The Better Access to Health Care Act seeks to enhance the practice of advanced practice registered nurses (APRNs) in Ohio by amending various sections of the Revised Code. Key provisions include the establishment of section 4723.439, which outlines the responsibilities of APRNs, particularly in maternity care, and mandates health insurance policies to cover a minimum of 48 hours of inpatient care following a normal vaginal delivery and 96 hours after a cesarean delivery. The bill also introduces changes to legal immunity for APRNs, ensuring they are protected under the same immunity as physicians when practicing under a standard care arrangement. Additionally, it repeals sections 4723.45 and 5164.73, which previously governed aspects of APRN practice.

The legislation further clarifies the roles of APRNs, including certified nurse-midwives and clinical nurse specialists, and establishes guidelines for standard care arrangements, allowing APRNs to practice without such arrangements after meeting specific experience requirements. It mandates that follow-up care for mothers and newborns be provided within 72 hours of discharge and emphasizes collaboration in decision-making regarding discharge and care. The bill also addresses reimbursement policies for certified nurse-midwives, ensuring they are not denied reimbursement for services performed, and introduces new definitions and clarifications regarding nursing professionals. Overall, the bill aims to improve access to healthcare by empowering APRNs and ensuring comprehensive maternity care coverage.

Statutes affected:
As Introduced: 1751.67, 2133.211, 3313.539, 3707.511, 3727.06, 3923.233, 3923.301, 3923.63, 3923.64, 4723.01, 4723.02, 4723.06, 4723.07, 4723.24, 4723.28, 4723.36, 4723.41, 4723.42, 4723.43, 4723.431, 4723.44, 4723.46, 4723.481, 4723.482, 4723.483, 4723.493, 4723.50, 4731.27, 4761.17, 5164.07, 4723.45, 5164.73