Nursing Board proposes temporary permit for out-of-state advanced practice applicants

On April 7, 2025, the Ohio Legislature introduced House Bill 224, a significant piece of legislation aimed at streamlining the licensure process for advanced practice registered nurses (APRNs) in the state. This bill addresses the growing demand for healthcare professionals by facilitating the entry of qualified nurses from other states into Ohio's healthcare system.

The primary purpose of House Bill 224 is to allow applicants with valid nursing licenses from other states to obtain temporary permits to practice as APRNs in Ohio. This provision is particularly crucial given the ongoing nursing shortages exacerbated by the COVID-19 pandemic. The bill outlines specific criteria for applicants, including satisfactory work experience and government or private certifications, which must be verified by the Ohio Board of Nursing. Notably, the bill permits the issuance of a nonrenewable temporary permit that lasts up to 180 days, allowing nurses to begin practicing while their full licensure applications are processed.

One of the key provisions of the bill is the exemption from educational requirements for certain applicants who were certified before January 1, 2001. This aspect has sparked debate among stakeholders, with some arguing that it could undermine the educational standards necessary for modern nursing practices. Proponents, however, contend that this exemption recognizes the experience and expertise of seasoned professionals who have been practicing for decades.

The bill has garnered both support and opposition. Advocates, including nursing associations and healthcare providers, argue that it will help alleviate staffing shortages and improve patient care by allowing experienced nurses to practice without unnecessary delays. Critics, however, express concerns about the potential dilution of nursing standards and the implications for patient safety.

Economically, House Bill 224 could have significant implications for Ohio's healthcare system. By facilitating the entry of qualified nurses, the bill aims to enhance the state's ability to meet healthcare demands, particularly in underserved areas. This could lead to improved health outcomes and reduced healthcare costs in the long run.

As the bill moves through the legislative process, its future remains uncertain. Lawmakers will need to balance the urgent need for healthcare professionals with the imperative to maintain high standards in nursing education and practice. The discussions surrounding House Bill 224 highlight the ongoing challenges faced by the healthcare sector and the critical role of legislation in addressing these issues.