House Bill 224, introduced in the Ohio Legislature on April 7, 2025, aims to enhance the oversight and accountability of licensed health care professionals, including nurses and midwives, by establishing clearer protocols for investigations into their conduct. The bill seeks to address concerns regarding unauthorized practice in the health care field and the protection of patient confidentiality during such investigations.

Key provisions of the bill allow the relevant board to disclose information to law enforcement and government entities when investigating licensed professionals or individuals suspected of unauthorized practice. However, it emphasizes the importance of maintaining patient confidentiality, stipulating that any review of patient records must be conducted with care to protect sensitive information. The bill also classifies board investigations and adjudications as civil actions, which could have implications for how these cases are handled in the legal system.

Notably, the bill has sparked debates regarding the balance between transparency in health care and the privacy rights of patients and professionals. Critics express concerns that the disclosure of information could lead to breaches of confidentiality, while supporters argue that it is essential for ensuring public safety and accountability within the health care system.

The implications of House Bill 224 extend beyond legal frameworks; they touch on social trust in health care providers and the potential economic impact on the health care workforce. If passed, the bill could lead to increased scrutiny of health care practices, potentially affecting the availability of services and the dynamics of health care employment in Ohio.

As the legislative process unfolds, stakeholders from various sectors, including health care professionals, legal experts, and patient advocacy groups, are expected to weigh in on the bill's provisions and their potential consequences. The next steps will involve further discussions and possible amendments as the bill moves through the legislative process.