HB 253 — License advanced practice respiratory therapists

253 Page 39 As ReportedPassed by the House Health Committee sell, hold for sale, deliver, or otherwise provide to any 1078 individual an amount of pseudoephedrine product or ephedrine 1079 product that is greater than either of the following:

253 Page 40 As ReportedPassed by the House Health Committee ephedrine product in a sealed container in connection with 1107 manufacturing, warehousing, placement, stocking, bagging, 1108 loading, or unloading of the product;

253 Page 41 As ReportedPassed by the House Health Committee (d) The provision by a retailer, terminal distributor of 1136 dangerous drugs, or employee of either of a pseudoephedrine 1137 product or ephedrine product in a sealed container to an 1138 employee of the retailer or terminal distributor of dangerous 1139 drugs who is under eighteen years of age in connection with 1140 manufacturing, warehousing, placement, stocking, bagging, 1141 loading, or unloading of the product.

253 Page 42 As ReportedPassed by the House Health Committee (1) "Board of health" means the board of health of a city 1165 or general health district or the authority having the duties of 1166 a board of health under section 3709.05 of the Revised Code.

253 Page 43 As ReportedPassed by the House Health Committee as defined in section 4723.01 of the Revised Code;

253 Page 44 As ReportedPassed by the House Health Committee director of health shall develop one or more protocols that 1221 authorize pharmacists and pharmacy interns to dispense, during a 1222 period of time described in division (E) of this section, 1223 limited quantities of dangerous drugs, other than schedule II 1224 and III controlled substances, without a written, oral, or 1225 electronic prescription from a licensed health professional 1226 authorized to prescribe drugs or without a record of a 1227 prescription, notwithstanding any statute or rule that otherwise 1228 prohibits or restricts the dispensing of drugs without a 1229 prescription or record of a prescription.

253 Page 45 As ReportedPassed by the House Health Committee 3701.741 of the Revised Code:

253 Page 46 As ReportedPassed by the House Health Committee (e) A pharmacist licensed under Chapter 4729.

253 Page 47 As ReportedPassed by the House Health Committee respiratory therapist licensed under Chapter 4761.

253 Page 48 As ReportedPassed by the House Health Committee locates, or copies medical records for a health care provider, 1335 or is compensated for doing so by a health care provider, and 1336 charges a fee for providing medical records to a patient or 1337 patient's representative.

253 Page 49 As ReportedPassed by the House Health Committee has given written authorization to act on the patient's behalf 1364 regarding the patient's medical record.

253 Page 50 As ReportedPassed by the House Health Committee worker, social worker, independent marriage and family 1395 therapist, marriage and family therapist, or chiropractor 1396 designated by the patient.

253 Page 51 As ReportedPassed by the House Health Committee (4) Dentists and dental hygienists licensed under Chapter 1424 4715.

253 Page 52 As ReportedPassed by the House Health Committee employs or otherwise uses the services of the health care 1452 professional, shall not be subject to liability in tort or other 1453 civil action for injury, death, or loss to person or property, 1454 unless an action or omission of the health care professional, 1455 pharmacy, hospital, or nonprofit clinic constitutes willful and 1456 wanton misconduct.

253 Page 53 As ReportedPassed by the House Health Committee Sec.

253 Page 54 As ReportedPassed by the House Health Committee after the hearing, the suspension shall be void on the ninety- 1513 first day after the hearing.

253 Page 55 As ReportedPassed by the House Health Committee and addiction services behavioral health for purposes of section 1544 5119.37 of the Revised Code.

253 Page 56 As ReportedPassed by the House Health Committee Act," 52 Stat.

253 Page 57 As ReportedPassed by the House Health Committee (D) The state board of pharmacy shall, in accordance with 1602 Chapter 119.

253 Page 58 As ReportedPassed by the House Health Committee prescriber;

253 Page 59 As ReportedPassed by the House Health Committee (a) At the time the request is made, the drug is not 1657 commercially available regardless of the reason that the drug is 1658 not available, including the absence of a manufacturer for the 1659 drug or the lack of a readily available supply of the drug from 1660 a manufacturer.

253 Page 60 As ReportedPassed by the House Health Committee (F) "Dangerous drug" means any of the following:

253 Page 61 As ReportedPassed by the House Health Committee 4730.432, and 4731.93 of the Revised Code, a written, 1712 electronic, or oral order for a drug to treat chlamydia, 1713 gonorrhea, or trichomoniasis issued to and in the name of a 1714 patient who is not the intended user of the drug but is the 1715 sexual partner of the intended user;

253 Page 62 As ReportedPassed by the House Health Committee license issued under Chapter 4723.

253 Page 63 As ReportedPassed by the House Health Committee person, whether as principal proprietor, agent, or employee, to 1769 do or offer to do any of the following:

253 Page 64 As ReportedPassed by the House Health Committee (4) The dosage form;

253 Page 65 As ReportedPassed by the House Health Committee state board of pharmacy.

253 Page 66 As ReportedPassed by the House Health Committee Revised Code.

253 Page 67 As ReportedPassed by the House Health Committee (CC) "Overdose reversal drug" means both of the following:

253 Page 68 As ReportedPassed by the House Health Committee the Revised Code;

253 Page 69 As ReportedPassed by the House Health Committee (1) A prescriber who is employed by a pain management 1941 clinic that is not licensed as a terminal distributor of 1942 dangerous drugs with a pain management clinic classification 1943 issued under section 4729.552 of the Revised Code;

253 Page 70 As ReportedPassed by the House Health Committee (b) Possess for sale, at retail, dangerous drugs;

253 Page 71 As ReportedPassed by the House Health Committee person that is exempt from licensure under section 4729.541 of 1997 the Revised Code may make occasional purchases of dangerous 1998 drugs or investigational drugs or products that are sold in 1999 accordance with division (A)(1) or (3) of this section.

253 Page 72 As ReportedPassed by the House Health Committee may distribute injectable or nasally administered glucagon for 2027 use in accordance with section 3313.7115 of the Revised Code.

253 Page 73 As ReportedPassed by the House Health Committee acceptable scientific methods in the selection of drugs or other 2057 modalities for treatment of disease;

253 Page 74 As ReportedPassed by the House Health Committee abuse, or a report of a condition of an employee other than one 2087 involving the use of a drug of abuse, to the employer of the 2088 employee as described in division (B) of section 2305.33 of the 2089 Revised Code.

253 Page 75 As ReportedPassed by the House Health Committee compensation or other advantage as personal gain or for any 2117 other person, that an incurable disease or injury, or other 2118 incurable condition, can be permanently cured;

253 Page 76 As ReportedPassed by the House Health Committee chapter;

253 Page 77 As ReportedPassed by the House Health Committee (19) Inability to practice according to acceptable and 2175 prevailing standards of care by reason of mental illness or 2176 physical illness, including, but not limited to, physical 2177 deterioration that adversely affects cognitive, motor, or 2178 perceptive skills.

253 Page 78 As ReportedPassed by the House Health Committee receives a license or certificate to practice under this chapter 2206 accepts the privilege of practicing in this state and, by so 2207 doing, shall be deemed to have given consent to submit to a 2208 mental or physical examination when directed to do so in writing 2209 by the board, and to have waived all objections to the 2210 admissibility of testimony or examination reports that 2211 constitute a privileged communication.

253 Page 79 As ReportedPassed by the House Health Committee pursuant to section 3701.341 of the Revised Code;

253 Page 80 As ReportedPassed by the House Health Committee (26) Impairment of ability to practice according to 2265 acceptable and prevailing standards of care because of substance 2266 use disorder or excessive use or abuse of drugs, alcohol, or 2267 other substances that may impair ability to practice.

253 Page 81 As ReportedPassed by the House Health Committee final order may be entered without the taking of testimony or 2295 presentation of evidence.

253 Page 82 As ReportedPassed by the House Health Committee When the impaired practitioner resumes practice, the board 2324 shall require continued monitoring of the individual.

253 Page 83 As ReportedPassed by the House Health Committee nonemergency professional services, or failure to maintain that 2353 notice in the patient's medical record;

253 Page 84 As ReportedPassed by the House Health Committee board's rules for supervision of an anesthesiologist assistant;

253 Page 85 As ReportedPassed by the House Health Committee 2919.202 of the Revised Code;

253 Page 86 As ReportedPassed by the House Health Committee (51) Failure to take the steps specified in section 2438 4731.911 of the Revised Code following an abortion or attempted 2439 abortion in an ambulatory surgical facility or other location 2440 that is not a hospital when a child is born alive;

253 Page 87 As ReportedPassed by the House Health Committee A telephone conference call may be utilized for 2467 ratification of a consent agreement that revokes or suspends an 2468 individual's license or certificate to practice or certificate 2469 to recommend.

253 Page 88 As ReportedPassed by the House Health Committee procedural grounds.

253 Page 89 As ReportedPassed by the House Health Committee investigation in place of the supervising member.

253 Page 90 As ReportedPassed by the House Health Committee board and after reasonable notice to the person being 2558 subpoenaed, the board may move for an order compelling the 2559 production of persons or records pursuant to the Rules of Civil 2560 Procedure.

253 Page 91 As ReportedPassed by the House Health Committee confidential and not subject to discovery in any civil action.

253 Page 92 As ReportedPassed by the House Health Committee ensure confidentiality that may be taken by the court include 2619 sealing its records or deleting specific information from its 2620 records.

253 Page 93 As ReportedPassed by the House Health Committee the complainant's identity.

253 Page 94 As ReportedPassed by the House Health Committee shall be within fifteen days, but not earlier than seven days, 2675 after the individual requests the hearing, unless otherwise 2676 agreed to by both the board and the individual.

253 Page 95 As ReportedPassed by the House Health Committee in accordance with Chapter 119.

253 Page 96 As ReportedPassed by the House Health Committee applicable:

253 Page 97 As ReportedPassed by the House Health Committee (L) When the board refuses to grant or issue a license or 2766 certificate to practice to an applicant, revokes an individual's 2767 license or certificate to practice, refuses to renew an 2768 individual's license or certificate to practice, or refuses to 2769 reinstate an individual's license or certificate to practice, 2770 the board may specify that its action is permanent.

253 Page 98 As ReportedPassed by the House Health Committee this section against the individual.

253 Page 99 As ReportedPassed by the House Health Committee and implementing the quality intervention program, the board may 2825 do all of the following:

253 Page 100 As ReportedPassed by the House Health Committee (Q) A license or certificate to practice or certificate to 2854 recommend issued to an individual under this chapter and an 2855 individual's practice under this chapter in this state are 2856 automatically suspended if the individual's license or 2857 certificate to practice a health care occupation or provide 2858 health care services is suspended, revoked, or surrendered or 2859 relinquished in lieu of discipline by an agency responsible for 2860 authorizing, certifying, or regulating an individual to practice 2861 a health care occupation or provide health care services in this 2862 state or another jurisdiction.

253 Page 101 As ReportedPassed by the House Health Committee siblings, or guardians.

253 Page 102 As ReportedPassed by the House Health Committee (B) Except as provided in division (D) of this section, 2911 the state medical board may require a practitioner that is 2912 subject to a probationary order of the board that involves a 2913 circumstance described in division (C) of this section, to 2914 provide to each patient, or to the patient's guardian or a key 2915 third party, a written disclosure signed by the practitioner 2916 that includes all of the following:

253 Page 103 As ReportedPassed by the House Health Committee fewer than six members of the board establishing any of the 2939 following:

253 Page 104 As ReportedPassed by the House Health Committee or direct communication with the patient.

253 Page 105 As ReportedPassed by the House Health Committee (2) "Impaired" or "impairment" means either or both of the 2995 following:

253 Page 106 As ReportedPassed by the House Health Committee (f) An individual licensed under Chapter 4762.

253 Page 107 As ReportedPassed by the House Health Committee professionals necessary for the organization's operation.

253 Page 108 As ReportedPassed by the House Health Committee received by the monitoring organization was made by an approved 3079 evaluator and the practitioner has already been evaluated;

253 Page 109 As ReportedPassed by the House Health Committee (4) The practitioner or applicant presents an imminent 3107 danger to oneself or the public, as a result of the 3108 practitioner's or applicant's impairment.

253 Page 110 As ReportedPassed by the House Health Committee the total number of practitioners or applicants participating in 3134 the program, without disclosing the names or records of any 3135 program participants other than those about whom reports are 3136 required by this section;

253 Page 111 As ReportedPassed by the House Health Committee section 4723.01 of the Revised Code;

253 Page 112 As ReportedPassed by the House Health Committee under Chapter 4758.

253 Page 113 As ReportedPassed by the House Health Committee (j) The chemical dependency professionals board.

253 Page 114 As ReportedPassed by the House Health Committee applicable state and federal requirements.

253 Page 115 As ReportedPassed by the House Health Committee patient during an annual visit if the appropriate standard of 3272 care for an annual visit is satisfied.

253 Page 116 As ReportedPassed by the House Health Committee associated with the administrative costs incurred in providing 3301 telehealth services as long as a patient is not responsible for 3302 any portion of the fee.

253 Page 117 As ReportedPassed by the House Health Committee therapist, physical therapy, physical therapy services, 3330 physiotherapist, physiotherapy, physiotherapy services, licensed 3331 physical therapist, P.T., Ph.T., P.T.T., R.P.T., L.P.T., M.P.T., 3332 D.P.T., M.S.P.T., P.T.A., physical therapy assistant, physical 3333 therapist assistant, physical therapy technician, licensed 3334 physical therapist assistant, L.P.T.A., R.P.T.A., or any other 3335 letters, words, abbreviations, or insignia, indicating or 3336 implying that the person is a physical therapist or physical 3337 therapist assistant without a valid license under sections 3338 4755.40 to 4755.56 of the Revised Code.

253 Page 118 As ReportedPassed by the House Health Committee (G)(1) Subject to division (G)(2) of this section, nothing 3360 in sections 4755.40 to 4755.56 of the Revised Code shall prevent 3361 or restrict the activities or services of any person who holds a 3362 current, unrestricted license to practice physical therapy in 3363 another state when that person, pursuant to contract or 3364 employment with an athletic team located in the state in which 3365 the person holds the license, provides physical therapy to any 3366 of the following while the team is traveling to or from or 3367 participating in a sporting event in this state:

253 Page 119 As ReportedPassed by the House Health Committee require a nonresident person who holds a license to practice 3388 physical therapy in another state to obtain a license in 3389 accordance with Chapter 4796.

253 Page 120 As ReportedPassed by the House Health Committee (b) On or before December 31, 2004, the person has 3416 completed at least two years of practical experience as a 3417 licensed physical therapist.

253 Page 121 As ReportedPassed by the House Health Committee (2) Administering, monitoring, recording the results of, 3445 and instructing in the use of medical gases, aerosols, and 3446 bronchopulmonary hygiene techniques, including drainage, 3447 aspiration, and sampling, and applying, maintaining, and 3448 instructing in the use of artificial airways, ventilators, and 3449 other life support equipment employed in the treatment of 3450 cardiopulmonary impairment and provided in collaboration with 3451 other licensed health care professionals responsible for 3452 providing care;

253 Page 122 As ReportedPassed by the House Health Committee (H) "Physician assistant" means an individual who holds a 3473 valid license to practice as a physician assistant issued under 3474 Chapter 4730.

253 Page 123 As ReportedPassed by the House Health Committee (B) The board shall adopt, and may rescind or amend, rules 3502 in accordance with Chapter 119.

253 Page 124 As ReportedPassed by the House Health Committee (8) The respiratory care tasks that may be performed by an 3531 individual practicing as a polysomnographic technologist 3532 pursuant to division (B)(3) of section 4761.10 of the Revised 3533 Code;

253 Page 125 As ReportedPassed by the House Health Committee supervising member elected by the board in accordance with 3560 section 4731.02 of the Revised Code and by the secretary as 3561 provided in section 4761.012 of the Revised Code.

253 Page 126 As ReportedPassed by the House Health Committee alleged violation.

253 Page 127 As ReportedPassed by the House Health Committee (a) The facility's policies for the practice of advanced 3621 practice respiratory therapists within the facility;

253 Page 128 As ReportedPassed by the House Health Committee possession.

253 Page 129 As ReportedPassed by the House Health Committee (f) The disposition of the case.

253 Page 130 As ReportedPassed by the House Health Committee (1) One physician who is a member of the state medical 3706 board;

253 Page 131 As ReportedPassed by the House Health Committee board shall make initial appointments to the council.

253 Page 132 As ReportedPassed by the House Health Committee and proposed rules that otherwise pertain to the administration 3763 and enforcement of this chapter;

253 Page 133 As ReportedPassed by the House Health Committee are met:

253 Page 134 As ReportedPassed by the House Health Committee Sec.

253 Page 135 As ReportedPassed by the House Health Committee such a program;

253 Page 136 As ReportedPassed by the House Health Committee applicant's submission of a complete renewal application and 3878 payment of a reinstatement fee of one hundred dollars.

253 Page 137 As ReportedPassed by the House Health Committee continuing education required to renew, reinstate, or restore a 3907 limited permit or license or to reactivate a license placed on 3908 retired status did not pass the reexamination or complete the 3909 requisite continuing education, the board may do either of the 3910 following:

253 Page 138 As ReportedPassed by the House Health Committee (a) An active practitioner;

253 Page 139 As ReportedPassed by the House Health Committee The board shall consider the moral background and the 3964 activities of the applicant during the period of suspension, 3965 inactivity, or retirement.

253 Page 140 As ReportedPassed by the House Health Committee practice respiratory therapist, a biennial renewal fee to be 3992 determined by the board in an amount not to exceed one hundred 3993 twenty-five dollars;

253 Page 141 As ReportedPassed by the House Health Committee (3) A plea of guilty to, a judicial finding of guilt of, 4021 or a judicial finding of eligibility for intervention in lieu of 4022 conviction for, a misdemeanor committed in the course of 4023 practice;

253 Page 142 As ReportedPassed by the House Health Committee facts, is intended or is likely to create false or unjustified 4050 expectations of favorable results, or includes representations 4051 or implications that in reasonable probability will cause an 4052 ordinarily prudent person to misunderstand or be deceived.

253 Page 143 As ReportedPassed by the House Health Committee revocation, or suspension of an individual's license;

253 Page 144 As ReportedPassed by the House Health Committee practice respiratory care for which the person is clearly 4108 untrained or incompetent or practicing in a manner that 4109 conflicts with section 4761.17 or 4761.37 of the Revised Code;

253 Page 145 As ReportedPassed by the House Health Committee (28) Administering drugs for purposes other than those 4136 authorized under this chapter;

253 Page 146 As ReportedPassed by the House Health Committee individual's license or permit.

253 Page 147 As ReportedPassed by the House Health Committee the board is not required to hold a hearing, but may adopt, by 4195 an affirmative vote of not fewer than six of its members, a 4196 final order that contains the board's findings.

253 Page 148 As ReportedPassed by the House Health Committee purpose of division (A)(14) of this section, any individual who 4226 applies for or receives a license or permit to practice under 4227 this chapter accepts the privilege of practicing in this state 4228 and, by so doing, shall be deemed to have given consent to 4229 submit to a mental or physical examination when directed to do 4230 so in writing by the board, and to have waived all objections to 4231 the admissibility of testimony or examination reports that 4232 constitute a privileged communication.

253 Page 149 As ReportedPassed by the House Health Committee Failure to submit to a mental or physical examination 4256 ordered by the board constitutes an admission of the allegations 4257 against the individual unless the failure is due to 4258 circumstances beyond the individual's control, and a default and 4259 final order may be entered without the taking of testimony or 4260 presentation of evidence.

253 Page 150 As ReportedPassed by the House Health Committee The board may reinstate a license or permit suspended 4286 under this division after that demonstration and after the 4287 individual has entered into a written consent agreement.

253 Page 151 As ReportedPassed by the House Health Committee allegations shall be prepared for consideration by the board.

253 Page 152 As ReportedPassed by the House Health Committee section, the commission of the act may be established by a 4345 finding by the board, pursuant to an adjudication under Chapter 4346 119.

253 Page 153 As ReportedPassed by the House Health Committee an opportunity for a hearing shall be given in accordance with 4376 Chapter 119.

253 Page 154 As ReportedPassed by the House Health Committee chapter shall not be effective unless or until accepted by the 4406 board.

253 Page 155 As ReportedPassed by the House Health Committee shall promptly notify the state medical board of any of the 4435 following:

253 Page 156 As ReportedPassed by the House Health Committee employment of a respiratory care professional, advanced practice 4464 respiratory therapist, or individual holding a limited permit 4465 issued under this chapter because of conduct that would be 4466 grounds for disciplinary action under section 4761.09 of the 4467 Revised Code shall, not later than thirty days after the 4468 discipline or termination, report the action to the state 4469 medical board.

253 Page 157 As ReportedPassed by the House Health Committee sexual misconduct the information upon which the belief is based 4495 shall be reported to the board within thirty days.

253 Page 158 As ReportedPassed by the House Health Committee has entered into a standard care arrangement with a physician;

253 Page 159 As ReportedPassed by the House Health Committee a certified nurse practitioner, certified nurse midwife, or 4552 clinical nurse specialist or under the supervision of such a 4553 nurse, the person's administration of medication that requires a 4554 prescription is limited to the drugs that the nurse is 4555 authorized to prescribe pursuant to section 4723.481 of the 4556 Revised Code.

253 Page 160 As ReportedPassed by the House Health Committee which such person has a legal residence an affidavit in the form 4582 prescribed in section 5122.11 of the Revised Code and signed by 4583 the board secretary or a member of the secretary's staff, 4584 whereupon the same proceedings shall be had as provided in 4585 Chapter 5122.

253 Page 161 As ReportedPassed by the House Health Committee person's official duties, and if the request is made in writing 4613 at a reasonable time before trial and the person requesting 4614 defense cooperates in good faith in the defense of the claim or 4615 action, the state shall provide and pay for the person's defense 4616 and shall pay any resulting judgment, compromise, or settlement.

253 Page 162 As ReportedPassed by the House Health Committee and nonpharmacologic interventions, health promotion, and 4642 disease prevention;

253 Page 163 As ReportedPassed by the House Health Committee advanced practice respiratory therapist.

253 Page 164 As ReportedPassed by the House Health Committee (2) The applicant must comply with the renewal eligibility 4700 requirements established under section 4761.49 of the Revised 4701 Code that pertain to the applicant.

253 Page 165 As ReportedPassed by the House Health Committee expiration date.

253 Page 166 As ReportedPassed by the House Health Committee the board, in its discretion, decides that the results of the 4759 criminal records check do not make the applicant ineligible for 4760 a license issued pursuant to section 4761.32 of the Revised 4761 Code.

253 Page 167 As ReportedPassed by the House Health Committee in accordance with section 4731.24 of the Revised Code.

253 Page 168 As ReportedPassed by the House Health Committee anesthesia.

253 Page 169 As ReportedPassed by the House Health Committee event, the person or the event's organizer shall notify the 4845 board of the person's intent to practice as an advanced practice 4846 respiratory therapist at the event.

253 Page 170 As ReportedPassed by the House Health Committee individual out to be an advanced practice respiratory therapist;

253 Page 171 As ReportedPassed by the House Health Committee instrumentality of the federal government.

253 Page 172 As ReportedPassed by the House Health Committee hospital-based facilities to be included as health care 4931 facilities that are in addition to hospitals as specified in 4932 division (K)(1) of section 4761.01 of the Revised Code.

253 Page 173 As ReportedPassed by the House Health Committee (2) Any limitations on the responsibilities to be 4961 fulfilled by the advanced practice respiratory therapist;

253 Page 174 As ReportedPassed by the House Health Committee (c) That a physician or an advanced practice respiratory 4990 therapist failed to comply with division (A) or (B) of this 4991 section.

253 Page 175 As ReportedPassed by the House Health Committee (2) Prescribing physical therapy or referring a patient to 5019 a physical therapist for physical therapy;

253 Page 176 As ReportedPassed by the House Health Committee or the drug administered.

253 Page 177 As ReportedPassed by the House Health Committee supervision, control, and direction of the advanced practice 5076 respiratory therapist.

253 Page 178 As ReportedPassed by the House Health Committee respiratory therapist to perform any service that is beyond the 5105 physician's or the advanced practice respiratory therapist's 5106 normal course of practice and expertise.

253 Page 179 As ReportedPassed by the House Health Committee (2) In establishing the quality assurance system, the 5135 supervising physician shall describe a process to be used for 5136 all of the following:

253 Page 180 As ReportedPassed by the House Health Committee services provided by the advanced practice respiratory therapist 5163 after their supervision agreement expires or is terminated.

253 Page 181 As ReportedPassed by the House Health Committee holder to be granted physician-delegated prescriptive authority 5193 and to exercise that authority as provided in division (A)(4) of 5194 section 4761.39 and section 4761.45 of the Revised Code.

253 Page 182 As ReportedPassed by the House Health Committee (1) Prescribe a controlled substance;

253 Page 183 As ReportedPassed by the House Health Committee chooses not to permit the advanced practice respiratory 5250 therapist to prescribe;

253 Page 184 As ReportedPassed by the House Health Committee The board shall adopt rules, in accordance with Chapter 119.

253 Page 185 As ReportedPassed by the House Health Committee restricts the practice, services, or activities of any 5308 registered nurse practicing within the scope of the registered 5309 nurse's practice.

253 Page 186 As ReportedPassed by the House Health Committee health care practitioner may pursue full reimbursement under the 5337 terms and conditions of the primary coverage and, if applicable, 5338 the charge allowed under the terms and conditions of the 5339 appropriate provider contract, from the primary insurer, but the 5340 medicare beneficiary cannot be balance billed above the medicare 5341 reimbursement rate for a medicare-covered service or supply.

253 Page 187 As ReportedPassed by the House Health Committee (9) A psychologist licensed under Chapter 4732.

253 Page 188 As ReportedPassed by the House Health Committee Sec.

253 Page 189 As ReportedPassed by the House Health Committee (d) A pharmacist who holds a valid license issued under 5419 Chapter 4729.

253 Page 190 As ReportedPassed by the House Health Committee (2) At the time the family member both authorizes the 5447 unlicensed in-home care worker to perform health care tasks and 5448 supervises the care provided to the individual, the family 5449 member is not acting as a paid provider for the individual.

253 Page 191 As ReportedPassed by the House Health Committee (3) Provide the unlicensed in-home care worker with 5475 appropriate training and written instructions in accordance with 5476 the instructions obtained from the health care professional;

253 Page 192 As ReportedPassed by the House Health Committee evaluate the authority granted by a family member under this 5504 section to an unlicensed in-home care worker at any time it 5505 considers necessary and shall evaluate the authority on receipt 5506 of a complaint.

253 Page 193 As ReportedPassed by the House Health Committee In accordance with section 5162.021 of the Revised Code, 5533 the medicaid director shall adopt rules authorizing the 5534 directors of other state agencies to adopt rules regarding the 5535 medicaid coverage of telehealth services under programs 5536 administered by the other state agencies.

253 Page 194 As ReportedPassed by the House Health Committee (g) A supervised practitioner or supervised trainee;

253 Page 195 As ReportedPassed by the House Health Committee (s) A practitioner who provides services through a 5588 medicaid school program;

253 Page 196 As ReportedPassed by the House Health Committee (h) Subject to section 5119.368 of the Revised Code, a 5615 community mental health services provider or community addiction 5616 services provider that offers services and supports certified 5617 under section 5119.36 of the Revised Code;

253 Page 197 As ReportedPassed by the House Health Committee agency, stating that the licensee requires an extension of the 5644 current reporting period because the licensee has served on 5645 active duty during the current or a prior reporting period.

253 Page 198 As ReportedPassed by the House Health Committee Section 3715.872 of the Revised Code as amended by both 5674 S.B.