The bill proposes the establishment and regulation of prescribed pediatric extended care centers in Ohio, introducing new definitions and licensing requirements for these facilities. Key terms such as "medically dependent or technologically dependent child" and "prescribed pediatric extended care center" are defined, and entities wishing to operate these centers must obtain a license from the director of health. This licensing process includes criteria such as holding a valid child care center license, employing qualified medical personnel, and paying an application fee. The director of health is also tasked with developing rules to ensure that the centers meet necessary operational standards, including staffing ratios, service delivery, and record-keeping.

Furthermore, the bill outlines the services that these centers may provide, including medical, nursing, and developmental education services tailored to individual children's needs. It establishes requirements for child-to-staff ratios, mandates the presence of a nurse manager during operational hours, and emphasizes the use of electronic medical records. The legislation also details the enrollment process for children, the responsibilities of the medical director, and potential penalties for non-compliance. Additionally, it requires the Medicaid director to seek approval for including services from these centers in the early and periodic screening, diagnostic, and treatment program, while establishing eligibility requirements for Medicaid payments and pediatric-specific processes for level of care determinations.