Ohio

Ohio credentials three types of addiction counselors. A Licensed Chemical Dependency Counselor (LCDC) II must have an associate degree in any behavioral health/nursing field or any bachelor’s degree. A LCDC III must have a minimum of a bachelor’s degree in behavioral science or nursing. Both a LCDC II and and LCDC III require 180 hours of chemical dependency education. A Licensed Independent Chemical Dependency Counselor must have a master’s level degree in a behavioral science field. Regardless of educational level, individuals need 2,000 hours of experience or a supervised internship. Ohio Rev. Code Ann. §4758 and Ohio Chemical Dependency Professionals Board

Professional counselors provide services to individuals, groups, organizations or the general public involving the application of clinical counseling principles, methods or procedures to assist individuals in achieving more effective personal, social, educational or career development and adjustment, including the diagnosis and treatment of mental and emotional disorders. Ohio Rev. Code Ann. §4757.01

As of August 2018, 365 NPs in Ohio have received a federal waiver to treat opioid dependency with buprenorphine-containing products. Consistent with their prescriptive authority and with proper training or appropriate experience NPs can receive a federal waiver to dispense buprenorphine-containing products, as long as the collaborating or supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Ohio Rev. Code Ann. §4723.481

As of August 2018, 52 PAs in Ohio have received a federal waiver to treat opioid dependency with buprenorphine-containing products. An Ohio PA may prescribe Schedules II-V controlled substances as delegated by a supervising physician. Ohio PAs with proper training or appropriate experience can receive a federal waiver to dispense buprenorphine-containing products, as long as the collaborating or supervising physician is certified, trained, or permitted to treat and manage patients with opioid use disorder. Ohio Rev. Code §4730.40

The certification requirements for peer recovery supporters are established by the state’s Department of Mental Health. The comprehensive certification standards include minimum qualifications, training, continuing education and employment requirements. Ohio Admin. Code §5122-29-15.1

Physician relationship required.

A nurse authorized to practice as a certified nurse midwife, in collaboration with one or more physicians, may provide the management of preventive services and those primary care services necessary to provide health care to women antepartally, intrapartally, postpartally, and gynecologically, consistent with the nurse’s education and certification, and in accordance with rules adopted by the board of nursing. No certified nurse midwife may perform version, deliver breech or face presentation, use forceps, do any obstetric operation, or treat any other abnormal condition, except in emergencies.

A CNM may, in collaboration with one or more physicians, prescribe drugs and therapeutic devices. Ohio Rev. Code Ann. §4723.43(A)

Physician relationship required.

An NP is authorized to practice in collaboration with one or more physicians and may provide preventive and primary care services, services for acute illnesses, and evaluate and promote patient wellness within the nurse’s nursing specialty, consistent with the nurse’s education and certification, and in accordance with rules adopted by the Board of Nursing. Ohio Rev. Code Ann. §4723.43(C)

An NP may prescribe drugs and Schedule III-V controlled substances in collaboration with a physician. An NP may prescribe Schedule II controlled substances if the patient has a terminal condition, the supervising physician initially prescribed the substance and if the prescription is for an amount that does not exceed the amount necessary for the patient’s use in a single 24-hour period. Ohio Rev. Code Ann. §4723.481

Ohio does not have laws or regulations around POLST. NPs are authorized to sign do-not-resuscitate orders under the supervision of a physician. Ohio Rev. Code Ann. tit. 21 §2133.211

NPs are recognized in state policy as primary care providers. An NP may provide preventive and primary care services, provide services for acute illnesses, and evaluate and promote patient wellness within the nurse’s nursing specialty, consistent with the nurse’s education and certification, and in accordance with rules adopted by the State Board of Nursing. Ohio Revised Code §4723.43(C)

Optometrists may only perform procedures related to foreign body removal and the examination, evaluation, diagnosis and treatment of the human eye. Ohio Rev. Code Ann. §4725.01

Optometrists may use epinephrine administered by injection to individuals in emergency situations to counteract anaphylaxis or anaphylactic shock. Ohio Rev. Code Ann. §4725.01(C)(2)

Optometrists may prescribe Schedule III-V controlled substances and also Schedule II hydrocodone or hydrocodone combination medications. Ohio Rev. Code Ann. §4725.091

A dental hygienist may obtain an oral health access supervision permit and provide services through a written agreement with a dentist in a public health setting. The written agreement must state that the dentist has evaluated the dental hygienists skills and reviewed the patient’s health history. The dentist does not need to be present for care to be provided. Educational and experience requirements must be met. Ohio Rev. Code Ann. §4730.19.

Statute does not identify dental therapists as an oral health provider.

Ohio allows for teledentistry services delivered through live video. Ohio Rev. Code §4715.43

Ohio has not enacted legislation allowing pharmacists to administer the COVID-19 vaccine. However, the federal PREP Act does allow pharmacists to administer the COVID-19 vaccine through the duration of the public health emergency.

Ohio does not allow pharmacists to modify prescriptions.

Ohio does not allow pharmacists to prescribe hormonal contraceptives.

A pharmacist may dispense nicotine replacement therapy to individuals who are at least 18 years old and seeking to quit using tobacco-containing products. The pharmacist must complete a course on nicotine replacement therapy that is taught by a provider that is accredited by the accreditation council for pharmacy education. Ohio Rev. Code Ann. §4729.284

A supervision agreement is required between the physician and the PA and appropriate supervision is determined between the physician and the PA. The agreement must be furnished to the State Medical Board. Ohio Rev. Code §4730.19

May prescribe drugs and Schedules III-V controlled substances if delegated by the supervising physician. Schedule II requires a variety of conditions to be met in order to prescribe. Ohio Rev. Code §4730.39

Medical services performed by the PA are delegated by the supervising physician and must be part of the physician’s normal course of practice and expertise. Ohio Rev. Code §4730.20