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Read. Follow. Verify.Ohio HB 508 permits advanced practice registered nurses with 5,000 clinical hours to practice without standard care arrangements
Last action · October 15, 2025: Referred to MedicaidSponsors: Jennifer Gross and 1 other
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What This Bill Would Do
Ohio HB 508 enacts the Better Access to Health Care Act, allowing clinical nurse specialists, certified nurse-midwives, and certified nurse practitioners who have completed 5,000 hours of clinical practice under a to practice without one. The bill also updates hospital admission privileges, school athletic concussion protocols, and insurance reimbursement regulations for advanced practice nurses.
Advanced practice registered nurses meeting the practice threshold gain independent practice authority without physician collaboration agreements, altering staffing requirements for hospitals, insurers, and youth sports concussion assessments across Ohio.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Advanced practice registered nurses
Advanced practice registered nurses gain the option to practice without standard care arrangements after completing 5,000 hours of clinical practice and are subject to updated licensing, renewal, and prescriptive authority rules.
Hospitals and health care facilities
Hospitals must adjust credentialing, admitting privilege procedures, and employment contracts to accommodate advanced practice registered nurses practicing with or without standard care arrangements.
Health insuring corporations
Health insurers and public employee benefit plans must comply with coverage mandates for maternity care, provider participation protections, and reimbursement rules involving advanced practice nurses.
School districts and youth sports organizations
School districts and youth sports organizations may accept concussion assessments and return-to-play clearances from eligible clinical nurse specialists and certified nurse practitioners.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Who is eligible to practice without a standard care arrangement under this bill?
Can advanced practice registered nurses determine and pronounce death under the bill?
Does the bill change maternity insurance coverage requirements?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently in committee. The next step in the legislative lifecycle is Floor Vote.
Procedural history
2 actions- Oct 15, 2025HouseCommitteeReferred to Medicaid
- Oct 8, 2025HouseIntroducedIntroduced
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Transition from Mandatory Supervision to Experience-Based Independence
The legislation marks a structural policy shift by removing mandatory physician collaboration requirements for advanced practice registered nurses who reach a 5,000-hour clinical milestone.
Connected Entities
Sources
www.legislature.ohio.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy60Intensity of disagreement among stakeholders
- Entertainment5Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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