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Bill Summary · HB 224

Legislative bill overview

HB 224 establishes regulatory frameworks for certified and licensed midwives in Ohio, defining their scope of practice, licensing requirements, and oversight mechanisms. The bill creates standards for who can legally practice midwifery in the state and under what conditions they may operate.

Why is this important

Midwifery regulation directly affects maternal and infant healthcare access, safety standards, and consumer protections. Ohio currently has limited midwifery regulation, so this bill would significantly reshape how midwife-assisted births are governed and whether midwives can practice legally across different settings (home births, birthing centers, hospitals).

Potential points of contention

  • Scope of practice definition: How much autonomy midwives receive versus physician supervision requirements will likely divide healthcare providers and patient choice advocates
  • Licensing standards and cost: Requirements for education, certification, and fees could either professionalize the field or create barriers to entry and affordability
  • Insurance and reimbursement: Whether regulated midwives qualify for Medicaid/insurance coverage remains unclear and affects accessibility for low-income patients

Compiled from official sources — confirm details with the bill’s official record.

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