All surgeons are encouraged to become more involved in advocacy. Regularly visit our web pages to become educated about health policy priorities, obtain helpful tools and resources, and take action on legislative issues of importance to surgeons and their patients.
You can track legislation through the internet on the General Assembly Homepage at www.iga.in.gov
How a Bill becomes Law in Indiana
The process of creating a new law is not quite as complicated as it may seem. Many laws currently in
effect in Indiana came about because an individual or group thought that a change was needed. If you
have an idea that you think should be a law, or if you want to amend or repeal an existing law, there are
some simple steps to make your law a reality.
• Write out in your own words what changes you want to see happen. If it relates to an existing
law, refer to law and if possible include the language from the current Indiana Code.
• Find a legislator, a member of either the House of Representatives or Senate, who agrees with
you and will be willing to introduce a bill to accomplish what you want done. The legislator will
become the sponsor of that bill and introduce the bill in either the House or Senate. He or she
will take the idea to the Legislative Services Agency staff to draft a bill in the proper legal
• When you meet with the legislator make sure that you have all the facts, to show why this bill
should be passed. This will be necessary as you work to make your bill become reality.
• After the bill is introduced, you need to contact, either personally or by mail, as many legislators
as you can to explain to them why your bill should be passed. In fact, you become a lobbyist for
your bill and you try to get other people to help you lobby for your bill.
The actual process of how a bill becomes a law is a little more complex. The steps that your bill will go
through on its way to becoming a law are listed below.
1. First Reading: "First reading" merely means that a bill is introduced in the house of origin
(House of Representatives or Senate) and the title read aloud by the clerk, who hands it to the
presiding officer for assignment to one of the standing committees in the house that it is
2. In Committee: Committees have great power, especially the Committee Chair who decides
which of the bills that have been assigned to the Committee will be considered. If possible, talk
to the Committee Chair and explain your bill and why it is important for the Committee to hear
your bill. Committee meetings are open to the public, if possible you should attend a Committee
meeting prior to the hearing on your bill to become familiar with the process. On the day that
your bill is considered, you should attend and ask to speak in support of your bill. If the
Committee decides that your bill is a good one, they will recommend "Do Pass" and send it on
for Second Reading.
3. Second Reading: After a bill is reported “due pass” by the Committee, it is reprinted. A copy
must lie on every legislator's desk 24 hours to be eligible for Second Reading. While up for
Second Reading a bill can be amended by a majority vote in favor of the amendment. If the bill
survives Second Reading, it is ready after another 24 hours for Third Reading.
4. Third Reading: The bill now has arrived at a critical spot for a show of strength, it cannot be
amended by less than a two-thirds vote. With no amendments, the bill is voted on as it stands
and is either passed or rejected by a majority vote.
5. Other Chamber: If the bill survives all of these steps in the house of origin, it is sent to the
second house where it must go through the same procedures of three readings and a
committee hearing. The second house may then pass the bill, amend it or kill it.
6. Amendments: Should the second house amend the bill, it must go back to its house of origin
for a vote. The house of origin may concur with the amendments made or it can reject those
changes. If there are no amendments, the bill is signed by the Speaker of the House and the
President of the Senate and sent to the Governor.
7. Conference Committee: If the house of origin won't accept the new amendments, the bill goes
to a two-house committee that draws up a single compromise bill. The compromise bill then
goes back to both the House and Senate for another vote. If both houses pass the amended
version, it is signed by the Speaker of the House and by the President of the Senate. It then
goes to the Governor.
8. To the Governor: If the Governor signs the bill, it becomes a law. If the Governor vetoes the
bill, it can only become a law if both the House and Senate override the veto by a majority vote
in each house. The Governor can let the bill become a law by taking no action at all for seven
days at which point it becomes law.
9. The End: If a bill survives all these steps, IT'S A LAW.
The Constitution of Indiana established the House of Representatives and the Senate. It also provides
the basic process that a bill must go through to become a law and it places certain limits on the power
of the House and Senate. No law is valid if it violates either the Indiana Constitution or the Constitution
of the United States. These documents guarantee citizens rights which cannot be taken away by any
Sometimes a law is passed which someone may think violates the Constitution of Indiana. These
people may challenge such a law in court and the court will decide whether or not the law should be