Law/Rule Updates

HB 224: CRNA Practice

The legislature is starting to swing back onto action and we anticipate the House of Representatives to return to a full session schedule the last week in September. HB 224 has received four House Health Committee hearings to date and a substitute version of the bill received a unanimous vote of support at the last hearing prior to the legislature’s summer recess. The substitute version of the bill contained several language modifications that addressed concerns of the opponents and health committee members, resulting in a stronger bill.

While the summer recess has been much shorter than most breaks, HB 224 sponsors, Rep. Jon Cross and Rep. Shane Wilkin, have not taken a break in pushing to gain support for the legislation in the House. Both representatives have spent time with the facilities in their districts and OSANA vetting proposals and concerns from interested parties and Health Committee members. They have worked tirelessly with OSANA on several new versions of the bill that meet our approval and keep intact all of the major provisions to clarify the CRNA scope of practice and add CRNAs to the list of Ohio prescribers with clear authority for “ordering” privileges. 

All of our efforts in the coming weeks will be dedicated to pushing for a committee vote that will send the bill to the full House of Representatives for consideration. The Health Committee will resume its work in early October. Over the next several weeks, the OSANA lobbying team along with our bill sponsors will be working directly with Health Committee members and the House leadership to get a vote scheduled for HB 224 as soon as possible.

HB 133: Military-Temporary Licensure

HB 133, as introduced, would require state occupational licensing agencies, under certain circumstances, to issue temporary licenses or certificates that are valid for six years to members of the military and spouses who are licensed in another jurisdiction and have moved to Ohio for active duty. The House version creating this special temporary license was passed by the House unanimously on June 19, 2019. The bill was referred to Senate Transportation, Commerce and Workforce Committee on September 11, 2019.

SB 7: Temporary Licensing-Military

SB 7 requires occupational licensing agencies, under certain circumstances, to issue six-year temporary licenses or certificates to members of the military and spouses who are licensed in another jurisdiction and have moved to Ohio for active duty. The bill was amended in the Senate Transportation, Commerce and Workforce Committee on March 27, 2019. The amendments included an increase in the duration of the temporary licenses from three to six years, an allowance for the Ohio State Medical Board to provide expedited licenses instead of temporary licenses for certain health professions, and an amendment to change temporary license denial and revocation language from “shall” to “may” to allow agencies additional discretion in choosing whether or not to award a license.

The bill passed out of committee and was voted out of the Senate unanimously on March 27, 2019. The Senate version of the military temporary licensing bill was included in the Senate version of the budget bill, HB 166, but was removed in the Conference Committee version of that bill. Sub. SB 7 was referred to the House Armed Services and Veterans Affairs Committee on May 22, 2019, where it was heard for the first time.

Current law provides for expedited processing of applications of members of the military and their spouses (see Rule 4723-2-02, OAC). The Board has promoted expedited licensing of the military through rules, processes and approval of certain military nursing programs which were added to statute. The duration of the temporary license, questions related to grounds for voiding the temporary, and the need to require completion of the licensure process such as criminal background checks are issues for further consideration. In addition, cost of implementation, consistency with other licensing and public safety checks, and requirements in the Ohio eLicense platform should also be explored.