The bill proposes the enactment of several new sections in the Ohio Revised Code that establish regulations for prescribed pediatric extended care centers. Key definitions are introduced, including terms such as "medically dependent or technologically dependent child" and "prescribed pediatric extended care center." The bill mandates that no entity can operate such a center without a license, which requires applicants to meet specific criteria, including holding a valid child care center license and employing qualified medical staff. The licensing process is overseen by the director of health, who will also establish rules for the operation and regulation of these centers, including standards for staffing, services provided, and record-keeping.

Additionally, the bill outlines the services that prescribed pediatric extended care centers may offer, such as medical, nursing, and developmental education services, while ensuring that care is provided in a safe and supportive environment. It also stipulates the necessary child-to-staff ratios and the requirement for a nurse manager to be present during operational hours. The bill includes provisions for the enforcement of these regulations, allowing the department of health to impose penalties for violations and requiring centers to maintain compliance with established standards. Furthermore, it seeks to ensure that Medicaid covers services provided by these centers, thereby enhancing access to necessary care for medically dependent children.