Gov. Kasich Signs Healthcare Bills into Law

Recently, Governor John Kasich signed three healthcare bills into law: House Bill 4, Senate Bill 110 and Senate Bill 121.

HB 4 increases access to naloxone by allowing individuals who are not authorized to prescribe drugs (including pharmacists and pharmacy interns) to personally furnish or dispense naloxone that can be administered intranasally or through an auto-injector.

HB 4—which takes effect immediately—allows for the following:

  • Permits a physician to authorize one or more individuals to personally furnish a supply of naloxone pursuant to a protocol.
  • Authorizes a pharmacist or pharmacy intern under the direct supervision of a pharmacist to dispense naloxone without a prescription in accordance with a physician-approved protocol.
  • Permits a local board of health, through a physician serving as the board's health commissioner or medical director, to authorize the protocol for pharmacists and pharmacy interns working in that board of health’s jurisdiction.

To assist with the implementation of this law, the Ohio Pharmacy Board has developed a dedicated web page,, which features a number of helpful resources including guidance documents, patient education materials and a sample protocol. 

The Pharmacy Board also adopted an emergency rule that specifies what should be included in a pharmacy’s dispensing protocol. The full text of the rule is available on the Board’s naloxone resources page ( 

SB 110 allows APRNs to delegate the ability to administer a medication to a specified patient. This legislation also included language to expand the scope of practice for Physician Assistants. SB 121 requires that children be immunized against meningococcal disease. Both bills become effective October 14, 2015.

The AMCNO submitted proponent testimony to both the House and Senate on HB 4 and SB 121.  AMCNO Board Member, Dr. Laura David, also testified in support of SB 121. 

The Pollen Line is now closed. See you in the spring!

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