receiving appropriate intervention. Requires a preventative services provider to immediately report to the department if: (1) an individual to whom the preventative services provider is providing preventative services is not substantively participating in the services; and (2) the individual presents an immediate risk to the safety of a child. Requires the department to initiate an assessment not later than five days after receiving a report from school personnel regarding alleged child abuse or neglect. Allows the department to release unredacted reports to a school's designated liaison under certain circumstances. Adds bullying or abusive behavior as a factor for finding a child to be a child in need of services if other specified circumstances are met.

Conversion to Class 3 city status. Provides that if the population of a second class city is reported by two consecutive federal decennial censuses (census) as having a population of less than 31,500, the city becomes a third class city on January 1: (1) of the calendar year following the next municipal election held after the most recent census; or (2) of the calendar year following the second municipal election held after the most recent census, if the effective date of the most recent census and the municipal election are in the same calendar year. Provides that if a city's population is less than 31,500 in the 2010 and 2020 censuses, the city becomes a third class city on January 1, 2027. Provides that the population of the second class city is calculated by subtracting the portion of the population of the city consisting of prison inmates from the population of the city reported by the federal decennial census.

Medicaid study. Requires the office of the secretary of family and social services and the legislative services agency to conduct a feasibility study of transitioning Indiana's Medicaid program administration to a nonprofit health insurance entity. Sets forth parameters of the study.

Public safety and noncitizen crimes. Increases the penalty for operating a motor vehicle without having ever received a driver's license to: (1) a Level 6 felony if the crime results in serious bodily injury to another person; and (2) a Level 5 felony if the crime results in catastrophic injury or death to another person. Makes it a Class A misdemeanor to permit an individual who has never received a driver's license to operate a motor vehicle if the person who owns the vehicle knows that the individual has never received a license. Makes it a Class A misdemeanor to apply for a driver's license or permit with the intent to transfer the license or permit to an individual not entitled to the license or permit, and increases the penalty to: (1) a Level 6 felony if the offense involves at least two but less than 10 individuals, or if the person uses a business or nonprofit organization to commit the offense; and (2) a Level 5 felony if the offense involves at least 10 individuals. Requires the prosecuting attorney of each judicial circuit to collect certain information relating to crimes committed by noncitizens and to transmit this information to the attorney general. Requires a court, when sentencing a noncitizen convicted of a crime, to order custody of the noncitizen to be transferred to United States Immigration and Customs Enforcement (ICE) upon completion of the sentence, unless another jurisdiction has a hold on the individual due to criminal charges or a conviction.

Landlord-tenant matters. Provides that, upon the request of a prospective tenant, a landlord must provide the prospective tenant with a written explanation of the landlord's reasons for denying the tenant's rental application. Requires a landlord to disclose the amount of a rental application fee in a listing advertising a rental unit as available for rent. Provides that a landlord may not charge a tenant a fee, fine, assessment, interest, or any other cost: (1) that is not stated in the rental agreement; or (2) in an amount greater than the amount stated in the rental agreement. Requires a landlord to return any excess amount to a tenant when the amount the tenant pays for a fee is greater than the actual cost to the landlord. Requires a landlord to provide a receipt of the landlord's expense of fees paid by a tenant upon the request of the tenant.

Various health care matters. Specifies the process for a managed care organization to follow concerning home modification services. Requires a patient of an opioid treatment program (program) who has tested positive on a drug test to be given a random drug test monthly until the patient passes the test. (Current law requires the patient to be tested weekly.) Allows a program to close on Sundays and federal holidays. Prohibits the division of mental health and addiction from: (1) requiring a program's medical director to have admitting privileges at a hospital; and (2) establishing rules or guidelines concerning program admission and medication that are more stringent than federal regulations. Allows specified health care providers to perform the initial assessment, examination, and evaluation of a patient being admitted to a program. Allows the medical staff of an ambulatory outpatient surgical center to make recommendations on the granting of clinical privileges or the appointment or reappointment of an applicant to the governing board of the ambulatory outpatient surgical center for a period not to exceed 36 months. (Current law allows medical staff of hospitals to make recommendations.) Establishes the certified health care professions commission (commission). Sets forth the requirements for the: (1) certification of nurse aides and qualified medication aides; and (2) registration of home health aides. Specifies the duties of the Indiana department of health and the commission in regulating these professions. Relocates provisions concerning training for home health aides and requires the commission to approve the training. Sets forth requirements on facilities in employing nurse aides. Specifies the definition of "nurse aide" for purposes of an administrative rule. Makes changes to the release of medical information statute. Modifies the duties of the center for deaf and hard of hearing education. Adds provisions regarding "family navigators" and specifies the role of family navigators in the provisions of the bill regarding the center for deaf and hard of hearing education. Allows a prescriber to prescribe certain agonist opioids through telehealth services for the treatment or management of opioid dependence. (Current law allows only a partial agonist to be prescribed through telehealth.) Allows certain residential care administrators an exemption from taking continuing education during the initial licensing period. Allows for the provision of certain anesthesia in a physician's office or a podiatrist's office without the office being accredited. (Current law allows for this in dental offices.) Requires adverse events concerning anesthesia in an office based setting to be reported to the medical licensing board of Indiana (board). Requires the board to: (1) determine the types of adverse events to be reported; (2) establish a procedure for reporting; and (3) post the adverse events on the board's website. Creates a process for certain individuals who do not have a Social Security number and who are seeking licensure by examination as a registered nurse or practical nurse to obtain a provisional license. Requires a nursing program to offer a clinical experience for clinical hours in a hospital and a health facility setting.

Crimes against health care providers. Defines "health care provider". Provides that the offense of battery is a Level 6 felony if it is committed against a health care provider, and a Level 5 felony if it is committed against a health care provider by placing bodily fluids or waste on the health care provider.

Medicaid matters. Requires the office of the secretary of family and social services (office) to report specified Medicaid data to the Medicaid oversight committee. Requires the office to receive and review data from specified federal and state agencies concerning Medicaid recipients to determine whether circumstances have changed that affect Medicaid eligibility for recipients. Prohibits the office from accepting self-attestations of certain information in the administration of the Medicaid program. Requires the office to apply for a Medicaid state plan amendment to remove references to coverage under the Medicaid plan of a certain population. Requires the office to establish: (1) performance standards for hospitals that make presumptive eligibility determinations and sets out action for when hospitals do not comply with the standards; and (2) an appeals procedure for hospitals that dispute the violation determination. Modifies eligibility categories and requirements for the healthy Indiana plan (plan). Specifies limitations for enrollment in the plan.