1. June 2018 Legislative Update

2. 2018 Public Policy Issue Nursing Dashboard
Federal Issues ST
Expected Date
Completion
Ohio Issues
Expected
Date
Nurse Staffing Ratio Legislation HR 5052 (February 15, 2018) M
4-12m
SB259 PA Regulation
June -Bill amended A `
12m
HB111 APRN Mental Health
Passed House & Senate
HB456 – Mandatory Nursing Overtime amendments submitted
Passed in June – Moves on to Senate
HB464Stroke Legislation & Time Critical Diagnosis
Passed in June - Moves on to Senate
Maternity Licensure Rule Implementation
OCT
HB535 Opioid Data & Communication Expansion Act
Passed June – Moves on to Senate
6-12m
SB55 Nurse-Patient Ratio
June : Ryan Smith voted in as New Ohio House Speaker.
ST = Status Yellow = Active; Green = Completed ; Orange = Monitoring/Analyze/Prep

3. State Legislation HB456 Nursing Overtime SB55
To prohibit a hospital from requiring a registered nurse or licensed practical nurse to work overtime as a condition of continued employment
Sponsored by Rep Robert Sprague (R) 12/28/17
OHA, OONE, OCHA jointly summitted letter Feb 2018
June – House Vote 74 – 10
Bill will move to the Senate - 6/11/18
SB55
Concept of nurse to patient ratio
Sponsored by Senator Michael Skindell (D) 2/14/17
OHA does not support
Not anticipated to receive traction
Advocacy Update NEOONE Education Symposium
June 30, 2017

4. HealthCareDive Report
Pennsylvania
States with Staffing Laws
14 states currently addressed nurse staffing in hospitals in law / regulations: CA, CT, IL, MA, MN, NV, NJ, NY, OH, OR, RI, TX, VT, and WA.
CA is the only state that stipulates in law and regulations a required minimum nurse to patient ratios to be maintained at all times by unit. MA passed a law specific to ICU requiring a 1:1 or 1:2 nurse to patient ratio depending on stability of the patient.
7 states require hospitals to have staffing committees responsible for plans (nurse-driven ratios) and staffing policy – CT, IL, NV, OH, OR, TX, WA.
5 states require some form of disclosure and or public reporting – IL, NJ, NY, RI, VT

5. OHA Advocacy Update Board of Nursing
Issue: “whether under Section , ORC a CNP not nationally certified in acute care may engage in acute care practice, based on clinical experience obtained post-graduate through the course of employment/workplace training”.
OHA commented on April 19, 2017 to inform the AG’s analysis
OHA submits that Ohio law permits CNPs who have acquired post-graduate clinical experience to engage in acute care practice
Ohio Board of Nursing’s APRN Advisory Committee formed
Make recommendations to the BON:
Continue the APRN Consensus Model
Asking to provide clarity - How is acute care defined?
FNPs do have a role in the hospital
Requesting to add a FNP to the committee
Next APRN Advisory meeting - Oct 1, 2018