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Proposed Bill Would Require Payment Disclosures to Advanced Practice Nurses and Physician Assistants

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Bill would give Ohio nurses more latitude in treating patients

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Interprofessional Legislative Update

HPU-LogoBy Lori Herf, MA

The Ohio General Assembly has dedicated much of the winter and spring months to budget (HB 59) deliberations. With the new state fiscal year beginning on July 1st, 2013, legislative leaders will focus most of their attention not only on the fiscal operations of the state of Ohio, but also on the many policy changes made as amendments to state budget provisions.

APRNs and Physician Assistants

Language was considered that would have allowed advanced practice nurses and physician assistants to admit patients to hospitals. That provision is now being considered independently of the budget as HB 139.


A number of pharmacy provisions remain part of the budget as well. One of the provisions would require that Medicaid managed care organiza-tions provide 90 days notice to pharmacies being terminated as a network provider and extends the notice to all types of health care providers. In the case of pharmacies, similarly the budget would require that 90 days advance notice be given regarding the removal of a prescribed drug from the formulary or preferred drug list used by the organization or administrator or any change in the terms governing access to the drug. The amendment that we are opposing in the budget which is HB 59 dealt with remote dispensing.

The amendment would have allowed a pharmacy that is licensed as a terminal distributor of dangerous drugs to use a remote drug dispensing system at a nursing home or residential care facility. The pharmacist would not be required to be physically present where the system is used to dispense the drugs. COHCA has strong concerns regarding this provision and asked legislators to remove the language from the budget bill. The Ohio Senate did remove the language from the substitute version of the bill; however the bill will be amended next week and then be considered by a conference committee that could reinsert the language into the final version of the bill.

Other Bills:

House Bill 44

To require the Director of Health to develop protocols regarding the authority to administer, deliver, distribute, or dispense drugs during certain public health emergencies. This is currently pending in

House Health and Aging Committee where it has received two hearings.

Requires the Director of Health to develop one or more protocols that authorize certain licensed health professionals to administer, deliver, or distribute drugs during a public health emergency; requires the Director to develop protocols as well that authorize pharmacists and pharmacy interns to dispense limited quantities of dangerous drugs without a prescription or record of a prescription during a public health emergency; and provides that an individual who administers, delivers, distributes or dispenses a drug or dangerous drug in accordance with one or more of those protocols is not liable for, nor subject to civil damages, criminal prosecution, or professional disciplinary action, unless the individual’s acts of omissions constitute willful, wanton misconduct.

House Bill 60

To require that rules governing maternity units, newborn care nurseries, and maternity homes include certain provisions pertaining to the authority to make decisions regarding the transfer of patients to other facilities and to specify procedures for granting variances or waivers of any requirement in the rules governing operation of such facilities.

Currently pending in House Health and Aging where it has received two hearings.

The bill codifies an administrative rule that authorizes the Director of Health to grant a variance from or waiver of any of the requirements of rules regarding the operation of a maternity unit, newborn care nursery, or maternity home; requires the Director to adopt rules regarding application forms to be used and procedures to be followed in applying for a variance or waiver; requires the Director to review all applications for variances and waivers and, not later than 90 days after receipt of an application, to determine whether to grant the variance or waiver and notify the applicant of the decision.

House Bill 83

To make 14 major changes to the law that gov-erns the practice of psychology. Heard in the House Health and Aging Committee; reported out of committee; passed the House 96-1; currently pending in the Senate Medicaid, Health and Hu-man Services Committee.

House Bill 94

To require a health insuring corporation, public employee benefit plan, or sickness and accident insurer to reimburse a board of health for any services provided to an individual by the board that is covered by a plan issued to the individual by the health insuring corporation, public employee benefit plan, or sickness and accident insurer upon request submitted by the Board of Health.

Currently pending in House Insurance Committee; has received two hearings.

House Bill 123

TELEHEALTH SERVICES (Gonzales, Wachtmann)
Regarding Medicaid and health insurance coverage of telehealth services.

Currently pending in House Health and Aging Committee where it has received two hearings.

The bill authorizes health care insurers to provide coverage of telehealth services provided by health care professionals and facilities, requires the Office of Medical Assistance to adopt rules establishing standards for Medicaid reimbursement of telehealth services provided by health care professionals and facilities; specifies that coverage of a telehealth service applies only if the service involves an immediate and direct interaction with a patient, is medically appropriate and necessary, and is provided by a licensed health care provider or facility; and requires that a health care provider seeking reimbursement for telehealth service maintain documentation of providing the service as part of the patient records the provider maintains.

House Bill 131

TANNING REGULATIONS (Johnson, Stinziano)
To regulate chemical tanning and prohibit tanning facilities from allowing the use of sun lamps by certain individuals under 18 years of age.

Currently pending in House Health and Aging Committee where it has received three hearings.

Prohibits an operator or employee of a tanning facility from allowing an individual under age 18 to use the facility’s fluorescent sun lamp tanning services unless the individual presents a prescription issued by a physician; and requires the State Board of Cosmetology to regulate chemical tanning facilities.

House Bill 139

To permit certain advanced practice registered nurses and physician assistants to admit patients to hospitals.

Currently pending in House Health and Aging Committee where it has received two hearings.

Current law allows only physicians, dentists and podiatrists who are members of the medical staff to admit patients to hospitals. The bill would add clinical nurse specialists, certified nurse midwives and certified nurse practitioners who have a standard care arrangement with a physician or podiatrist who is a member of the medical staff. The bill would also allow physician’s assistants, under the supervision, control or direction of a physician or podiatrist who is a member of the medical staff, to admit patients to hospitals. The bill also would require the APRN or PA to notify the collaborating or supervising physician or podiatrist not later than 12 hours after admitting a patient to a hospital.

House Bill 147

To require a surgeon performing a mastectomy, lymph node dissection, or lumpectomy in a hospital to guide the patient and provide referrals in accordance with the standards of the National Accreditation Program for Breast Centers and to name this act the Lizzie B. Byrd Act.”

Currently pending in the House Health and Aging Committee where it has had two hearings.

The bill, in addition to the above would require the sur-geon performing a mastectomy or lumpectomy to refer a patient if breast reconstruction is appropriate, and requires the surgeon to offer the patient a preoperative referral to a reconstructive or plastic surgeon in accordance with NAPBC standards.

House Bill 159

DENTAL SERVICES (Hacket, Schuring)
To prohibit a health insurer from establishing a fee schedule for dental providers for services that are not covered by any contract or participating provider agreement between the health insurer and the dental provider.

Currently the bill is pending in the House Insurance Committee where it has had one hearing.

Prohibits a contracting entity from requiring a dental provider to provide services to plan enrollees at a fee set by or subject to approval by the contracting entity unless certain circumstances are met; makes setting or requiring the insurer’s approval of fees for dental services an unfair and deceptive act in the business of insurance unless certain circumstances are met; and makes the offering of a health benefit plan that sets fees for dental services an unfair and deceptive act in the business of insurance unless certain circumstances apply.

House Bill 165

Exempts certified hyperbaric technologists from the laws governing the practice of respiratory care.

Currently pending in the House Health and Aging Committee. Has not been heard.

House Bill 170

DRUG OVERDOSES (Johnson, Stinziano)
To provide that a licensed health professional authorized to prescribe naloxone, if acting with reasonable care, may prescribe, administer, dispense or furnish naloxone to a person who is, or a person who is in a position to assist a person who is, apparently experiencing or who is likely to experience an opioid-related overdose without being subject to administrative action or criminal prosecution, to provide that a person who is in a position to assist a person who is apparently experiencing or who is likely to experience an opiod-related overdose is not subject to actions of professional licensing boards, administrative action, or criminal prosecution for a drug offense or practicing medicine without a license if the person acting in good faith, obtains naloxone prescription from a licensed health professional and administers it to a person for an opioid-related overdose, and to provide that peace officers and licensed emergency responders who are acting in good faith are not subject to administrative action or criminal prosecution for a drug offense or practicing medicine without a license for administering naloxone to a person who is apparently experiencing an opioid-related overdose.

Currently pending in the House Health and Aging Committee. It has not yet been heard by the committee.

Senate Bill 4

NEWBORN SCREENINGS (Manning, Oelslager)
To require a pulse oximetry screening for each newborn born in a hospital or freestanding birthing center.

Received two hearings in Senate Medicaid, Health and Human Services Committee, reported out of Committee; passed the Senate 33-0; referred to House Health and Aging Committee where it has received 5 hearings.

Requires hospitals and freestanding birthing centers to conduct a pulse oximetry screening on each newborn (unless a parent objects on religious grounds) for purposes of detecting critical congenital health defects; requires the Director of Health to adopt rules establishing standards and procedures for the pulse oximetry screenings.

Senate Bill 43

Makes a number of changes to the laws governing the civil commitment of and treatment provided to mentally ill persons.

Currently pending in Senate Criminal Justice Committee. It has received one hearing.

Senate Bill 99

CANCER MEDICATIONS (Oelslager, Tavares)
Regarding insurance coverage for rarely administered cancer medications.

Pending in Senate Insurance and Financial Institutions Committee where it has not received a hearing.

Neurosurgery Physician Assistant at Akron Children’s

Combines the Best of Care and Cure

Holly Zeller, PA-C sits down with Julie Tsirambidis, CNP to go over privilege delineation forms at Akron Children’s Hospital.  This is one of their many overlapping moments where NP and PA practice comes together.  Becoming more frequent is this visibility- that NPs and PAs sit side by side with their physician counterparts to enhance patient care.  After years of working in silos, these disciplines agree the time to work together is long overdue.  Hence, the Center for Advanced Practice at Akron Children’s Hospital was formed in April 2011.  The goals are vast, but include the practice and regulatory oversight of APNs and PAs, on boarding programs, and integration with medical staff leadership to name but a few.

Zeller, who is a board certified physician assistant, works in partnership with Dr. Roger Hudgins, director of the Division of Neurosurgery at Children’s Hospital.  When she is not examining patients during office hours, Holly assists Hudgins in the operating room and shares on-call duties with him for after-hours emergencies.  Additionally, on a daily basis, Zeller rounds on all inpatients, formulates plans of care, interprets imaging, triages new patient referrals, and completes various types of different procedures in the NICU, PICU, patient floors and ER.  At the end of each day, all “Mommy Call” questions which have accumulated throughout the day are addressed by calling the parent of the patient back to address their questions. “Every day is a little bit different,” she says.  Zeller, 44, of Richfield,Ohio, is one of now 18 physician assistants (PAs) who work all across Akron Children’s Hospital.  There are over 150 advanced practice providers at Akron Children’s with a director leading the way.  The center actually oversees and brings together Advanced Practice Nurses (CRNA, CNP, and CNS) and Physician Assistants under one umbrella.  The director, Julie Tsirambidis, CNP, truly believes this is the way of the future.  “We have more in common that we have separate.  Coming together to promote our professional needs, despite our regulatory difference truly sets us apart, and brings improved understanding to our patients, families, and hospital staff.”  “Many years ago, MDs and DOs, would not even work together in the same hospital, and see how far they have come- this journey is a similar beginning, in my opinion.” Tsirambidis said.

As part of their master’s degree program, PAs can elect a surgical track that prepares them to work in the operating room.   After college, Zeller worked in the pharmaceutical field before taking a break to stay home with her children.  When she decided to return to work, she wanted a job in the medical field but didn’t want to travel anymore.  She embarked upon graduate school education and completed the PA program.  The PA education is very similar to that of the medical school model.

Zeller initially practiced with the congenital heart surgical team at Rainbow Babies and Children’s Hospital inClevelandbefore joining Akron.  When Dr. Hudgins joined Children’s two years ago, he requested a PA for his team.  He has especially relied on Zeller to share the patient load since the death this summer of the hospital’s only other neurosurgeon, Dr. Henry Bartkowski.  When Dr. Bartkowski became ill, Dr. Hudgins and Zeller formulated a plan to continue the quality care provided to the neurosurgery patients, by trying to split the evening and weekend call, thus allowing the other some “off time.” The two divide and conquer on office days, with each visiting patients and talking with families.  They frequently huddle to compare notes and examine patients’ images and other test results.  Zeller will assist in the OR on surgery days, and often performs the closing procedures.  This teamwork allows Hudgins to dictate this post-operative notes and get ready for the next patient while Zeller finishes the procedures.  “It really becomes a seamless way for getting a lot more work done than you could by yourself, plus the families love her,” Hudgins said

For information, or to join our neurosurgery team, check us out at

COHCA On Facebook

Ohio governor issues emergency order to outlaw new drug

The Associated Press
Ohio Gov. John Kasich (KAY’-sihk) has issued an emergency order allowing the state pharmacy board to move quickly to outlaw a deadly synthetic painkiller.

The governor’s action Wednesday targets a painkiller known as U-47700. The drug is considered more than seven times as powerful as morphine.

The governor’s order allows the state pharmacy board to suspend rules normally needed when classifying new drugs.

The order would place U-47700 in the same category as drugs like cocaine and heroin.

Authorities in northeastern Ohio say they’re starting to see signs of the drug in recent investigations of overdoses.

Overdose deaths are the leading cause of accidental deaths in Ohio, surpassing car crashes. Most of the deaths involve the abuse of legal painkillers and a growing heroin epidemic.

Copyright The Associated Press
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23 hours ago  ·  

New Medicaid Rules Could Ease Rural Health Care’s Problems

A sweeping Medicaid change has the potential for states to address the dangerous shortage of doctors outside urban and suburban areas.

A sign outside one of a growing number of rural hospitals that are closing across the country. (AP/Gerry Broome)

The Obama administration released a new set of rules last week for managed care plans under Medicaid and the Children’s Health Insurance Program (CHIP). The document, clocking in at 1,425 pages, mostly strengthens and modernizes existing rules. But there are some sweeping changes.

Perhaps most notably, states now must set “maximum time and distance” standards to ensure that there are enough doctors in the right places. What the maximum time and distance will be is left up to the individual states to decide.

This has the potential to be a game-changer for rural areas, which have more Medicaid patients but far fewer doctors than urban areas. While 21 percent of rural residents are on Medicaid — compared with 16 percent in urban areas — only 10 percent of doctors are located in rural areas.

Health officials, though, wonder — and worry about — how these standards will be executed.

“How does a state like Nevada write such a standard when most people live in one area?” said Maggie Elehwany, government affairs and policy vice president for the National Rural Health Association. The sparsely populated state has a high concentration of people in the southern part, which could make it difficult to create a standard to serve all residents. "We know what CMS [the Centers for Medicare and Medicaid] is trying to do, so we’re happy about it because there is such a workforce shortage. But it is really hard right now to see what states are going to do."

What wouldn’t be helpful, according to Elehwany, is for states to simply set high time and distance maximums — like three hours and 100 miles. That won’t ensure or improve access to care and will just be another regulation for states to follow, she said.

Matt Salo, executive director of the National Association of Medicaid Directors, said the new regulations have been well-received from officials he’s talked to, but "it’s going to take a lot of energy and resources to come into compliance, and health officials need to start thinking: How do you roll this out in a way that makes sense? What’s the right way — not easiest — to measure access to care?”

As officials digest all 1,400 pages of the new rules, Elehwany hopes the federal government will back the new regulations with funding for programs.

“There are a great community-based services that could be launched or ramped up that could reduce health disparities," she said. "Rural areas have a tremendous need not only for care but for community health workers who understand the culture. Those are the people best positioned to encourage these populations to stay healthy."

Many states have already made attempts to address the doctor shortage in rural areas. Alaska, for example, works with the state university to disperse mental health providers in the most far-flung areas; more than half the states encourage the use of telemedicine; Missouri lets medical school graduates practice in rural areas without completing a residency; and roughly a dozen states have formed a pact that makes it easier for doctors to practice in multiple states.

Despite all of these attempts, the drought of medical help remains for much of rural America.

Governing Magazine
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4 days ago  ·  

Supporters Say Bill Increases Access To Cheaper Biological Medicines

Sponsors and supporters of a bill to allow pharmacists to offer patients cheaper alternatives to prescribed biological products said Wednesday that it will save patients money and let the state keep pace with advances in medical technology.

Rep. Dorothy Pelanda (R-Marysville) and Rep. Steve Huffman (R-Tipp City) told the House Health and Aging Committee their bill (HB 505 ) would allow pharmacists to offer a biological product that has been deemed “interchangeable” with one prescribed by the doctor without the doctor’s prior consent. The pharmacist would just have to notify the doctor within five days.

“Under current law, a pharmacist may not offer an alternative, likely cheaper, interchangeable biologic to the customer without permission from the physician,” Rep. Pelanda said. “Under the bill, the pharmacist may offer the customer an alternative to the brand biologic if one exists.”

The physician prescribing the medication would still have the ability to write “dispense as written” on the prescription if he or she wanted to make sure the patient received the brand name compound.

Biological products are often used to treat conditions such as cancer, hepatitis C and autoimmune diseases, the sponsors said, and are different from typical medications in that the generic versions of them, known as biosimilar products, can’t be as similar as they could when a simple chemical process is used to create them. The U.S. Food and Drug Administration has a process, created under the Affordable Care Act, to certify that biosimilar drugs can be interchangeable with the brand-name drugs they’re designed to match.

The biological products, which are developed in laboratories and usually injected, are a fairly new and growing technology, Rep. Huffman said. This bill would make sure Ohio can keep pace as more treatments enter the market.

“In the generic laws back in the ‘80s, nobody ever saw that we were going to have these biologicals,” he said.

Making it easier to access lower-cost interchangeable products will not just lower costs for consumers, but for the state, by reducing the amount of money Medicaid has to spend on them, Rep. Huffman said.

Ranking member Rep. Nickie Antonio (D-Lakewood) questioned if the bill would give pharmacists too much control over what medications a patient receives, and if they could dispense something other than what the doctor wanted.

“With this legislation, where is the ultimate decision about what specific drug is prescribed?” she asked.

Rep. Huffman said the doctor could still specify if he or she wanted to prescribe the brand name, and the pharmacist would only be able to suggest an alternative that is deemed to be interchangeable with the prescribed drug, meaning it’s been shown to have no additional risk.

Rep. Huffman said the ultimate decision would be up to the patient and physician.

The committee also heard from several supporters of the bill.

Dr. Thomas Felix, director of Research and Development Policy for the company Amgen, said the bill would apply only to those medications prescribed for self-administration and dispensed by specialty pharmacies. It wouldn’t apply to medications provided by IV in a hospital setting.

The most common of these drugs is Humira, which is used to treat arthritis, ulcerative colitis, Crohn’s disease and other conditions, Dr. Felix said. Many of the drugs are used to treat cancer.

While there are currently only a couple of interchangeable biosimilar medications on the market, the bill would allow more people to take advantage of them as they become available, Dr. Felix said.

“The first ones that will be allowed to be substituted by a pharmacist are the ones that are deemed to be interchangeable by the FDA,” he said. “A lot of the success of generics is by having a pharmacist be able to substitute a product.”

Pharmacists would have to notify the prescribing doctor within five days, usually by making a note on the patient’s electronic medical records. The pharmacists will also make note of when the name brand drug was dispensed but an alternative is available, so doctors know what patients can use, said Ritchard Engelhardt, the State Director of Government Affairs, Northeast Region, for the Biotechnology Innovation Organization.

“We want to make sure when that medical record is pulled up, that it’s not just the substitution that shows up, it’s every medication that has been dispensed,” Mr. Engelhardt said.

Jeff Stephens, the Ohio Government Relations Director for the American Cancer Society Cancer Action Network, said the bill would lower costs for cancer patients.

“Biologic drugs are some of the most expensive cancer drugs on the market today; however, as generics have done for small-molecule drugs, interchangeable biosimilars have the potential to increase price competition on older biologic drugs, and result in lower cost burdens for cancer patients and, quite frankly, our whole health system,” he said.
From Gongwer News Service.
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2 weeks ago  ·  

Medical Professionals Support MOLST Legislation While Others Call It A ‘Slippery Slope’

Dividing lines are clear over legislation that would create a new class of medical orders regarding the delivery of what could be life-sustaining treatment.

On one side of the measure are medical professionals who say the bill (SB 165 ) will make life-sustaining orders for medical treatment more clear. Anti-abortion and anti-euthanasia advocates, however, say Medical Orders for Life Sustaining Treatment documents could be used to “expedite death and promote euthanasia.”

“Many people believe that being pro-life means that you are against abortion, when in fact, it means that you work to protect human life from the moment of conception to the moment of natural death. This proposed legislation to establish the use of the MOLST procedures can be as much of a direct threat to human life at the end of life as abortion is to a human life at its very beginning,” Denise Leipold, executive director of Ohio Right to Life of Northeast Ohio told members of the Senate Civil Justice Committee in written testimony Wednesday.

She went on to compare MOLST documents to abortion.

“For far too long, we have let pro-choice advocates frame the abortion argument as a compassionate option under a women’s right to privacy,” she said. “This same tactic is being used by MOLST supporters in an effort to manage and control death under the guise of compassion. Supporters are working to influence our legislators to make managed death widely acceptable when all this is doing is advancing the promotion of euthanasia.”

Bobby Schindler, president of the Terri Schiavo Life & Hope Network, told the committee that MOLST documents “encourage patients or surrogates to make critical care decisions, and are a first step toward opening the door to covert euthanasia and physician-assisted suicide.”

“Given the fact that MOLST/POLST means that surrogates can sign for medically vulnerable people to deny care they may need, and that these forms originated with and are promoted by pro-euthanasia groups, MOLST is not a benefit to Ohio citizens, but a dangerous precedent toward assisted suicide and euthanasia,” he said.

However, Chairman Sen. Kevin Bacon (R-Minerva Park) questioned which portions of the bill would lead to assisted suicide or euthanasia.

Mr. Schindler, the brother of the late Ms. Schiavo, said it is more about the organizations that support MOLST documents.

Bill Hurford, chief medical officer at University of Cincinnati Health, told the committee that his hospital deals with end of life care for more than 100 patients each month. He said in one recent case, a rural patient with terminal cancer was brought to the facility and aggressive efforts to revive him were performed, despite his and his family’s wish to enter hospice care.

With a MOLST document, that would not have occurred, Dr. Hurford told the committee.

“This patient died in an intensive care unit far from home — instead of receiving the hospice care he and his family chose,” he said. “He was subjected to painful invasive procedures that he did not want — instead of dying in comfort. His family had to search for where their relative was taken — instead of being with him in his final hours.”

Carol Bauer of the Ethics Consortium of Greater Dayton Area Hospital Association also provided testimony in support of the measure. Todd Book, director of policy and government affairs at the Ohio State Bar Association, also provided written testimony in support of the bill.

Nancy Elliot of the Euthanasia Prevention Coalition USA provided written testimony against the legislation.

From Gongwer News Service
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2 weeks ago  ·  

Questions fill Ohio House committee’s first hearing on medical marijuana bill

The House Select Committee on Medical Marijuana kicked off its initial hearing Tuesday with plenty of questions about a bill that seeks to create a strictly regulated system in Ohio.
State lawmakers are trying to get ahead of potential marijuana legalization amendments that could make the November ballot. Each legislative chamber has been working on the issue, and the House likely will act within the next two or three weeks.
Rep. Ryan Smith, R-Bidwell, a leader in the House GOP caucus and member of the select committee, said the framework of House Bill 523 is “well thought out and a good starting point,” but he still has more questions than answers right now.
Smith’s southern Ohio district has seen massive increases in drug overdoses in recent years, making him sensitive to drug issues. He said he’s still looking for people to convince him that marijuana is necessary for medical treatment.
“Like most people, my heart goes out to the parents of particularly little ones who think this could help,” he said. “I’m willing to have the conversation.”
Smith said he wants to know how narrow the bill needs to be — for example, he favors a ban on prescribing the smoking of marijuana, a concern also raised by some Senate leaders. He also wants to better understand CBD and THC, the two main ingredients in the marijuana plant.
“Is there a way we can offer it to people who need it in a form that’s acceptable for medical purposes?” he said. “But coming from where I have, the time we’ve spent fighting this drug epidemic, I’m going to be very guarded in what I can support going forward.”
The bill would not allow home-grown marijuana, and those who want to join any level of the growing and distribution process would be subject to background checks. It also would require physicians to report every 90 days how many marijuana prescriptions were written and why.
Members asked a variety of questions, including about the proposed nine-member Medical Marijuana Control Commission that would create rules and oversight for farmers, dispensaries, labs to test the plants and physicians. The commission, appointed by the governor, would include representatives of physicians, law enforcement, drug treatment, mental health and marijuana legalization.
This weekend, Pennsylvania became the 24th state to legalize medical marijuana. The law does not allow smoking.
Asked about the Ohio State Medical Association’s opposition to the bill because it “draws conclusions about the medicinal benefits of marijuana absent conclusive clinical research,” Rep. Steve Huffman, R-Tipp City, an emergency room doctor who is carrying the bill, said he agrees.
But the medical association also said the House bill has some good provisions and preferred legislation to a ballot issue.
“I agree with them: Let the medical process decide about medical marijuana,” Huffman said. “But we’re a ballot initiative state and we need to lead.”
A number of lawmakers would like to take the steam out of a November ballot issue.
Allowing home-grown marijuana, Huffman said, would be pseudo-recreational. “We’re trying to keep this bill for medical marijuana.”
Additional hearings this week will be held at 3 p.m. today and 11 a.m. on Thursday. Three more hearings are expected next week.

From Columbus Dispatch
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2 weeks ago  ·  


Health Care Professions…


COHCA – Partnering

in Patient Care

COHCA, a interprofessional group, are partners in patient care: better care, lower costs, a partnership that will help improve the quality, safety, and affordability of health care for all Ohioans. Nationally, healthcare initiatives are fostering partnerships in patient care.


COHCA Health Policy Update!!  Senate Bill 83  APN Schedule II - Read More…

COHCA’S FIRST SUSTAINING ORGANIZATIONAL SPONSOR - Cleveland Clinic's Zielony Nursing Institute

COHCA Health Policy Update!!  Senate Bill 83  APN Schedule II - Read More…


COHCA Health Policy Update!!  Senate Bill 83  APN Schedule II - Read More…

COHCA’S FIRST PLATINUM ORGANIZATIONAL SPONSOR - The Southern Ohio Chapter of the American College of Nurse-Midwives 

COHCA Health Policy Update!!  Senate Bill 83  APN Schedule II - Read More…

COHCA PLATINUM ORGANIZATIONAL SPONSOR - Ohio Chapter of the National Association of Pediatric Nurse Practitioners (NAPNAP)


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