Ind. Code ch. 25-19-1

Ind. Code ch. 25-19-1
in effect

Ind. Code § 25-19-1-1 Definitions

Sec. 1. (a) As used in this chapter, "administrator in training" means an individual who: (1) has registered with the board before starting an administrator in training program; (2) desires to become involved in a professional health care training program; and (3) meets any other criteria established by the board. (b) As used in this chapter, "administrator in training program" means an internship program that: (1) provides a continuous educational experience in a health facility approved by the board; and (2) is administered under the supervision of: (A) an individual preceptor; or (B) a training center; approved by the board. (c) As used in this chapter, "agency" refers to the Indiana professional licensing agency. (d) As used in this chapter, "board" refers to the Indiana state board of health facility administrators. (e) As used in this chapter, "health facility administrator" means a natural person who administers, manages, supervises, or is in general administrative charge of a licensed health facility whether such individual has an ownership interest in the health facility and whether the person's functions and duties are shared with one (1) or more individuals. (f) As used in this chapter, "health facility" means any institution or facility defined as such for licensing under IC 16-28 and classified into care categories by rules adopted under IC 16-28. (g) As used in this chapter, "postsecondary educational institution accredited program" means a postsecondary educational institution that: (1) offers a degree in health facility administration; (2) is accredited by the National Association of Long Term Care Administrator Boards; and (3) is approved by the board to oversee and manage an administrator in training program. (h) As used in this chapter, "practice of health facility administration" means the practice of an individual who is designated by the legal owner of a health facility to operate a health facility, including: (1) planning; (2) organizing; (3) developing; (4) directing; or (5) controlling; a health facility. (i) As used in this chapter, "preceptor" means any of the following: (1) An individual who meets the requirements set forth in section 20 of this chapter. (2) A training center. (3) A postsecondary educational institution that is: (A) accredited by the National Association of Long Term Care Administrator Boards; and (B) approved by the board to oversee and manage an administrator in training program. (j) As used in this chapter, "residential care administrator" means an individual who: (1) administers; (2) manages; (3) supervises; or (4) is in general administrative charge of; a residential care facility. (k) As used in this chapter, "residential care facility" has the meaning set forth in IC 16-18-2-317.7. (l) As used in this chapter, "sponsor" means a sponsor of continuing education programs for health facility administrators. (m) As used in this chapter, "student intern" refers to an individual who is: (1) enrolled in a bachelor's or master's degree program at a university that is accredited by the National Association of Long Term Care Administrator Boards; and (2) participating in a student internship. (n) As used in this chapter, "student internship" means an educational experience that: (1) occurs at a health facility or multiple health facilities; (2) is part of a bachelor's or master's degree program at a postsecondary educational institution that is accredited by the National Association of Long Term Care Administrator Boards; and (3) is administered under the supervision of a preceptor. (o) As used in this chapter, "training center" means an educational center that is approved by the board to oversee and manage an administrator in training program. Formerly: Acts 1969, c.84, s.1; Acts 1971, P.L.374, SEC.1. As amended by Acts 1982, P.L.29, SEC.5; P.L.149-1987, SEC.38; P.L.2-1993, SEC.139; P.L.149-2023, SEC.21; P.L.9-2024, SEC.458.

Ind. Code § 25-19-1-2 Board created; members

Sec. 2. (a) Subject to IC 25-1-6.5-3, there is created the Indiana state board of health facility administrators composed of five (5) members as follows: (1) Two (2) administrators of licensed proprietary health facilities. (2) Two (2) administrators of licensed nonproprietary health facilities. (3) One (1) member representing the public at large, who: (A) is a resident of Indiana; and (B) has never been associated with health facility services or administration in any way other than as a resident or a family member of a resident of a health facility. (b) Members are appointed under IC 25-1-6.5. (c) A member of the board may be removed under IC 25-1-6.5-4. Formerly: Acts 1969, c.84, s.2. As amended by Acts 1981, P.L.222, SEC.136; P.L.149-1987, SEC.39; P.L.2-1992, SEC.775; P.L.43-1998, SEC.1; P.L.145-2006, SEC.161; P.L.105-2008, SEC.33; P.L.249-2019, SEC.85.

Ind. Code § 25-19-1-2.5 Residential care administrators; qualifications for license; continuing education

Sec. 2.5. (a) An individual seeking licensure as a residential care administrator must: (1) be at least twenty-one (21) years of age; (2) have obtained at least a high school diploma or its equivalent; (3) submit to a national criminal history background check, as required by IC 25-0.5-1-8; (4) achieve a passing score, as prescribed by the board, on the state jurisprudence examination; and (5) meet one (1) of the following: (A) Be a licensed health facility administrator or a registered, certified, or licensed health care practitioner under IC 16 or this title. (B) Have at least one (1) year of management experience: (i) in health care; (ii) in housing; (iii) in hospitality; or (iv) providing services that are similar to services described in items (i) through (iii) to individuals who are elderly. (C) Possess an associate degree in gerontology or health care. (D) Possess a bachelor's degree or higher degree from an accredited postsecondary educational institution. (E) Complete a one hundred (100) hour specialized course in residential care facility administration that is approved by the board. (b) An applicant must meet the requirements in subsection (a)(1) through (a)(3) and subsection (a)(5) before the applicant may take the state jurisprudence examination. (c) The board may issue a residential care administrator license to an individual who meets the requirements of this section. (d) Except as provided in subsections (e) and (f), for each two (2) year license period, a licensed residential care administrator shall complete at least twenty (20) hours of continuing education that include education on: (1) promoting resident dignity, independence, self-determination, privacy, choice, and rights; (2) building safety, fire prevention, and disaster response; (3) preventing and containing infectious diseases, including hygiene protocols; (4) preventing and reporting abuse and neglect of residents; and (5) assisting residents with daily activities. (e) A licensed residential care administrator who holds an active health facility administrator license is not required to complete the continuing education requirements described in subsection (d). However, a residential care administrator described in this subsection shall complete any continuing education requirements for the residential care administrator's health facility administrator license. (f) A licensed residential care administrator who has not been previously licensed as a residential care administrator in another state is not required to complete the continuing education requirements described in subsection (d) for the two (2) year licensing period in which the residential care administrator's initial license is issued. As added by P.L.149-2023, SEC.22. Amended by P.L.9-2024, SEC.459; P.L.143-2025, SEC.45.

Ind. Code § 25-19-1-3 Health facility administrators; qualifications for license

Sec. 3. (a) The board may issue licenses to qualified persons as health facility administrators. (b) A person who applies to the board to practice as a health facility administrator must: (1) not have been convicted of a crime that has a direct bearing on the person's ability to practice competently in accordance with IC 25-1-1.1; (2) successfully complete an administrator in training internship program described in section 18 of this chapter; (3) achieve a passing score, as determined by the board, on a state jurisprudence examination described in section 3.2 of this chapter; and (4) successfully complete the national examination. (c) Subject to section 3.3 of this chapter, the board may issue a provisional license for a single period not to exceed six (6) months for the purpose of enabling a qualified individual to fill a health facility administrator position that has been unexpectedly vacated. Formerly: Acts 1969, c.84, s.3; Acts 1973, P.L.252, SEC.9. As amended by Acts 1978, P.L.128, SEC.1; Acts 1981, P.L.222, SEC.137; Acts 1982, P.L.113, SEC.53; P.L.149-1987, SEC.40; P.L.152-1988, SEC.11; P.L.33-1993, SEC.26; P.L.149-2023, SEC.23; P.L.9-2024, SEC.460; P.L.17-2024, SEC.7.

Ind. Code § 25-19-1-3.1 Application

Sec. 3.1. (a) To apply for a health facility administrator license or a residential care administrator license, an applicant shall do the following: (1) Electronically submit an application to the board on a form prescribed by the board. (2) Provide evidence that the applicant meets the requirements of this chapter. (b) If the agency is unable to resolve a discrepancy or issue of concern regarding an individual's application under this section, the board may require the applicant to appear before the board if the board determines the application: (1) is incomplete; or (2) lacks sufficient evidence that the applicant meets the requirements of this chapter. As added by P.L.149-2023, SEC.24.

Ind. Code § 25-19-1-3.2 Health facility administrators; examination; scope of topics; fee; failure to achieve passing score

Sec. 3.2. (a) An individual who applies to the board for a health facility administrator license must successfully pass a state jurisprudence examination that covers the following topics: (1) Applicable standards of environmental health and safety. (2) Local health and safety regulation. (3) General administration. (4) Psychology of patient care. (5) Principles of medical care. (6) Pharmaceutical services and drug handling. (7) Personal and social care. (8) Therapeutic and supportive care and services in long term care. (9) Departmental organization and management. (10) Community interrelationships. (b) An applicant must submit a completed application and pay any required fee before the applicant may take the examination described in subsection (a). (c) An applicant who takes the examination and does not achieve a passing score may not take the examination described in subsection (a) more than three (3) additional times. (d) If an applicant takes the examination the maximum number of times allowed under subsection (c) and fails to achieve a passing score, the board may request that the applicant appear before the board. The board may require the applicant to provide the board with evidence of the following: (1) The applicant completed not more than one hundred (100) hours of continuing education hours, as approved by the board. (2) A new application for an administrator in training program. (3) The applicant has applied for an administrator in training program. (4) The applicant meets all other requirements for a health facility administrator license at the time the applicant reapplies for a license. As added by P.L.149-2023, SEC.25. Amended by P.L.9-2024, SEC.461.

Ind. Code § 25-19-1-3.3 Provisional licenses; issuance; withdrawal

Sec. 3.3. (a) The board may issue a provisional health facility administrator license to an individual for a specific licensed health facility or residential care facility if the individual has: (1) at least two (2) years of administrative experience in a licensed health facility; and (2) not been convicted of a crime that has a direct bearing on the individual's ability to practice competently in accordance with IC 25-1-1.1. (b) The board may issue a provisional residential care administrator license to an individual for a specific residential care facility if the individual has: (1) at least two (2) years of administrative experience in a residential care facility; and (2) not been convicted of a crime that has a direct bearing on the individual's ability to practice competently in accordance with IC 25-1-1.1. (c) Subject to subsection (d), the chair of the board may issue a provisional health facility administrator license or a provisional residential care administrator license to an individual who appears to be qualified. (d) If the board determines that an individual described in subsection (c) fails to meet all applicable qualifications for a provisional license described in subsection (a) or (b), the board may withdraw the provisional license. (e) Experience that an individual gains while practicing health facility administration with a provisional license issued under this section may count toward the requirements for an administrator in training program, as approved by the board. As added by P.L.149-2023, SEC.26. Amended by P.L.9-2024, SEC.462; P.L.17-2024, SEC.8.

Ind. Code § 25-19-1-4 Rules for licensure; cancellation, suspension, or revocation of license

Sec. 4. A health facility administrator's license and a residential care administrator's license shall not be transferable and shall be valid until surrendered for cancellation or suspended or revoked for violation of this chapter or any other laws or rules relating to the proper administration and management of a health facility. Any denial of issuance or renewal, suspension, or revocation under any section of this chapter shall be appealable upon the timely request of the applicant or licensee and pursuant to IC 4-21.5. Formerly: Acts 1969, c.84, s.4. As amended by Acts 1982, P.L.154, SEC.76; P.L.7-1987, SEC.124; P.L.149-2023, SEC.28.

Ind. Code § 25-19-1-5 License required

Sec. 5. The administrator of a residential care facility must have one (1) of the following licenses issued by the board: (1) A health facility administrator license. (2) A residential care administrator license. Formerly: Acts 1969, c.84, s.5; Acts 1971, P.L.374, SEC.2; Acts 1975, P.L.270, SEC.1. As amended by Acts 1976, P.L.119, SEC.16; Acts 1982, P.L.29, SEC.6; P.L.169-1985, SEC.59; P.L.2-1993, SEC.140; P.L.54-2007, SEC.1; P.L.156-2011, SEC.39; P.L.197-2011, SEC.89; P.L.56-2023, SEC.232; P.L.149-2023, SEC.29.

Ind. Code § 25-19-1-5.1 Fees; payment

Sec. 5.1. (a) The fee for a health facility administrator's license and a residential care administrator's license shall be submitted to the agency for it to transmit to the state treasurer to be deposited by the treasurer in the state general fund. (b) Subject to IC 25-1-8-2 and except as provided in subsection (d), the board shall charge and collect the following fees: (1) A one hundred dollar ($100) application for licensure fee. (2) A one hundred dollar ($100) application fee to retake the state jurisprudence examination. (3) A fifty dollar ($50) fee to retake the national examination. (4) A one hundred dollar ($100) license renewal fee. (5) A fifty dollar ($50) provisional license fee. (6) A fifty dollar ($50) preceptor application fee. (7) A ten dollar ($10) duplicate wall license fee. (8) A one hundred dollar ($100) continuing education sponsorship application fee. (9) A one hundred dollar ($100) annual continuing education sponsorship. (c) An applicant for a health facility administrator license who is required to take the national examination shall pay the fee described in subsection (b)(3) directly to the professional examination service in the amount required by the examination service. (d) The board may not charge a fee described in subsection (b)(8) to any of the following: (1) A state or federal agency. (2) A state funded school. However, an exemption from the fee under this chapter does not relieve an agency or school from a requirement or duty prescribed by law. As added by Acts 1981, P.L.222, SEC.138. Amended by P.L.169-1985, SEC.60; P.L.1-2006, SEC.438; P.L.149-2023, SEC.30.

Ind. Code § 25-19-1-6 Organization and government of board; compensation; expenses; employees

Sec. 6. (a) The board shall elect from its membership annually a chairperson and vice chairperson and shall adopt rules to govern its proceedings. (b) Each member of the board who is not a state employee is entitled to the minimum salary per diem provided by IC 4-10-11-2.1(b). Such a member is also entitled to reimbursement for traveling expenses and other expenses actually incurred in connection with the member's duties, as provided in the state travel policies and procedures established by the department of administration and approved by the state budget agency. (c) The Indiana professional licensing agency shall supply necessary personnel to assist the board in the performance of its duties. (d) A quorum of the board consists of a majority of the appointed members. A majority vote of the quorum is required for action of the board. Formerly: Acts 1969, c.84, s.6. As amended by Acts 1981, P.L.222, SEC.139; P.L.169-1985, SEC.61; P.L.149-1987, SEC.42; P.L.28-1999, SEC.1; P.L.1-2006, SEC.439; P.L.105-2008, SEC.34; P.L.249-2019, SEC.86.

Ind. Code § 25-19-1-7 License holder deemed qualified

Sec. 7. The holder of a license under the provisions of this chapter, shall be deemed qualified to serve as the administrator of that type of health facility for which the holder is licensed. In carrying out its responsibilities under this chapter, The Board may seek the advice of various disciplines, agencies, institutions and individuals having an interest in long-term care. Formerly: Acts 1969, c.84, s.7; Acts 1971, P.L.374, SEC.3. As amended by P.L.149-2023, SEC.31.

Ind. Code § 25-19-1-8 Powers and duties of the board

Sec. 8. The board shall do the following: (1) Adopt rules necessary to carry out the requirements of this chapter for the practice of a health facility administrator and residential care administrator. (2) Develop and apply appropriate techniques, including examination and investigations, for determining whether an individual meets the standards. (3) Issue licenses to individuals determined, after application of the appropriate criteria, to meet the standards, and for cause, after due notice and hearing, impose sanctions under IC 25-1-9, including placing the licensee on probation and revoking or suspending licenses previously issued by the board in any case where the individual holding the license is determined substantially to have failed to conform to the requirements of the standards. (4) Establish and carry out the procedures designed to ensure that individuals licensed as health facility administrators and residential care administrators will, during any period that they serve as such, comply with the requirements of the standards. (5) Subject to IC 25-1-7, receive, investigate, and take appropriate action under IC 25-1-9 with respect to, and including probation, suspension, or the revocation of a license if necessary after due notice and hearing and for cause, any charge or complaint filed with the board to the effect that any individual licensed as a health facility administrator or a residential care administrator has failed to comply with the requirements of the standards. (6) Conduct a continuing study and investigation of health facilities and administrators of health facilities in the state to improve the standards imposed for the licensing of the administrators and of procedures and methods for the enforcement of the standards with respect to licensed health facility administrators and residential care administrators. (7) Conduct, or cause to be conducted, one (1) or more courses of instruction and training sufficient to meet the requirements of this chapter, and shall make provisions for the courses and their accessibility to residents of this state unless it finds and approves a sufficient number of courses conducted by others within this state. The board may approve courses conducted in or outside this state sufficient to meet the education and training requirements of this chapter. (8) Take other actions, not inconsistent with law, including approving continuing professional education for licensure renewal, making provisions for accepting and disbursing funds for educational purposes, as may be necessary to enable the state to meet the requirements set forth in Section 1908 of the Social Security Act (42 U.S.C. 1396g), the federal regulations adopted under that law, and other pertinent federal authority, and designing any other action to improve the professional competence of licensees. Formerly: Acts 1969, c.84, s.8; Acts 1975, P.L.270, SEC.2. As amended by Acts 1977, P.L.172, SEC.25; Acts 1981, P.L.222, SEC.140; P.L.149-1987, SEC.43; P.L.152-1988, SEC.12; P.L.54-2007, SEC.2; P.L.149-2023, SEC.32.

Ind. Code § 25-19-1-9 Renewal of license; failure to renew; failure to comply with continuing education requirements

Sec. 9. (a) Subject to IC 25-1-2-6(e), every holder of a health facility administrator's license or a residential care administrator's license shall renew the license on the date established by the licensing agency under IC 25-1-5-4. The renewals shall be granted as a matter of course, unless the board finds, after due notice and hearing, that the applicant has acted or failed to act in a manner or under circumstances that would constitute grounds for nonrenewal, suspension, or revocation of a license. (b) Subject to IC 25-1-2-6(e), a health facility administrator's license and a residential care administrator's license expire at midnight on the renewal date specified by the Indiana professional licensing agency. Failure to renew a license on or before the renewal date automatically renders the license invalid. (c) A person who fails to renew a license before it expires and becomes invalid at midnight of the renewal date shall be reinstated by the board if the person applies for reinstatement not later than three (3) years after the expiration of the license and meets the requirements under IC 25-1-8-6(c). (d) The board may reinstate a person who applies to reinstate a license under this section more than three (3) years after the date the license expires and becomes invalid if the person applies to the board for reinstatement and meets the requirements for reinstatement established by the board under IC 25-1-8-6(d). (e) The board may require an applicant under subsection (d) to appear before the board to explain the applicant's failure to renew. (f) Except as provided in subsection (g), the board may not renew a health facility administrator's license or a residential care administrator's license if the health facility administrator or residential care administrator failed to comply with the continuing education requirements prescribed by the board. (g) The board may renew a license described in subsection (f) if any of the following apply: (1) The licensed health facility administrator or licensed residential care administrator submits a statement from the administrator's physician or surgeon verifying that the administrator is unable to practice health facility administration due to illness or physical disability. (2) The licensed health facility administrator or licensed residential care administrator is on active military duty. (3) Any other circumstances, as determined by the board. Formerly: Acts 1969, c.84, s.9; Acts 1975, P.L.270, SEC.3. As amended by P.L.149-1987, SEC.44; P.L.48-1991, SEC.32; P.L.269-2001, SEC.14; P.L.1-2006, SEC.440; P.L.105-2008, SEC.35; P.L.177-2015, SEC.39; P.L.149-2023, SEC.33.

Ind. Code § 25-19-1-9.5 Inactive status; prohibition; license renewal; application

Sec. 9.5. (a) Subject to IC 25-1-8-6, a health facility administrator or residential care administrator whose license is in inactive status may apply to the board to renew the administrator's license. (b) A health facility administrator or residential care administrator while in an inactive status may not practice as a health facility administrator or residential care administrator. (c) A licensed health facility administrator who has been inactive must show proof of having completed forty (40) hours of continuing education within the two (2) year period immediately before the date the reactivation application is filed. (d) A licensed residential care administrator who has been inactive must show proof of having completed twenty (20) hours of continuing education within the two (2) year period immediately before the date the reactivation application is filed. (e) The board may request that a licensed health facility administrator or residential care administrator who has been inactive for a period of more than three (3) years at the date the reactivation application is filed make a personal appearance before the board to answer any questions from the board about the application that are unresolved before making a determination on the application. As added by P.L.149-2023, SEC.34. Amended by P.L.9-2024, SEC.463; P.L.17-2024, SEC.9.

Ind. Code § 25-19-1-10 License by reciprocity; requirements

Sec. 10. (a) The board shall issue a health facility administrator's license to any person who applies for a health facility administrator license, if the applicant: (1) does not have a criminal history that disqualifies the applicant from obtaining a health facility administrator license in Indiana in accordance with IC 25-1-1.1; (2) has practiced in another state for at least one (1) year as a: (A) licensed health facility administrator and currently holds an active license in good standing as a health facility administrator in another state; (B) chief executive officer of a hospital; or (C) chief operations officer of a hospital; and (3) has successfully completed the: (A) national examination; and (B) Indiana jurisprudence examination, as approved by the board. (b) The board shall issue a residential care administrator license to any person who applies for a residential care administrator license, if the applicant: (1) does not have a criminal history that disqualifies the applicant from obtaining a residential care administrator license in Indiana in accordance with IC 25-1-1.1; and (2) has practiced in another state for at least one (1) year as a: (A) licensed health facility administrator and currently holds an active license in good standing as a health facility administrator in another state; (B) licensed, certified, or registered residential care administrator and currently holds an active license, certification, or registration that is in good standing as a residential care administrator in another state; (C) chief executive officer of a hospital; or (D) chief operations officer of a hospital. (c) The board shall issue a health facility administrator license or a residential care administrator license to an individual who: (1) holds an approved National Association of Long Term Care Administrator Boards Health Services Executive license in good standing; and (2) does not have a criminal history that disqualifies the applicant from obtaining a health facility administrator license or a residential care administrator license in Indiana in accordance with IC 25-1-1.1. Formerly: Acts 1969, c.84, s.10. As amended by P.L.149-1987, SEC.45; P.L.33-1993, SEC.27; P.L.149-2023, SEC.35; P.L.9-2024, SEC.464; P.L.17-2024, SEC.10.

Ind. Code § 25-19-1-11 Necessity of license; violations; health facility administrators; prohibited practices; standards of practice

Sec. 11. (a) No health facility may operate unless it is under the supervision of an administrator who holds a currently valid health facility administrator's license or provisional license issued under this chapter. No person may practice or offer to practice health facility administration or use any title, sign, card, or device to indicate that the person is a health facility administrator, unless the person has been duly licensed as a health facility administrator or provisional health facility administrator. A person who violates this section commits a Class C infraction, and each day of continuing violation after entry of judgment constitutes a separate infraction. (b) An individual who is not licensed as a health facility administrator may not: (1) profess to be a health facility administrator; (2) use the title "health facility administrator" or "assistant health facility administrator"; or (3) use the initials "H.F.A." or any other words, letters, abbreviations, or insignia indicating or implying that the individual is a health facility administrator or assistant health facility administrator licensed under this article; unless the individual is licensed as a health facility administrator under this article. (c) A licensed health facility administrator may not practice health facility administration in more than one (1) health facility at the same time. (d) A health facility administrator is subject to the health professions standards of practice under IC 25-1-9. Formerly: Acts 1969, c.84, s.11. As amended by Acts 1978, P.L.2, SEC.2537; P.L.149-1987, SEC.46; P.L.149-2023, SEC.36; P.L.9-2024, SEC.465.

Ind. Code § 25-19-1-11.5 Residential care administrators; prohibited practices; standards of practice

Sec. 11.5. (a) An individual who is not licensed as a residential care administrator may not: (1) profess to be a residential care administrator; (2) use the title "residential care administrator" or "assistant residential care administrator"; or (3) use the initials "R.C.A." or any other words, letters, abbreviations, or insignia indicating or implying that the individual is a residential care administrator or assistant residential care administrator licensed under this article; unless the individual is licensed as a residential care administrator under this article. (b) A licensed residential care administrator may not practice residential care administration in more than one (1) residential care facility at the same time. (c) A residential care administrator is subject to the health professions standards of practice under IC 25-1-9. As added by P.L.149-2023, SEC.37.

Ind. Code § 25-19-1-12 Approval and promulgation of rules and regulations

Sec. 12. All rules and regulations authorized by this chapter, to become effective, shall be first approved by the board and then promulgated in the manner provided by law for the promulgation of rules and regulations of administrative bodies and when so promulgated shall be the only rules and regulations governing the licensing of health facility administrators as defined in this chapter, in the state. Formerly: Acts 1969, c.84, s.12. As amended by Acts 1982, P.L.154, SEC.77.

Ind. Code § 25-19-1-13 Repealed

As added by Acts 1981, P.L.222, SEC.141. Amended by P.L.149-1987, SEC.47. Repealed by P.L.152-1988, SEC.30.

Ind. Code § 25-19-1-14 Injunction from continuing violation of chapter; punishment

Sec. 14. The attorney general, the board, or the prosecuting attorney or a citizen of any county in which a person is in violation of this chapter may bring an action in the name of the state to enjoin the person from continuing in violation of this chapter. A person who is enjoined and who violates the injunction shall be punished for contempt of court. An injunction issued under this section does not relieve any person from criminal prosecution. As added by P.L.149-1987, SEC.48.

Ind. Code § 25-19-1-17 Administrator in training; student intern

Sec. 17. (a) This section applies to an administrator in training or a student intern seeking licensure as a health facility administrator. (b) An administrator in training or student intern may take a specialized course that: (1) is approved by the board as described in section 18 of this chapter; (2) includes instruction and training on: (A) standards of competent practice; (B) facility administration and management; (C) housekeeping and laundry; (D) nursing; (E) dietary needs of residents; (F) facility related activities; (G) business office management; and (H) facility admission and marketing; and (3) may include instruction and training on other subjects. As added by P.L.149-2023, SEC.40. Amended by P.L.17-2024, SEC.13.

Ind. Code § 25-19-1-18 Administrators in training; requirements; prohibitions; waiver; failure to comply

Sec. 18. (a) An administrator in training seeking licensure as a health facility administrator shall do the following: (1) File an administrator in training application with the board and be approved by the board before starting an internship program. (2) Observe and become familiar with the responsibilities and duties of the preceptor or approved training center and administrator in training. (3) Be assigned responsibilities in each health facility department, with experience on every shift, including weekends. (4) Serve as an administrator in training for at least twenty (20) hours per week and not more than ten (10) hours per day. (5) Complete the internship program in not less than three (3) months and not more than twelve (12) months for a minimum total of hours as follows: (A) An administrator in training who: (i) holds an associate degree, bachelor's degree, master's degree, or doctoral degree; and (ii) has at least two (2) years of long term care experience; shall complete a total of six hundred eighty (680) hours of training, of which two hundred (200) hours may be fulfilled by successfully completing a two hundred (200) hour state approved, specialized course in long term care management. (B) An administrator in training who: (i) holds an associate degree, bachelor's degree, master's degree, or doctoral degree; and (ii) does not have long term care experience; shall complete a total of eight hundred eighty (880) hours of training, of which two hundred (200) hours may be fulfilled by successfully completing a two hundred (200) hour state approved, specialized course in long term care management. (C) An administrator in training who holds a high school diploma or general educational development (GED) diploma shall complete a total of one thousand forty (1,040) hours of training, of which two hundred (200) hours may be fulfilled by successfully completing a two hundred (200) hour state approved, specialized course in long term care management. (6) Seek and accept instruction and assistance from the preceptor or approved training center. (7) Notify the board on a form prescribed by the board of any change of status or discontinuance of the administrator in training program. (8) Upon completion of the program, provide to the board an affidavit stating the administrator in training has fulfilled the requirements of the program. (b) An administrator in training may not: (1) have been convicted of a crime that has a direct bearing on the administrator in training's ability to practice competently in accordance with IC 25-1-1.1; and (2) hold a position in the health facility during the hours of the administrator in training program. (c) The board may waive up to thirty percent (30%) of the total required training hours for an administrator in training described in subsection (a)(5)(C) if: (1) the administrator in training has served in a long term care facility department manager position, based upon criteria approved by the board; and (2) the administrator in training's experience described in subdivision (1) is verifiable to the board's satisfaction. (d) Except as provided in subsection (e), an administrator in training may serve up to twenty percent (20%) of the internship in a setting other than the preceptor's facility. (e) An administrator in training in an approved training center may, at the discretion of the approved training center, exceed the twenty percent (20%) limit described in subsection (d). (f) The board may take appropriate action for failure of an administrator in training to comply with this section. (g) The administrator in training internship program must adequately prepare administrators in training to meet the facility administration duties and policies described in IC 25-19-2. As added by P.L.149-2023, SEC.41. Amended by P.L.17-2024, SEC.14.

Ind. Code § 25-19-1-19 Student interns; requirements; failure to comply

Sec. 19. (a) A student intern seeking licensure as a health facility administrator shall do the following: (1) File a student intern application with the board and be approved before starting the internship program. (2) Be enrolled in a postsecondary educational institution accredited program. (3) Observe and become familiar with the responsibilities and duties of the university accredited program and student intern. (4) Complete the program before graduation. (5) Seek and accept instruction and assistance from the university accredited program and faculty, including other preceptors or approved training centers. (6) Notify the board on a form prescribed by the board of any change of status or discontinuance of the student internship program. (7) Upon completion of the student internship program, provide to the board an affidavit stating that the student intern has fulfilled the requirements of the program. (b) A student intern in the student internship program: (1) may serve the internship in multiple health facilities; (2) is not required to spend a minimum or maximum amount of time in one (1) health facility; and (3) may not hold a position in the health facility during the hours of the student internship program. (c) The board reserves the right to take appropriate action for failure of a student intern to comply with this section. As added by P.L.149-2023, SEC.42.

Ind. Code § 25-19-1-20 Preceptors; qualifications; application; duties; limitations; expiration; compliance

Sec. 20. (a) To qualify as a preceptor, an applicant must: (1) be currently licensed as a health facility administrator under this article; (2) be in good standing and not the subject of a disciplinary action by the board; (3) file an application with the board and be approved before serving as the preceptor; (4) complete a board approved educational program; (5) provide to the board, with the administrator in training application, a certificate of completion for a program described in subdivision (4); (6) have the training, knowledge, professional activity, and a facility or organizational setting at the individual's disposal to teach prospective health facility administrators or residential care facility administrators; and (7) meet one (1) of the following: (A) Have active work experience as a health facility administrator for at least two (2) years prior to the date of serving as a preceptor. (B) Be currently employed as a chief executive officer of a continuing care retirement community. (C) Be currently employed as a regional manager for a health facility. (D) Be employed by an administrator in training school. (b) An individual who submits an application to be a preceptor shall file a new application for each administrator in training applicant for whom the preceptor applicant intends to serve as a preceptor. (c) An individual who meets the requirements of this section and is approved as a preceptor by the board shall do the following: (1) Act as a teacher rather than an employer and provide the administrator in training with educational opportunities. (2) Inform the board if an administrator in training presents a problem that may affect the facility's service and operation or the administrator in training program. (3) Notify the board on a form prescribed by the board of a change of status or discontinuance of the administrator in training program. (4) Upon completion of the program, submit to the board an affidavit, as prescribed by the board, stating that the requirements described in section 17 of this chapter have been met. (5) Maintain the records of an administrator in training program for a period of five (5) years and, upon request by the board, allow the board to review the records. (6) Except for a preceptor in an approved training center or as necessary to accommodate a special situation or emergency, spend a majority of the required work hours during normal daytime business hours in the facility where training occurs. (d) Except as provided in subsection (e), a preceptor who serves as an administrator of a licensed comprehensive care facility may not supervise more than two (2) administrators in training at any given time. (e) A preceptor may supervise more than two (2) administrators in training at a given time: (1) if the administrator in training is enrolled in: (A) an approved training center; or (B) a postsecondary educational institution accredited program; or (2) at the discretion of the board. (f) A preceptor may precept more than two (2) administrators in training but not more than four (4) administrators in training if: (1) the preceptor's sole duty is that of a preceptor; and (2) the preceptor spends at least eight (8) hours per week with each administrator in training. A preceptor shall affirm to the professional licensing agency compliance with this subsection. (g) A preceptor's approval as a preceptor expires when the administrator in training applicant that the preceptor is supervising completes the course of instruction and training prescribed by the board or fails to complete the requirements described in section 18 of this chapter. (h) The board reserves the right to take appropriate action for failure of a preceptor to comply with this section. As added by P.L.149-2023, SEC.43. Amended by P.L.9-2024, SEC.466; P.L.17-2024, SEC.15.

Ind. Code § 25-19-1-21 Postsecondary educational institution accredited program preceptor; qualifications; duties; expiration; application

Sec. 21. (a) Except as provided in subsection (b), to qualify as a postsecondary educational institution accredited program preceptor, an applicant must demonstrate that the program has faculty members who are currently licensed as health facility administrators under this article to instruct student interns in a health facility in accordance with this chapter. (b) A postsecondary educational institution accredited program faculty member who does not provide instruction in a health facility is not required to be a licensed health facility administrator. (c) To serve as a preceptor, a currently licensed health facility administrator who is part of a postsecondary educational institution accredited program's faculty described in subsection (a): (1) must have attended, within the five (5) years prior to becoming a faculty member, a board approved educational preceptor program and provide the university accredited program with a certificate of completion; and (2) may not have any disciplinary action taken by the board against the health facility administrator in the last two (2) years. (d) Each approved postsecondary educational institution accredited program preceptor shall do the following: (1) Act as a teacher rather than an employer and provide a student intern with educational opportunities. (2) Inform the board if the student intern presents any problems that may affect the facility's service and operation or the student internship program. (3) Notify the board on a form prescribed by the board of any change in status or discontinuance of the student internship program. (4) Upon a student's completion of the program, submit to the board an affidavit, as prescribed by the board, stating that the requirements described in section 17 of this chapter have been met. (5) Maintain the records of student internship programs for a period of five (5) years, and, upon request by the board, allow the board to review the records. (e) A preceptor's approval as a preceptor expires when the student intern that the preceptor is supervising completes the course of instruction and training prescribed by the board or fails to complete the requirements described in section 19 of this chapter. (f) The applicant for approval as a preceptor shall file a new application for each student intern applicant for whom the preceptor applicant desires to serve as a preceptor. (g) The board reserves the right to take appropriate action for failure of a preceptor to comply with the duties enumerated above. As added by P.L.149-2023, SEC.44. Amended by P.L.17-2024, SEC.16.

Ind. Code § 25-19-1-22 Health facility administrators; continuing education requirements; exception; credits

Sec. 22. (a) Except as provided in subsection (b), a licensed health facility administrator shall complete at least forty (40) hours of continuing education during each two (2) year licensing period. (b) A licensed health facility administrator who: (1) is not currently licensed; or (2) has not been previously licensed; as a health facility administrator in another state is not required to complete the continuing education described in subsection (a) for the two (2) year licensing period in which the administrator's initial license was issued. (c) If a licensed health facility administrator attends an approved continuing education program in another state, the administrator shall receive credit for the hours completed at the program and apply the number of hours to the continuing education requirement described in subsection (a). (d) A licensed health facility administrator must satisfy continuing education credits described in this section by participating in a program offered by an approved organization (as defined in IC 25-1-4-0.2). (e) A continuing education course or accredited postsecondary educational institution course: (1) that is offered by an accredited postsecondary educational institution; and (2) the content of which pertains to the practice of health facility administration; may count toward the continuing education requirement described in subsection (a). (f) A health facility administrator may receive continuing education credit for an accredited college course described in subsection (e) as follows: (1) For one (1) semester hour, the administrator may receive fifteen (15) contact hours. (2) For one (1) quarter hour, the administrator may receive ten (10) contact hours. (g) A licensed health administrator who serves on the board may earn one (1) continuing education credit hour for each hour of service on the board. For each two (2) year licensing period, a licensed health facility administrator may earn not more than twenty (20) hours of continuing education credit for credit earned under this subsection. (h) A health facility administrator may earn two (2) continuing education hours for each month the health facility administrator serves as a preceptor. For each two (2) year licensing period, a licensed health facility administrator may earn not more than twenty (20) hours of continuing education credit for credit earned under this subsection. (i) Continuing education credits earned during one (1) licensing period may not be applied to another licensing period. (j) A licensed health facility administrator may earn continuing education credits described in this section through any of the following: (1) Interactive, synchronous video learning methods. (2) In-person conferences. (3) Educational training sessions. (4) Any other method approved by the board. As added by P.L.149-2023, SEC.45.

Ind. Code § 25-19-1-23 Continuing education program sponsors; application; expiration

Sec. 23. (a) Except as provided in subsection (b), the board shall approve an application to be a sponsor if a person files an application with the board at least thirty (30) days before the date the continuing education program is scheduled to commence. (b) The board may approve an application that does not meet the thirty (30) day requirement described in subsection (a) due to extenuating circumstances, as determined by the board on a case by case basis. (c) Approval as a sponsor under this section is valid for one (1) year and expires on January 31 of each year. As added by P.L.149-2023, SEC.46.

Ind. Code § 25-19-1-24 Continuing education; attendance; record retention

Sec. 24. (a) The agency shall do the following: (1) Retain a copy of a certificate of completion for a continuing education course described in section 22 of this chapter for three (3) years from the date of the end of the licensing period for which the continuing education credit was applied. (2) Upon request from the board for the purpose of completing a compliance audit, provide the board with a copy of a certificate of completion. (b) An approved continuing education sponsor shall: (1) monitor and verify the attendance of a continuing education program the sponsor hosts; (2) maintain reliable attendance records for a program described in subdivision (1); and (3) retain the records described in subdivision (2) for a period of five (5) years. (c) IC 25-1-4 governs a continuing education audit or action concerning noncompliance with this section. As added by P.L.149-2023, SEC.47.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/25Fetched: 10/17/2026

Starting a business in Indiana? Indiana LLC guide: costs and requirements