The bill introduces new regulations for prescribed pediatric extended care centers in Ohio, establishing key definitions such as "medically dependent or technologically dependent child" and "prescribed pediatric extended care center." It mandates that no entity can operate such a center without a valid license, which requires meeting specific criteria, including holding a child care center license and employing qualified medical personnel. The licensing process involves submitting an application to the director of health, who will review eligibility based on established requirements. The bill also outlines operational standards, including staff-to-child ratios, the maintenance of electronic medical records, and the presence of a nurse manager during operational hours.

Furthermore, the bill tasks the Medicaid director with seeking approval from the United States Centers for Medicare and Medicaid Services to include services from these centers in the early and periodic screening, diagnostic, and treatment program for eligible children. To qualify for Medicaid payments, centers must have a valid license and a Medicaid provider agreement. Additionally, the bill requires the Department of Medicaid to establish pediatric-specific processes for level of care determinations within ninety days of the bill's effective date, ensuring that the needs of pediatric patients are adequately addressed in Ohio's healthcare system.