RESOLUTION No. ___
Introduced by: Kirchhofer
A HOUSE RESOLUTION urging the legislative council
to establish an interim study committee to study topics related
to the practice of polysomnography.
Whereas, Polysomnography, as defined by the Mayo Clinic,
is a test used to diagnose sleep disorders;
Whereas, These sleep studies record brain waves, oxygen
level in the blood, heart rate and breathing, as well as eye and
leg movements; and
Whereas, In order to safeguard patients undergoing these
sleep studies and to ensure that the facilities are appropriate
and the technicians are certified, it behooves the state of
Indiana to study all topics relating to polysomnography:
Be it resolved by the House of Representatives of the
General Assembly of the State of Indiana:
SECTION 1. That the legislative council is urged to establish an
interim study committee to study topics related to the practice of
polysomnography including appropriate credentials for
polysomnographic technologists and appropriate facility settings for the
practice of polysomnography.
SECTION 2. The "practice of polysomnography" to be studied by
the committee, if established, means performing any of the following
tasks under the general supervision of a licensed physician:
(1) Monitoring, recording, and evaluating physiologic data
during the evaluation of sleep related disorders, including sleep
related respiratory disturbances, by applying the following
techniques, equipment, and procedures:
(A) Noninvasive continuous, bi-level positive airway
pressure, or adaptive servo ventilation titration on
spontaneously breathing patients using an oral or nasal
interface, if the oral or nasal interface does not extend into
the trachea or attach to an artificial airway.
(B) Supplemental low flow oxygen therapy of less than six
(6) liters per minute, using a nasal cannula or incorporated
into a positive airway pressure device during a
(C) Capnography during a polysomnogram.
(D) Cardiopulmonary resuscitation.
(E) Pulse oximetry.
(F) Gastroesophageal pH monitoring.
(G) Esophageal pressure monitoring.
(H) Sleep stage recording using surface
electroencephalography, surface electrooculography, and
submental surface electromyography.
(I) Surface electromyography.
(K) Respiratory effort monitoring, including thoracic and
(L) Plethysmography blood flow monitoring.
(M) Snore monitoring.
(N) Audio and video monitoring.
(O) Body movement monitoring.
(P) Nocturnal penile tumescence monitoring.
(Q) Nasal and oral airflow monitoring.
(R) Body temperature monitoring.
(S) Monitoring the effects that a mask or oral appliance
used to treat sleep disorders has on sleep patterns, if the
mask or oral appliance does not extend into the trachea or
attach to an artificial airway.
(2) Observing and monitoring physical signs and symptoms,
general behavior, and general physical response to
polysomnographic evaluation and determining whether
initiation, modification, or discontinuation of a treatment
regimen is warranted.
(3) Analyzing and scoring data collected during the monitoring
described in subdivisions (1) and (2) for the purpose of assisting
a licensed physician in the diagnosis and treatment of sleep and
wake disorders that result from developmental defects, the aging
process, physical injury, disease, or actual or anticipated somatic
(4) Implementation of a written or verbal order from a licensed
physician to perform polysomnography.
(5) Education of a patient regarding the treatment regimen that
assists the patient in improving the patient's sleep.
SECTION 3. That the committee, if established, shall operate
under the direction of the legislative council, and that the committee
shall issue a final report when directed to do so by the council.