As Introduced

126th General Assembly
Regular Session
2005-2006
H. B. No. 588


Representatives Yates, Skindell, Yuko, Stewart, D., Patton, S., DeBose, Woodard, Beatty, Allen, Redfern, Ujvagi 



A BILL
To amend sections 3313.6011, 4729.16, and 4731.22; to 1
enact sections 1751.661, 3701.047, 3701.135, 2
3923.602, 3923.611, 4729.45, 4729.451, 4729.452, 3
and 4729.453; to repeal section 3701.046 of the 4
Revised Code; to amend Section 206.42.03 of Am. 5
Sub. H.B. 66 of the 126th General Assembly; to 6
amend Section 206.42.09 of Am. Sub. H.B. 66 of the 7
126th General Assembly, as subsequently amended; 8
and to repeal Section 206.42.06 of Am. Sub. H.B. 9
66 of the 126th General Assembly regarding 10
assistance for pregnancy prevention.11


BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:

       Section 1. That sections 3313.6011, 4729.16, and 4731.22 be 12
amended and sections 1751.661, 3701.047, 3701.135, 3923.602, 13
3923.611, 4729.45, 4729.451, 4729.452, and 4729.453 of the Revised 14
Code be enacted to read as follows:15

       Sec. 1751.661. (A) No individual or group health insuring16
corporation policy, contract, or agreement shall do either of the17
following:18

        (1) Limit or exclude coverage for prescription contraceptive 19
drugs or devices approved by the United States food and drug 20
administration, if the policy, contract, or agreement provides 21
coverage for other prescription drugs or devices;22

        (2) Limit or exclude coverage for physician-directed 23
outpatient services that are related to the provision of such24
drugs or devices, if the policy, contract, or agreement provides25
coverage for other outpatient services rendered by a provider.26

        (B) The coverage provided under division (A) of this section 27
shall be subject to the same terms and conditions, including 28
copayment charges, that apply to similar coverage provided under 29
the policy, contract, or agreement.30

        (C) This section applies notwithstanding section 3901.71 of31
the Revised Code. 32

       Sec. 3313.6011.  (A) As used in this section, "sexual33
activity" has the same meaning as in section 2907.01 of the34
Revised Code.35

       (B) Instruction in venereal disease education pursuant to36
division (A)(5)(c) of section 3313.60 of the Revised Code shall37
emphasize thatdevote equal attention to the following:38

       (1) That abstinence from sexual activity is the only39
protection that is one hundred per cent effective against unwanted40
pregnancy, sexually transmitted disease, and the sexual41
transmission of a virus that causes acquired immunodeficiency42
syndrome;43

       (2) Contraception and condom use as a way to prevent unwanted 44
pregnancy, sexually transmitted disease, and the sexual 45
transmission of a virus that causes acquired immunodeficiency 46
syndrome.47

       (C) In adopting minimum standards under section 3301.07 of48
the Revised Code, the state board of education shall require49
course material and instruction in venereal disease education50
courses taught pursuant to division (A)(5)(c) of section 3313.6051
of the Revised Code to do all of the following:52

       (1) Stress that students should abstain from sexual activity53
until after marriage;54

       (2) Teach the potential physical, psychological, emotional,55
and social side effects of participating in sexual activity56
outside of marriage;57

       (3) Teach contraception and condom use in a medically 58
accurate manner that discusses both the health benefits and 59
effectiveness rates in realistic use;60

       (4) Teach that conceiving children out of wedlock is likely61
to have harmful consequences for the child, the child's parents,62
and society;63

       (4)(5) Stress that sexually transmitted diseases are serious64
possible hazards of sexual activity;65

       (5)(6) Advise students of the laws pertaining to financial66
responsibility of parents to children born in and out of wedlock;67

       (6)(7) Advise students of the circumstances under which it is68
criminal to have sexual contact with a person under the age of69
sixteen pursuant to section 2907.04 of the Revised Code.70

       (D) Any model education program for health education the71
state board of education adopts shall conform to the requirements72
of this section.73

       (E) On and after March 18, 1999, and notwithstanding section 74
3302.07 of the Revised Code, the superintendent of public75
instruction shall not approve, pursuant to section 3302.07 of the76
Revised Code, any waiver of any requirement of this section or of77
any rule adopted by the state board of education pursuant to this78
section.79

       Sec. 3701.047. (A) The department of health shall establish a 80
program to award grants to public and private entities to 81
establish or expand teenage pregnancy prevention programs. The 82
department shall award grants in accordance with this section and 83
any rules adopted by the public health council under division (F) 84
of this section.85

        (B) To be eligible for the grant program, an applicant shall 86
meet the following requirements:87

        (1) Replicate or substantially incorporate elements of one or 88
more teenage pregnancy prevention programs that meet both of the 89
following requirements:90

       (a) Have been proven to delay sexual intercourse or sexual 91
activity, increase contraceptive use without increasing sexual 92
activity, or reduce teenage pregnancy based on scientific research 93
that meets the following requirements:94

       (i) Measured impact on sexual or contraceptive behavior, 95
pregnancy, or childbearing;96

        (ii) Employed an experimental or quasi-experimental design 97
with well-constructed and appropriate comparison groups;98

       (iii) Had a sample size of at least one hundred participants 99
and a follow-up interval of at least six months.100

       (b) Use one or more of the following strategies to prevent 101
teenage pregnancy: encouraging teenagers to delay sexual activity, 102
sex and HIV education, interventions for sexually active 103
teenagers, preventive health services, youth development programs, 104
serving learning programs, or outreach or media programs.105

        (2) Demonstrate that the applicant will pay at least 106
twenty-five per cent of the cost of the program from funds derived 107
from non-federal sources. The applicant's share of the cost of the 108
program may be provided in cash or in-kind services;109

        (3) Demonstrate that the grant funds will supplement, not 110
supplant, funds that would otherwise be available to the entity 111
for teenage prevention programs;112

        (4) Meet any other requirements established by the public 113
health council in rules adopted under division (F) of this 114
section.115

        (C)(1) The department shall give priority for awarding grants 116
to applicants who serve one or more of the following communities:117

        (a) Communities with teenage pregnancy or birth rates higher 118
than the state average, or with rising teenage pregnancy or birth 119
rates;120

        (b) Communities with underserved or at-risk populations 121
higher than the state average;122

       (c) Communities located in areas where the applicant may take 123
advantage of other resources and coordinate with other programs 124
serving youth, such as workforce development or after-school 125
programs.126

       (2) The department shall not deny priority status to any of 127
the following entities:128

        (a) A statewide or local not-for-profit coalition working to 129
prevent teenage pregnancy;130

       (b) A state, local, or tribal agency;131

        (c) A public or private school;132

        (d) An entity that provides after-school programs;133

        (e) A community or faith-based group.134

        (D) A program is ineligible for grants under this section if 135
the program is designated as an abstinence-only program or 136
determined by the department to be an abstinence-only program.137

        (E) Each year, the department shall conduct an evaluation of 138
at least ten per cent of programs to which grants are awarded 139
under this section. As part of this evaluation, the department 140
shall collect basic data on each program. The department shall 141
prepare a report detailing the effectiveness of grants issued 142
under this section. A copy of the report shall be submitted to the 143
general assembly not later than the thirty-first day of December 144
of each year.145

       The recipient of a grant awarded under this section shall 146
provide all information requested by the department for purposes 147
of the evaluation required by this division.148

        (F) The public health council may adopt rules in accordance 149
with Chapter 119. of the Revised Code regarding the following:150

        (1) Any eligibility requirements for grant program applicants 151
that are in addition to those provided in this section;152

        (2) The methodology to be employed by the department in 153
determining which applicants will receive grants;154

       (3) Any other matters necessary for the implementation of 155
this section.156

       Sec. 3701.135.  (A) As used in this section:157

       (1) "Emergency contraception" means any drug or device 158
approved by the United States food and drug administration to be 159
used shortly after sexual intercourse to prevent pregnancy.160

       (2) "Health care practitioner" has the same meaning as in 161
section 3701.74 of the Revised Code.162

       (B) The department of health shall cause to be published 163
materials explaining emergency contraception. The materials shall 164
include, at a minimum, the following information:165

       (1) An explanation of the use, safety, efficacy, and 166
availability of emergency contraception;167

       (2) A recommendation regarding the use of emergency 168
contraception in appropriate cases;169

       (3) An explanation of how an individual may obtain additional 170
copies of the materials from the department.171

       (C) The department shall furnish copies of the materials 172
published under division (B) of this section to all of the 173
following:174

       (1) Health care practitioners;175

       (2) Hospitals, ambulatory surgical facilities, long-term care 176
facilities, pharmacies, and emergency medical facilities;177

       (3) Any other health care organization providing public 178
health services.179

       Sec. 3923.602. (A) No individual or group policy of sickness180
and accident insurance shall do either of the following:181

        (1) Limit or exclude coverage for prescription contraceptive 182
drugs or devices approved by the United States food and drug 183
administration, if the policy provides coverage for other184
prescription drugs or devices;185

        (2) Limit or exclude coverage for outpatient services186
rendered by a health care professional that are related to the187
provision of such drugs or devices, if the policy provides188
coverage for other outpatient services rendered by a health care189
professional.190

        (B) The coverage provided under division (A) of this section 191
shall be subject to the same terms and conditions, including 192
copayments and deductibles, that apply to similar coverage 193
provided under the policy.194

        (C) This section applies notwithstanding section 3901.71 of195
the Revised Code.196

       Sec. 3923.611. (A) No public employee benefit plan shall do197
either of the following:198

        (1) Limit or exclude coverage for prescription contraceptive 199
drugs or devices approved by the United States food and drug 200
administration, if the plan provides coverage for other201
prescription drugs or devices;202

        (2) Limit or exclude coverage for outpatient services203
rendered by a health care professional that are related to the204
provision of such drugs and devices, if the plan provides coverage205
for other outpatient services rendered by a health care206
professional.207

        (B) The coverage provided under division (A) of this section 208
shall be subject to the same terms and conditions, including 209
copayments and deductibles, that apply to similar coverage 210
provided under the plan.211

        (C) This section applies notwithstanding section 3901.71 of 212
the Revised Code.213

       Sec. 4729.16.  (A) The state board of pharmacy, after notice 214
and hearing in accordance with Chapter 119. of the Revised Code, 215
may revoke, suspend, limit, place on probation, or refuse to grant 216
or renew an identification card, or may impose a monetary penalty 217
or forfeiture not to exceed in severity any fine designated under 218
the Revised Code for a similar offense, or in the case of a 219
violation of a section of the Revised Code that does not bear a 220
penalty, a monetary penalty or forfeiture of not more than five 221
hundred dollars, if the board finds a pharmacist or pharmacy 222
intern:223

       (1) Guilty of a felony or gross immorality;224

       (2) Guilty of dishonesty or unprofessional conduct in the225
practice of pharmacy;226

       (3) Addicted to or abusing liquor or drugs or impaired227
physically or mentally to such a degree as to render the228
pharmacist or pharmacy intern unfit to practice pharmacy;229

       (4) Has been convicted of a misdemeanor related to, or230
committed in, the practice of pharmacy;231

       (5) Guilty of willfully violating, conspiring to violate,232
attempting to violate, or aiding and abetting the violation of any 233
of the provisions of this chapter, sections 3715.52 to 3715.72 of 234
the Revised Code, Chapter 2925. or 3719. of the Revised Code, or 235
any rule adopted by the board under those provisions;236

       (6) Guilty of permitting anyone other than a pharmacist or237
pharmacy intern to practice pharmacy;238

       (7) Guilty of knowingly lending the pharmacist's or pharmacy239
intern's name to an illegal practitioner of pharmacy or having 240
professional connection with an illegal practitioner of pharmacy;241

       (8) Guilty of dividing or agreeing to divide remuneration242
made in the practice of pharmacy with any other individual,243
including, but not limited to, any licensed health professional 244
authorized to prescribe drugs or any owner, manager, or employee 245
of a health care facility, residential care facility, or nursing 246
home;247

       (9) Has violated the terms of a consult agreement entered 248
into pursuant to section 4729.39 of the Revised Code;249

       (10) Has committed fraud, misrepresentation, or deception in250
applying for or securing a license or identification card issued 251
by the board under this chapter or under Chapter 3715. or 3719. of 252
the Revised Code;253

       (11) Has violated the terms of an emergency contraception 254
protocol entered into under section 4729.454 of the Revised Code.255

       (B) Any individual whose identification card is revoked,256
suspended, or refused, shall return the identification card and257
license to the offices of the state board of pharmacy within ten 258
days after receipt of notice of such action.259

       (C) As used in this section:260

       "Unprofessional conduct in the practice of pharmacy" includes 261
any of the following:262

       (1) Advertising or displaying signs that promote dangerous263
drugs to the public in a manner that is false or misleading;264

       (2) Except as provided in section 4729.281 of the Revised 265
Code, the sale of any drug for which a prescription is required, 266
without having received a prescription for the drug;267

       (3) Knowingly dispensing medication pursuant to false or 268
forged prescriptions;269

       (4) Knowingly failing to maintain complete and accurate 270
records of all dangerous drugs received or dispensed in compliance 271
with federal laws and regulations and state laws and rules;272

       (5) Obtaining any remuneration by fraud, misrepresentation, 273
or deception.274

       (D) The board may suspend a license or identification card 275
under division (B) of section 3719.121 of the Revised Code by 276
utilizing a telephone conference call to review the allegations 277
and take a vote.278

       (E) If, pursuant to an adjudication under Chapter 119. of the 279
Revised Code, the board has reasonable cause to believe that a 280
pharmacist or pharmacy intern is physically or mentally impaired, 281
the board may require the pharmacist or pharmacy intern to submit 282
to a physical or mental examination, or both.283

       Sec. 4729.45.  As used in sections 4729.45 to 4729.453 of the 284
Revised Code:285

       (A) "Emergency contraception" means any drug or device 286
approved by the United States food and drug administration to be 287
used shortly after sexual intercourse to prevent pregnancy.288

       (B) "Emergency contraception protocol" means an agreement to 289
furnish emergency contraception to eligible patients in accordance 290
with a set of standardized procedures between a pharmacist 291
licensed under this chapter and a physician authorized under 292
Chapter 4731. of the Revised Code to practice medicine and surgery 293
or osteopathic medicine and surgery.294

       Sec. 4729.451.  A pharmacist licensed under this chapter who 295
is seeking authority to furnish emergency contraception shall file 296
with the state board of pharmacy an application for a certificate 297
to furnish emergency contraception. The board shall issue the 298
certificate to the applicant if the application is accompanied by 299
a certificate of successful completion of an emergency 300
contraception drug therapy program offered by the board.301

       Sec. 4729.452.  The state board of pharmacy shall develop and 302
may adopt rules in accordance with Chapter 119. of the Revised 303
Code to achieve the following:304

       (A) A standardized fact sheet, developed in consultation with 305
the state medical board, Ohio department of health, and the 306
American college of obstetricians and gynecologists, that includes 307
the following:308

       (1) The indications for use of emergency contraception;309

       (2) The appropriate method of using emergency contraception;310

       (3) Information on the necessity of seeking care from a 311
physician following the use of emergency contraception.312

       (B) An emergency contraception drug therapy program that 313
addresses the following topics:314

       (1) The relevant medical circumstances and contraindications 315
regarding the use of emergency contraception;316

       (2) Appropriate methods of communication with patients 317
seeking emergency contraception;318

       (3) Quality assurance;319

       (4) The availability of additional services and procedures 320
for making referrals to those services;321

       (5) Documentation required by the board.322

       (C) A model emergency contraception protocol.323

       Sec. 4729.453.  (A) Notwithstanding any contrary provision of 324
the Revised Code, a pharmacist may enter into an emergency 325
contraception protocol with a physician for the pharmacist to 326
furnish emergency contraception to a woman under the following 327
conditions:328

       (1) Emergency contraception is not medically contraindicated.329

        (2) The woman informs the pharmacist that she has had 330
unprotected sexual relations or a contraceptive failure during 331
sexual relations not more than one hundred twenty hours before 332
seeking emergency contraception from the pharmacist.333

       (B) Each time a pharmacist furnishes emergency contraception 334
to a woman, the pharmacist shall do the following:335

       (1) Provide the woman with the standardized fact sheet, 336
developed by the state pharmacy board under section 4729.543 of 337
the Revised Code;338

       (2) Notify the physician with whom the pharmacist has an 339
emergency contraception protocol that the pharmacist has furnished 340
emergency contraception to the woman in accordance with the 341
protocol.342

       Sec. 4731.22.  (A) The state medical board, by an affirmative 343
vote of not fewer than six of its members, may revoke or may344
refuse to grant a certificate to a person found by the board to345
have committed fraud during the administration of the examination 346
for a certificate to practice or to have committed fraud, 347
misrepresentation, or deception in applying for or securing any 348
certificate to practice or certificate of registration issued by 349
the board.350

       (B) The board, by an affirmative vote of not fewer than six351
members, shall, to the extent permitted by law, limit, revoke, or352
suspend an individual's certificate to practice, refuse to353
register an individual, refuse to reinstate a certificate, or354
reprimand or place on probation the holder of a certificate for355
one or more of the following reasons:356

       (1) Permitting one's name or one's certificate to practice or357
certificate of registration to be used by a person, group, or358
corporation when the individual concerned is not actually359
directing the treatment given;360

       (2) Failure to maintain minimal standards applicable to the361
selection or administration of drugs, or failure to employ362
acceptable scientific methods in the selection of drugs or other363
modalities for treatment of disease;364

       (3) Selling, giving away, personally furnishing, prescribing, 365
or administering drugs for other than legal and legitimate 366
therapeutic purposes or a plea of guilty to, a judicial finding of 367
guilt of, or a judicial finding of eligibility for intervention in368
lieu of conviction of, a violation of any federal or state law 369
regulating the possession, distribution, or use of any drug;370

       (4) Willfully betraying a professional confidence.371

       For purposes of this division, "willfully betraying a372
professional confidence" does not include providing any373
information, documents, or reports to a child fatality review374
board under sections 307.621 to 307.629 of the Revised Code and375
does not include the making of a report of an employee's use of a376
drug of abuse, or a report of a condition of an employee other377
than one involving the use of a drug of abuse, to the employer of378
the employee as described in division (B) of section 2305.33 of379
the Revised Code. Nothing in this division affects the immunity380
from civil liability conferred by that section upon a physician381
who makes either type of report in accordance with division (B) of382
that section. As used in this division, "employee," "employer,"383
and "physician" have the same meanings as in section 2305.33 of384
the Revised Code.385

       (5) Making a false, fraudulent, deceptive, or misleading386
statement in the solicitation of or advertising for patients; in387
relation to the practice of medicine and surgery, osteopathic388
medicine and surgery, podiatric medicine and surgery, or a limited 389
branch of medicine; or in securing or attempting to secure any 390
certificate to practice or certificate of registration issued by 391
the board.392

       As used in this division, "false, fraudulent, deceptive, or393
misleading statement" means a statement that includes a394
misrepresentation of fact, is likely to mislead or deceive because395
of a failure to disclose material facts, is intended or is likely396
to create false or unjustified expectations of favorable results,397
or includes representations or implications that in reasonable398
probability will cause an ordinarily prudent person to399
misunderstand or be deceived.400

       (6) A departure from, or the failure to conform to, minimal401
standards of care of similar practitioners under the same or402
similar circumstances, whether or not actual injury to a patient403
is established;404

       (7) Representing, with the purpose of obtaining compensation405
or other advantage as personal gain or for any other person, that406
an incurable disease or injury, or other incurable condition, can407
be permanently cured;408

       (8) The obtaining of, or attempting to obtain, money or409
anything of value by fraudulent misrepresentations in the course410
of practice;411

       (9) A plea of guilty to, a judicial finding of guilt of, or a 412
judicial finding of eligibility for intervention in lieu of413
conviction for, a felony;414

       (10) Commission of an act that constitutes a felony in this415
state, regardless of the jurisdiction in which the act was416
committed;417

       (11) A plea of guilty to, a judicial finding of guilt of, or418
a judicial finding of eligibility for intervention in lieu of419
conviction for, a misdemeanor committed in the course of practice;420

       (12) Commission of an act in the course of practice that421
constitutes a misdemeanor in this state, regardless of the422
jurisdiction in which the act was committed;423

       (13) A plea of guilty to, a judicial finding of guilt of, or424
a judicial finding of eligibility for intervention in lieu of425
conviction for, a misdemeanor involving moral turpitude;426

       (14) Commission of an act involving moral turpitude that427
constitutes a misdemeanor in this state, regardless of the428
jurisdiction in which the act was committed;429

       (15) Violation of the conditions of limitation placed by the430
board upon a certificate to practice;431

       (16) Failure to pay license renewal fees specified in this432
chapter;433

       (17) Except as authorized in section 4731.31 of the Revised434
Code, engaging in the division of fees for referral of patients,435
or the receiving of a thing of value in return for a specific436
referral of a patient to utilize a particular service or business;437

       (18) Subject to section 4731.226 of the Revised Code,438
violation of any provision of a code of ethics of the American439
medical association, the American osteopathic association, the440
American podiatric medical association, or any other national441
professional organizations that the board specifies by rule. The442
state medical board shall obtain and keep on file current copies443
of the codes of ethics of the various national professional444
organizations. The individual whose certificate is being suspended 445
or revoked shall not be found to have violated any provision of a 446
code of ethics of an organization not appropriate to the447
individual's profession.448

       For purposes of this division, a "provision of a code of449
ethics of a national professional organization" does not include450
any provision that would preclude the making of a report by a451
physician of an employee's use of a drug of abuse, or of a452
condition of an employee other than one involving the use of a453
drug of abuse, to the employer of the employee as described in454
division (B) of section 2305.33 of the Revised Code. Nothing in455
this division affects the immunity from civil liability conferred456
by that section upon a physician who makes either type of report457
in accordance with division (B) of that section. As used in this458
division, "employee," "employer," and "physician" have the same459
meanings as in section 2305.33 of the Revised Code.460

       (19) Inability to practice according to acceptable and461
prevailing standards of care by reason of mental illness or462
physical illness, including, but not limited to, physical463
deterioration that adversely affects cognitive, motor, or464
perceptive skills.465

       In enforcing this division, the board, upon a showing of a466
possible violation, may compel any individual authorized to467
practice by this chapter or who has submitted an application468
pursuant to this chapter to submit to a mental examination,469
physical examination, including an HIV test, or both a mental and470
a physical examination. The expense of the examination is the471
responsibility of the individual compelled to be examined. Failure472
to submit to a mental or physical examination or consent to an HIV473
test ordered by the board constitutes an admission of the474
allegations against the individual unless the failure is due to475
circumstances beyond the individual's control, and a default and476
final order may be entered without the taking of testimony or477
presentation of evidence. If the board finds an individual unable478
to practice because of the reasons set forth in this division, the479
board shall require the individual to submit to care, counseling,480
or treatment by physicians approved or designated by the board, as481
a condition for initial, continued, reinstated, or renewed482
authority to practice. An individual affected under this division483
shall be afforded an opportunity to demonstrate to the board the484
ability to resume practice in compliance with acceptable and485
prevailing standards under the provisions of the individual's486
certificate. For the purpose of this division, any individual who487
applies for or receives a certificate to practice under this488
chapter accepts the privilege of practicing in this state and, by489
so doing, shall be deemed to have given consent to submit to a490
mental or physical examination when directed to do so in writing491
by the board, and to have waived all objections to the492
admissibility of testimony or examination reports that constitute493
a privileged communication.494

       (20) Except when civil penalties are imposed under section495
4731.225 or 4731.281 of the Revised Code, and subject to section496
4731.226 of the Revised Code, violating or attempting to violate,497
directly or indirectly, or assisting in or abetting the violation498
of, or conspiring to violate, any provisions of this chapter or499
any rule promulgated by the board.500

       This division does not apply to a violation or attempted501
violation of, assisting in or abetting the violation of, or a502
conspiracy to violate, any provision of this chapter or any rule503
adopted by the board that would preclude the making of a report by504
a physician of an employee's use of a drug of abuse, or of a505
condition of an employee other than one involving the use of a506
drug of abuse, to the employer of the employee as described in507
division (B) of section 2305.33 of the Revised Code. Nothing in508
this division affects the immunity from civil liability conferred509
by that section upon a physician who makes either type of report510
in accordance with division (B) of that section. As used in this511
division, "employee," "employer," and "physician" have the same512
meanings as in section 2305.33 of the Revised Code.513

       (21) The violation of section 3701.79 of the Revised Code or 514
of any abortion rule adopted by the public health council pursuant 515
to section 3701.341 of the Revised Code;516

       (22) Any of the following actions taken by the agency517
responsible for regulating the practice of medicine and surgery,518
osteopathic medicine and surgery, podiatric medicine and surgery,519
or the limited branches of medicine in another jurisdiction, for520
any reason other than the nonpayment of fees: the limitation,521
revocation, or suspension of an individual's license to practice;522
acceptance of an individual's license surrender; denial of a523
license; refusal to renew or reinstate a license; imposition of524
probation; or issuance of an order of censure or other reprimand;525

       (23) The violation of section 2919.12 of the Revised Code or526
the performance or inducement of an abortion upon a pregnant woman527
with actual knowledge that the conditions specified in division528
(B) of section 2317.56 of the Revised Code have not been satisfied529
or with a heedless indifference as to whether those conditions530
have been satisfied, unless an affirmative defense as specified in531
division (H)(2) of that section would apply in a civil action532
authorized by division (H)(1) of that section;533

       (24) The revocation, suspension, restriction, reduction, or534
termination of clinical privileges by the United States department535
of defense or department of veterans affairs or the termination or536
suspension of a certificate of registration to prescribe drugs by537
the drug enforcement administration of the United States538
department of justice;539

       (25) Termination or suspension from participation in the540
medicare or medicaid programs by the department of health and541
human services or other responsible agency for any act or acts542
that also would constitute a violation of division (B)(2), (3),543
(6), (8), or (19) of this section;544

       (26) Impairment of ability to practice according to545
acceptable and prevailing standards of care because of habitual or546
excessive use or abuse of drugs, alcohol, or other substances that547
impair ability to practice.548

       For the purposes of this division, any individual authorized549
to practice by this chapter accepts the privilege of practicing in550
this state subject to supervision by the board. By filing an551
application for or holding a certificate to practice under this552
chapter, an individual shall be deemed to have given consent to553
submit to a mental or physical examination when ordered to do so554
by the board in writing, and to have waived all objections to the555
admissibility of testimony or examination reports that constitute556
privileged communications.557

       If it has reason to believe that any individual authorized to558
practice by this chapter or any applicant for certification to559
practice suffers such impairment, the board may compel the560
individual to submit to a mental or physical examination, or both.561
The expense of the examination is the responsibility of the562
individual compelled to be examined. Any mental or physical563
examination required under this division shall be undertaken by a564
treatment provider or physician who is qualified to conduct the565
examination and who is chosen by the board.566

       Failure to submit to a mental or physical examination ordered567
by the board constitutes an admission of the allegations against568
the individual unless the failure is due to circumstances beyond569
the individual's control, and a default and final order may be570
entered without the taking of testimony or presentation of571
evidence. If the board determines that the individual's ability to 572
practice is impaired, the board shall suspend the individual's573
certificate or deny the individual's application and shall require574
the individual, as a condition for initial, continued, reinstated,575
or renewed certification to practice, to submit to treatment.576

       Before being eligible to apply for reinstatement of a577
certificate suspended under this division, the impaired578
practitioner shall demonstrate to the board the ability to resume579
practice in compliance with acceptable and prevailing standards of580
care under the provisions of the practitioner's certificate. The581
demonstration shall include, but shall not be limited to, the582
following:583

       (a) Certification from a treatment provider approved under584
section 4731.25 of the Revised Code that the individual has585
successfully completed any required inpatient treatment;586

       (b) Evidence of continuing full compliance with an aftercare587
contract or consent agreement;588

       (c) Two written reports indicating that the individual's589
ability to practice has been assessed and that the individual has590
been found capable of practicing according to acceptable and591
prevailing standards of care. The reports shall be made by592
individuals or providers approved by the board for making the593
assessments and shall describe the basis for their determination.594

       The board may reinstate a certificate suspended under this595
division after that demonstration and after the individual has596
entered into a written consent agreement.597

       When the impaired practitioner resumes practice, the board598
shall require continued monitoring of the individual. The599
monitoring shall include, but not be limited to, compliance with600
the written consent agreement entered into before reinstatement or601
with conditions imposed by board order after a hearing, and, upon602
termination of the consent agreement, submission to the board for603
at least two years of annual written progress reports made under604
penalty of perjury stating whether the individual has maintained605
sobriety.606

       (27) A second or subsequent violation of section 4731.66 or607
4731.69 of the Revised Code;608

       (28) Except as provided in division (N) of this section:609

       (a) Waiving the payment of all or any part of a deductible or 610
copayment that a patient, pursuant to a health insurance or health 611
care policy, contract, or plan that covers the individual's612
services, otherwise would be required to pay if the waiver is used613
as an enticement to a patient or group of patients to receive614
health care services from that individual;615

       (b) Advertising that the individual will waive the payment of 616
all or any part of a deductible or copayment that a patient,617
pursuant to a health insurance or health care policy, contract, or618
plan that covers the individual's services, otherwise would be619
required to pay.620

       (29) Failure to use universal blood and body fluid621
precautions established by rules adopted under section 4731.051 of622
the Revised Code;623

       (30) Failure to provide notice to, and receive acknowledgment 624
of the notice from, a patient when required by section 4731.143 of 625
the Revised Code prior to providing nonemergency professional 626
services, or failure to maintain that notice in the patient's 627
file;628

       (31) Failure of a physician supervising a physician assistant 629
to maintain supervision in accordance with the requirements of 630
Chapter 4730. of the Revised Code and the rules adopted under that 631
chapter;632

       (32) Failure of a physician or podiatrist to enter into a633
standard care arrangement with a clinical nurse specialist,634
certified nurse-midwife, or certified nurse practitioner with whom635
the physician or podiatrist is in collaboration pursuant to636
section 4731.27 of the Revised Code or failure to fulfill the637
responsibilities of collaboration after entering into a standard638
care arrangement;639

       (33) Failure to comply with the terms of a consult agreement640
entered into with a pharmacist pursuant to section 4729.39 of the641
Revised Code;642

       (34) Failure to cooperate in an investigation conducted by643
the board under division (F) of this section, including failure to644
comply with a subpoena or order issued by the board or failure to645
answer truthfully a question presented by the board at a646
deposition or in written interrogatories, except that failure to647
cooperate with an investigation shall not constitute grounds for648
discipline under this section if a court of competent jurisdiction649
has issued an order that either quashes a subpoena or permits the650
individual to withhold the testimony or evidence in issue;651

       (35) Failure to supervise an acupuncturist in accordance with652
Chapter 4762. of the Revised Code and the board's rules for653
supervision of an acupuncturist;654

       (36) Failure to supervise an anesthesiologist assistant in655
accordance with Chapter 4760. of the Revised Code and the board's656
rules for supervision of an anesthesiologist assistant;657

       (37) Assisting suicide as defined in section 3795.01 of the658
Revised Code;659

       (38) Failure to comply with the terms of an emergency 660
contraception protocol entered into with a pharmacist under 661
section 4729.453 of the Revised Code.662

       (C) Disciplinary actions taken by the board under divisions663
(A) and (B) of this section shall be taken pursuant to an664
adjudication under Chapter 119. of the Revised Code, except that665
in lieu of an adjudication, the board may enter into a consent666
agreement with an individual to resolve an allegation of a667
violation of this chapter or any rule adopted under it. A consent668
agreement, when ratified by an affirmative vote of not fewer than669
six members of the board, shall constitute the findings and order670
of the board with respect to the matter addressed in the671
agreement. If the board refuses to ratify a consent agreement, the 672
admissions and findings contained in the consent agreement shall 673
be of no force or effect.674

       If the board takes disciplinary action against an individual675
under division (B) of this section for a second or subsequent plea676
of guilty to, or judicial finding of guilt of, a violation of677
section 2919.123 of the Revised Code, the disciplinary action678
shall consist of a suspension of the individual's certificate to679
practice for a period of at least one year or, if determined680
appropriate by the board, a more serious sanction involving the681
individual's certificate to practice. Any consent agreement682
entered into under this division with an individual that pertains683
to a second or subsequent plea of guilty to, or judicial finding684
of guilt of, a violation of that section shall provide for a685
suspension of the individual's certificate to practice for a686
period of at least one year or, if determined appropriate by the687
board, a more serious sanction involving the individual's688
certificate to practice.689

       (D) For purposes of divisions (B)(10), (12), and (14) of this690
section, the commission of the act may be established by a finding 691
by the board, pursuant to an adjudication under Chapter 119. of 692
the Revised Code, that the individual committed the act. The board693
does not have jurisdiction under those divisions if the trial 694
court renders a final judgment in the individual's favor and that 695
judgment is based upon an adjudication on the merits. The board 696
has jurisdiction under those divisions if the trial court issues 697
an order of dismissal upon technical or procedural grounds.698

       (E) The sealing of conviction records by any court shall have699
no effect upon a prior board order entered under this section or 700
upon the board's jurisdiction to take action under this section701
if, based upon a plea of guilty, a judicial finding of guilt, or a702
judicial finding of eligibility for intervention in lieu of703
conviction, the board issued a notice of opportunity for a hearing704
prior to the court's order to seal the records. The board shall705
not be required to seal, destroy, redact, or otherwise modify its706
records to reflect the court's sealing of conviction records.707

       (F)(1) The board shall investigate evidence that appears to708
show that a person has violated any provision of this chapter or709
any rule adopted under it. Any person may report to the board in a 710
signed writing any information that the person may have that711
appears to show a violation of any provision of this chapter or712
any rule adopted under it. In the absence of bad faith, any person 713
who reports information of that nature or who testifies before the 714
board in any adjudication conducted under Chapter 119. of the 715
Revised Code shall not be liable in damages in a civil action as a 716
result of the report or testimony. Each complaint or allegation of 717
a violation received by the board shall be assigned a case number 718
and shall be recorded by the board.719

       (2) Investigations of alleged violations of this chapter or720
any rule adopted under it shall be supervised by the supervising721
member elected by the board in accordance with section 4731.02 of722
the Revised Code and by the secretary as provided in section723
4731.39 of the Revised Code. The president may designate another724
member of the board to supervise the investigation in place of the725
supervising member. No member of the board who supervises the726
investigation of a case shall participate in further adjudication727
of the case.728

       (3) In investigating a possible violation of this chapter or729
any rule adopted under this chapter, the board may administer730
oaths, order the taking of depositions, issue subpoenas, and731
compel the attendance of witnesses and production of books,732
accounts, papers, records, documents, and testimony, except that a733
subpoena for patient record information shall not be issued734
without consultation with the attorney general's office and735
approval of the secretary and supervising member of the board.736
Before issuance of a subpoena for patient record information, the737
secretary and supervising member shall determine whether there is738
probable cause to believe that the complaint filed alleges a739
violation of this chapter or any rule adopted under it and that740
the records sought are relevant to the alleged violation and741
material to the investigation. The subpoena may apply only to742
records that cover a reasonable period of time surrounding the743
alleged violation.744

       On failure to comply with any subpoena issued by the board745
and after reasonable notice to the person being subpoenaed, the746
board may move for an order compelling the production of persons747
or records pursuant to the Rules of Civil Procedure.748

       A subpoena issued by the board may be served by a sheriff,749
the sheriff's deputy, or a board employee designated by the board.750
Service of a subpoena issued by the board may be made by751
delivering a copy of the subpoena to the person named therein,752
reading it to the person, or leaving it at the person's usual753
place of residence. When the person being served is a person whose 754
practice is authorized by this chapter, service of the subpoena 755
may be made by certified mail, restricted delivery, return receipt 756
requested, and the subpoena shall be deemed served on the date 757
delivery is made or the date the person refuses to accept 758
delivery.759

       A sheriff's deputy who serves a subpoena shall receive the760
same fees as a sheriff. Each witness who appears before the board761
in obedience to a subpoena shall receive the fees and mileage762
provided for witnesses in civil cases in the courts of common763
pleas.764

       (4) All hearings and investigations of the board shall be765
considered civil actions for the purposes of section 2305.252 of766
the Revised Code.767

       (5) Information received by the board pursuant to an768
investigation is confidential and not subject to discovery in any769
civil action.770

       The board shall conduct all investigations and proceedings in771
a manner that protects the confidentiality of patients and persons772
who file complaints with the board. The board shall not make773
public the names or any other identifying information about774
patients or complainants unless proper consent is given or, in the775
case of a patient, a waiver of the patient privilege exists under776
division (B) of section 2317.02 of the Revised Code, except that777
consent or a waiver of that nature is not required if the board778
possesses reliable and substantial evidence that no bona fide779
physician-patient relationship exists.780

       The board may share any information it receives pursuant to781
an investigation, including patient records and patient record782
information, with law enforcement agencies, other licensing783
boards, and other governmental agencies that are prosecuting,784
adjudicating, or investigating alleged violations of statutes or785
administrative rules. An agency or board that receives the786
information shall comply with the same requirements regarding787
confidentiality as those with which the state medical board must788
comply, notwithstanding any conflicting provision of the Revised789
Code or procedure of the agency or board that applies when it is790
dealing with other information in its possession. In a judicial791
proceeding, the information may be admitted into evidence only in792
accordance with the Rules of Evidence, but the court shall require793
that appropriate measures are taken to ensure that confidentiality794
is maintained with respect to any part of the information that795
contains names or other identifying information about patients or796
complainants whose confidentiality was protected by the state797
medical board when the information was in the board's possession.798
Measures to ensure confidentiality that may be taken by the court799
include sealing its records or deleting specific information from800
its records.801

       (6) On a quarterly basis, the board shall prepare a report802
that documents the disposition of all cases during the preceding803
three months. The report shall contain the following information804
for each case with which the board has completed its activities:805

       (a) The case number assigned to the complaint or alleged806
violation;807

       (b) The type of certificate to practice, if any, held by the808
individual against whom the complaint is directed;809

       (c) A description of the allegations contained in the810
complaint;811

       (d) The disposition of the case.812

       The report shall state how many cases are still pending and813
shall be prepared in a manner that protects the identity of each814
person involved in each case. The report shall be a public record815
under section 149.43 of the Revised Code.816

       (G) If the secretary and supervising member determine that817
there is clear and convincing evidence that an individual has818
violated division (B) of this section and that the individual's819
continued practice presents a danger of immediate and serious harm820
to the public, they may recommend that the board suspend the821
individual's certificate to practice without a prior hearing.822
Written allegations shall be prepared for consideration by the823
board.824

       The board, upon review of those allegations and by an825
affirmative vote of not fewer than six of its members, excluding826
the secretary and supervising member, may suspend a certificate827
without a prior hearing. A telephone conference call may be828
utilized for reviewing the allegations and taking the vote on the829
summary suspension.830

       The board shall issue a written order of suspension by831
certified mail or in person in accordance with section 119.07 of832
the Revised Code. The order shall not be subject to suspension by833
the court during pendency of any appeal filed under section 119.12834
of the Revised Code. If the individual subject to the summary835
suspension requests an adjudicatory hearing by the board, the date836
set for the hearing shall be within fifteen days, but not earlier837
than seven days, after the individual requests the hearing, unless838
otherwise agreed to by both the board and the individual.839

       Any summary suspension imposed under this division shall840
remain in effect, unless reversed on appeal, until a final841
adjudicative order issued by the board pursuant to this section842
and Chapter 119. of the Revised Code becomes effective. The board843
shall issue its final adjudicative order within sixty days after844
completion of its hearing. A failure to issue the order within845
sixty days shall result in dissolution of the summary suspension846
order but shall not invalidate any subsequent, final adjudicative847
order.848

       (H) If the board takes action under division (B)(9), (11), or 849
(13) of this section and the judicial finding of guilt, guilty850
plea, or judicial finding of eligibility for intervention in lieu851
of conviction is overturned on appeal, upon exhaustion of the852
criminal appeal, a petition for reconsideration of the order may853
be filed with the board along with appropriate court documents.854
Upon receipt of a petition of that nature and supporting court855
documents, the board shall reinstate the individual's certificate856
to practice. The board may then hold an adjudication under Chapter 857
119. of the Revised Code to determine whether the individual858
committed the act in question. Notice of an opportunity for a 859
hearing shall be given in accordance with Chapter 119. of the 860
Revised Code. If the board finds, pursuant to an adjudication held 861
under this division, that the individual committed the act or if862
no hearing is requested, the board may order any of the sanctions863
identified under division (B) of this section.864

       (I) The certificate to practice issued to an individual under865
this chapter and the individual's practice in this state are866
automatically suspended as of the date of the individual's second867
or subsequent plea of guilty to, or judicial finding of guilt of,868
a violation of section 2919.123 of the Revised Code, or the date 869
the individual pleads guilty to, is found by a judge or jury to be 870
guilty of, or is subject to a judicial finding of eligibility for 871
intervention in lieu of conviction in this state or treatment or 872
intervention in lieu of conviction in another jurisdiction for any 873
of the following criminal offenses in this state or a874
substantially equivalent criminal offense in another jurisdiction: 875
aggravated murder, murder, voluntary manslaughter, felonious 876
assault, kidnapping, rape, sexual battery, gross sexual 877
imposition, aggravated arson, aggravated robbery, or aggravated 878
burglary. Continued practice after suspension shall be considered 879
practicing without a certificate.880

       The board shall notify the individual subject to the881
suspension by certified mail or in person in accordance with882
section 119.07 of the Revised Code. If an individual whose883
certificate is automatically suspended under this division fails 884
to make a timely request for an adjudication under Chapter 119. of 885
the Revised Code, the board shall do whichever of the following is 886
applicable:887

       (1) If the automatic suspension under this division is for a888
second or subsequent plea of guilty to, or judicial finding of889
guilt of, a violation of section 2919.123 of the Revised Code, the890
board shall enter an order suspending the individual's certificate891
to practice for a period of at least one year or, if determined892
appropriate by the board, imposing a more serious sanction893
involving the individual's certificate to practice.894

       (2) In all circumstances in which division (I)(1) of this 895
section does not apply, enter a final order permanently revoking 896
the individual's certificate to practice.897

       (J) If the board is required by Chapter 119. of the Revised898
Code to give notice of an opportunity for a hearing and if the899
individual subject to the notice does not timely request a hearing900
in accordance with section 119.07 of the Revised Code, the board901
is not required to hold a hearing, but may adopt, by an902
affirmative vote of not fewer than six of its members, a final903
order that contains the board's findings. In that final order, the 904
board may order any of the sanctions identified under division (A) 905
or (B) of this section.906

       (K) Any action taken by the board under division (B) of this907
section resulting in a suspension from practice shall be908
accompanied by a written statement of the conditions under which909
the individual's certificate to practice may be reinstated. The910
board shall adopt rules governing conditions to be imposed for911
reinstatement. Reinstatement of a certificate suspended pursuant912
to division (B) of this section requires an affirmative vote of913
not fewer than six members of the board.914

       (L) When the board refuses to grant a certificate to an915
applicant, revokes an individual's certificate to practice,916
refuses to register an applicant, or refuses to reinstate an917
individual's certificate to practice, the board may specify that918
its action is permanent. An individual subject to a permanent919
action taken by the board is forever thereafter ineligible to hold920
a certificate to practice and the board shall not accept an921
application for reinstatement of the certificate or for issuance922
of a new certificate.923

       (M) Notwithstanding any other provision of the Revised Code,924
all of the following apply:925

       (1) The surrender of a certificate issued under this chapter926
shall not be effective unless or until accepted by the board.927
Reinstatement of a certificate surrendered to the board requires928
an affirmative vote of not fewer than six members of the board.929

       (2) An application for a certificate made under the930
provisions of this chapter may not be withdrawn without approval931
of the board.932

       (3) Failure by an individual to renew a certificate of933
registration in accordance with this chapter shall not remove or934
limit the board's jurisdiction to take any disciplinary action935
under this section against the individual.936

       (N) Sanctions shall not be imposed under division (B)(28) of937
this section against any person who waives deductibles and938
copayments as follows:939

       (1) In compliance with the health benefit plan that expressly 940
allows such a practice. Waiver of the deductibles or copayments 941
shall be made only with the full knowledge and consent of the plan 942
purchaser, payer, and third-party administrator. Documentation of943
the consent shall be made available to the board upon request.944

       (2) For professional services rendered to any other person945
authorized to practice pursuant to this chapter, to the extent946
allowed by this chapter and rules adopted by the board.947

       (O) Under the board's investigative duties described in this948
section and subject to division (F) of this section, the board949
shall develop and implement a quality intervention program950
designed to improve through remedial education the clinical and951
communication skills of individuals authorized under this chapter952
to practice medicine and surgery, osteopathic medicine and953
surgery, and podiatric medicine and surgery. In developing and954
implementing the quality intervention program, the board may do955
all of the following:956

       (1) Offer in appropriate cases as determined by the board an957
educational and assessment program pursuant to an investigation958
the board conducts under this section;959

       (2) Select providers of educational and assessment services,960
including a quality intervention program panel of case reviewers;961

       (3) Make referrals to educational and assessment service962
providers and approve individual educational programs recommended963
by those providers. The board shall monitor the progress of each964
individual undertaking a recommended individual educational965
program.966

       (4) Determine what constitutes successful completion of an967
individual educational program and require further monitoring of968
the individual who completed the program or other action that the969
board determines to be appropriate;970

       (5) Adopt rules in accordance with Chapter 119. of the971
Revised Code to further implement the quality intervention972
program.973

       An individual who participates in an individual educational974
program pursuant to this division shall pay the financial975
obligations arising from that educational program.976

       Section 2. That existing sections 3313.6011, 4729.16, 977
4731.22, and section 3701.046 of the Revised Code are hereby 978
repealed.979

       Section 3. That Section 206.42.03 of Am. Sub. H.B. 66 of the 980
126th General Assembly be amended to read as follows:981

       Sec. 206.42.03. CHILD AND FAMILY HEALTH SERVICES982

       Of the foregoing appropriation item 440-416, Child and Family983
Health Services, not more than $1,700,000 in each fiscal year 984
shall be used for women's health servicesfamily planning 985
services. None of the funds received through these family planning 986
grants shall be used to provide abortion services. None of the 987
funds received through these family planning grants shall be used 988
for counseling for or referrals for abortion, except in the case 989
of a medical emergency. These funds shall be distributed on the 990
basis of the relative need in the community served by the Director 991
of Health to family planning programs, which shall include family 992
planning programs funded under Title V of the "Social Security 993
Act," 49 Stat. 620 (1935), 42 U.S.C.A. 301, as amended, and Title 994
X of the "Public Health Services Act," 58 Stat. 682 (1946), 42 995
U.S.C.A. 201, as amended, as well as to other family planning 996
programs that the Department of Health also determines will 997
provide services that are physically and financially separate from 998
abortion-providing and abortion-promoting activities, and that do 999
not include counseling for or referrals for abortion, other than 1000
in the case of medical emergency, with state moneys, but that 1001
otherwise substantially comply with the quality standards for such 1002
programs under Title V and Title X.1003

       The Director of Health, by rule, shall provide reasonable 1004
methods by which a grantee wishing to be eligible for federal 1005
funding may comply with these requirements for state funding 1006
without losing its eligibility for federal funding, while ensuring 1007
that a family planning program receiving a family planning grant 1008
must be organized so that it is physically and financially 1009
separate from the provision of abortion services and from 1010
activities promoting abortion as a method of family planning.1011

       Of the foregoing appropriation item 440-416, Child and Family1012
Health Services, not more than $270,000 shall be used in each 1013
fiscal year for the OPTIONS dental care access program.1014

       Of the foregoing appropriation item 440-416, Child and Family1015
Health Services, not more than $900,000 in each fiscal year shall 1016
be used by federally qualified health centers and federally 1017
designated look-alikes to provide services to uninsured low-income 1018
persons.1019

       Of the foregoing appropriation item 440-416, Child and Family 1020
Health Services, not more than $500,000 in each fiscal year 20061021
shall be used for abstinence-only educationprograms. The Director 1022
of Health shall develop guidelines for the establishment of 1023
abstinence programs for teenagers with the purpose of decreasing 1024
unplanned pregnancies and abortion. The guidelines shall be 1025
developed pursuant to Title V of the "Social Security Act," 42 1026
U.S.C. 510, and shall include, but are not limited to, advertising 1027
campaigns and direct training in schools and other locations.1028

       At the end of fiscal year 2006, any unencumbered and 1029
unallotted funds that were earmarked for abstinence-only programs 1030
in GRF appropriation item 440-416, Child and Family Health 1031
Services, shall instead be used by the Director of Health in the 1032
following manner: not more than thirty per cent of the funds shall 1033
be allocated to emergency contraception education and information 1034
programs as described in section 3701.135 of the Revised Code; not 1035
more than twenty per cent shall be allocated to training programs 1036
on emergency contraception drug therapy initiation and 1037
distribution as described in section 4729.452 of the Revised Code; 1038
and not more than fifty per cent shall be allocated to teenage 1039
pregnancy prevention grant programs as described in section 1040
3701.047 of the Revised Code.1041

       Of the foregoing appropriation item 440-601, Maternal Child 1042
Health Block Grant (Fund 320), $2,091,299 shall be used for 1043
emergency contraception education and information, emergency 1044
contraception drug therapy initiation and distribution training, 1045
and teenage pregnancy prevention grant programs. Of the $2,091,299 1046
earmarked, not more than thirty per cent of the funds shall be 1047
allocated to emergency contraception education and information 1048
programs as described in section 3701.135 of the Revised Code; not 1049
more than twenty per cent shall be allocated to training programs 1050
on emergency contraception drug therapy initiation and 1051
distribution as described in section 4729.452 of the Revised Code; 1052
and not more than fifty per cent shall be allocated to teenage 1053
pregnancy prevention grant programs as described in section 1054
3701.047 of the Revised Code.1055

       Of the foregoing appropriation item 440-416, Child and Family 1056
Health Services, $10,000 in each fiscal year shall be allocated to 1057
the Jewish Family Services in Cleveland, $10,000 in each fiscal 1058
year shall be allocated to the Jewish Family Services in 1059
Cincinnati, $10,000 shall be allocated in each fiscal year to the 1060
Jewish Family Services in Columbus, and $10,000 in each fiscal 1061
year shall be allocated to the Wexner Heritage Village in Columbus 1062
for interpreters for health care.1063

       Of the foregoing appropriation item 440-416, Child and Family 1064
Health Services, $10,000 in each fiscal year shall be provided to 1065
the Jewish Family Services in Dayton, $5,000 in each fiscal year 1066
shall be provided to the Jewish Community Center in Akron, $5,000 1067
in each fiscal year shall be provided to the Jewish Community 1068
Center in Sylvania, $2,500 in each fiscal year shall be provided 1069
to the Jewish Community Center in Youngstown, and $2,500 in each 1070
fiscal year shall be provided to the Jewish Community Center in 1071
Canton.1072

       Of the foregoing appropriation item 440-416, Child and Family 1073
Health Services, $450,000 in each fiscal year shall be allocated 1074
to the Visiting Nurse Association.1075

       Of the foregoing appropriation item 440-416, Child and Family 1076
Health Services, $16,667 in each fiscal year shall be allocated to 1077
the Yassenoff Jewish Community Center, $16,667 in each fiscal year 1078
shall be allocated to the Jewish Community Center in Cincinnati, 1079
and $16,666 in each fiscal year shall be allocated to the Jewish 1080
Community Center in Cleveland for children's health and nutrition 1081
camp programs.1082

       Of the foregoing appropriation item 440-416, Child and Family 1083
Health Services, $25,000 in each fiscal year shall be allocated to 1084
Clermont County's Comprehensive Community Suicide Prevention 1085
Program.1086

       Of the foregoing appropriation item 440-416, Child and Family 1087
Health Services, $100,000 in fiscal year 2006 shall be allocated 1088
to People Working Cooperatively in Cincinnati.1089

       Of the foregoing appropriation item 440-416, Child and Family 1090
Health Services, $50,000 in each fiscal year shall be allocated to 1091
the Mayerson Inclusion Project.1092

       Section 4. That existing Section 206.42.03 of Am. Sub. H.B. 1093
66 of the 126th General Assembly is hereby repealed.1094

       Section 5. That Section 206.42.09 of Am. Sub. H.B. 66 of the 1095
126th General Assembly, as amended by Am. Sub. H.B. 530 of the 1096
126th General Assembly, be amended to read as follows:1097

       Sec. 206.42.09. IMMUNIZATIONS1098

       Of the foregoing appropriation item 440-418, Immunizations, 1099
$800,000 in fiscal year 2007 shall be used for the purchase of 1100
varicella vaccines.1101

       FREE CLINIC LIABILITY INSURANCE1102

        Of the foregoing appropriation item 440-431, Free Clinic 1103
Liability Insurance, up to $20,000 in each fiscal year may be used 1104
by the Department of Health for administrative expenses related to 1105
the Medical Liability Insurance Reimbursement Program. The 1106
remainder in each fiscal year shall be used to pay for medical 1107
liability insurance for free clinics, including the clinics' staff 1108
and volunteer health care professionals and volunteer health care 1109
workers. The necessity and feasibility of the program shall be 1110
reviewed as part of the next biennial budget.1111

       HIV/AIDS PREVENTION/TREATMENT1112

       Of the foregoing appropriation item 440-444, AIDS Prevention1113
and Treatment, not more than $6.7 million per fiscal year shall be 1114
used to assist persons with HIV/AIDS in acquiring HIV-related 1115
medications.1116

       INFECTIOUS DISEASE PREVENTION1117

       The foregoing appropriation item 440-446, Infectious Disease 1118
Prevention, shall be used for the purchase of drugs for sexually 1119
transmitted diseases.1120

       HELP ME GROW1121

       The foregoing appropriation item 440-459, Help Me Grow, shall1122
be used by the Department of Health to distribute subsidies to1123
counties to implement the Help Me Grow Program. Appropriation item 1124
440-459, Help Me Grow, may be used in conjunction with Temporary 1125
Assistance for Needy Families from the Department of Job and 1126
Family Services, Early Intervention funding from the Department of 1127
Mental Retardation and Developmental Disabilities, and in 1128
conjunction with other early childhood funds and services to 1129
promote the optimal development of young children. Local contracts 1130
shall be developed between local departments of job and family 1131
services and family and children first councils for the1132
administration of TANF funding for the Help Me Grow Program. The1133
Department of Health shall enter into an interagency agreement1134
with the Department of Education, Department of Mental Retardation 1135
and Developmental Disabilities, Department of Job and Family 1136
Services, and Department of Mental Health to ensure that all early 1137
childhood programs and initiatives are coordinated and school 1138
linked.1139

       TARGETED HEALTH CARE SERVICES OVER 211140

       In each fiscal year, of the foregoing appropriation item 1141
440-507, Targeted Health Care Services Over 21, $731,023 shall be 1142
used to administer the cystic fibrosis program and implement the 1143
Hemophilia Insurance Premium Payment Program.1144

       Of the foregoing appropriation item 440-507, Targeted Health 1145
Care Services Over 21, $850,000 in fiscal year 2006 and $950,000 1146
in fiscal year 2007 shall be used to provide essential medications 1147
and to pay the copayments for drugs approved by the Department of 1148
Health and covered by Medicare Part D that are dispensed to Bureau 1149
for Children with Medical Handicaps (BCMH) participants, in 1150
accordance with the section of this actAm. Sub. H.B. 530 of the 1151
126th General Assembly entitled "BCMH - MEDICARE PART D 1152
COPAYMENTS" for the cystic fibrosis program.1153

       MATERNAL CHILD HEALTH BLOCK GRANT1154

       Of the foregoing appropriation item 440-601, Maternal Child1155
Health Block Grant (Fund 320), $2,091,299 shall be used in each1156
fiscal year 2006 for the purposes of abstinence-only education1157
programs. The Director of Health shall develop guidelines for the 1158
establishment of abstinence programs for teenagers with the 1159
purpose of decreasing unplanned pregnancies and abortion. The 1160
guidelines shall be developed under Title V of the "Social 1161
Security Act," 42 U.S.C. 510, and shall include, but are not 1162
limited to, advertising campaigns and direct training in schools 1163
and other locations.1164

       At the end of fiscal year 2006, any unencumbered and 1165
unallotted funds that were earmarked for abstinence-only programs 1166
in appropriation item 440-601, Maternal Child Health Block Grant 1167
(Fund 320), shall instead be used by the Director of Health in the 1168
following manner: not more than thirty per cent of the funds shall 1169
be allocated to emergency contraception education and information 1170
programs as described in section 3701.135 of the Revised Code; not 1171
more than twenty per cent shall be allocated to training programs 1172
on emergency contraception drug therapy initiation and 1173
distribution as described in section 4729.452 of the Revised Code; 1174
and not more than fifty per cent shall be allocated to teenage 1175
pregnancy prevention grant programs as described in section 1176
3701.047 of the Revised Code.1177

        Of the foregoing appropriation item 440-601, Maternal Child 1178
Health Block Grant (Fund 320), $2,091,299 shall be used for 1179
emergency contraception education and information, emergency 1180
contraception drug therapy initiation and distribution training, 1181
and teenage pregnancy prevention grant programs. Of the $2,091,299 1182
earmarked, not more than thirty per cent of the funds shall be 1183
allocated to emergency contraception education and information 1184
programs as described in section 3701.135 of the Revised Code; not 1185
more than twenty per cent shall be allocated to training programs 1186
on emergency contraception drug therapy initiation and 1187
distribution as described in section 4729.452 of the Revised Code; 1188
and not more than fifty per cent shall be allocated to teenage 1189
pregnancy prevention grant programs as described in section 1190
3701.047 of the Revised Code.1191

       GENETICS SERVICES1192

       The foregoing appropriation item 440-608, Genetics Services1193
(Fund 4D6), shall be used by the Department of Health to1194
administer programs authorized by sections 3701.501 and 3701.5021195
of the Revised Code. None of these funds shall be used to counsel1196
or refer for abortion, except in the case of a medical emergency.1197

       SAFETY AND QUALITY OF CARE STANDARDS1198

       The Department of Health may use Fund 471, Certificate of1199
Need, for administering sections 3702.11 to 3702.20 and 3702.30 of1200
the Revised Code in each fiscal year.1201

       MEDICALLY HANDICAPPED CHILDREN AUDIT1202

       The Medically Handicapped Children Audit Fund (Fund 477)1203
shall receive revenue from audits of hospitals and recoveries from1204
third-party payers. Moneys may be expended for payment of audit1205
settlements and for costs directly related to obtaining recoveries1206
from third-party payers and for encouraging Medically Handicapped1207
Children's Program recipients to apply for third-party benefits.1208
Moneys also may be expended for payments for diagnostic and1209
treatment services on behalf of medically handicapped children, as1210
defined in division (A) of section 3701.022 of the Revised Code,1211
and Ohio residents who are twenty-one or more years of age and who1212
are suffering from cystic fibrosis or hemophilia. Moneys may also 1213
be expended for administrative expenses incurred in operating the 1214
Medically Handicapped Children's Program.1215

       CASH TRANSFER FROM LIQUOR CONTROL FUND TO ALCOHOL TESTING AND1216
PERMIT FUND1217

       The Director of Budget and Management, pursuant to a plan1218
submitted by the Department of Health, or as otherwise determined1219
by the Director of Budget and Management, shall set a schedule to1220
transfer cash from the Liquor Control Fund (Fund 043) to the1221
Alcohol Testing and Permit Fund (Fund 5C0) to meet the operating1222
needs of the Alcohol Testing and Permit program.1223

       The Director of Budget and Management shall transfer to the1224
Alcohol Testing and Permit Fund (Fund 5C0) from the Liquor Control1225
Fund (Fund 043) created in section 4301.12 of the Revised Code1226
such amounts at such times as determined by the transfer schedule.1227

       MEDICALLY HANDICAPPED CHILDREN - COUNTY ASSESSMENTS1228

       The foregoing appropriation item 440-607, Medically1229
Handicapped Children - County Assessments (Fund 666), shall be1230
used to make payments under division (E) of section 3701.023 of 1231
the Revised Code.1232

       Section 6. That existing Section 206.42.09 of Am. Sub. H.B. 1233
66 of the 126th General Assembly, as amended by Am. Sub. H.B. 530 1234
of the 126th General Assembly, is hereby repealed.1235

       Section 7. That Section 206.42.06 of Am. Sub. H.B. 66 of the 1236
126th General Assembly is hereby repealed.1237

       Section 8. Section 1751.661 of the Revised Code shall apply1238
only to policies, contracts, and agreements that are delivered,1239
issued for delivery, or renewed in this state on or after the1240
effective date of this act; section 3923.602 of the Revised Code1241
shall apply to policies of sickness and accident insurance on or1242
after the effective date of this act in accordance with section1243
3923.01 of the Revised Code; and section 3923.611 of the Revised1244
Code shall apply only to plans that are established or modified in1245
this state on or after the effective date of this act.1246