House Bill 224, introduced in the Ohio Legislature on April 7, 2025, aims to expand the prescribing authority of advanced practice registered nurses (APRNs) in the state. The bill specifically allows clinical nurse specialists, certified nurse-midwives, and certified nurse practitioners to prescribe controlled substances, including medications used in medication-assisted treatment for substance use disorders.

Key provisions of the bill include the establishment of an exclusionary formulary by the Ohio Board of Nursing. This formulary will permit the prescribing of certain controlled substances, such as buprenorphine and opioid antagonists, while explicitly prohibiting the prescribing of drugs or devices for abortion and any substances banned by federal or state law.

The introduction of House Bill 224 has sparked notable discussions among lawmakers and healthcare professionals. Proponents argue that expanding APRNs' prescribing capabilities is essential for addressing the ongoing opioid crisis and improving access to treatment for patients with substance use disorders. They emphasize that APRNs are highly trained and can effectively manage patient care, particularly in underserved areas.

Opponents, however, express concerns regarding the potential for misuse of prescribed substances and the adequacy of training for APRNs in pharmacology. Some critics argue that the bill may lead to over-prescription and complicate efforts to combat addiction.

The implications of House Bill 224 are significant, as it seeks to enhance healthcare delivery in Ohio while navigating the complexities of substance use treatment. Experts suggest that if passed, the bill could lead to improved patient outcomes and a reduction in barriers to accessing necessary medications. However, the ongoing debates surrounding the bill highlight the need for careful consideration of the balance between expanding healthcare access and ensuring patient safety.

As the legislative process continues, stakeholders will be closely monitoring amendments and discussions related to House Bill 224, which could shape the future of nursing practice and substance use treatment in Ohio.