Senate Bill 473, introduced in Indiana on April 10, 2025, aims to enhance the capabilities of registered home health aides by allowing them to administer gastrointestinal and jejunostomy tube feedings under specific conditions. This legislative proposal addresses a growing need for skilled home health care, particularly for patients requiring specialized nutritional support.

The bill outlines several key provisions. It mandates that a registered nurse assess the competency of home health aides before delegating the administration of these feedings. Additionally, home health agencies must establish procedures that include patient-specific clinical parameters and retain documentation of the aides' training. Patients will also be informed upon admission that aides may administer these feedings, ensuring transparency in care.

A significant aspect of the bill is the training curriculum for home health aides, which must be approved by the relevant commission. The curriculum requires a minimum of four hours of classroom instruction and two hours of practical training, culminating in both written and practical examinations to ensure aides are adequately prepared.

Debate surrounding Senate Bill 473 has focused on the implications of expanding the responsibilities of home health aides. Proponents argue that this change will improve patient care by allowing for more efficient management of nutritional needs in home settings. Critics, however, express concerns about the adequacy of training and the potential risks associated with delegating such medical tasks to aides.

The bill's passage could have significant social implications, particularly for families relying on home health care services. By enabling aides to perform these tasks, it may alleviate some burdens on family caregivers and improve the quality of life for patients with complex dietary needs. Economically, it could also reduce healthcare costs by minimizing hospital readmissions related to nutritional complications.

As the bill progresses through the legislative process, its potential impact on home health care practices in Indiana remains a topic of keen interest among healthcare professionals and families alike. The next steps will involve further discussions and potential amendments as lawmakers weigh the benefits and challenges of this significant legislative change.