On April 7, 2025, the Ohio Legislature introduced House Bill 224, a significant piece of legislation aimed at expanding the prescribing authority of advanced practice registered nurses (APRNs) and certified nurse-midwives. The bill seeks to address public health concerns related to sexually transmitted infections (STIs) by allowing these healthcare professionals to prescribe medications for the treatment of chlamydia, gonorrhea, and trichomoniasis without requiring a prior examination of the patient’s sexual partner.

Key provisions of House Bill 224 include the stipulation that APRNs and certified nurse-midwives can issue prescriptions if the patient has been diagnosed with one of the specified STIs and the individual receiving the prescription is a sexual partner of the patient. This approach is designed to facilitate quicker treatment and reduce the spread of infections, particularly in cases where immediate medical attention may not be feasible.

The bill has sparked notable discussions among lawmakers and healthcare professionals. Proponents argue that it enhances access to necessary treatments and aligns with public health initiatives aimed at controlling STIs. They emphasize the importance of timely intervention to prevent further transmission of infections. However, some opposition has emerged, primarily concerning the potential risks of prescribing medications without a direct examination. Critics express concerns about the adequacy of patient assessments and the implications for patient safety.

In addition to its health implications, House Bill 224 carries economic significance. By potentially reducing the incidence of STIs, the bill could alleviate the financial burden on healthcare systems associated with treating advanced cases of these infections. Furthermore, it may lead to increased utilization of nursing services, thereby impacting the overall healthcare workforce dynamics in Ohio.

As the bill progresses through the legislative process, it is expected to undergo further scrutiny and possible amendments. Stakeholders, including healthcare providers and public health advocates, are closely monitoring developments, as the outcomes of this legislation could set a precedent for similar measures in other states. The Ohio Legislature's decision on House Bill 224 will likely influence the future landscape of nursing practice and public health policy in Ohio.