Establishes the Hoosier first responder medal of honor (medal). Provides that the department of homeland security (department) may determine an Indiana first responder is eligible for the Hoosier first responder medal of honor if the Indiana first responder distinguishes themselves conspicuously by gallantry and intrepidity at the risk of the Indiana first responder's life above and beyond the call of duty while engaged in an act of public service. Provides that, upon approval of a nomination by the department, the department shall notify the entity employing the Indiana first responder or for which the Indiana first responder volunteers of the nomination. Provides that the entity shall notify a member of the general assembly who represents the district in which the entity is located of the Indiana first responder's nomination. Provides that the member of the general assembly shall recommend the Indiana first responder for the medal to the governor. Provides that, if the department determines that an Indiana first responder nominated to the department does not meet the eligibility requirements to receive the medal, the department may make recommendations to the entity that employs the Indiana first responder or for which the Indiana first responder volunteers of other forms of recognition for the Indiana first responder. Provides that the governor may award the medal to the Indiana first responder or the Indiana first responder's next of kin at a public ceremony.