House Bill 224, introduced in the Ohio Legislature on April 7, 2025, aims to enhance the safety and regulation of midwifery practices in the state. The bill outlines specific protocols for licensed midwives when transferring patients to hospitals or other medical facilities during childbirth, addressing critical issues related to maternal and neonatal health.

Key provisions of the bill include requirements for midwives to provide legible copies of relevant prenatal and labor medical records, transfer clinical responsibility to the receiving provider, and comply with additional rules established by the Ohio Department of Health. Notably, the bill allows licensed midwives to remain at the hospital to offer continuous support, provided they have been granted clinical privileges by the facility.

A significant aspect of House Bill 224 is its definition of "adverse incidents," which includes serious complications such as maternal death, severe hemorrhagic events, and neonatal transfers to intensive care. This definition aims to establish clear accountability and improve response protocols in cases where complications arise during home or alternative birthing settings.

The introduction of this bill has sparked discussions among healthcare professionals, midwives, and advocacy groups. Supporters argue that the legislation is a necessary step toward ensuring safer birthing practices and protecting both mothers and infants. However, some midwives express concerns about the potential for increased regulation to limit their practice and autonomy.

The implications of House Bill 224 extend beyond immediate healthcare concerns. By establishing clearer guidelines and accountability measures, the bill could influence the broader conversation about midwifery and maternal health in Ohio, potentially leading to improved outcomes for families. As the bill progresses through the legislative process, stakeholders will be closely monitoring its impact on midwifery practices and maternal care in the state.