June 2018 Legislative Update 2018 Public Policy Issue

June 2018 Legislative Update

2018 Public Policy Issue Nursing Dashboard Federal Issues Nurse Staffing Ratio Legislation HR 5052 (February 15, 2018) ST Expected Date Completion M 4 -12 m Ohio Issues SB 259 PA Regulation June -Bill amended ST Expected Date Completion A ` 12 m HB 111 APRN Mental Health Passed House & Senate A 12 m HB 456 – Mandatory Nursing Overtime amendments submitted Passed in June – Moves on to Senate A 4 -12 m HB 464 Stroke Legislation & Time Critical Diagnosis Passed in June - Moves on to Senate A 4 -12 m Maternity Licensure Rule Implementation A OCT HB 535 Opioid Data & Communication Expansion Act Passed June – Moves on to Senate A 6 -12 m SB 55 Nurse-Patient Ratio M June : Ryan Smith voted in as New Ohio House Speaker. ST = Status Yellow = Active; Green = Completed ; Orange = Monitoring/Analyze/Prep

State Legislation HB 456 Nursing Overtime • 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 https: //www. legislature. ohio. gov/legislation-summary? id=GA 132 -HB-456 SB 55 • Concept of nurse to patient ratio • Sponsored by Senator Michael Skindell (D) 2/14/17 • OHA does not support • Not anticipated to receive traction https: //www. legislature. ohio. gov/legislation-summary? id=GA 132 -SB-55 Advocacy Update NEOONE Education Symposium 3 June 30, 2017

Health. Care. Dive 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 (nursedriven 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

OHA Advocacy Update Board of Nursing Issue: “whether under Section 4723. 43, 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