House Bill 224, introduced in the Ohio Legislature on April 7, 2025, aims to strengthen regulations surrounding nursing licensure and practice in the state. The bill outlines strict prohibitions against employing individuals who are not licensed as advanced practice registered nurses or licensed practical nurses, thereby addressing concerns about unqualified personnel in the healthcare sector.

Key provisions of the bill include penalties for knowingly employing unlicensed individuals in nursing roles and for fraudulent activities related to nursing diplomas and licenses. Specifically, it prohibits the use of titles such as "certified nurse-midwife" or "certified midwife" by individuals who do not hold valid licenses, reinforcing the importance of proper certification in nursing practices.

The Ohio Board of Nursing is tasked with administering and enforcing these provisions, which includes developing eligibility criteria for licensure examinations and taking disciplinary actions against violators. This move is seen as a response to ongoing issues of nursing shortages and the need for qualified professionals in the healthcare system.

Debate surrounding House Bill 224 has highlighted concerns about the potential impact on healthcare accessibility, particularly in rural areas where nursing shortages are acute. Some lawmakers argue that while the bill aims to protect patients, it could inadvertently limit the availability of nursing services if strict enforcement leads to fewer practitioners entering the field.

Experts in healthcare policy suggest that the bill's implications could be significant, potentially improving patient safety and care quality by ensuring that only licensed professionals provide nursing services. However, they caution that the legislation must be balanced with measures to support nursing education and workforce development to avoid exacerbating existing shortages.

As House Bill 224 moves through the legislative process, its outcomes will be closely monitored, particularly regarding its effects on nursing practice and healthcare delivery in Ohio. The bill represents a critical step in addressing the complexities of nursing licensure and the ongoing challenges faced by the healthcare system.