We are the Voice for Pediatric Health Care in Ohio

Grassroots Advocacy

The 135th General Assembly (GA) began in January 2023. There are many new (also called “freshman”) state legislators this GA. Meet the new lawmakers of the 135th Ohio General Assembly: House Directory and Senate Directory. For health policy advocates, ongoing education of new legislators about our role and scope of practice is the key to the successful passage of a bill. The 134th Ohio General Assembly introduced over 1,100 bills, but only a small number were signed into law.

A bill dies at the end of a 2-year General Assembly unless it is passed by both chambers (Ohio House of Representatives and Senate) and signed by the Governor before being enacted into law. The bills that do not pass the last General Assembly have the potential for reintroduction in the next General Assembly.


Proposed Legislation, Regulations, and Other Policies

135th Ohio General Assembly (2023-2024)


Legislative & Policy Updates

Ohio Senate Bill 81

Effective September 20, 2024

Ohio Senate Bill 81 passed the 135th Ohio General Assembly and was signed by the Governor. While the effective date of the new law is September 20, 2024, nursing rules are expected to be promulgated in Spring of 2025. The new law 

  • Authorizes physician assistants, certified nurse practitioners, clinical nurse specialists,
    and certified nurse midwives to sign documents related to the admission, treatment,
    and discharge of psychiatric inpatients, if certain conditions are met.
  • Replaces the Board of Nursing’s Substance Use Disorder Monitoring Program with the
    Safe Haven Program, a program to be conducted by an organization under contract with
    the Board to monitor applicant and practitioner impairment resulting from substance
    use or mental or physical disability.
  • Authorizes an insurance navigator to receive compensation from a health insurer
    offering insurance through an exchange operating in Ohio so long as the compensation
    is not in connection with enrollment in a qualified health benefit plan.

Safe Haven Program

Coming in Spring 2025!

In Spring 2025, the Ohio Administrative Code (OAC) or nursing rules that support the operation of the Safe Haven Program are expected to be become effective. The Ohio Board of Nursing and Ohio Professionals Health Program (OhioPHP) will officially launch the Safe Haven Program and provide educational opportunities about the new program to all licensees of the Board.

What is a Safe Haven Program? A confidential path for individuals to seek help for burnout, mental health or substance use disorders and a therapeutic alternative to regulatory action for chronic illnesses.

What services are offered through the Safe Haven Program? Community resource referrals, screening, and confidential monitoring.

Who is eligible for the Safe Haven Program? All licensees, certificate holders, or applicants of the Ohio Board of Nursing.

Who administers the Board of Nursing’s Safe Haven Program? Ohio Professionals Health Program or OhioPHP (https://www.ohiophp.org/) is the designated monitoring organization for the Board of Nursing. OhioPHP protects the confidentiality of program participants and referral sources to the fullest extent allowed by law.

Historical Successes

135th Ohio General Assembly (2023-2024)

  • Senate Bill 81 | Authorize Certain Nurses to Sign Hospital Patient Documents and Safe Haven Program

134rd Ohio General Assembly (2021-2022)

  • Senate Bill 3 | Enter into Nurse Licensure Compact: A multi-state license to practice registered or licensed practical/vocational nursing issued by a home state to a resident in that state will be recognized by each party state as authorizing a nurse to practice as an RN or as a licensed practical/vocational nurse (LPN/LVN), under a multi-state licensure privilege, in each party state.
  • Senate Bill 48Require Certain Health Care Professionals to Complete Instruction in Cultural Competency: Requires certain health care professionals, including APRNs, to complete instruction in cultural competency when submitting the initial and renewal licensure application. The number of hours required to be determined by the board issuing the license, such as the Ohio Board of Nursing.
  • House Bill 122 | Regards the Provision of Telehealth Services: To establish and modify requirements regarding the provision of telehealth services.
  • House Bill 138 | Regards the scope of emergency medical services provided by emergency medical service personnel.
  • House Bill 135 | Prohibit Certain Health Insurance Cost-Sharing Practices.
  • House Bill 221 | Enact Better Access, Better Care Act was introduced in the Ohio House of Representatives on March 17, 2021, by primary sponsors Representatives Brinkman and Gross, and two co-sponsors (Representatives Miller and Riedel). The bill has been assigned to the House Health Committee. The proposed legislation would expand access to healthcare services by eliminating the standard care arrangement (SCA). 

133rd Ohio General Assembly (2019-2020)

  • House Bill 11 | Regards Tobacco Cessation and Prenatal Initiatives: Coverage of tobacco cessation services for expectant mothers. Also establishes a grant program to address the provision of prenatal health care service to pregnant women on a group basis. The Ohio Chapter of the National Association of Pediatric Nurse Practitioners is a proponent and sent a letter of support. PASSED! Law became effective on September 18, 2000, and appropriations effective June 19, 2020
  • House Bill 203 | Specifies Requirements for Mobile Dental Facility Operations: Authorizes pharmacists to enter consult agreements with certain APRNs. PASSED! Law became effective December 16, 2020.
  • House Bill 606 | Grants Immunity to Essential Workers Who Transmit COVID-19: Provides that the qualified civil immunities created under the bill apply from the date of the Governor’s COVID-19 emergency order on March 9, 2020, through September 20, 2021. PASSED! Law became effective December 16, 2020.

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