House Bill 224, introduced in the Ohio Legislature on April 7, 2025, aims to expand the scope of practice for certified midwives in the state. The bill seeks to enhance women's health care services by allowing certified midwives to provide a broader range of medical services, including gynecologic care, family planning, and comprehensive maternity care.

Key provisions of the bill include the authorization for certified midwives to attend births in various settings, such as hospitals, homes, and freestanding birthing centers. Additionally, the bill permits these professionals to conduct physical examinations, order and interpret diagnostic tests, and administer medications under the supervision of licensed physicians. To qualify, applicants must maintain certification in neonatal and adult cardiopulmonary resuscitation and meet continuing education requirements set by the American Midwifery Certification Board.

The introduction of House Bill 224 has sparked notable discussions among lawmakers and health care professionals. Proponents argue that the bill addresses a critical need for accessible women's health care, particularly in underserved areas where physician availability may be limited. They emphasize that empowering midwives can lead to improved maternal and infant health outcomes.

However, the bill has faced opposition from some medical associations concerned about patient safety and the adequacy of training for midwives in handling complex medical situations. Critics argue that while midwives play a vital role in maternity care, expanding their scope without sufficient oversight could pose risks to patients.

The implications of House Bill 224 extend beyond immediate health care access. If passed, the bill could reshape the landscape of maternal health services in Ohio, potentially reducing the burden on hospitals and increasing options for women seeking care. Experts suggest that successful implementation could serve as a model for other states considering similar legislative changes.

As the bill progresses through the legislative process, stakeholders are closely monitoring debates and potential amendments that may arise. The outcome of House Bill 224 could significantly influence the future of midwifery practice and women's health care in Ohio.