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Read. Follow. Verify.Ohio Senate Bill 258 allows experienced advanced practice registered nurses to practice without standard care arrangements
Last action · October 1, 2025: Referred to HealthSponsors: George Lang and 1 other
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What This Bill Would Do
The bill allows clinical nurse specialists, certified nurse practitioners, and certified nurse-midwives who have completed 2,000 hours of clinical practice under a to practice without one. It modifies laws governing s, authorizes them to determine and pronounce death, and updates insurance reimbursement and hospital admitting privileges.
s who meet the practice threshold gain independent practice authority, while healthcare facilities, insurers, and collaborating practitioners face updated regulatory, documentation, and reimbursement requirements.
- Ohio law previously required clinical nurse specialists, certified nurse-midwives, and certified nurse practitioners to maintain a formal standard care arrangement with a collaborating physician or podiatrist regardless of their years of experience. context
- The Ohio General Assembly considers legislation addressing healthcare workforce regulations and advanced practice nursing authority periodically to balance patient access with supervisory requirements. context
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 legal authority to practice without a standard care arrangement after completing two thousand hours of clinical practice and submitting documentation to the board of nursing.
Collaborating physicians and podiatrists
Hospitals and healthcare facilities
Hospitals and healthcare facilities must update their internal credentialing, admitting privilege procedures, and employment contracts to accommodate independent advanced practice registered nurses.
Health insuring corporations
Insurers must ensure compliance with updated maternity care coverage mandates, reimbursement rules for advanced practice registered nurses, and prohibitions against financial incentives that encourage declining required care.
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
What requirements must an advanced practice registered nurse meet to practice without a standard care arrangement?
Can advanced practice registered nurses determine and pronounce death under this legislation?
Does the bill allow advanced practice registered nurses to prescribe abortion-inducing drugs?
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 1, 2025SenateCommitteeReferred to Health
- Sep 10, 2025SenateIntroducedIntroduced
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 shift in Ohio nursing regulation by establishing a pathway for qualified advanced practice registered nurses to operate without mandatory physician standard care arrangements.
Connected Entities
Sources
www.legislature.ohio.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy65Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz40Current news / social attention level
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