Limitation on cost sharing. Requires an insurer, an administrator, and a pharmacy benefit manager to apply the annual limitation on cost sharing set forth in the federal Patient Protection and Affordable Care Act under 42 U.S.C. 18022(c)(1). Provides that an insurer, an administrator, and a pharmacy benefit manager may not directly or indirectly set, alter, implement, or condition the terms of health insurance coverage based in part or entirely on information about the availability or amount of financial or product assistance available for a prescription drug. Requires, before December 31 of each year, each insurer and administrator to certify to the insurance commissioner that the insurer or administrator has fully and completely complied with the cost sharing requirements during the previous calendar year.

Forfeiture of retirement benefits. Provides that particular elected officials who are convicted of a crime violating public trust forfeit state retirement benefits. Specifies exceptions.

Display of the Ten Commandments. Requires each school corporation to place a durable poster or framed picture representing the text of the Ten Commandments in each school library and classroom.

Local government reorganization. Provides that on January 1, 2027, in all counties except Marion County, the following occur: (1) Township government is dissolved. (2) The county executive assumes the powers and duties of township trustees with regard to fire protection and emergency services (fire services). (3) An elected county trustee assumes the powers and duties of township trustees regarding township assistance. Specifies that, on January 1, 2027, the following occur: (1) All fire protection districts and fire protection territories are dissolved. (2) Fire services are provided in accordance with a county fire protection and emergency medical services plan (county plan). (3) The county emergency management director is responsible for the day to day operations of administering the county plan. Provides that all incorporated towns with a population of less than 1,000 are required: (1) to report not later than November 1, 2025, and every November 1 every four years thereafter as to the services provided to residents, and operating costs; and (2) to be dissolved by the county legislative body if the town's operating costs exceed the expenditures for delivery of services to residents.

Natural resource entrance fees. Allows counties that meet certain criteria to adopt an ordinance to impose a surcharge of not more than $1 in addition to the fees charged by the department of natural resources (department) for entry into certain state parks and recreation areas. Provides that the surcharge may not be imposed on an annual state park pass holder. Requires the department to collect and to report and pay the surcharge to each county treasurer. Provides that the surcharge collected is to be used for certain purposes.

Maternal health. Requires the Indiana department of health (department) to develop a program to award grants to certain community based programs to reduce the prevalence of maternal mortality in Indiana. Requires the department to collaborate with the statewide maternal mortality review committee in developing the program. Provides that the department shall establish workgroups to assist in developing the program. Allows the department to adopt rules to administer the program.

Pension garnishment for restitution. Provides that when a court issues a restitution order against an employee beneficiary of the state police benefit system (system), the prosecuting attorney must bring an action requesting garnishment of amounts that the employee beneficiary is entitled to receive under the system. Requires the court to order the trustee to take certain actions if the court finds that the restitution order has been issued and has not been fully satisfied or discharged.

Resident tuition rate. Provides that an individual who meets certain conditions is eligible for the resident tuition rate as determined by a state educational institution. Requires such an individual to verify that the individual meets the criteria to receive the resident tuition rate.

Child fatality information. Provides that the department of child services (department) shall disclose to the public certain information regarding child fatalities or near fatalities. Provides that, upon request, the department may provide additional information regarding cases of child fatalities or near fatalities subject to certain requirements. Makes technical and conforming changes.

Athletic trainers. Establishes the rural athletic trainer support program (program) to address the shortage of health care providers in rural communities by providing grants to athletic trainers committed to working for schools located in rural communities. Establishes the rural athletic trainer support fund (fund). Requires the Indiana department of health, in consultation with the Indiana state office of rural health, to develop criteria to award grants from the fund for allowable expenses. Requires an athletic trainer who receives an award to repay all allowable expenses if the athletic trainer fails to meet certain commitments.

Electronic pull tabs in charity gaming. Allows for the use of electronic pull tab games, electronic pull tab devices, and electronic pull tab systems in charity gaming by certain organizations. Provides for a maximum number of electronic pull tab devices that may be present, for purposes of charity gaming, in a permitted location.

Alcohol and tobacco commission matters. Makes the following changes: (1) Expands the purpose of the Richard D. Doyle tobacco education and enforcement fund. (2) Amends type II gambling game prize limits to include sports themed gaming. (3) Replaces a reference in the definition of a "Type II gambling game" to an Indiana gaming commission memorandum with a substantive definition. (4) Eliminates the requirement that a farm winery or artisan distiller annually submit excise tax returns to the alcohol and tobacco commission (ATC). (5) Removes a phrase that requires an e-liquid to contain nicotine to be considered a "tobacco product" under provisions concerning tobacco sales certificates. (6) Amends local alcoholic beverage board members' duties to reflect electronic record keeping. (7) Requires an employee or contractor who controls entry into age restricted premises or otherwise checks an individual's proof of age to complete alcohol server training. (8) Prohibits the ATC from issuing an alcoholic beverage permit unless a person has on file with the ATC a verified list containing the name and address of each person or entity: (A) with actual authority to direct or control the operation of the permit; and (B) holding at least a 5% (instead of 2%) interest in the permit and the business conducted, or to be conducted, under it. (9) Prohibits charging an individual a cover fee to access unlimited alcoholic beverages. Allows the sale of event packages. (10) Replaces, in statutes regarding unlawful sales to minors, references to "tobacco", "e-liquid", or "electronic cigarette" with the inclusive term "tobacco product". (11) Allows a person to participate electronically in an online auction or raffle but requires alcoholic beverage prizes to be collected in person. (12) Modifies the insurance coverage requirements that apply to specified permit holders. (13) Allows specified local government entities to permit the retail sale of alcoholic beverages in certain areas if a person that has an agreement to act as concessionaire for the permitted premises applies for and secures the necessary permits. (14) Establishes requirements regarding permittee donations to qualified organizations that are permittees conducting an event. (15) Prohibits, with exceptions, the sale, use, and distribution of flavored nitrous oxide. Repeals statutes that do the following: (1) Allow the ATC to require registration of alcoholic beverage brands and other information used in advertising. (2) Require attachment of an identification marker to a keg at the time of sale. (3) Make it a Class C misdemeanor to transport an alcoholic beverage to a retailer or dealer on a Sunday.

Cannabis. Establishes a procedure for the lawful production and sale of cannabis in Indiana. Makes conforming amendments. Makes an appropriation.

Age of compulsory attendance. Provides that a student is bound by compulsory school attendance requirements from the beginning of the fall school term for the school year in which the student is six years of age on August 1 of that school year. (Current law provides that a student is bound by compulsory school attendance requirements from the beginning of the fall school term for the school year in which the student becomes seven years of age.) Makes conforming amendments.

Teacher licensing requirements. Provides that certain individuals seeking an initial practitioner license are exempt from certain licensing requirements.