HB 52: Revise the practice of certified registered nurse anesthetists - Ohio

As Passed by the Senate → As Enrolled · 7 edits · Mar 10, 2026

MODERATE

This bill updates Ohio's nursing laws to clarify the roles and scope of practice for advanced practice nurses, including Certified Registered Nurse Anesthetists (CRNAs), Nurse Practitioners, and Clinical Nurse Specialists. It adds new definitions for various nursing roles and establishes specific requirements for collaboration with physicians or podiatrists, particularly for CRNAs performing anesthesia. The changes also update the definition of 'prescriber' to include these advanced practice nurses under certain conditions and refine regulations regarding pharmacy practice and respiratory care.

Scope change

The bill expands and clarifies the legal scope of practice for advanced practice registered nurses, specifically adding explicit authority for CRNAs to collaborate with podiatrists and dentists, and updating who is legally defined as a 'prescriber' in the Revised Code.

DEFINITION

Added new definitions for 'Advanced practice registered nurse', 'Practice of nursing as an advanced practice registered nurse', 'Dialysis care', 'Dialysis technician', 'Dialysis technician intern', 'Certified community health worker', 'Medication aide', 'Nursing specialty', 'Physician assistant', 'Podiatrist', 'Dentist', and 'Outsourcing facility'.

ELIGIBILITY

Modified the definition of 'Licensed practical nurse' to explicitly limit their scope to the direction of a registered nurse or specific licensed professionals (physicians, physician assistants, dentists, podiatrists, optometrists, or chiropractors).

Modified the definition of 'Licensed health professional authorized to prescribe drugs' to explicitly include CRNAs, but only to the extent of their authority under specific sections of the nursing code.

REQUIREMENT

Added new requirements for CRNAs to perform patient care activities only upon a verbal or written request from a collaborating dentist, physician, or podiatrist, and defined 'health care facility' for this purpose.

Modified the definition of 'Collaboration' to specify that CRNAs must have a dentist, physician, or podiatrist actively engaged in practice available to communicate with them, with specific limitations on anesthesia administration in podiatrist offices.

Added new sections requiring health care facilities to notify patients verbally and in writing that a CRNA, physician, podiatrist, or dentist will administer anesthesia.

Added new requirements for respiratory care practitioners to practice only pursuant to orders from specific advanced practice nurses who have entered into standard care arrangements with physicians.

As Passed by the House → As Passed by the Senate · 6 edits · Feb 18, 2026

MODERATE

The Senate version of the bill reorganized the formatting and added a list of Senate cosponsors. Substantively, it updated the legal definitions of nursing roles to include new categories like 'dialysis technician' and 'community health worker,' and significantly expanded the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) by allowing them to perform more clinical support functions under the supervision of dentists, in addition to physicians and podiatrists.

Scope change

The bill's scope was expanded to include new definitions for dialysis technicians and community health workers, and the scope of practice for CRNAs was broadened to permit collaboration with dentists for anesthesia procedures.

DEFINITION

Added new definitions for 'dialysis technician,' 'dialysis technician intern,' 'certified community health worker,' and 'medication aide' to the chapter's glossary of terms.

ELIGIBILITY

Modified the definition of 'licensed health professional authorized to prescribe drugs' to explicitly include Certified Registered Nurse Anesthetists (CRNAs) as prescribers within the limits of their specific anesthesia authority.

REQUIREMENT

Added new requirements allowing CRNAs to collaborate with dentists for anesthesia procedures, provided the dentist holds a valid conscious sedation or general anesthesia permit.

Added new provisions requiring health care facilities to notify patients verbally and in writing that a CRNA, physician, podiatrist, or dentist will administer anesthesia.

Added new rules prohibiting CRNAs from performing specific patient care activities if the collaborating provider or the health care facility determines it is not in the patient's best interest.

TECHNICAL

Reorganized the bill's layout, including adding Senate cosponsors and adjusting section numbering and formatting.

As Introduced → As Passed by the House · 6 edits · Jun 18, 2025

MODERATE

This bill significantly expands the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) in Ohio by allowing them to perform specific anesthesia procedures under the supervision of dentists, in addition to physicians and podiatrists. It also adds new definitions for various nursing and healthcare roles and updates the list of who can prescribe drugs to include dentists and CRNAs under specific conditions.

Scope change

The bill expands the legal scope of practice for CRNAs to include collaboration with dentists for anesthesia procedures, whereas previously such collaboration was not explicitly authorized in the same manner as with physicians or podiatrists.

ELIGIBILITY

Added dentists to the list of healthcare providers who can supervise Certified Registered Nurse Anesthetists (CRNAs) for anesthesia procedures, provided the dentist holds a conscious sedation or general anesthesia permit.

Modified the definition of 'Licensed health professional authorized to prescribe drugs' to explicitly include dentists and CRNAs under specific statutory conditions.

DEFINITION

Added new definitions for 'Certified community health worker', 'Medication aide', and 'Nursing specialty' to the list of defined terms in the nursing chapter.

REQUIREMENT

Modified the definition of 'Licensed practical nurse' to explicitly include the administration of intravenous therapy to adults, subject to specific authorization and conditions.

Added new requirements for health care facilities to notify patients verbally and in writing that a CRNA will administer their anesthesia before the procedure begins.

Added a requirement that if a CRNA is prohibited from performing certain activities by their supervisor or facility, this prohibition must be recorded in the patient's medical or electronic health record.

Revise the practice of certified registered nurse anesthetists

What changed between versions

How they voted

Actions timeline

Sponsors