On April 7, 2025, the Ohio Legislature introduced House Bill 224, a significant piece of legislation aimed at expanding the scope of practice for certified nurse-midwives (CNMs) in the state. This bill seeks to enhance women's healthcare by allowing CNMs to provide a broader range of services, including preventive care and primary care for women during various stages of pregnancy and gynecological health.

The key provisions of House Bill 224 outline that certified nurse-midwives, in collaboration with physicians, can manage antepartum, intrapartum, postpartum, and gynecological care. This includes the ability to prescribe medications and therapeutic devices, which aligns with the standards set by the American College of Nurse-Midwives. However, the bill maintains strict limitations on certain procedures, such as delivering breech or face presentations, which are only permitted in emergencies.

The introduction of this bill has sparked notable discussions among healthcare professionals and lawmakers. Supporters argue that expanding the role of CNMs will improve access to essential healthcare services for women, particularly in underserved areas where physician availability may be limited. They emphasize that CNMs are highly trained professionals capable of providing quality care, which could lead to better health outcomes for mothers and infants alike.

Opposition to the bill has emerged from some medical associations concerned about the potential risks associated with allowing CNMs to perform certain procedures. Critics argue that the complexities of childbirth require the expertise of obstetricians, and they fear that expanding CNMs' responsibilities could compromise patient safety.

The implications of House Bill 224 extend beyond immediate healthcare access. If passed, the bill could reshape the landscape of maternal and women's health services in Ohio, potentially reducing healthcare costs and improving outcomes for families. Experts suggest that empowering nurse-midwives could alleviate some of the burdens on the healthcare system, particularly in rural areas where medical resources are scarce.

As the legislative process unfolds, the future of House Bill 224 remains uncertain. Lawmakers will need to weigh the benefits of increased access to care against the concerns raised by medical professionals. The outcome of this bill could significantly impact how women receive healthcare in Ohio, making it a critical issue for residents and healthcare advocates alike.