The bill aims to establish regulations for prescribed pediatric extended care centers in Ohio by introducing new sections within the Revised Code. It defines essential terms such as "medically dependent or technologically dependent child" and "prescribed pediatric extended care center," and sets forth licensing requirements for these facilities. To operate, centers must have a valid child care center license, employ a qualified medical director, and adhere to specific staffing ratios. The bill mandates that these centers provide a range of nonresidential services, including medical, nursing, and developmental education, while ensuring compliance with health and safety standards.

Furthermore, the bill outlines the responsibilities of the Department of Health in regulating these centers, including the authority to issue, renew, or revoke licenses based on compliance with established rules. It specifies requirements for maintaining child-to-staff ratios, utilizing electronic medical records, and conducting audits, while also imposing penalties for violations of licensing provisions. Additionally, the bill requires the Medicaid director to seek 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. To qualify for Medicaid payments, centers must hold a valid license and a Medicaid provider agreement, and the Department of Medicaid is tasked with establishing pediatric-specific processes for level of care determinations within ninety days of the bill's effective date.