As Reported by House Health, Retirement and Aging Committee     1            

123rd General Assembly                                             4            

   Regular Session                           Sub. H. B. No. 241    5            

      1999-2000                                                    6            


  REPRESENTATIVES HOLLISTER-WOMER BENJAMIN-GRENDELL-R. MILLER-     8            

  TERWILLEGER-OGG-OPFER-MEAD-JONES-SULZER-SUTTON-PERZ-WILLIAMS-    9            

ALLEN-HARTNETT-CALLENDER-D. MILLER-HOOD-YOUNG-BENDER-HOUSEHOLDER-  10           

SMITH-CAREY-VAN VYVEN-SCHURING-OLMAN-PADGETT-MAIER-DePIERO-BARNES  11           


_________________________________________________________________   12           

                          A   B I L L                                           

             To amend sections 2925.02, 2925.03, 2925.11,          14           

                2925.12, 2925.14, 2925.23, 2925.36, 3719.06,       15           

                3719.81, 4723.02, 4732.04, 4723.06, 4723.07,                    

                4723.08, 4723.151, 4723.28, 4723.42, 4723.43,      17           

                4723.431, 4723.44, 4723.47, 4723.52, 4723.56,                   

                4723.561, 4723.57, 4723.58, 4723.59, 4729.01,      19           

                4729.51, and 4731.22; to enact sections 4723.48                 

                and 4723.49; and to repeal two years after the     20           

                effective date of this act sections 4723.56,       21           

                4723.561, 4723.57, and 4723.58 of the Revised      22           

                Code and to amend Section 3 of Am. Sub. H.B. 478                

                of the 119th General Assembly, as subsequently     23           

                amended, to permit clinical nurse specialists,     24           

                certified nurse-midwives, and certified nurse      25           

                practitioners to prescribe drugs and therapeutic   26           

                devices.                                                        




BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:        28           

      Section 1.  That sections 2925.02, 2925.03, 2925.11,         30           

2925.12, 2925.14, 2925.23, 2925.36, 3719.06, 3719.81, 4723.02,     31           

4723.04, 4723.06, 4723.07, 4723.08, 4723.151, 4723.28, 4723.42,    33           

4723.43, 4723.431, 4723.44, 4723.47, 4723.52, 4723.56, 4723.561,   34           

4723.57, 4723.58, 4723.59, 4729.01, 4729.51, and 4731.22 be        35           

amended and sections 4723.48 and 4723.49 of the Revised Code be    36           

                                                          2      


                                                                 
enacted to read as follows:                                                     

      Sec. 2925.02.  (A)  No person shall knowingly do any of the  45           

following:                                                         46           

      (1)  By force, threat, or deception, administer to another   48           

or induce or cause another to use a controlled substance;          49           

      (2)  By any means, administer or furnish to another or       51           

induce or cause another to use a controlled substance with         52           

purpose to cause serious physical harm to the other person, or     53           

with purpose to cause the other person to become drug dependent;   54           

      (3)  By any means, administer or furnish to another or       56           

induce or cause another to use a controlled substance, and         57           

thereby cause serious physical harm to the other person, or cause  58           

the other person to become drug dependent;                         59           

      (4)  By any means, do any of the following:                  61           

      (a)  Furnish or administer a controlled substance to a       63           

juvenile who is at least two years the offender's junior, when     65           

the offender knows the age of the juvenile or is reckless in that  66           

regard;                                                                         

      (b)  Induce or cause a juvenile who is at least two years    68           

the offender's junior to use a controlled substance, when the      70           

offender knows the age of the juvenile or is reckless in that      71           

regard;                                                                         

      (c)  Induce or cause a juvenile who is at least two years    73           

the offender's junior to commit a felony drug abuse offense, when  75           

the offender knows the age of the juvenile or is reckless in that  76           

regard;                                                            77           

      (d)  Use a juvenile, whether or not the offender knows the   79           

age of the juvenile, to perform any surveillance activity that is  80           

intended to prevent the detection of the offender or any other     81           

person in the commission of a felony drug abuse offense or to      82           

prevent the arrest of the offender or any other person for the     83           

commission of a felony drug abuse offense.                         84           

      (B)  Division (A)(1), (3), or (4) of this section does not   86           

apply to manufacturers, wholesalers, licensed health               87           

                                                          3      


                                                                 
professionals authorized to prescribe drugs, pharmacists, owners   89           

of pharmacies, and other persons whose conduct is in accordance    90           

with Chapters 3719., 4715., 4723., 4729., 4731., and 4741. of the  91           

Revised Code or section 4723.56 of the Revised Code.                            

      (C)  Whoever violates this section is guilty of corrupting   93           

another with drugs.  The penalty for the offense shall be          94           

determined as follows:                                             95           

      (1)  Except as otherwise provided in this division, if the   97           

drug involved is any compound, mixture, preparation, or substance  99           

included in schedule I or II, with the exception of marihuana,     100          

corrupting another with drugs is a felony of the second degree,    101          

and, subject to division (E) of this section, the court shall      102          

impose as a mandatory prison term one of the prison terms          104          

prescribed for a felony of the second degree.  If the drug                      

involved is any compound, mixture, preparation, or substance       105          

included in schedule I or II, with the exception of marihuana,     106          

and if the offense was committed in the vicinity of a school,      107          

corrupting another with drugs is a felony of the first degree,     108          

and, subject to division (E) of this section, the court shall      109          

impose as a mandatory prison term one of the prison terms          110          

prescribed for a felony of the first degree.                                    

      (2)  Except as otherwise provided in this division, if the   112          

drug involved is any compound, mixture, preparation, or substance  113          

included in schedule III, IV, or V, corrupting another with drugs  114          

is a felony of the second degree, and there is a presumption for   115          

a prison term for the offense.  If the drug involved is any        116          

compound, mixture, preparation, or substance included in schedule  117          

III, IV, or V and if the offense was committed in the vicinity of  118          

a school, corrupting another with drugs is a felony of the second  119          

degree, and the court shall impose as a mandatory prison term one  120          

of the prison terms prescribed for a felony of the second degree.  121          

      (3)  Except as otherwise provided in this division, if the   123          

drug involved is marihuana, corrupting another with drugs is a     125          

felony of the fourth degree, and division (C) of section 2929.13   126          

                                                          4      


                                                                 
of the Revised Code applies in determining whether to impose a     127          

prison term on the offender.  If the drug involved is marihuana    128          

and if the offense was committed in the vicinity of a school,      129          

corrupting another with drugs is a felony of the third degree,     130          

and division (C) of section 2929.13 of the Revised Code applies    131          

in determining whether to impose a prison term on the offender.    132          

      (D)  In addition to any prison term authorized or required   134          

by division (C) or (E) of this section and sections 2929.13 and    135          

2929.14 of the Revised Code and in addition to any other sanction  136          

imposed for the offense under this section or sections 2929.11 to  137          

2929.18 of the Revised Code, the court that sentences an offender  139          

who is convicted of or pleads guilty to a violation of division    140          

(A) of this section or the clerk of that court shall do all of     141          

the following that are applicable regarding the offender:                       

      (1)(a)  If the violation is a felony of the first, second,   144          

or third degree, the court shall impose upon the offender the                   

mandatory fine specified for the offense under division (B)(1) of  145          

section 2929.18 of the Revised Code unless, as specified in that   146          

division, the court determines that the offender is indigent.      147          

      (b)  Notwithstanding any contrary provision of section       149          

3719.21 of the Revised Code, any mandatory fine imposed pursuant   151          

to division (D)(1)(a) of this section and any fine imposed for a   152          

violation of this section pursuant to division (A) of section      153          

2929.18 of the Revised Code shall be paid by the clerk of the      154          

court in accordance with and subject to the requirements of, and   155          

shall be used as specified in, division (F) of section 2925.03 of  156          

the Revised Code.                                                               

      (c)  If a person is charged with any violation of this       158          

section that is a felony of the first, second, or third degree,    160          

posts bail, and forfeits the bail, the forfeited bail shall be                  

paid by the clerk of the court pursuant to division (D)(1)(b) of   161          

this section as if it were a fine imposed for a violation of this  163          

section.                                                                        

      (2)  The court either shall revoke or, if it does not        166          

                                                          5      


                                                                 
revoke, shall suspend for not less than six months or more than    167          

five years, the driver's or commercial driver's license or permit  168          

of any person who is convicted of or pleads guilty to a violation  169          

of this section that is a felony of the first degree and shall     170          

suspend for not less than six months nor more than five years the  171          

driver's or commercial driver's license or permit of any person    172          

who is convicted of or pleads guilty to any other violation of     173          

this section.  If an offender's driver's or commercial driver's    174          

license or permit is revoked pursuant to this division, the        175          

offender, at any time after the expiration of two years from the   176          

day on which the offender's sentence was imposed or from the day   177          

on which the offender finally was released from a prison term      178          

under the sentence, whichever is later, may file a motion with     179          

the sentencing court requesting termination of the revocation.     180          

Upon the filing of the motion and the court's finding of good      182          

cause for the termination, the court may terminate the             183          

revocation.                                                                     

      (3)  If the offender is a professionally licensed person or  185          

a person who has been admitted to the bar by order of the supreme  186          

court in compliance with its prescribed and published rules, in    187          

addition to any other sanction imposed for a violation of this     188          

section, the court forthwith shall comply with section 2925.38 of  189          

the Revised Code.                                                  190          

      (E)  Notwithstanding the prison term otherwise authorized    192          

or required for the offense under division (C) of this section     193          

and sections 2929.13 and 2929.14 of the Revised Code, if the       194          

violation of division (A) of this section involves the sale,       196          

offer to sell, or possession of a schedule I or II controlled      198          

substance, with the exception of marihuana, and if the offender,   200          

as a result of the violation, is a major drug offender, the        202          

court, in lieu of the prison term that otherwise is authorized or  203          

required, shall impose upon the offender the mandatory prison      204          

term specified in division (D)(3)(a) of section 2929.14 of the     205          

Revised Code and may impose an additional prison term under        206          

                                                          6      


                                                                 
division (D)(3)(b) of that section.                                207          

      Sec. 2925.03.  (A)  No person shall knowingly sell or offer  216          

to sell a controlled substance.                                    217          

      (B)  This section does not apply to any of the following:    219          

      (1)  Manufacturers, licensed health professionals            221          

authorized to prescribe drugs, pharmacists, owners of pharmacies,  223          

and other persons whose conduct is in accordance with Chapters     224          

3719., 4715., 4723., 4729., 4731., and 4741. or section 4723.56    225          

of the Revised Code;                                                            

      (2)  If the offense involves an anabolic steroid, any        227          

person who is conducting or participating in a research project    228          

involving the use of an anabolic steroid if the project has been   229          

approved by the United States food and drug administration;        230          

      (3)  Any person who sells, offers for sale, prescribes,      232          

dispenses, or administers for livestock or other nonhuman species  233          

an anabolic steroid that is expressly intended for administration  234          

through implants to livestock or other nonhuman species and        235          

approved for that purpose under the "Federal Food, Drug, and       236          

Cosmetic Act," 52 Stat. 1040 (1938), 21 U.S.C.A. 301, as amended,  237          

and is sold, offered for sale, prescribed, dispensed, or           238          

administered for that purpose in accordance with that act.         239          

      (C)  Whoever violates division (A) of this section is        241          

guilty of one of the following:                                    242          

      (1)  If the drug involved in the violation is any compound,  245          

mixture, preparation, or substance included in schedule I or       246          

schedule II, with the exception of marihuana, cocaine, L.S.D.,     247          

heroin, and hashish, whoever violates division (A) of this         249          

section is guilty of aggravated trafficking in drugs.  The         250          

penalty for the offense shall be determined as follows:            251          

      (a)  Except as otherwise provided in division (C)(1)(b),     254          

(c), (d), (e), or (f) of this section, aggravated trafficking in   255          

drugs is a felony of the fourth degree, and division (C) of        257          

section 2929.13 of the Revised Code applies in determining                      

whether to impose a prison term on the offender.                   259          

                                                          7      


                                                                 
      (b)  Except as otherwise provided in division (C)(1)(c),     262          

(d), (e), or (f) of this section, if the offense was committed in  263          

the vicinity of a school or in the vicinity of a juvenile,         264          

aggravated trafficking in drugs is a felony of the third degree,   265          

and division (C) of section 2929.13 of the Revised Code applies                 

in determining whether to impose a prison term on the offender.    266          

      (c)  Except as otherwise provided in this division, if the   268          

amount of the drug involved exceeds the bulk amount but does not   270          

exceed five times the bulk amount, aggravated trafficking in       271          

drugs is a felony of the third degree, and the court shall impose  272          

as a mandatory prison term one of the prison terms prescribed for  273          

a felony of the third degree.  If the amount of the drug involved  274          

is within that range and if the offense was committed in the       275          

vicinity of a school or in the vicinity of a juvenile, aggravated  276          

trafficking in drugs is a felony of the second degree, and the     277          

court shall impose as a mandatory prison term one of the prison    278          

terms prescribed for a felony of the second degree.                279          

      (d)  Except as otherwise provided in this division, if the   281          

amount of the drug involved exceeds five times the bulk amount     283          

but does not exceed fifty times the bulk amount, aggravated        284          

trafficking in drugs is a felony of the second degree, and the                  

court shall impose as a mandatory prison term one of the prison    285          

terms prescribed for a felony of the second degree.  If the        286          

amount of the drug involved is within that range and if the        287          

offense was committed in the vicinity of a school or in the        288          

vicinity of a juvenile, aggravated trafficking in drugs is a       289          

felony of the first degree, and the court shall impose as a        290          

mandatory prison term one of the prison terms prescribed for a     291          

felony of the first degree.                                        292          

      (e)  If the amount of the drug involved exceeds fifty times  295          

the bulk amount but does not exceed one hundred times the bulk     296          

amount and regardless of whether the offense was committed in the  297          

vicinity of a school or in the vicinity of a juvenile, aggravated  298          

trafficking in drugs is a felony of the first degree, and the      299          

                                                          8      


                                                                 
court shall impose as a mandatory prison term one of the prison    300          

terms prescribed for a felony of the first degree.                 301          

      (f)  If the amount of the drug involved exceeds one hundred  304          

times the bulk amount and regardless of whether the offense was    305          

committed in the vicinity of a school or in the vicinity of a      306          

juvenile, aggravated trafficking in drugs is a felony of the       307          

first degree, and the court shall impose as a mandatory prison     308          

term the maximum prison term prescribed for a felony of the first  309          

degree and may impose an additional prison term prescribed for a   310          

major drug offender under division (D)(3)(b) of section 2929.14    311          

of the Revised Code.                                               312          

      (2)  If the drug involved in the violation is any compound,  315          

mixture, preparation, or substance included in schedule III, IV,   316          

or V, whoever violates division (A) of this section is guilty of   317          

trafficking in drugs.  The penalty for the offense shall be        318          

determined as follows:                                             319          

      (a)  Except as otherwise provided in division (C)(2)(b),     322          

(c), (d), or (e) of this section, trafficking in drugs is a        324          

felony of the fifth degree, and division (C) of section 2929.13    325          

of the Revised Code applies in determining whether to impose a     326          

prison term on the offender.                                                    

      (b)  Except as otherwise provided in division (C)(2)(c),     329          

(d), or (e) of this section, if the offense was committed in the   330          

vicinity of a school or in the vicinity of a juvenile,             331          

trafficking in drugs is a felony of the fourth degree, and         332          

division (C) of section 2929.13 of the Revised Code applies in     333          

determining whether to impose a prison term on the offender.       335          

      (c)  Except as otherwise provided in this division, if the   337          

amount of the drug involved exceeds the bulk amount but does not   339          

exceed five times the bulk amount, trafficking in drugs is a       340          

felony of the fourth degree, and there is a presumption for a      341          

prison term for the offense.  If the amount of the drug involved   342          

is within that range and if the offense was committed in the       343          

vicinity of a school or in the vicinity of a juvenile,             344          

                                                          9      


                                                                 
trafficking in drugs is a felony of the third degree, and there    345          

is a presumption for a prison term for the offense.                346          

      (d)  Except as otherwise provided in this division, if the   348          

amount of the drug involved exceeds five times the bulk amount     350          

but does not exceed fifty times the bulk amount, trafficking in    351          

drugs is a felony of the third degree, and there is a presumption  352          

for a prison term for the offense.  If the amount of the drug      353          

involved is within that range and if the offense was committed in  354          

the vicinity of a school or in the vicinity of a juvenile,         355          

trafficking in drugs is a felony of the second degree, and there   356          

is a presumption for a prison term for the offense.                357          

      (e)  Except as otherwise provided in this division, if the   359          

amount of the drug involved exceeds fifty times the bulk amount,   361          

trafficking in drugs is a felony of the second degree, and the     362          

court shall impose as a mandatory prison term one of the prison    363          

terms prescribed for a felony of the second degree.  If the        364          

amount of the drug involved exceeds fifty times the bulk amount    365          

and if the offense was committed in the vicinity of a school or    366          

in the vicinity of a juvenile, trafficking in drugs is a felony    367          

of the first degree, and the court shall impose as a mandatory     368          

prison term one of the prison terms prescribed for a felony of     369          

the first degree.                                                  370          

      (3)  If the drug involved in the violation is marihuana or   372          

a compound, mixture, preparation, or substance containing          373          

marihuana other than hashish, whoever violates division (A) of     375          

this section is guilty of trafficking in marihuana.  The penalty   376          

for the offense shall be determined as follows:                    377          

      (a)  Except as otherwise provided in division (C)(3)(b),     380          

(c), (d), (e), (f), or (g) of this section, trafficking in         381          

marihuana is a felony of the fifth degree, and division (C) of     384          

section 2929.13 of the Revised Code applies in determining                      

whether to impose a prison term on the offender.                   385          

      (b)  Except as otherwise provided in division (C)(3)(c),     388          

(d), (e), (f), or (g) of this section, if the offense was          390          

                                                          10     


                                                                 
committed in the vicinity of a school or in the vicinity of a      391          

juvenile, trafficking in marihuana is a felony of the fourth       392          

degree, and division (C) of section 2929.13 of the Revised Code    393          

applies in determining whether to impose a prison term on the      394          

offender.                                                                       

      (c)  Except as otherwise provided in this division, if the   396          

amount of the drug involved exceeds two hundred grams but does     398          

not exceed one thousand grams, trafficking in marihuana is a       399          

felony of the fourth degree, and division (C) of section 2929.13   400          

of the Revised Code applies in determining whether to impose a     402          

prison term on the offender.  If the amount of the drug involved   403          

is within that range and if the offense was committed in the       404          

vicinity of a school or in the vicinity of a juvenile,                          

trafficking in marihuana is a felony of the third degree, and      405          

division (C) of section 2929.13 of the Revised Code applies in     406          

determining whether to impose a prison term on the offender.       408          

      (d)  Except as otherwise provided in this division, if the   410          

amount of the drug involved exceeds one thousand grams but does    412          

not exceed five thousand grams, trafficking in marihuana is a      413          

felony of the third degree, and division (C) of section 2929.13    414          

of the Revised Code applies in determining whether to impose a     416          

prison term on the offender.  If the amount of the drug involved   417          

is within that range and if the offense was committed in the       418          

vicinity of a school or in the vicinity of a juvenile,             419          

trafficking in marihuana is a felony of the second degree, and     420          

there is a presumption that a prison term shall be imposed for     421          

the offense.                                                                    

      (e)  Except as otherwise provided in this division, if the   423          

amount of the drug involved exceeds five thousand grams but does   425          

not exceed twenty thousand grams, trafficking in marihuana is a    426          

felony of the third degree, and there is a presumption that a      427          

prison term shall be imposed for the offense.  If the amount of    428          

the drug involved is within that range and if the offense was      429          

committed in the vicinity of a school or in the vicinity of a      430          

                                                          11     


                                                                 
juvenile, trafficking in marihuana is a felony of the second       431          

degree, and there is a presumption that a prison term shall be     432          

imposed for the offense.                                           433          

      (f)  Except as otherwise provided in this division, if the   435          

amount of the drug involved exceeds twenty thousand grams,         437          

trafficking in marihuana is a felony of the second degree, and     438          

the court shall impose as a mandatory prison term the maximum      439          

prison term prescribed for a felony of the second degree.  If the  440          

amount of the drug involved exceeds twenty thousand grams and if   441          

the offense was committed in the vicinity of a school or in the    442          

vicinity of a juvenile, trafficking in marihuana is a felony of    443          

the first degree, and the court shall impose as a mandatory        444          

prison term the maximum prison term prescribed for a felony of     445          

the first degree.                                                  446          

      (g)  Except as otherwise provided in this division, if the   449          

offense involves a gift of twenty grams or less of marihuana,      450          

trafficking in marihuana is a minor misdemeanor upon a first       451          

offense and a misdemeanor of the third degree upon a subsequent    452          

offense.  If the offense involves a gift of twenty grams or less   453          

of marihuana and if the offense was committed in the vicinity of   454          

a school or in the vicinity of a juvenile, trafficking in          455          

marihuana is a misdemeanor of the third degree.                                 

      (4)  If the drug involved in the violation is cocaine or a   457          

compound, mixture, preparation, or substance containing cocaine,   458          

whoever violates division (A) of this section is guilty of         460          

trafficking in cocaine.  The penalty for the offense shall be                   

determined as follows:                                             461          

      (a)  Except as otherwise provided in division (C)(4)(b),     464          

(c), (d), (e), (f), or (g) of this section, trafficking in         465          

cocaine is a felony of the fifth degree, and division (C) of       467          

section 2929.13 of the Revised Code applies in determining                      

whether to impose a prison term on the offender.                   469          

      (b)  Except as otherwise provided in division (C)(4)(c),     472          

(d), (e), (f), or (g) of this section, if the offense was          473          

                                                          12     


                                                                 
committed in the vicinity of a school or in the vicinity of a      475          

juvenile, trafficking in cocaine is a felony of the fourth         476          

degree, and division (C) of section 2929.13 of the Revised Code    477          

applies in determining whether to impose a prison term on the      479          

offender.                                                                       

      (c)  Except as otherwise provided in this division, if the   481          

amount of the drug involved exceeds five grams but does not        482          

exceed ten grams of cocaine that is not crack cocaine or exceeds   484          

one gram but does not exceed five grams of crack cocaine,          486          

trafficking in cocaine is a felony of the fourth degree, and       487          

there is a presumption for a prison term for the offense.  If the  488          

amount of the drug involved is within one of those ranges and if   489          

the offense was committed in the vicinity of a school or in the    490          

vicinity of a juvenile, trafficking in cocaine is a felony of the  491          

third degree, and there is a presumption for a prison term for     492          

the offense.                                                                    

      (d)  Except as otherwise provided in this division, if the   494          

amount of the drug involved exceeds ten grams but does not exceed  495          

one hundred grams of cocaine that is not crack cocaine or exceeds  497          

five grams but does not exceed ten grams of crack cocaine,         498          

trafficking in cocaine is a felony of the third degree, and the    499          

court shall impose as a mandatory prison term one of the prison    500          

terms prescribed for a felony of the third degree.  If the amount  501          

of the drug involved is within one of those ranges and if the      502          

offense was committed in the vicinity of a school or in the        504          

vicinity of a juvenile, trafficking in cocaine is a felony of the  507          

second degree, and the court shall impose as a mandatory prison    508          

term one of the prison terms prescribed for a felony of the        509          

second degree.                                                                  

      (e)  Except as otherwise provided in this division, if the   511          

amount of the drug involved exceeds one hundred grams but does     512          

not exceed five hundred grams of cocaine that is not crack         513          

cocaine or exceeds ten grams but does not exceed twenty-five       515          

grams of crack cocaine, trafficking in cocaine is a felony of the  517          

                                                          13     


                                                                 
second degree, and the court shall impose as a mandatory prison    518          

term one of the prison terms prescribed for a felony of the        519          

second degree.  If the amount of the drug involved is within one   520          

of those ranges and if the offense was committed in the vicinity   521          

of a school or in the vicinity of a juvenile, trafficking in       523          

cocaine is a felony of the first degree, and the court shall       525          

impose as a mandatory prison term one of the prison terms          526          

prescribed for a felony of the first degree.                       527          

      (f)  If the amount of the drug involved exceeds five         530          

hundred grams but does not exceed one thousand grams of cocaine    531          

that is not crack cocaine or exceeds twenty-five grams but does    532          

not exceed one hundred grams of crack cocaine and regardless of    533          

whether the offense was committed in the vicinity of a school or   534          

in the vicinity of a juvenile, trafficking in cocaine is a felony  537          

of the first degree, and the court shall impose as a mandatory     538          

prison term one of the prison terms prescribed for a felony of     539          

the first degree.                                                               

      (g)  If the amount of the drug involved exceeds one          542          

thousand grams of cocaine that is not crack cocaine or exceeds     543          

one hundred grams of crack cocaine and regardless of whether the   545          

offense was committed in the vicinity of a school or in the        546          

vicinity of a juvenile, trafficking in cocaine is a felony of the  547          

first degree, and the court shall impose as a mandatory prison     548          

term the maximum prison term prescribed for a felony of the first  549          

degree and may impose an additional mandatory prison term          550          

prescribed for a major drug offender under division (D)(3)(b) of   552          

section 2929.14 of the Revised Code.                                            

      (5)  If the drug involved in the violation is L.S.D. or a    555          

compound, mixture, preparation, or substance containing L.S.D.,    556          

whoever violates division (A) of this section is guilty of         557          

trafficking in L.S.D.  The penalty for the offense shall be        559          

determined as follows:                                                          

      (a)  Except as otherwise provided in division (C)(5)(b),     562          

(c), (d), (e), (f), or (g) of this section, trafficking in L.S.D.  564          

                                                          14     


                                                                 
is a felony of the fifth degree, and division (C) of section       565          

2929.13 of the Revised Code applies in determining whether to      567          

impose a prison term on the offender.                                           

      (b)  Except as otherwise provided in division (C)(5)(c),     570          

(d), (e), (f), or (g) of this section, if the offense was          571          

committed in the vicinity of a school or in the vicinity of a      572          

juvenile, trafficking in L.S.D. is a felony of the fourth degree,  574          

and division (C) of section 2929.13 of the Revised Code applies                 

in determining whether to impose a prison term on the offender.    575          

      (c)  Except as otherwise provided in this division, if the   577          

amount of the drug involved exceeds ten unit doses but does not    579          

exceed fifty unit doses of L.S.D. in a solid form or exceeds one   580          

gram but does not exceed five grams of L.S.D. in a liquid          582          

concentrate, liquid extract, or liquid distillate form,            584          

trafficking in L.S.D. is a felony of the fourth degree, and there  587          

is a presumption for a prison term for the offense.  If the        588          

amount of the drug involved is within that range and if the                     

offense was committed in the vicinity of a school or in the        589          

vicinity of a juvenile, trafficking in L.S.D. is a felony of the   591          

third degree, and there is a presumption for a prison term for     592          

the offense.                                                                    

      (d)  Except as otherwise provided in this division, if the   594          

amount of the drug involved exceeds fifty unit doses but does not  596          

exceed two hundred fifty unit doses of L.S.D. in a solid form or   597          

exceeds five grams but does not exceed twenty-five grams of        599          

L.S.D. in a liquid concentrate, liquid extract, or liquid          601          

distillate form, trafficking in L.S.D. is a felony of the third    604          

degree, and the court shall impose as a mandatory prison term one  605          

of the prison terms prescribed for a felony of the third degree.   606          

If the amount of the drug involved is within that range and if     607          

the offense was committed in the vicinity of a school or in the    608          

vicinity of a juvenile, trafficking in L.S.D. is a felony of the   610          

second degree, and the court shall impose as a mandatory prison    611          

term one of the prison terms prescribed for a felony of the        612          

                                                          15     


                                                                 
second degree.                                                                  

      (e)  Except as otherwise provided in this division, if the   614          

amount of the drug involved exceeds two hundred fifty unit doses   616          

but does not exceed one thousand unit doses of L.S.D. in a solid   618          

form or exceeds twenty-five grams but does not exceed one hundred  620          

grams of L.S.D. in a liquid concentrate, liquid extract, or        622          

liquid distillate form, trafficking in L.S.D. is a felony of the   624          

second degree, and the court shall impose as a mandatory prison    625          

term one of the prison terms prescribed for a felony of the        626          

second degree.  If the amount of the drug involved is within that  627          

range and if the offense was committed in the vicinity of a        628          

school or in the vicinity of a juvenile, trafficking in L.S.D. is  630          

a felony of the first degree, and the court shall impose as a      631          

mandatory prison term one of the prison terms prescribed for a     632          

felony of the first degree.                                                     

      (f)  If the amount of the drug involved exceeds one          635          

thousand unit doses but does not exceed five thousand unit doses   636          

of L.S.D. in a solid form or exceeds one hundred grams but does    639          

not exceed five hundred grams of L.S.D. in a liquid concentrate,   641          

liquid extract, or liquid distillate form and regardless of        642          

whether the offense was committed in the vicinity of a school or   643          

in the vicinity of a juvenile, trafficking in L.S.D. is a felony   644          

of the first degree, and the court shall impose as a mandatory     645          

prison term one of the prison terms prescribed for a felony of     646          

the first degree.                                                  647          

      (g)  If the amount of the drug involved exceeds five         650          

thousand unit doses of L.S.D. in a solid form or exceeds five      651          

hundred grams of L.S.D. in a liquid concentrate, liquid extract,   653          

or liquid distillate form and regardless of whether the offense    656          

was committed in the vicinity of a school or in the vicinity of a  657          

juvenile, trafficking in L.S.D. is a felony of the first degree,   660          

and the court shall impose as a mandatory prison term the maximum  661          

prison term prescribed for a felony of the first degree and may    662          

impose an additional mandatory prison term prescribed for a major  663          

                                                          16     


                                                                 
drug offender under division (D)(3)(b) of section 2929.14 of the   665          

Revised Code.                                                                   

      (6)  If the drug involved in the violation is heroin or a    667          

compound, mixture, preparation, or substance containing heroin,    668          

whoever violates division (A) of this section is guilty of         670          

trafficking in heroin.  The penalty for the offense shall be                    

determined as follows:                                             671          

      (a)  Except as otherwise provided in division (C)(6)(b),     674          

(c), (d), (e), (f), or (g) of this section, trafficking in heroin  676          

is a felony of the fifth degree, and division (C) of section       677          

2929.13 of the Revised Code applies in determining whether to                   

impose a prison term on the offender.                              679          

      (b)  Except as otherwise provided in division (C)(6)(c),     682          

(d), (e), (f), or (g) of this section, if the offense was          683          

committed in the vicinity of a school or in the vicinity of a      686          

juvenile, trafficking in heroin is a felony of the fourth degree,  687          

and division (C) of section 2929.13 of the Revised Code applies    689          

in determining whether to impose a prison term on the offender.                 

      (c)  Except as otherwise provided in this division, if the   691          

amount of the drug involved exceeds one gram but does not exceed   693          

five grams, trafficking in heroin is a felony of the fourth        694          

degree, and there is a presumption for a prison term for the       695          

offense.  If the amount of the drug involved is within that range  696          

and if the offense was committed in the vicinity of a school or    697          

in the vicinity of a juvenile, trafficking in heroin is a felony   698          

of the third degree, and there is a presumption for a prison term  699          

for the offense.                                                   700          

      (d)  Except as otherwise provided in this division, if the   702          

amount of the drug involved exceeds five grams but does not        704          

exceed ten grams, trafficking in heroin is a felony of the third   705          

degree, and there is a presumption for a prison term for the       706          

offense.  If the amount of the drug involved is within that range  707          

and if the offense was committed in the vicinity of a school or    708          

in the vicinity of a juvenile, trafficking in heroin is a felony   709          

                                                          17     


                                                                 
of the second degree, and there is a presumption for a prison      710          

term for the offense.                                              711          

      (e)  Except as otherwise provided in this division, if the   713          

amount of the drug involved exceeds ten grams but does not exceed  715          

fifty grams, trafficking in heroin is a felony of the second       716          

degree, and the court shall impose as a mandatory prison term one  717          

of the prison terms prescribed for a felony of the second degree.  718          

If the amount of the drug involved is within that range and if     719          

the offense was committed in the vicinity of a school or in the    720          

vicinity of a juvenile, trafficking in heroin is a felony of the   721          

first degree, and the court shall impose as a mandatory prison     722          

term one of the prison terms prescribed for a felony of the first  723          

degree.                                                            724          

      (f)  If the amount of the drug involved exceeds fifty grams  727          

but does not exceed two hundred fifty grams and regardless of                   

whether the offense was committed in the vicinity of a school or   728          

in the vicinity of a juvenile, trafficking in heroin is a felony   730          

of the first degree, and the court shall impose as a mandatory     731          

prison term one of the prison terms prescribed for a felony of     732          

the first degree.                                                               

      (g)  If the amount of the drug involved exceeds two hundred  735          

fifty grams and regardless of whether the offense was committed                 

in the vicinity of a school or in the vicinity of a juvenile,      736          

trafficking in heroin is a felony of the first degree, and the     739          

court shall impose as a mandatory prison term the maximum prison   740          

term prescribed for a felony of the first degree and may impose    741          

an additional mandatory prison term prescribed for a major drug    742          

offender under division (D)(3)(b) of section 2929.14 of the        743          

Revised Code.                                                      744          

      (7)  If the drug involved in the violation is hashish or a   746          

compound, mixture, preparation, or substance containing hashish,   747          

whoever violates division (A) of this section is guilty of         749          

trafficking in hashish.  The penalty for the offense shall be                   

determined as follows:                                             750          

                                                          18     


                                                                 
      (a)  Except as otherwise provided in division (C)(7)(b),     753          

(c), (d), (e), or (f) of this section, trafficking in hashish is   755          

a felony of the fifth degree, and division (C) of section 2929.13  756          

of the Revised Code applies in determining whether to impose a     758          

prison term on the offender.                                                    

      (b)  Except as otherwise provided in division (C)(7)(c),     761          

(d), (e), or (f) of this section, if the offense was committed in  762          

the vicinity of a school or in the vicinity of a juvenile,         764          

trafficking in hashish is a felony of the fourth degree, and       765          

division (C) of section 2929.13 of the Revised Code applies in     766          

determining whether to impose a prison term on the offender.       767          

      (c)  Except as otherwise provided in this division, if the   769          

amount of the drug involved exceeds ten grams but does not exceed  770          

fifty grams of hashish in a solid form or exceeds two grams but    771          

does not exceed ten grams of hashish in a liquid concentrate,      772          

liquid extract, or liquid distillate form, trafficking in hashish  773          

is a felony of the fourth degree, and division (C) of section      774          

2929.13 of the Revised Code applies in determining whether to      775          

impose a prison term on the offender.  If the amount of the drug   776          

involved is within that range and if the offense was committed in  777          

the vicinity of a school or in the vicinity of a juvenile,         778          

trafficking in hashish is a felony of the third degree, and        779          

division (C) of section 2929.13 of the Revised Code applies in     780          

determining whether to impose a prison term on the offender.                    

      (d)  Except as otherwise provided in this division, if the   782          

amount of the drug involved exceeds fifty grams but does not       783          

exceed two hundred fifty grams of hashish in a solid form or       784          

exceeds ten grams but does not exceed fifty grams of hashish in a  785          

liquid concentrate, liquid extract, or liquid distillate form,     786          

trafficking in hashish is a felony of the third degree, and        788          

division (C) of section 2929.13 of the Revised Code applies in                  

determining whether to impose a prison term on the offender.  If   789          

the amount of the drug involved is within that range and if the    791          

offense was committed in the vicinity of a school or in the        792          

                                                          19     


                                                                 
vicinity of a juvenile, trafficking in hashish is a felony of the  793          

second degree, and there is a presumption that a prison term       794          

shall be imposed for the offense.                                               

      (e)  Except as otherwise provided in this division, if the   796          

amount of the drug involved exceeds two hundred fifty grams but    797          

does not exceed one thousand grams of hashish in a solid form or   798          

exceeds fifty grams but does not exceed two hundred grams of       799          

hashish in a liquid concentrate, liquid extract, or liquid         801          

distillate form, trafficking in hashish is a felony of the third   802          

degree, and there is a presumption that a prison term shall be                  

imposed for the offense.  If the amount of the drug involved is    803          

within that range and if the offense was committed in the          804          

vicinity of a school or in the vicinity of a juvenile,             805          

trafficking in hashish is a felony of the second degree, and       806          

there is a presumption that a prison term shall be imposed for     807          

the offense.                                                                    

      (f)  Except as otherwise provided in this division, if the   809          

amount of the drug involved exceeds one thousand grams of hashish  811          

in a solid form or exceeds two hundred grams of hashish in a       812          

liquid concentrate, liquid extract, or liquid distillate form,                  

trafficking in hashish is a felony of the second degree, and the   814          

court shall impose as a mandatory prison term the maximum prison   815          

term prescribed for a felony of the second degree.  If the amount  816          

of the drug involved exceeds one thousand grams of hashish in a    818          

solid form or exceeds two hundred grams of hashish in a liquid     819          

concentrate, liquid extract, or liquid distillate form and if the  820          

offense was committed in the vicinity of a school or in the                     

vicinity of a juvenile, trafficking in hashish is a felony of the  822          

first degree, and the court shall impose as a mandatory prison     823          

term the maximum prison term prescribed for a felony of the first  824          

degree.                                                                         

      (D)  In addition to any prison term authorized or required   827          

by division (C) of this section and sections 2929.13 and 2929.14   828          

of the Revised Code, and in addition to any other sanction         829          

                                                          20     


                                                                 
imposed for the offense under this section or sections 2929.11 to  830          

2929.18 of the Revised Code, the court that sentences an offender  831          

who is convicted of or pleads guilty to a violation of division    832          

(A) of this section shall do all of the following that are         834          

applicable regarding the offender:                                              

      (1)  If the violation of division (A) of this section is a   837          

felony of the first, second, or third degree, the court shall      838          

impose upon the offender the mandatory fine specified for the      839          

offense under division (B)(1) of section 2929.18 of the Revised    840          

Code unless, as specified in that division, the court determines   841          

that the offender is indigent.  Except as otherwise provided in    842          

division (H)(1) of this section, a mandatory fine or any other     843          

fine imposed for a violation of this section is subject to         844          

division (F) of this section.  If a person is charged with a       845          

violation of this section that is a felony of the first, second,   846          

or third degree, posts bail, and forfeits the bail, the clerk of   847          

the court shall pay the forfeited bail pursuant to divisions       849          

(D)(1) and (F) of this section, as if the forfeited bail was a     850          

fine imposed for a violation of this section.  If any amount of    851          

the forfeited bail remains after that payment and if a fine is     852          

imposed under division (H)(1) of this section, the clerk of the    853          

court shall pay the remaining amount of the forfeited bail         854          

pursuant to divisions (H)(2) and (3) of this section, as if that   855          

remaining amount was a fine imposed under division (H)(1) of this               

section.                                                           856          

      (2)  The court shall revoke or suspend the driver's or       858          

commercial driver's license or permit of the offender in           859          

accordance with division (G) of this section.                      860          

      (3)  If the offender is a professionally licensed person or  863          

a person who has been admitted to the bar by order of the supreme  864          

court in compliance with its prescribed and published rules, the   865          

court forthwith shall comply with section 2925.38 of the Revised   866          

Code.                                                                           

      (E)  When a person is charged with the sale of or offer to   869          

                                                          21     


                                                                 
sell a bulk amount or a multiple of a bulk amount of a controlled  870          

substance, the jury, or the court trying the accused, shall        872          

determine the amount of the controlled substance involved at the   873          

time of the offense and, if a guilty verdict is returned, shall    874          

return the findings as part of the verdict.  In any such case, it  875          

is unnecessary to find and return the exact amount of the          876          

controlled substance involved, and it is sufficient if the                      

finding and return is to the effect that the amount of the         877          

controlled substance involved is the requisite amount, or that     879          

the amount of the controlled substance involved is less than the   880          

requisite amount.                                                  881          

      (F)(1)  Notwithstanding any contrary provision of section    883          

3719.21 of the Revised Code and except as provided in division     884          

(H) of this section, the clerk of the court shall pay any          885          

mandatory fine imposed pursuant to division (D)(1) of this         886          

section and any fine other than a mandatory fine that is imposed   887          

for a violation of this section pursuant to division (A) or        888          

(B)(5) of section 2929.18 of the Revised Code to the county,       890          

township, municipal corporation, park district, as created         891          

pursuant to section 511.18 or 1545.04 of the Revised Code, or      892          

state law enforcement agencies in this state that primarily were   893          

responsible for or involved in making the arrest of, and in        894          

prosecuting, the offender.  However, the clerk shall not pay a     895          

mandatory fine so imposed to a law enforcement agency unless the   896          

agency has adopted a written internal control policy under         897          

division (F)(2) of this section that addresses the use of the      899          

fine moneys that it receives.  Each agency shall use the           901          

mandatory fines so paid to subsidize the agency's law enforcement               

efforts that pertain to drug offenses, in accordance with the      903          

written internal control policy adopted by the recipient agency    904          

under division (F)(2) of this section.                             905          

      (2)(a)  Prior to receiving any fine moneys under division    907          

(F)(1) of this section or division (B)(5) of section 2925.42 of    908          

the Revised Code, a law enforcement agency shall adopt a written   909          

                                                          22     


                                                                 
internal control policy that addresses the agency's use and        910          

disposition of all fine moneys so received and that provides for   911          

the keeping of detailed financial records of the receipts of       912          

those fine moneys, the general types of expenditures made out of   913          

those fine moneys, and the specific amount of each general type    914          

of expenditure.  The policy shall not provide for or permit the    915          

identification of any specific expenditure that is made in an      916          

ongoing investigation.  All financial records of the receipts of   917          

those fine moneys, the general types of expenditures made out of   918          

those fine moneys, and the specific amount of each general type    919          

of expenditure by an agency are public records open for            920          

inspection under section 149.43 of the Revised Code.               921          

Additionally, a written internal control policy adopted under      922          

this division is such a public record, and the agency that         923          

adopted it shall comply with it.                                   924          

      (b)  Each law enforcement agency that receives in any        926          

calendar year any fine moneys under division (F)(1) of this        927          

section or division (B)(5) of section 2925.42 of the Revised Code  928          

shall prepare a report covering the calendar year that cumulates   929          

all of the information contained in all of the public financial    930          

records kept by the agency pursuant to division (F)(2)(a) of this  931          

section for that calendar year, and shall send a copy of the       932          

cumulative report, no later than the first day of March in the     933          

calendar year following the calendar year covered by the report,   934          

to the attorney general.  Each report received by the attorney     935          

general is a public record open for inspection under section       936          

149.43 of the Revised Code.  Not later than the fifteenth day of   938          

April in the calendar year in which the reports are received, the  939          

attorney general shall send to the president of the senate and     941          

the speaker of the house of representatives a written              942          

notification that does all of the following:                                    

      (i)  Indicates that the attorney general has received from   944          

law enforcement agencies reports of the type described in this     945          

division that cover the previous calendar year and indicates that  948          

                                                          23     


                                                                 
the reports were received under this division;                     949          

      (ii)  Indicates that the reports are open for inspection     952          

under section 149.43 of the Revised Code;                          953          

      (iii)  Indicates that the attorney general will provide a    956          

copy of any or all of the reports to the president of the senate   957          

or the speaker of the house of representatives upon request.       958          

      (3)  As used in division (F) of this section:                961          

      (a)  "Law enforcement agencies" includes, but is not         963          

limited to, the state board of pharmacy and the office of a        964          

prosecutor.                                                        965          

      (b)  "Prosecutor" has the same meaning as in section         967          

2935.01 of the Revised Code.                                       968          

      (G)  When required under division (D)(2) of this section,    972          

the court either shall revoke or, if it does not revoke, shall     973          

suspend for not less than six months or more than five years, the  974          

driver's or commercial driver's license or permit of any person    976          

who is convicted of or pleads guilty to a violation of this        978          

section that is a felony of the first degree and shall suspend     979          

for not less than six months or more than five years the driver's  981          

or commercial driver's license or permit of any person who is      983          

convicted of or pleads guilty to any other violation of this       984          

section.  If an offender's driver's or commercial driver's         985          

license or permit is revoked pursuant to this division, the        987          

offender, at any time after the expiration of two years from the   988          

day on which the offender's sentence was imposed or from the day   989          

on which the offender finally was released from a prison term      992          

under the sentence, whichever is later, may file a motion with     993          

the sentencing court requesting termination of the revocation;     994          

upon the filing of such a motion and the court's finding of good   995          

cause for the termination, the court may terminate the             996          

revocation.                                                                     

      (H)(1)  In addition to any prison term authorized or         999          

required by division (C) of this section and sections 2929.13 and  1,000        

2929.14 of the Revised Code, in addition to any other penalty or   1,002        

                                                          24     


                                                                 
sanction imposed for the offense under this section or sections    1,003        

2929.11 to 2929.181 of the Revised Code, and in addition to the    1,004        

forfeiture of property in connection with the offense as           1,005        

prescribed in sections 2925.42 to 2925.45 of the Revised Code,     1,007        

the court that sentences an offender who is convicted of or        1,008        

pleads guilty to a violation of division (A) of this section may   1,009        

impose upon the offender an additional fine specified for the      1,010        

offense in division (B)(4) of section 2929.18 of the Revised       1,012        

Code.  A fine imposed under division (H)(1) of this section is     1,014        

not subject to division (F) of this section and shall be used      1,015        

solely for the support of one or more eligible alcohol and drug    1,016        

addiction programs in accordance with divisions (H)(2) and (3) of  1,017        

this section.                                                                   

      (2)  The court that imposes a fine under division (H)(1) of  1,020        

this section shall specify in the judgment that imposes the fine   1,021        

one or more eligible alcohol and drug addiction programs for the   1,022        

support of which the fine money is to be used.  No alcohol and     1,023        

drug addiction program shall receive or use money paid or          1,024        

collected in satisfaction of a fine imposed under division (H)(1)  1,026        

of this section unless the program is specified in the judgment    1,027        

that imposes the fine.  No alcohol and drug addiction program      1,028        

shall be specified in the judgment unless the program is an        1,029        

eligible alcohol and drug addiction program and, except as         1,030        

otherwise provided in division (H)(2) of this section, unless the  1,032        

program is located in the county in which the court that imposes   1,033        

the fine is located or in a county that is immediately contiguous  1,034        

to the county in which that court is located.  If no eligible      1,035        

alcohol and drug addiction program is located in any of those      1,036        

counties, the judgment may specify an eligible alcohol and drug    1,037        

addiction program that is located anywhere within this state.      1,038        

      (3)  Notwithstanding any contrary provision of section       1,040        

3719.21 of the Revised Code, the clerk of the court shall pay any  1,042        

fine imposed under division (H)(1) of this section to the          1,043        

eligible alcohol and drug addiction program specified pursuant to  1,044        

                                                          25     


                                                                 
division (H)(2) of this section in the judgment.  The eligible     1,045        

alcohol and drug addiction program that receives the fine moneys   1,046        

shall use the moneys only for the alcohol and drug addiction       1,047        

services identified in the application for certification under     1,048        

section 3793.06 of the Revised Code or in the application for a    1,049        

license under section 3793.11 of the Revised Code filed with the   1,051        

department of alcohol and drug addiction services by the alcohol                

and drug addiction program specified in the judgment.              1,052        

      (4)  Each alcohol and drug addiction program that receives   1,054        

in a calendar year any fine moneys under division (H)(3) of this   1,056        

section shall file an annual report covering that calendar year    1,057        

with the court of common pleas and the board of county             1,058        

commissioners of the county in which the program is located, with  1,059        

the court of common pleas and the board of county commissioners    1,060        

of each county from which the program received the moneys if that  1,061        

county is different from the county in which the program is                     

located, and with the attorney general.  The alcohol and drug      1,062        

addiction program shall file the report no later than the first    1,063        

day of March in the calendar year following the calendar year in   1,065        

which the program received the fine moneys.  The report shall      1,066        

include statistics on the number of persons served by the alcohol  1,067        

and drug addiction program, identify the types of alcohol and      1,068        

drug addiction services provided to those persons, and include a   1,069        

specific accounting of the purposes for which the fine moneys      1,070        

received were used.  No information contained in the report shall  1,071        

identify, or enable a person to determine the identity of, any     1,072        

person served by the alcohol and drug addiction program.  Each     1,073        

report received by a court of common pleas, a board of county      1,074        

commissioners, or the attorney general is a public record open     1,075        

for inspection under section 149.43 of the Revised Code.           1,076        

      (5)  As used in divisions (H)(1) to (5) of this section:     1,078        

      (a)  "Alcohol and drug addiction program" and "alcohol and   1,081        

drug addiction services" have the same meanings as in section      1,082        

3793.01 of the Revised Code.                                                    

                                                          26     


                                                                 
      (b)  "Eligible alcohol and drug addiction program" means an  1,085        

alcohol and drug addiction program that is certified under         1,086        

section 3793.06 of the Revised Code or licensed under section      1,087        

3793.11 of the Revised Code by the department of alcohol and drug  1,089        

addiction services.                                                             

      Sec. 2925.11.  (A)  No person shall knowingly obtain,        1,098        

possess, or use a controlled substance.                            1,099        

      (B)  This section does not apply to any of the following:    1,101        

      (1)  Manufacturers, licensed health professionals            1,103        

authorized to prescribe drugs, pharmacists, owners of pharmacies,  1,105        

and other persons whose conduct was in accordance with Chapters    1,106        

3719., 4715., 4723., 4729., 4731., and 4741. or section 4723.56    1,107        

of the Revised Code;                                                            

      (2)  If the offense involves an anabolic steroid, any        1,109        

person who is conducting or participating in a research project    1,110        

involving the use of an anabolic steroid if the project has been   1,111        

approved by the United States food and drug administration;        1,112        

      (3)  Any person who sells, offers for sale, prescribes,      1,114        

dispenses, or administers for livestock or other nonhuman species  1,115        

an anabolic steroid that is expressly intended for administration  1,116        

through implants to livestock or other nonhuman species and        1,117        

approved for that purpose under the "Federal Food, Drug, and       1,118        

Cosmetic Act," 52 Stat. 1040 (1938), 21 U.S.C.A. 301, as amended,  1,119        

and is sold, offered for sale, prescribed, dispensed, or           1,120        

administered for that purpose in accordance with that act;         1,121        

      (4)  Any person who obtained the controlled substance        1,123        

pursuant to a prescription issued by a licensed health             1,124        

professional authorized to prescribe drugs, where the drug is in   1,126        

the original container in which it was dispensed to such person.   1,127        

      (C)  Whoever violates division (A) of this section is        1,129        

guilty of one of the following:                                    1,130        

      (1)  If the drug involved in the violation is a compound,    1,132        

mixture, preparation, or substance included in schedule I or II,   1,133        

with the exception of marihuana, cocaine, L.S.D., heroin, and      1,136        

                                                          27     


                                                                 
hashish, whoever violates division (A) of this section is guilty   1,137        

of aggravated possession of drugs.  The penalty for the offense    1,138        

shall be determined as follows:                                                 

      (a)  Except as otherwise provided in division (C)(1)(b),     1,141        

(c), (d), or (e) of this section, aggravated possession of drugs   1,142        

is a felony of the fifth degree, and division (B) of section       1,143        

2929.13 of the Revised Code applies in determining whether to      1,144        

impose a prison term on the offender.                                           

      (b)  If the amount of the drug involved exceeds the bulk     1,147        

amount but does not exceed five times the bulk amount, aggravated  1,148        

possession of drugs is a felony of the third degree, and there is  1,149        

a presumption for a prison term for the offense.                                

      (c)  If the amount of the drug involved exceeds five times   1,152        

the bulk amount but does not exceed fifty times the bulk amount,   1,153        

aggravated possession of drugs is a felony of the second degree,   1,154        

and the court shall impose as a mandatory prison term one of the   1,155        

prison terms prescribed for a felony of the second degree.         1,156        

      (d)  If the amount of the drug involved exceeds fifty times  1,158        

the bulk amount but does not exceed one hundred times the bulk     1,159        

amount, aggravated possession of drugs is a felony of the first    1,160        

degree, and the court shall impose as a mandatory prison term one  1,161        

of the prison terms prescribed for a felony of the first degree.   1,162        

      (e)  If the amount of the drug involved exceeds one hundred  1,164        

times the bulk amount, aggravated possession of drugs is a felony  1,165        

of the first degree, and the court shall impose as a mandatory     1,166        

prison term the maximum prison term prescribed for a felony of     1,167        

the first degree and may impose an additional mandatory prison     1,168        

term prescribed for a major drug offender under division                        

(D)(3)(b) of section 2929.14 of the Revised Code.                  1,169        

      (2)  If the drug involved in the violation is a compound,    1,171        

mixture, preparation, or substance included in schedule III, IV,   1,173        

or V, whoever violates division (A) of this section is guilty of   1,175        

possession of drugs.  The penalty for the offense shall be         1,176        

determined as follows:                                             1,177        

                                                          28     


                                                                 
      (a)  Except as otherwise provided in division (C)(2)(b),     1,180        

(c), or (d) of this section, possession of drugs is a misdemeanor  1,181        

of the third degree or, if the offender previously has been        1,182        

convicted of a drug abuse offense, a misdemeanor of the second     1,183        

degree.  If the drug involved in the violation is an anabolic      1,184        

steroid included in schedule III and if the offense is a           1,185        

misdemeanor of the third degree under this division, in lieu of    1,186        

sentencing the offender to a term of imprisonment in a detention   1,187        

facility, the court may place the offender on conditional          1,188        

probation pursuant to division (F) of section 2951.02 of the       1,190        

Revised Code.                                                      1,191        

      (b)  If the amount of the drug involved exceeds the bulk     1,194        

amount but does not exceed five times the bulk amount, possession  1,195        

of drugs is a felony of the fourth degree, and division (C) of     1,196        

section 2929.13 of the Revised Code applies in determining                      

whether to impose a prison term on the offender.                   1,197        

      (c)  If the amount of the drug involved exceeds five times   1,200        

the bulk amount but does not exceed fifty times the bulk amount,   1,201        

possession of drugs is a felony of the third degree, and there is  1,202        

a presumption for a prison term for the offense.                                

      (d)  If the amount of the drug involved exceeds fifty times  1,205        

the bulk amount, possession of drugs is a felony of the second     1,206        

degree, and the court shall impose upon the offender as a          1,207        

mandatory prison term one of the prison terms prescribed for a     1,208        

felony of the second degree.                                                    

      (3)  If the drug involved in the violation is marihuana or   1,210        

a compound, mixture, preparation, or substance containing          1,211        

marihuana other than hashish, whoever violates division (A) of     1,213        

this section is guilty of possession of marihuana.  The penalty    1,214        

for the offense shall be determined as follows:                    1,215        

      (a)  Except as otherwise provided in division (C)(3)(b),     1,218        

(c), (d), (e), or (f) of this section, possession of marihuana is  1,219        

a minor misdemeanor.                                               1,220        

      (b)  If the amount of the drug involved equals or exceeds    1,223        

                                                          29     


                                                                 
one hundred grams but does not exceed two hundred grams,           1,224        

possession of marihuana is a misdemeanor of the fourth degree.     1,225        

      (c)  If the amount of the drug involved exceeds two hundred  1,228        

grams but does not exceed one thousand grams, possession of        1,229        

marihuana is a felony of the fifth degree, and division (B) of     1,230        

section 2929.13 of the Revised Code applies in determining                      

whether to impose a prison term on the offender.                   1,232        

      (d)  If the amount of the drug involved exceeds one          1,235        

thousand grams but does not exceed five thousand grams,                         

possession of marihuana is a felony of the third degree, and       1,236        

division (C) of section 2929.13 of the Revised Code applies in     1,237        

determining whether to impose a prison term on the offender.       1,238        

      (e)  If the amount of the drug involved exceeds five         1,241        

thousand grams but does not exceed twenty thousand grams,                       

possession of marihuana is a felony of the third degree, and       1,242        

there is a presumption that a prison term shall be imposed for     1,243        

the offense.                                                       1,244        

      (f)  If the amount of the drug involved exceeds twenty       1,247        

thousand grams, possession of marihuana is a felony of the second  1,248        

degree, and the court shall impose as a mandatory prison term the  1,249        

maximum prison term prescribed for a felony of the second degree.  1,250        

      (4)  If the drug involved in the violation is cocaine or a   1,253        

compound, mixture, preparation, or substance containing cocaine,   1,254        

whoever violates division (A) of this section is guilty of         1,255        

possession of cocaine.  The penalty for the offense shall be       1,256        

determined as follows:                                                          

      (a)  Except as otherwise provided in division (C)(4)(b),     1,259        

(c), (d), (e), or (f) of this section, possession of cocaine is a  1,260        

felony of the fifth degree, and division (B) of section 2929.13    1,261        

of the Revised Code applies in determining whether to impose a     1,262        

prison term on the offender.                                                    

      (b)  If the amount of the drug involved exceeds five grams   1,265        

but does not exceed twenty-five grams of cocaine that is not                    

crack cocaine or exceeds one gram but does not exceed five grams   1,267        

                                                          30     


                                                                 
of crack cocaine, possession of cocaine is a felony of the fourth  1,268        

degree, and there is a presumption for a prison term for the       1,269        

offense.                                                                        

      (c)  If the amount of the drug involved exceeds twenty-five  1,272        

grams but does not exceed one hundred grams of cocaine that is     1,273        

not crack cocaine or exceeds five grams but does not exceed ten    1,275        

grams of crack cocaine, possession of cocaine is a felony of the   1,276        

third degree, and the court shall impose as a mandatory prison     1,277        

term one of the prison terms prescribed for a felony of the third  1,278        

degree.                                                                         

      (d)  If the amount of the drug involved exceeds one hundred  1,281        

grams but does not exceed five hundred grams of cocaine that is    1,282        

not crack cocaine or exceeds ten grams but does not exceed         1,284        

twenty-five grams of crack cocaine, possession of cocaine is a     1,285        

felony of the second degree, and the court shall impose as a       1,286        

mandatory prison term one of the prison terms prescribed for a     1,287        

felony of the second degree.                                                    

      (e)  If the amount of the drug involved exceeds five         1,290        

hundred grams but does not exceed one thousand grams of cocaine    1,291        

that is not crack cocaine or exceeds twenty-five grams but does    1,293        

not exceed one hundred grams of crack cocaine, possession of                    

cocaine is a felony of the first degree, and the court shall       1,295        

impose as a mandatory prison term one of the prison terms          1,296        

prescribed for a felony of the first degree.                                    

      (f)  If the amount of the drug involved exceeds one          1,299        

thousand grams of cocaine that is not crack cocaine or exceeds     1,300        

one hundred grams of crack cocaine, possession of cocaine is a     1,301        

felony of the first degree, and the court shall impose as a        1,302        

mandatory prison term the maximum prison term prescribed for a     1,303        

felony of the first degree and may impose an additional mandatory  1,304        

prison term prescribed for a major drug offender under division    1,305        

(D)(3)(b) of section 2929.14 of the Revised Code.                  1,307        

      (5)  If the drug involved in the violation is L.S.D.,        1,310        

whoever violates division (A) of this section is guilty of         1,311        

                                                          31     


                                                                 
possession of L.S.D.  The penalty for the offense shall be         1,313        

determined as follows:                                                          

      (a)  Except as otherwise provided in division (C)(5)(b),     1,316        

(c), (d), (e), or (f) of this section, possession of L.S.D. is a                

felony of the fifth degree, and division (B) of section 2929.13    1,317        

of the Revised Code applies in determining whether to impose a     1,318        

prison term on the offender.                                                    

      (b)  If the amount of L.S.D. involved exceeds ten unit       1,320        

doses but does not exceed fifty unit doses of L.S.D. in a solid    1,322        

form or exceeds one gram but does not exceed five grams of L.S.D.  1,323        

in a liquid concentrate, liquid extract, or liquid distillate      1,324        

form, possession of L.S.D. is a felony of the fourth degree, and   1,327        

division (C) of section 2929.13 of the Revised Code applies in                  

determining whether to impose a prison term on the offender.       1,328        

      (c)  If the amount of L.S.D. involved exceeds fifty unit     1,331        

doses, but does not exceed two hundred fifty unit doses of L.S.D.  1,333        

in a solid form or exceeds five grams but does not exceed          1,334        

twenty-five grams of L.S.D. in a liquid concentrate, liquid        1,335        

extract, or liquid distillate form, possession of L.S.D. is a      1,336        

felony of the third degree, and there is a presumption for a       1,337        

prison term for the offense.                                                    

      (d)  If the amount of L.S.D. involved exceeds two hundred    1,340        

fifty unit doses but does not exceed one thousand unit doses of    1,342        

L.S.D. in a solid form or exceeds twenty-five grams but does not   1,343        

exceed one hundred grams of L.S.D. in a liquid concentrate,                     

liquid extract, or liquid distillate form, possession of L.S.D.    1,345        

is a felony of the second degree, and the court shall impose as a  1,346        

mandatory prison term one of the prison terms prescribed for a     1,347        

felony of the second degree.                                       1,348        

      (e)  If the amount of L.S.D. involved exceeds one thousand   1,351        

unit doses but does not exceed five thousand unit doses of L.S.D.  1,353        

in a solid form or exceeds one hundred grams but does not exceed   1,354        

five hundred grams of L.S.D. in a liquid concentrate, liquid       1,355        

extract, or liquid distillate form, possession of L.S.D. is a      1,356        

                                                          32     


                                                                 
felony of the first degree, and the court shall impose as a        1,357        

mandatory prison term one of the prison terms prescribed for a     1,358        

felony of the first degree.                                                     

      (f)  If the amount of L.S.D. involved exceeds five thousand  1,361        

unit doses of L.S.D. in a solid form or exceeds five hundred       1,364        

grams of L.S.D. in a liquid concentrate, liquid extract, or        1,365        

liquid distillate form, possession of L.S.D. is a felony of the    1,367        

first degree, and the court shall impose as a mandatory prison     1,368        

term the maximum prison term prescribed for a felony of the first  1,369        

degree and may impose an additional mandatory prison term          1,370        

prescribed for a major drug offender under division (D)(3)(b) of   1,371        

section 2929.14 of the Revised Code.                               1,372        

      (6)  If the drug involved in the violation is heroin or a    1,374        

compound, mixture, preparation, or substance containing heroin,    1,375        

whoever violates division (A) of this section is guilty of         1,377        

possession of heroin.  The penalty for the offense shall be                     

determined as follows:                                             1,378        

      (a)  Except as otherwise provided in division (C)(6)(b),     1,381        

(c), (d), (e), or (f) of this section, possession of heroin is a   1,382        

felony of the fifth degree, and division (B) of section 2929.13    1,383        

of the Revised Code applies in determining whether to impose a     1,384        

prison term on the offender.                                                    

      (b)  If the amount of the drug involved exceeds one gram     1,387        

but does not exceed five grams, possession of heroin is a felony   1,388        

of the fourth degree, and division (C) of section 2929.13 of the   1,389        

Revised Code applies in determining whether to impose a prison                  

term on the offender.                                              1,390        

      (c)  If the amount of the drug involved exceeds five grams   1,393        

but does not exceed ten grams, possession of heroin is a felony    1,394        

of the third degree, and there is a presumption for a prison term  1,395        

for the offense.                                                                

      (d)  If the amount of the drug involved exceeds ten grams    1,398        

but does not exceed fifty grams, possession of heroin is a felony  1,399        

of the second degree, and the court shall impose as a mandatory    1,400        

                                                          33     


                                                                 
prison term one of the prison terms prescribed for a felony of     1,401        

the second degree.                                                              

      (e)  If the amount of the drug involved exceeds fifty grams  1,404        

but does not exceed two hundred fifty grams, possession of heroin  1,405        

is a felony of the first degree, and the court shall impose as a   1,406        

mandatory prison term one of the prison terms prescribed for a     1,407        

felony of the first degree.                                                     

      (f)  If the amount of the drug involved exceeds two hundred  1,410        

fifty grams, possession of heroin is a felony of the first         1,411        

degree, and the court shall impose as a mandatory prison term the  1,412        

maximum prison term prescribed for a felony of the first degree    1,413        

and may impose an additional mandatory prison term prescribed for  1,414        

a major drug offender under division (D)(3)(b) of section 2929.14  1,415        

of the Revised Code.                                               1,416        

      (7)  If the drug involved in the violation is hashish or a   1,418        

compound, mixture, preparation, or substance containing hashish,   1,419        

whoever violates division (A) of this section is guilty of         1,421        

possession of hashish.  The penalty for the offense shall be                    

determined as follows:                                             1,422        

      (a)  Except as otherwise provided in division (C)(7)(b),     1,425        

(c), (d), (e), or (f) of this section, possession of hashish is a  1,426        

minor misdemeanor.                                                              

      (b)  If the amount of the drug involved equals or exceeds    1,428        

five grams but does not exceed ten grams of hashish in a solid     1,429        

form or equals or exceeds one gram but does not exceed two grams   1,430        

of hashish in a liquid concentrate, liquid extract, or liquid      1,431        

distillate form, possession of hashish is a misdemeanor of the     1,432        

fourth degree.                                                                  

      (c)  If the amount of the drug involved exceeds ten grams    1,435        

but does not exceed fifty grams of hashish in a solid form or                   

exceeds two grams but does not exceed ten grams of hashish in a    1,436        

liquid concentrate, liquid extract, or liquid distillate form,     1,437        

possession of hashish is a felony of the fifth degree, and         1,438        

division (B) of section 2929.13 of the Revised Code applies in     1,439        

                                                          34     


                                                                 
determining whether to impose a prison term on the offender.       1,441        

      (d)  If the amount of the drug involved exceeds fifty grams  1,444        

but does not exceed two hundred fifty grams of hashish in a solid               

form or exceeds ten grams but does not exceed fifty grams of       1,445        

hashish in a liquid concentrate, liquid extract, or liquid         1,446        

distillate form, possession of hashish is a felony of the third    1,447        

degree, and division (C) of section 2929.13 of the Revised Code    1,448        

applies in determining whether to impose a prison term on the      1,449        

offender.                                                                       

      (e)  If the amount of the drug involved exceeds two hundred  1,452        

fifty grams but does not exceed one thousand grams of hashish in                

a solid form or exceeds fifty grams but does not exceed two        1,453        

hundred grams of hashish in a liquid concentrate, liquid extract,  1,454        

or liquid distillate form, possession of hashish is a felony of    1,455        

the third degree, and there is a presumption that a prison term    1,456        

shall be imposed for the offense.                                               

      (f)  If the amount of the drug involved exceeds one          1,459        

thousand grams of hashish in a solid form or exceeds two hundred                

grams of hashish in a liquid concentrate, liquid extract, or       1,460        

liquid distillate form, possession of hashish is a felony of the   1,461        

second degree, and the court shall impose as a mandatory prison    1,462        

term the maximum prison term prescribed for a felony of the        1,463        

second degree.                                                     1,464        

      (D)  Arrest or conviction for a minor misdemeanor violation  1,466        

of this section does not constitute a criminal record and need     1,467        

not be reported by the person so arrested or convicted in          1,468        

response to any inquiries about the person's criminal record,      1,469        

including any inquiries contained in any application for           1,470        

employment, license, or other right or privilege, or made in       1,471        

connection with the person's appearance as a witness.              1,472        

      (E)  In addition to any prison term authorized or required   1,475        

by division (C) of this section and sections 2929.13 and 2929.14   1,476        

of the Revised Code and in addition to any other sanction that is  1,477        

imposed for the offense under this section or sections 2929.11 to  1,478        

                                                          35     


                                                                 
2929.18 of the Revised Code, the court that sentences an offender  1,481        

who is convicted of or pleads guilty to a violation of division    1,482        

(A) of this section shall do all of the following that are         1,483        

applicable regarding the offender:                                              

      (1)(a)  If the violation is a felony of the first, second,   1,486        

or third degree, the court shall impose upon the offender the      1,487        

mandatory fine specified for the offense under division (B)(1) of  1,488        

section 2929.18 of the Revised Code unless, as specified in that   1,489        

division, the court determines that the offender is indigent.      1,490        

      (b)  Notwithstanding any contrary provision of section       1,492        

3719.21 of the Revised Code, the clerk of the court shall pay a    1,494        

mandatory fine or other fine imposed for a violation of this       1,495        

section pursuant to division (A) of section 2929.18 of the         1,496        

Revised Code in accordance with and subject to the requirements                 

of division (F) of section 2925.03 of the Revised Code.  The       1,497        

agency that receives the fine shall use the fine as specified in   1,498        

division (F) of section 2925.03 of the Revised Code.               1,499        

      (c)  If a person is charged with a violation of this         1,501        

section that is a felony of the first, second, or third degree,    1,502        

posts bail, and forfeits the bail, the clerk shall pay the         1,503        

forfeited bail pursuant to division (E)(1)(b) of this section as   1,504        

if it were a mandatory fine imposed under division (E)(1)(a) of    1,505        

this section.                                                                   

      (2)  The court shall suspend for not less than six months    1,507        

or more than five years the driver's or commercial driver's        1,508        

license or permit of any person who is convicted of or has         1,509        

pleaded guilty to a violation of this section.                                  

      (3)  If the offender is a professionally licensed person or  1,511        

a person who has been admitted to the bar by order of the supreme  1,513        

court in compliance with its prescribed and published rules, in    1,514        

addition to any other sanction imposed for a violation of this     1,515        

section, the court forthwith shall comply with section 2925.38 of  1,516        

the Revised Code.                                                               

      (F)  It is an affirmative defense, as provided in section    1,518        

                                                          36     


                                                                 
2901.05 of the Revised Code, to a charge of a fourth degree        1,519        

felony violation under this section that the controlled substance  1,520        

that gave rise to the charge is in an amount, is in a form, is     1,523        

prepared, compounded, or mixed with substances that are not        1,525        

controlled substances in a manner, or is possessed under any       1,526        

other circumstances, that indicate that the substance was          1,527        

possessed solely for personal use.  Notwithstanding any contrary   1,529        

provision of this section, if, in accordance with section 2901.05  1,530        

of the Revised Code, an accused who is charged with a fourth       1,531        

degree felony violation of division (C)(2), (4), (5), or (6) of    1,532        

this section sustains the burden of going forward with evidence    1,533        

of and establishes by a preponderance of the evidence the          1,534        

affirmative defense described in this division, the accused may    1,535        

be prosecuted for and may plead guilty to or be convicted of a     1,536        

misdemeanor violation of division (C)(2) of this section or a      1,537        

fifth degree felony violation of division (C)(4), (5), or (6) of   1,538        

this section respectively.                                         1,539        

      (G)  When a person is charged with possessing a bulk amount  1,541        

or multiple of a bulk amount, division (E) of section 2925.03 of   1,543        

the Revised Code applies regarding the determination of the        1,544        

amount of the controlled substance involved at the time of the     1,545        

offense.                                                                        

      Sec. 2925.12.  (A)  No person shall knowingly make, obtain,  1,554        

possess, or use any instrument, article, or thing the customary    1,555        

and primary purpose of which is for the administration or use of   1,556        

a dangerous drug, other than marihuana, when the instrument        1,557        

involved is a hypodermic or syringe, whether or not of crude or    1,558        

extemporized manufacture or assembly, and the instrument,          1,559        

article, or thing involved has been used by the offender to        1,560        

unlawfully administer or use a dangerous drug, other than          1,561        

marihuana, or to prepare a dangerous drug, other than marihuana,   1,562        

for unlawful administration or use.                                1,563        

      (B)  This section does not apply to manufacturers, licensed  1,566        

health professionals authorized to prescribe drugs, pharmacists,   1,567        

                                                          37     


                                                                 
owners of pharmacies, and other persons whose conduct was in       1,568        

accordance with Chapters 3719., 4715., 4723., 4729., 4731., and    1,569        

4741. or section 4723.56 of the Revised Code.                      1,570        

      (C)  Whoever violates this section is guilty of possessing   1,572        

drug abuse instruments, a misdemeanor of the second degree.  If    1,573        

the offender previously has been convicted of a drug abuse         1,574        

offense, a violation of this section is a misdemeanor of the       1,575        

first degree.                                                      1,576        

      (D)  In addition to any other sanction imposed for a         1,578        

violation of this section, the court shall suspend for not less    1,579        

than six months or more than five years the driver's or            1,580        

commercial driver's license or permit of any person who is         1,581        

convicted of or has pleaded guilty to a violation of this          1,582        

section.  If the offender is a professionally licensed person or   1,583        

a person who has been admitted to the bar by order of the supreme  1,584        

court in compliance with its prescribed and published rules, in    1,585        

addition to any other sanction imposed for a violation of this     1,586        

section, the court forthwith shall comply with section 2925.38 of  1,587        

the Revised Code.                                                               

      Sec. 2925.14.  (A)  As used in this section, "drug           1,596        

paraphernalia" means any equipment, product, or material of any    1,597        

kind that is used by the offender, intended by the offender for    1,598        

use, or designed for use, in propagating, cultivating, growing,    1,599        

harvesting, manufacturing, compounding, converting, producing,     1,600        

processing, preparing, testing, analyzing, packaging,              1,601        

repackaging, storing, containing, concealing, injecting,           1,602        

ingesting, inhaling, or otherwise introducing into the human       1,603        

body, a controlled substance in violation of this chapter.  "Drug  1,604        

paraphernalia" includes, but is not limited to, any of the         1,605        

following equipment, products, or materials that are used by the   1,606        

offender, intended by the offender for use, or designed by the     1,607        

offender for use, in any of the following manners:                 1,608        

      (1)  A kit for propagating, cultivating, growing, or         1,610        

harvesting any species of a plant that is a controlled substance   1,611        

                                                          38     


                                                                 
or from which a controlled substance can be derived;               1,612        

      (2)  A kit for manufacturing, compounding, converting,       1,614        

producing, processing, or preparing a controlled substance;        1,615        

      (3)  An isomerization device for increasing the potency of   1,617        

any species of a plant that is a controlled substance;             1,618        

      (4)  Testing equipment for identifying, or analyzing the     1,620        

strength, effectiveness, or purity of, a controlled substance;     1,621        

      (5)  A scale or balance for weighing or measuring a          1,623        

controlled substance;                                              1,624        

      (6)  A diluent or adulterant, such as quinine                1,626        

hydrochloride, mannitol, mannite, dextrose, or lactose, for        1,627        

cutting a controlled substance;                                    1,628        

      (7)  A separation gin or sifter for removing twigs and       1,630        

seeds from, or otherwise cleaning or refining, marihuana;          1,631        

      (8)  A blender, bowl, container, spoon, or mixing device     1,633        

for compounding a controlled substance;                            1,634        

      (9)  A capsule, balloon, envelope, or container for          1,636        

packaging small quantities of a controlled substance;              1,637        

      (10)  A container or device for storing or concealing a      1,639        

controlled substance;                                              1,640        

      (11)  A hypodermic syringe, needle, or instrument for        1,642        

parenterally injecting a controlled substance into the human       1,643        

body;                                                              1,644        

      (12)  An object, instrument, or device for ingesting,        1,646        

inhaling, or otherwise introducing into the human body,            1,647        

marihuana, cocaine, hashish, or hashish oil, such as a metal,      1,649        

wooden, acrylic, glass, stone, plastic, or ceramic pipe, with or   1,650        

without a screen, permanent screen, hashish head, or punctured     1,651        

metal bowl; water pipe; carburetion tube or device; smoking or     1,652        

carburetion mask; roach clip or similar object used to hold        1,653        

burning material, such as a marihuana cigarette, that has become   1,654        

too small or too short to be held in the hand; miniature cocaine   1,655        

spoon, or cocaine vial; chamber pipe; carburetor pipe; electric    1,656        

pipe; air driver pipe; chillum; bong; or ice pipe or chiller.      1,657        

                                                          39     


                                                                 
      (B)  In determining if an object is drug paraphernalia, a    1,659        

court or law enforcement officer shall consider, in addition to    1,660        

other relevant factors, the following:                             1,661        

      (1)  Any statement by the owner, or by anyone in control,    1,663        

of the object, concerning its use;                                 1,664        

      (2)  The proximity in time or space of the object, or of     1,666        

the act relating to the object, to a violation of any provision    1,667        

of this chapter;                                                   1,668        

      (3)  The proximity of the object to any controlled           1,670        

substance;                                                                      

      (4)  The existence of any residue of a controlled substance  1,672        

on the object;                                                                  

      (5)  Direct or circumstantial evidence of the intent of the  1,674        

owner, or of anyone in control, of the object, to deliver it to    1,675        

any person whom the owner or person in control of the object       1,676        

knows intends to use the object to facilitate a violation of any   1,677        

provision of this chapter.  A finding that the owner, or anyone    1,678        

in control, of the object, is not guilty of a violation of any     1,679        

other provision of this chapter does not prevent a finding that    1,680        

the object was intended or designed by the offender for use as     1,681        

drug paraphernalia.                                                             

      (6)  Any oral or written instruction provided with the       1,683        

object concerning its use;                                         1,684        

      (7)  Any descriptive material accompanying the object and    1,686        

explaining or depicting its use;                                   1,687        

      (8)  National or local advertising concerning the use of     1,689        

the object;                                                        1,690        

      (9)  The manner and circumstances in which the object is     1,692        

displayed for sale;                                                1,693        

      (10)  Direct or circumstantial evidence of the ratio of the  1,695        

sales of the object to the total sales of the business             1,696        

enterprise;                                                        1,697        

      (11)  The existence and scope of legitimate uses of the      1,699        

object in the community;                                           1,700        

                                                          40     


                                                                 
      (12)  Expert testimony concerning the use of the object.     1,702        

      (C)(1)  No person shall knowingly use, or possess with       1,704        

purpose to use, drug paraphernalia.                                1,705        

      (2)  No person shall knowingly sell, or possess or           1,707        

manufacture with purpose to sell, drug paraphernalia, if the       1,708        

person knows or reasonably should know that the equipment,         1,709        

product, or material will be used as drug paraphernalia.           1,710        

      (3)  No person shall place an advertisement in any           1,712        

newspaper, magazine, handbill, or other publication that is        1,713        

published and printed and circulates primarily within this state,  1,714        

if the person knows that the purpose of the advertisement is to    1,715        

promote the illegal sale in this state of the equipment, product,  1,716        

or material that the offender intended or designed for use as      1,717        

drug paraphernalia.                                                             

      (D)  This section does not apply to manufacturers, licensed  1,720        

health professionals authorized to prescribe drugs, pharmacists,   1,721        

owners of pharmacies, and other persons whose conduct is in        1,722        

accordance with Chapters 3719., 4715., 4723., 4729., 4731., and    1,723        

4741. or section 4723.56 of the Revised Code.  This section shall  1,724        

not be construed to prohibit the possession or use of a            1,725        

hypodermic as authorized by section 3719.172 of the Revised Code.  1,726        

      (E)  Notwithstanding sections 2933.42 and 2933.43 of the     1,728        

Revised Code, any drug paraphernalia that was used, possessed,     1,729        

sold, or manufactured in a violation of this section shall be      1,730        

seized, after a conviction for that violation shall be forfeited,  1,731        

and upon forfeiture shall be disposed of pursuant to division      1,732        

(D)(8) of section 2933.41 of the Revised Code.                     1,733        

      (F)(1)  Whoever violates division (C)(1) of this section is  1,735        

guilty of illegal use or possession of drug paraphernalia, a       1,736        

misdemeanor of the fourth degree.                                  1,737        

      (2)  Except as provided in division (F)(3) of this section,  1,739        

whoever violates division (C)(2) of this section is guilty of      1,740        

dealing in drug paraphernalia, a misdemeanor of the second         1,741        

degree.                                                            1,742        

                                                          41     


                                                                 
      (3)  Whoever violates division (C)(2) of this section by     1,744        

selling drug paraphernalia to a juvenile is guilty of selling      1,745        

drug paraphernalia to juveniles, a misdemeanor of the first        1,746        

degree.                                                            1,747        

      (4)  Whoever violates division (C)(3) of this section is     1,749        

guilty of illegal advertising of drug paraphernalia, a             1,750        

misdemeanor of the second degree.                                  1,751        

      (G)  In addition to any other sanction imposed for a         1,753        

violation of this section, the court shall suspend for not less    1,754        

than six months or more than five years the driver's or            1,755        

commercial driver's license or permit of any person who is         1,756        

convicted of or has pleaded guilty to a violation of this          1,757        

section.  If the offender is a professionally licensed person or   1,758        

a person who has been admitted to the bar by order of the supreme  1,759        

court in compliance with its prescribed and published rules, in    1,760        

addition to any other sanction imposed for a violation of this     1,761        

section, the court forthwith shall comply with section 2925.38 of  1,762        

the Revised Code.                                                               

      Sec. 2925.23.  (A)  No person shall knowingly make a false   1,771        

statement in any prescription, order, report, or record required   1,772        

by Chapter 3719. or 4729. of the Revised Code.                     1,773        

      (B)  No person shall intentionally make, utter, or sell, or  1,775        

knowingly possess a false or forged:                               1,776        

      (1)  Prescription;                                           1,778        

      (2)  Uncompleted preprinted prescription blank used for      1,780        

writing a prescription;                                            1,781        

      (3)  Official written order;                                 1,783        

      (4)  License for a terminal distributor of dangerous drugs   1,785        

as required in section 4729.60 of the Revised Code;                1,786        

      (5)  Registration certificate for a wholesale distributor    1,788        

of dangerous drugs as required in section 4729.60 of the Revised   1,789        

Code.                                                              1,790        

      (C)  No person, by theft as defined in section 2913.02 of    1,792        

the Revised Code, shall acquire any of the following:              1,793        

                                                          42     


                                                                 
      (1)  A prescription;                                         1,795        

      (2)  An uncompleted preprinted prescription blank used for   1,797        

writing a prescription;                                            1,798        

      (3)  An official written order;                              1,800        

      (4)  A blank official written order;                         1,802        

      (5)  A license or blank license for a terminal distributor   1,804        

of dangerous drugs as required in section 4729.60 of the Revised   1,805        

Code;                                                              1,806        

      (6)  A registration certificate or blank registration        1,808        

certificate for a wholesale distributor of dangerous drugs as      1,809        

required in section 4729.60 of the Revised Code.                   1,810        

      (D)  No person shall knowingly make or affix any false or    1,812        

forged label to a package or receptacle containing any dangerous   1,813        

drugs.                                                             1,814        

      (E)  Divisions (A) and (D) of this section do not apply to   1,816        

licensed health professionals authorized to prescribe drugs,       1,818        

pharmacists, owners of pharmacies, and other persons whose         1,819        

conduct is in accordance with Chapters 3719., 4715., 4723.,        1,820        

4725., 4729., 4731., and 4741. of the Revised Code or section      1,821        

4723.56 of the Revised Code.                                                    

      (F)  Whoever violates this section is guilty of illegal      1,823        

processing of drug documents.  The penalty for the offense shall   1,824        

be determined as follows:                                          1,825        

      (1)  If the drug involved is a compound, mixture,            1,827        

preparation, or substance included in schedule I or II, with the   1,828        

exception of marihuana, illegal processing of drug documents is a  1,829        

felony of the fourth degree, and division (C) of section 2929.13   1,830        

of the Revised Code applies in determining whether to impose a     1,831        

prison term on the offender.                                                    

      (2)  If the drug involved is a dangerous drug or a           1,833        

compound, mixture, preparation, or substance included in schedule  1,834        

III, IV, or V or is marihuana, illegal processing of drug          1,835        

documents is a felony of the fifth degree, and division (C) of     1,836        

section 2929.13 of the Revised Code applies in determining         1,837        

                                                          43     


                                                                 
whether to impose a prison term on the offender.                                

      (G)  In addition to any prison term authorized or required   1,839        

by division (F) of this section and sections 2929.13 and 2929.14   1,840        

of the Revised Code and in addition to any other sanction imposed  1,841        

for the offense under this section or sections 2929.11 to 2929.18  1,842        

of the Revised Code, the court that sentences an offender who is   1,843        

convicted of or pleads guilty to any violation of divisions (A)    1,844        

to (D) of this section shall do both of the following:                          

      (1)  The court shall suspend for not less than six months    1,847        

or more than five years the driver's or commercial driver's        1,848        

license or permit of any person who is convicted of or has         1,849        

pleaded guilty to a violation of this section.                                  

      (2)  If the offender is a professionally licensed person or  1,851        

a person who has been admitted to the bar by order of the supreme  1,852        

court in compliance with its prescribed and published rules, in    1,853        

addition to any other sanction imposed for a violation of this     1,854        

section, the court forthwith shall comply with section 2925.38 of  1,855        

the Revised Code.                                                               

      (H)  Notwithstanding any contrary provision of section       1,857        

3719.21 of the Revised Code, the clerk of court shall pay a fine   1,858        

imposed for a violation of this section pursuant to division (A)   1,859        

of section 2929.18 of the Revised Code in accordance with and      1,860        

subject to the requirements of division (F) of section 2925.03 of  1,861        

the Revised Code.  The agency that receives the fine shall use     1,862        

the fine as specified in division (F) of section 2925.03 of the    1,863        

Revised Code.                                                                   

      Sec. 2925.36.  (A)  No person shall knowingly furnish        1,872        

another a sample drug.                                             1,873        

      (B)  Division (A) of this section does not apply to          1,875        

manufacturers, wholesalers, pharmacists, owners of pharmacies,     1,876        

dentists, doctors of medicine and surgery, doctors of osteopathic  1,877        

medicine and surgery, doctors of podiatry, veterinarians, and      1,878        

other persons whose conduct is in accordance with Chapters 3719.,  1,879        

4715., 4729., 4731., and 4741. of the Revised Code or; to          1,880        

                                                          44     


                                                                 
optometrists whose conduct is in accordance with a valid           1,881        

therapeutic pharmaceutical agents certificate issued under         1,882        

Chapter 4725. of the Revised Code; OR TO CLINICAL NURSE            1,884        

SPECIALISTS, CERTIFIED NURSE-MIDWIVES, OR CERTIFIED NURSE          1,885        

PRACTITIONERS WHO HOLD A CERTIFICATE TO PRESCRIBE ISSUED UNDER     1,886        

SECTION 4723.48 OF THE REVISED CODE.                               1,887        

      (C)(1)  Whoever violates this section is guilty of illegal   1,889        

dispensing of drug samples.                                        1,890        

      (2)  If the drug involved in the offense is a compound,      1,892        

mixture, preparation, or substance included in schedule I or II,   1,893        

with the exception of marihuana, the penalty for the offense       1,894        

shall be determined as follows:                                    1,895        

      (a)  Except as otherwise provided in division (C)(2)(b) of   1,897        

this section, illegal dispensing of drug samples is a felony of    1,898        

the fifth degree, and, subject to division (E) of this section,    1,900        

division (C) of section 2929.13 of the Revised Code applies in                  

determining whether to impose a prison term on the offender.       1,901        

      (b)  If the offense was committed in the vicinity of a       1,903        

school or in the vicinity of a juvenile, illegal dispensing of     1,904        

drug samples is a felony of the fourth degree, and, subject to     1,905        

division (E) of this section, division (C) of section 2929.13 of   1,906        

the Revised Code applies in determining whether to impose a        1,907        

prison term on the offender.                                                    

      (3)  If the drug involved in the offense is a dangerous      1,909        

drug or a compound, mixture, preparation, or substance included    1,910        

in schedule III, IV, or V, or is marihuana, the penalty for the    1,911        

offense shall be determined as follows:                            1,912        

      (a)  Except as otherwise provided in division (C)(3)(b) of   1,915        

this section, illegal dispensing of drug samples is a misdemeanor  1,916        

of the second degree.                                                           

      (b)  If the offense was committed in the vicinity of a       1,919        

school or in the vicinity of a juvenile, illegal dispensing of     1,920        

drug samples is a misdemeanor of the first degree.                 1,921        

      (D)  In addition to any prison term authorized or required   1,924        

                                                          45     


                                                                 
by division (C) or (E) of this section and sections 2929.13 and    1,925        

2929.14 of the Revised Code and in addition to any other sanction  1,926        

imposed for the offense under this section or sections 2929.11 to               

2929.18 of the Revised Code, the court that sentences an offender  1,928        

who is convicted of or pleads guilty to a violation of division    1,929        

(A) of this section shall do both of the following:                             

      (1)  The court shall suspend for not less than six months    1,932        

or more than five years the driver's or commercial driver's        1,933        

license or permit of any person who is convicted of or has         1,934        

pleaded guilty to a violation of this section.                                  

      (2)  If the offender is a professionally licensed person or  1,936        

a person who has been admitted to the bar by order of the supreme  1,937        

court in compliance with its prescribed and published rules, in    1,938        

addition to any other sanction imposed for a violation of this     1,939        

section, the court forthwith shall comply with section 2925.38 of  1,940        

the Revised Code.                                                  1,941        

      (E)  Notwithstanding the prison term authorized or required  1,943        

by division (C) of this section and sections 2929.13 and 2929.14   1,944        

of the Revised Code, if the violation of division (A) of this      1,945        

section involves the sale, offer to sell, or possession of a       1,946        

schedule I or II controlled substance, with the exception of       1,947        

marihuana, and if the offender, as a result of the violation, is   1,948        

a major drug offender, the court, in lieu of the prison term       1,949        

otherwise authorized or required, shall impose upon the offender   1,950        

the mandatory prison term specified in division (D)(3)(a) of       1,951        

section 2929.14 of the Revised Code and may impose an additional                

prison term under division (D)(3)(b) of that section.              1,953        

      (F)  Notwithstanding any contrary provision of section       1,956        

3719.21 of the Revised Code, the clerk of the court shall pay a                 

fine imposed for a violation of this section pursuant to division  1,958        

(A) of section 2929.18 of the Revised Code in accordance with and  1,959        

subject to the requirements of division (F) of section 2925.03 of  1,960        

the Revised Code.  The agency that receives the fine shall use     1,961        

the fine as specified in division (F) of section 2925.03 of the                 

                                                          46     


                                                                 
Revised Code.                                                      1,962        

      Sec. 3719.06.  (A)  A licensed health professional           1,971        

authorized to prescribe drugs, if acting in the course of          1,973        

professional practice, in accordance with the laws regulating the  1,974        

professional's practice, and in accordance with rules adopted by   1,975        

the state board of pharmacy, may do the following:                 1,976        

      (1)  Prescribe EXCEPT AS PROVIDED IN THIS DIVISION,          1,978        

PRESCRIBE schedule II, III, IV, and V controlled substances;       1,980        

      (2)  Administer or personally furnish to patients schedule   1,983        

II, III, IV, and V controlled substances;                          1,986        

      (3)  Cause schedule II, III, IV, and V controlled            1,990        

substances to be administered under the prescriber's direction     1,992        

and supervision.                                                                

      A LICENSED HEALTH PROFESSIONAL AUTHORIZED TO PRESCRIBE       1,994        

DRUGS WHO IS A CLINICAL NURSE SPECIALIST, CERTIFIED                1,995        

NURSE-MIDWIFE, OR CERTIFIED NURSE PRACTITIONER MAY PRESCRIBE A     1,996        

SCHEDULE II CONTROLLED SUBSTANCE FOR A PATIENT ONLY AFTER THE      1,997        

NURSE'S COLLABORATING PHYSICIAN OR PODIATRIST HAS INITIALLY        1,999        

PRESCRIBED THE SCHEDULE II CONTROLLED SUBSTANCE FOR THE PATIENT.   2,000        

      (B)  No licensed health professional authorized to           2,003        

prescribe drugs shall prescribe, administer, or personally         2,004        

furnish a schedule III anabolic steroid for the purpose of human   2,006        

muscle building or enhancing human athletic performance and no     2,007        

pharmacist shall dispense a schedule III anabolic steroid for      2,008        

either purpose, unless it has been approved for that purpose                    

under the "Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040    2,010        

(1938), 21 U.S.C.A. 301, as amended.                               2,011        

      (C)  Each written prescription shall be properly executed,   2,014        

dated, and signed by the prescriber on the day when issued and     2,018        

shall bear the full name and address of the person for whom, or    2,019        

the owner of the animal for which, the controlled substance is     2,021        

prescribed and the full name, address, and registry number under   2,022        

the federal drug abuse control laws of the prescriber.  If the     2,023        

prescription is for an animal, it shall state the species of the   2,026        

                                                          47     


                                                                 
animal for which the controlled substance is prescribed.                        

      Sec. 3719.81.  (A)  A person may furnish another a sample    2,035        

of any drug of abuse, or of any drug or pharmaceutical             2,036        

preparation that would be hazardous to health or safety if used    2,038        

without the supervision of a licensed health professional          2,039        

authorized to prescribe drugs, if all of the following apply:      2,040        

      (1)  The sample is furnished by a manufacturer,              2,042        

manufacturer's representative, or wholesale dealer in              2,043        

pharmaceuticals to a licensed health professional authorized to    2,045        

prescribe drugs, or is furnished by such a professional to a       2,046        

patient for use as medication;                                                  

      (2)  The drug is in the original container in which it was   2,048        

placed by the manufacturer, and the container is plainly marked    2,050        

as a sample;                                                       2,051        

      (3)  Prior to its being furnished, the drug sample has been  2,053        

stored under the proper conditions to prevent its deterioration    2,054        

or contamination;                                                  2,055        

      (4)  If the drug is of a type which deteriorates with time,  2,057        

the sample container is plainly marked with the date beyond which  2,058        

the drug sample is unsafe to use, and the date has not expired on  2,061        

the sample furnished.  Compliance with the labeling requirements   2,062        

of the "Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040       2,063        

(1938), 21 U.S.C.A. 301, as amended, shall be deemed compliance    2,064        

with this section.                                                 2,066        

      (5)  The drug is distributed, stored, or discarded in such   2,068        

a way that the drug sample may not be acquired or used by any      2,069        

unauthorized person, or by any person, including a child, for      2,070        

whom it may present a health or safety hazard.                     2,071        

      (B)  Division (A) of this section does not do any of the     2,073        

following:                                                         2,074        

      (1)  Apply to or restrict the furnishing of any sample of a  2,076        

nonnarcotic substance if the substance may, under the "Federal     2,078        

Food, Drug, and Cosmetic Act" and under the laws of this state,    2,079        

otherwise be lawfully sold over the counter without a              2,080        

                                                          48     


                                                                 
prescription;                                                                   

      (2)  Authorize UNTIL TWO YEARS AFTER THE EFFECTIVE DATE OF   2,082        

THIS AMENDMENT, AUTHORIZE an advanced practice nurse AUTHORIZED    2,083        

TO PRESCRIBE UNDER SECTION 4723.56 OF THE REVISED CODE to furnish  2,084        

a sample of any drug;                                              2,085        

      (3)  Authorize an optometrist to furnish a sample of a drug  2,088        

that is not a drug the optometrist is authorized to prescribe.                  

      (C)  The state board of pharmacy shall, in accordance with   2,090        

Chapter 119. of the Revised Code, adopt rules as necessary to      2,092        

give effect to this section.                                                    

      Sec. 4723.02.  As used in this chapter:                      2,101        

      (A)  "Registered nurse" means an individual who holds a      2,103        

current, valid license issued under this chapter that authorizes   2,104        

the practice of nursing as a registered nurse.                     2,105        

      (B)  "Practice of nursing as a registered nurse" means       2,107        

providing to individuals and groups nursing care requiring         2,108        

specialized knowledge, judgment, and skill derived from the        2,109        

principles of biological, physical, behavioral, social, and        2,110        

nursing sciences.  Such nursing care includes:                     2,111        

      (1)  Identifying patterns of human responses to actual or    2,113        

potential health problems amenable to a nursing regimen;           2,114        

      (2)  Executing a nursing regimen through the selection,      2,116        

performance, management, and evaluation of nursing actions;        2,117        

      (3)  Assessing health status for the purpose of providing    2,119        

nursing care;                                                      2,120        

      (4)  Providing health counseling and health teaching;        2,122        

      (5)  Administering medications, treatments, and executing    2,124        

regimens prescribed by licensed physicians; dentists;              2,126        

optometrists; podiatrists; or, until January 1, 2010, advanced     2,128        

practice nurses authorized to prescribe under section 4723.56 of   2,129        

the Revised Code BY AN INDIVIDUAL WHO IS AUTHORIZED TO PRACTICE    2,132        

IN THIS STATE AND IS ACTING WITHIN THE COURSE OF THE INDIVIDUAL'S  2,133        

PROFESSIONAL PRACTICE;                                             2,134        

      (6)  Teaching, administering, supervising, delegating, and   2,136        

                                                          49     


                                                                 
evaluating nursing practice.                                       2,137        

      (C)  "Nursing regimen" may include preventative,             2,139        

restorative, and health-promotion activities.                      2,140        

      (D)  "Assessing health status" means the collection of data  2,142        

through nursing assessment techniques, which may include           2,143        

interviews, observation, and physical evaluations for the purpose  2,144        

of providing nursing care.                                         2,145        

      (E)  "Licensed practical nurse" means an individual who      2,147        

holds a current, valid license issued under this chapter that      2,148        

authorizes the practice of nursing as a licensed practical nurse.  2,149        

      (F)  "The practice of nursing as a licensed practical        2,151        

nurse" means providing to individuals and groups nursing care      2,152        

requiring the application of basic knowledge of the biological,    2,153        

physical, behavioral, social, and nursing sciences at the          2,154        

direction of a licensed physician, dentist, podiatrist,            2,155        

optometrist, or registered nurse.  Such nursing care includes:     2,156        

      (1)  Observation, patient teaching, and care in a diversity  2,158        

of health care settings;                                           2,159        

      (2)  Contributions to the planning, implementation, and      2,161        

evaluation of nursing;                                             2,162        

      (3)  Administration of medications and treatments            2,164        

prescribed by a licensed physician; dentist; optometrist;          2,165        

podiatrist; or, until January 1, 2010, an advanced practice nurse  2,168        

authorized to prescribe under section 4723.56 of the Revised Code  2,170        

BY AN INDIVIDUAL WHO IS AUTHORIZED TO PRACTICE IN THIS STATE AND   2,171        

IS ACTING WITHIN THE COURSE OF THE INDIVIDUAL'S PROFESSIONAL       2,172        

PRACTICE.  Medications may be administered by a licensed           2,174        

practical nurse upon proof of completion of a course in            2,175        

medication administration approved by the board of nursing.        2,176        

      (G)   "Certified registered nurse anesthetist" means a       2,179        

registered nurse who holds a valid certificate of authority        2,180        

issued under this chapter that authorizes the practice of nursing  2,181        

as a certified registered nurse anesthetist in accordance with     2,182        

section 4723.43 of the Revised Code and rules adopted by the       2,183        

                                                          50     


                                                                 
board of nursing.                                                  2,184        

      (H)  "Clinical nurse specialist" means a registered nurse    2,187        

who holds a valid certificate of authority issued under this       2,188        

chapter that authorizes the practice of nursing as a clinical      2,189        

nurse specialist in accordance with section 4723.43 of the         2,190        

Revised Code and rules adopted by the board of nursing.            2,191        

      (I)  "Certified nurse-midwife" means a registered nurse who  2,193        

holds a valid certificate of authority issued under this chapter   2,194        

that authorizes the practice of nursing as a certified             2,195        

nurse-midwife in accordance with section 4723.43 of the Revised    2,196        

Code and rules adopted by the board of nursing.                    2,197        

      (J)  "Certified nurse practitioner" means a registered       2,199        

nurse who holds a valid certificate of authority issued under      2,200        

this chapter that authorizes the practice of nursing as a          2,201        

certified nurse practitioner in accordance with section 4723.43    2,202        

of the Revised Code and rules adopted by the board of nursing.     2,204        

      (K)  "Physician" means an individual who holds a             2,207        

certificate issued under Chapter 4731. of the Revised Code         2,209        

authorizing the practice of medicine and surgery or osteopathic    2,211        

medicine and surgery and is practicing in this state.              2,212        

      (L)  "Dentist" means an individual who is licensed under     2,215        

Chapter 4715. of the Revised Code to practice dentistry and is     2,216        

practicing in this state.                                          2,217        

      (M)  "Podiatrist" means an individual who holds a            2,220        

certificate issued under Chapter 4731. of the Revised Code         2,221        

authorizing the practice of podiatry and is practicing in this     2,222        

state.                                                                          

      (N)  "Collaboration" or "collaborating" means the            2,224        

following:                                                         2,225        

      (1)  In the case of a clinical nurse specialist, except as   2,228        

provided in division (N)(K)(3) of this section, or a certified     2,229        

nurse practitioner, that a podiatrist acting within the            2,230        

podiatrist's scope of practice in accordance with section 4731.51  2,231        

of the Revised Code and with whom the nurse has entered into a     2,232        

                                                          51     


                                                                 
standard care arrangement or physician with whom the nurse has     2,233        

entered into a standard care arrangement is continuously           2,234        

available to communicate with the clinical nurse specialist or     2,235        

certified nurse practitioner either in person or by radio,         2,236        

telephone, or other form of telecommunication;                     2,237        

      (2)  In the case of a certified nurse-midwife, that a        2,239        

physician with whom the certified nurse-midwife has entered into   2,240        

a standard care arrangement is continuously available to           2,241        

communicate with the certified nurse-midwife either in person or   2,242        

by radio, telephone, or other form of telecommunication;           2,243        

      (3)  In the case of a clinical nurse specialist whose        2,245        

nursing specialty is mental health or psychiatric mental health,   2,246        

that a physician is continuously available to communicate with     2,248        

the nurse either in person or by radio, telephone, or other form   2,249        

of telecommunication.                                                           

      (O)(L)  "Supervision" means that a certified registered      2,252        

nurse anesthetist is under the direction of a podiatrist acting                 

within the podiatrist's scope of practice in accordance with       2,253        

section 4731.51 of the Revised Code, a dentist acting within the   2,255        

dentist's scope of practice in accordance with Chapter 4715. of    2,257        

the Revised Code, or a physician, and, when administering          2,258        

anesthesia, the certified registered nurse anesthetist is in the   2,259        

immediate presence of the podiatrist, dentist, or physician.       2,260        

      (P)(M)  "Standard care arrangement" means a written, formal  2,263        

guide for planning and evaluating a patient's health care that is  2,264        

developed by a collaborating physician or podiatrist and a                      

clinical nurse specialist, certified nurse-midwife, or certified   2,265        

nurse practitioner and meets the requirements of section 4723.431  2,266        

of the Revised Code.                                               2,267        

      Sec. 4723.04.  The state nurses' board shall be known as     2,276        

the board of nursing.  The board shall assume and exercise all     2,277        

the powers and perform all the duties conferred and imposed on it  2,278        

by this chapter concerning nurses and nursing and the regulation   2,279        

thereof.  The board shall consist of thirteen members who shall    2,280        

                                                          52     


                                                                 
be citizens of the United States and residents of Ohio.  Eight     2,281        

members shall be registered nurses, each of whom shall be a        2,282        

graduate of an approved program of nursing education that          2,283        

prepares persons for licensure as a registered nurse, shall hold   2,284        

a currently active license issued under this chapter to practice   2,285        

nursing as a registered nurse, and shall have been actively        2,286        

engaged in the practice of nursing as a registered nurse for the   2,287        

five years immediately preceding the member's initial appointment  2,288        

to the board.  OF THE EIGHT MEMBERS WHO ARE REGISTERED NURSES,     2,289        

ONE SHALL HOLD A VALID CERTIFICATE OF AUTHORITY ISSUED UNDER THIS  2,291        

CHAPTER THAT AUTHORIZES THE PRACTICE OF NURSING AS A CERTIFIED     2,292        

NURSE-MIDWIFE, CERTIFIED NURSE PRACTITIONER, OR CLINICAL NURSE     2,293        

SPECIALIST.  Four members shall be licensed practical nurses,      2,294        

each of whom shall be a graduate of an approved program of         2,295        

nursing education that prepares persons for licensure as a         2,296        

practical nurse, shall hold a currently active license issued      2,297        

under this chapter to practice nursing as a licensed practical     2,298        

nurse, and shall have been actively engaged in the practice of     2,299        

nursing as a licensed practical nurse for the five years           2,300        

immediately preceding the member's initial appointment to the      2,301        

board.  One member shall represent the interests of consumers of   2,302        

health care.  Neither this member nor any person in the member's   2,303        

immediate family shall be a member of or associated with a health  2,304        

care provider or profession or shall have a financial interest in  2,305        

the delivery or financing of health care.  Representation of       2,306        

nursing service and nursing education and of the various           2,307        

geographical areas of the state shall be considered in making      2,308        

appointments.  As the term of any member of the board expires, a   2,309        

successor shall be appointed who has the qualifications the        2,310        

vacancy requires.  Terms of office shall be for five years,        2,311        

commencing on the first day of January and ending on the           2,312        

thirty-first day of December.  Each member shall hold office from  2,313        

the date of appointment until the end of the term for which the    2,314        

member was appointed.  The term of a member shall expire if the    2,315        

                                                          53     


                                                                 
member ceases to meet any requirement of this section for the      2,316        

member's position on the board.  Any member appointed to fill a    2,317        

vacancy occurring prior to the expiration of the term for which    2,318        

her THE MEMBER'S predecessor was appointed shall hold office for   2,319        

the remainder of such term.  A person who has served a full term   2,321        

on the board or more than thirty months of the remainder of the    2,322        

term of a predecessor shall not be eligible for a subsequent       2,323        

appointment to the board.  Any member shall continue in office     2,324        

subsequent to the expiration date of her THE MEMBER'S term until   2,325        

her THE MEMBER'S successor takes office, or until a period of      2,327        

sixty days has elapsed, whichever occurs first.  Nursing           2,328        

organizations of this state may each submit to the governor the    2,329        

names of not more than five nominees for each position to be       2,330        

filled on the board.  From the names so submitted or from others,  2,331        

at his THE GOVERNOR'S discretion, the governor with the advice     2,332        

and consent of the senate shall make such appointments.            2,333        

      Any member of the board may be removed by the governor for   2,335        

neglect of any duty required by law or for incompetency or         2,336        

unprofessional or dishonorable conduct, after a hearing as         2,337        

provided in Chapter 119. of the Revised Code.  Seven members of    2,338        

the board including at least four registered nurses and at least   2,339        

one licensed practical nurse shall at all times constitute a       2,340        

quorum.                                                            2,341        

      Each member of the board shall receive an amount fixed       2,343        

pursuant to division (J) of section 124.15 of the Revised Code     2,344        

for each day in attendance at board meetings and in discharge of   2,345        

official duties, and in addition thereto, necessary expense        2,346        

incurred in the performance of such duties.                        2,347        

      The board shall elect one of its nurse members as president  2,349        

and one as vice-president.                                         2,350        

      The board may establish advisory groups to serve in          2,352        

consultation with the board or the executive director.  Each       2,353        

advisory group shall be given a specific charge in writing and     2,354        

shall report to the board.  Members of advisory groups shall       2,355        

                                                          54     


                                                                 
serve without compensation but shall receive their actual and      2,356        

necessary expenses incurred in the performance of their official   2,357        

duties.                                                            2,358        

      Sec. 4723.06.  (A)  The board of nursing shall:              2,367        

      (1)  Administer and enforce the provisions of this chapter,  2,369        

including the taking of disciplinary action for violations of      2,370        

section 4723.28 of the Revised Code, any other provisions of this  2,371        

chapter, or rules promulgated under Chapter 119. of the Revised    2,372        

Code;                                                              2,373        

      (2)  Examine applicants for licensure to practice as a       2,375        

registered nurse or as a licensed practical nurse;                 2,376        

      (3)  Issue and renew licenses as provided in this chapter;   2,378        

      (4)  Define the minimum curricula and standards for          2,380        

educational programs of the schools of professional nursing and    2,381        

schools of practical nursing in this state;                        2,382        

      (5)  Survey, inspect, and grant full approval to             2,384        

prelicensure nursing education programs that meet the standards    2,386        

established by rules adopted under section 4723.07 of the Revised  2,387        

Code.  Prelicensure nursing education programs include, but are    2,388        

not limited to, associate degree, baccalaureate degree, diploma,   2,389        

and doctor of nursing programs leading to initial licensure to     2,390        

practice nursing as a registered nurse and practical nurse         2,391        

programs leading to initial licensure to practice nursing as a     2,392        

licensed practical nurse.                                                       

      (6)  Grant conditional approval, by a vote of a quorum of    2,394        

the board, to a new prelicensure nursing education program or a    2,395        

program that is being reestablished after having ceased to         2,397        

operate, if the program meets and maintains the minimum standards  2,399        

of the board established by rules adopted under section 4723.07    2,400        

of the Revised Code.  If the board does not grant conditional      2,401        

approval, it shall hold a hearing under Chapter 119. of the        2,402        

Revised Code to consider conditional approval of the program.  If  2,403        

the board grants conditional approval, at its first meeting after  2,404        

the first class has completed the program, the board shall         2,405        

                                                          55     


                                                                 
determine whether to grant full approval to the program.  If the   2,406        

board does not grant full approval or if it appears that the       2,409        

program has failed to meet and maintain standards established by   2,410        

rules adopted under section 4723.07 of the Revised Code, the       2,411        

board shall hold a hearing under Chapter 119. of the Revised Code  2,412        

to consider the program.  Based on results of the hearing, the     2,413        

board may continue or withdraw conditional approval, or grant      2,414        

full approval.                                                                  

      (7)  Place on provisional approval, for a period of time     2,416        

specified by the board, a program that has ceased to meet and      2,418        

maintain the minimum standards of the board established by rules   2,419        

adopted under section 4723.07 of the Revised Code.  At the end of  2,420        

the period, the board shall reconsider whether the program meets   2,421        

the standards and shall grant full approval if it does.  If it     2,423        

does not, the board may withdraw approval, pursuant to a hearing   2,424        

under Chapter 119. of the Revised Code.                            2,425        

      (8)  Approve continuing nursing education programs and       2,427        

courses under standards established in rules adopted under         2,428        

section 4723.07 of the Revised Code;                               2,429        

      (9)  Approve peer support programs for nurses under rules    2,431        

adopted under section 4723.07 of the Revised Code;                 2,432        

      (10)  Establish the alternative program for chemically       2,434        

dependent nurses in accordance with section 4723.35 of the         2,435        

Revised Code;                                                                   

      (11)  Issue and renew certificates of authority to practice  2,437        

nursing as a certified registered nurse anesthetist, clinical      2,438        

nurse specialist, certified nurse-midwife, or certified nurse      2,439        

practitioner;                                                                   

      (12)  Approve under section 4723.46 of the Revised Code      2,442        

national certifying organizations for examination and              2,443        

certification of certified registered nurse anesthetists,          2,444        

clinical nurse specialists, certified nurse-midwives, or           2,445        

certified nurse practitioners;                                                  

      (13)  ISSUE AND RENEW CERTIFICATES TO PRESCRIBE PURSUANT TO  2,447        

                                                          56     


                                                                 
SECTION 4723.48 OF THE REVISED CODE;                               2,449        

      (14)  GRANT APPROVAL TO PLANNED CLASSROOM AND CLINICAL       2,451        

STUDY IN ADVANCED PHARMACOLOGY THAT MEETS THE REQUIREMENTS         2,453        

ESTABLISHED IN RULES ADOPTED UNDER SECTION 4723.07 OF THE REVISED  2,454        

CODE;                                                              2,455        

      (15)  PUBLISH ANNUALLY THE FORMULARY AND ANY SUPPLEMENTS TO  2,458        

THE FORMULARY ESTABLISHED BY THE JOINT FORMULARY COMMITTEE UNDER   2,459        

SECTION 4723.49 OF THE REVISED CODE;                               2,460        

      (16)  Make an annual report to the governor, which shall be  2,462        

open for public inspection;                                        2,463        

      (14)(17)  Maintain and have open for public inspection the   2,465        

following records:                                                 2,466        

      (a)  A record of all its meetings and proceedings;           2,468        

      (b)  A file of applicants for and holders of licenses,       2,470        

registrations, and certificates granted under this chapter.  The   2,471        

file shall be maintained in the form prescribed by rule of the     2,472        

board.                                                             2,473        

      (c)  A list of prelicensure nursing education programs       2,475        

approved by the board;                                             2,476        

      (d)  A list of approved peer support programs for nurses.    2,478        

      (B)  The board may fulfill the requirement of division       2,480        

(A)(8) of this section by authorizing persons who meet the         2,481        

standards established in rules adopted under division (F) of       2,482        

section 4723.07 of the Revised Code to approve continuing nursing  2,483        

education programs and courses.  Persons so authorized shall       2,484        

approve continuing nursing education programs and courses in       2,485        

accordance with standards established in rules adopted under       2,486        

division (E) of section 4723.07 of the Revised Code.               2,487        

      Persons seeking authorization to approve continuing nursing  2,489        

education programs and courses shall apply to the board and pay    2,490        

the appropriate fee established under section 4723.08 of the       2,491        

Revised Code.  Authorizations to approve continuing nursing        2,492        

education programs and courses shall expire at the end of the      2,493        

two-year period beginning the date of issuance and may be renewed  2,494        

                                                          57     


                                                                 
by the board.                                                                   

      Sec. 4723.07.  In accordance with Chapter 119. of the        2,503        

Revised Code, the board of nursing shall adopt and may amend and   2,504        

rescind rules:                                                     2,505        

      (A)  Providing for its government and control of its         2,507        

actions and business affairs;                                      2,508        

      (B)  Establishing minimum curricula and standards for        2,510        

nursing education programs that prepare graduates to take          2,511        

licensing examinations, and establishing procedures for granting,  2,512        

renewing, and withdrawing approval of those programs;              2,514        

      (C)  Establishing requirements that applicants for           2,516        

licensure must meet to be permitted to take licensing              2,517        

examinations;                                                      2,518        

      (D)  Governing the administration and conduct of             2,520        

examinations for licensure to practice nursing as a registered     2,521        

nurse or as a licensed practical nurse;                            2,522        

      (E)  Establishing standards for approval of continuing       2,524        

nursing education programs and courses for registered nurses,      2,525        

licensed practical nurses, certified registered nurse              2,526        

anesthetists, clinical nurse specialists, certified                2,527        

nurse-midwives, and certified nurse practitioners.  The standards  2,528        

may provide for approval of continuing nursing education programs  2,529        

and courses that have been approved by other state boards of       2,530        

nursing or by national accreditation systems for nursing,          2,531        

including, but not limited to, the American nurses' credentialing  2,532        

center and the national association for practical nurse education  2,533        

and service.                                                                    

      (F)  Establishing standards that persons must meet to be     2,535        

authorized by the board to approve continuing nursing education    2,536        

programs and courses and a schedule to have that authorization     2,537        

renewed;                                                                        

      (G)  Establishing requirements, including continuing         2,539        

education requirements, for restoring inactive licenses and        2,540        

licenses that have lapsed through failure to renew;                2,541        

                                                          58     


                                                                 
      (H)  Governing conditions that may be imposed for            2,543        

reinstatement following action taken under sections 2301.373,      2,544        

4723.28, and 4723.281 of the Revised Code resulting in a           2,545        

suspension from practice;                                          2,547        

      (I)  Establishing standards for approval of peer support     2,549        

programs for nurses;                                               2,550        

      (J)  Establishing requirements for board approval of         2,553        

courses in medication administration by licensed practical         2,554        

nurses;                                                                         

      (K)  Establishing criteria for specialty certification of    2,556        

registered nurses;                                                 2,557        

      (L)  Establishing criteria for evaluating the                2,559        

qualifications of an applicant who is applying for a license by    2,561        

endorsement to practice nursing as a registered nurse or licensed               

practical nurse or for a certificate of authority issued under     2,562        

division (E) of section 4723.41 of the Revised Code;               2,563        

      (M)  Establishing universal blood and body fluid             2,565        

precautions that shall be used by each person licensed under this  2,566        

chapter who performs exposure-prone invasive procedures.  The      2,567        

rules shall define and establish requirements for universal blood  2,568        

and body fluid precautions that include the following:             2,569        

      (1)  Appropriate use of hand washing;                        2,571        

      (2)  Disinfection and sterilization of equipment;            2,573        

      (3)  Handling and disposal of needles and other sharp        2,575        

instruments;                                                       2,576        

      (4)  Wearing and disposal of gloves and other protective     2,578        

garments and devices.                                              2,579        

      (N)  Establishing standards and procedures for approving     2,582        

certificates of authority to practice nursing as a certified                    

registered nurse anesthetist, clinical nurse specialist,           2,583        

certified nurse-midwife, or certified nurse practitioner, and for  2,584        

renewal of those certificates;                                     2,585        

      (O)  Establishing quality assurance standards for certified  2,588        

registered nurse anesthetists, clinical nurse specialists,         2,589        

                                                          59     


                                                                 
certified nurse-midwives, or certified nurse practitioners;                     

      (P)  Establishing additional criteria for the standard care  2,592        

arrangement required by section 4723.431 of the Revised Code       2,593        

entered into by a clinical nurse specialist, certified             2,594        

nurse-midwife, or certified nurse practitioner and the nurse's     2,595        

collaborating physician or podiatrist;                             2,596        

      (Q)  Establishing continuing education standards for         2,599        

clinical nurse specialists who are exempt under division (C) of    2,600        

section 4723.41 of the Revised Code from the requirement of        2,601        

having passed a certification examination;                                      

      (R)  ESTABLISHING STANDARDS AND PROCEDURES FOR ISSUANCE AND  2,604        

RENEWAL OF A CERTIFICATE TO PRESCRIBE DRUGS AND THERAPEUTIC        2,605        

DEVICES UNDER SECTION 4723.48 OF THE REVISED CODE;                 2,607        

      (S)  SPECIFYING INFORMATION THE BOARD MAY REQUIRE UNDER      2,610        

DIVISION (C)(5) OR (E)(3) OF SECTION 4723.48 OF THE REVISED CODE;  2,614        

      (T)  ESTABLISHING REQUIREMENTS FOR BOARD APPROVAL OF         2,617        

PLANNED CLASSROOM AND CLINICAL STUDY IN ADVANCED PHARMACOLOGY      2,618        

UNDER SECTION 4723.48 OF THE REVISED CODE.                         2,621        

      Subject to Chapter 119. of the Revised Code, the board may   2,623        

adopt other rules necessary to carry out the provisions of this    2,624        

chapter.                                                           2,625        

      Sec. 4723.08.  (A)  The board of nursing may impose fees     2,634        

not to exceed the following limits:                                2,635        

      (1)  For application for licensure by examination to         2,637        

practice nursing as a registered nurse or as a licensed practical  2,638        

nurse, fifty dollars;                                              2,639        

      (2)  For application for licensure by endorsement to         2,641        

practice nursing as a registered nurse or as a licensed practical  2,642        

nurse, fifty dollars;                                              2,643        

      (3)  For application for a certificate of authority to       2,645        

practice nursing as a certified registered nurse anesthetist,      2,646        

clinical nurse specialist, certified nurse-midwife, or certified   2,648        

nurse practitioner, one hundred dollars;                           2,649        

      (4)  FOR APPLICATION FOR A CERTIFICATE TO PRESCRIBE DRUGS    2,651        

                                                          60     


                                                                 
AND THERAPEUTIC DEVICES, FIFTY DOLLARS;                            2,652        

      (5)  For verification of a license or certificate to         2,654        

another jurisdiction, fifteen dollars;                             2,656        

      (5)(6)  For providing a replacement copy of a license or     2,658        

certificate, fifteen dollars;                                      2,659        

      (6)(7)  For biennial renewal of any license, thirty-five     2,661        

dollars;                                                           2,662        

      (7)(8)  For biennial renewal of a certificate of authority   2,664        

to practice nursing as a certified registered nurse anesthetist,   2,666        

clinical nurse specialist, certified nurse-midwife, or certified   2,668        

nurse practitioner, one hundred dollars;                                        

      (8)(9)  FOR BIENNIAL RENEWAL OF A CERTIFICATE TO PRESCRIBE   2,670        

DRUGS AND THERAPEUTIC DEVICES, FIFTY DOLLARS;                      2,671        

      (10)  For processing a late application for renewal of any   2,673        

license or certificate, fifty dollars;                             2,674        

      (9)(11)  For application for authorization to approve        2,676        

continuing nursing education programs and courses from an          2,677        

applicant accredited by a national accreditation system for        2,678        

nursing, five hundred dollars;                                     2,679        

      (10)(12)  For application for authorization to approve       2,681        

continuing nursing education programs and courses from an          2,682        

applicant not accredited by a national accreditation system for    2,683        

nursing, one thousand dollars;                                     2,684        

      (11)(13)  For biennial renewal of authorization to approve   2,686        

continuing nursing education programs and courses, three hundred   2,688        

dollars;                                                                        

      (12)(14)  For written verification of a license or           2,690        

certificate, other than verification to another jurisdiction,      2,692        

five dollars. The board may contract for services pertaining to    2,693        

this verification process and the collection of the fee, and may   2,694        

permit the contractor to retain a portion of the fees as           2,695        

compensation, before any amounts are deposited into the state      2,696        

treasury.                                                          2,697        

      (B)  Each quarter, the board of nursing shall certify to     2,699        

                                                          61     


                                                                 
the director of budget and management the number of biennial       2,700        

licenses renewed under this chapter during the preceding quarter   2,701        

and the amount equal to that number times five dollars.            2,702        

      Sec. 4723.151.  Medical diagnosis, prescription of medical   2,711        

measures, and the practice of medicine or surgery or any of its    2,712        

branches by a nurse are prohibited.                                2,713        

      Nothing in this section prohibits a certified registered     2,715        

nurse anesthetist, clinical nurse specialist, certified            2,716        

nurse-midwife, or certified nurse practitioner from practicing     2,717        

within the nurse's scope of practice in accordance with section    2,718        

4723.43 of the Revised Code.  NOTHING IN THIS SECTION PROHIBITS A  2,719        

CLINICAL NURSE SPECIALIST, CERTIFIED NURSE-MIDWIFE, OR CERTIFIED   2,720        

NURSE PRACTITIONER FROM PRESCRIBING DRUGS AND THERAPEUTIC DEVICES  2,722        

IN ACCORDANCE WITH SECTION 4723.48 OF THE REVISED CODE.                         

NOTWITHSTANDING THE TWO IMMEDIATE PRECEDING SENTENCES, NOTHING IN  2,724        

THIS CHAPTER SHALL BE CONSTRUED AS AUTHORIZING ANY NURSE TO        2,725        

PRESCRIBE ANY DRUG OR DEVICE TO PERFORM OR INDUCE AN ABORTION, OR  2,726        

TO OTHERWISE PERFORM OR INDUCE AN ABORTION.                        2,727        

      Sec. 4723.28.  As used in this section, "dangerous drug"     2,736        

and "prescription" have the same meanings as in section 4729.01    2,738        

of the Revised Code.                                                            

      (A)  The board of nursing, pursuant to an adjudication       2,740        

conducted under Chapter 119. of the Revised Code and by a vote of  2,741        

a quorum, may revoke or may refuse to grant a license or           2,742        

certificate to a person found by the board to have committed       2,744        

fraud in passing the examination or to have committed fraud,       2,745        

misrepresentation, or deception in applying for or securing any    2,746        

license or certificate issued by the board.                        2,748        

      (B)  The board of nursing, pursuant to an adjudication       2,750        

conducted under Chapter 119. of the Revised Code and by a vote of  2,751        

a quorum, may impose one or more of the following sanctions:       2,752        

deny, revoke permanently, suspend, or place restrictions on any    2,753        

license or certificate issued by the board; reprimand or           2,755        

otherwise discipline a holder of a license or certificate; or      2,756        

                                                          62     


                                                                 
impose a fine of not more than five hundred dollars per            2,758        

violation.  The sanctions may be imposed for any of the                         

following:                                                         2,759        

      (1)  Denial, revocation, suspension, or restriction of a     2,761        

license to practice nursing, for any reason other than a failure   2,762        

to renew, in another state or jurisdiction; or denial,             2,763        

revocation, suspension, or restriction of a license to practice a  2,764        

health care occupation other than nursing, for any reason other    2,765        

than a failure to renew, in Ohio or another state or               2,766        

jurisdiction;                                                                   

      (2)  Engaging in the practice of nursing, having failed to   2,768        

renew a license issued under this chapter, or while a license is   2,769        

under suspension;                                                  2,770        

      (3)  Conviction of, a plea of guilty to, or a judicial       2,772        

finding of guilt of a misdemeanor committed in the course of       2,773        

practice;                                                          2,774        

      (4)  Conviction of, a plea of guilty to, or a judicial       2,776        

finding of guilt of any felony or of any crime involving gross     2,777        

immorality or moral turpitude;                                     2,778        

      (5)  Selling, giving away, or administering drugs for other  2,780        

than legal and legitimate therapeutic purposes; or conviction of,  2,781        

a plea of guilty to, or a judicial finding of guilt of violating   2,782        

any municipal, state, county, or federal drug law;                 2,783        

      (6)  Conviction of, a plea of guilty to, or a judicial       2,785        

finding of guilt of an act in another jurisdiction that would      2,786        

constitute a felony or a crime of moral turpitude in Ohio;         2,787        

      (7)  Conviction of, a plea of guilty to, or a judicial       2,789        

finding of guilt of an act in the course of practice in another    2,790        

jurisdiction that would constitute a misdemeanor in Ohio;          2,791        

      (8)  Self-administering or otherwise taking into the body    2,793        

any dangerous drug in any way not in accordance with a legal,      2,794        

valid prescription;                                                2,795        

      (9)  Habitual indulgence in the use of controlled            2,797        

substances, other habit-forming drugs, or alcohol or other         2,798        

                                                          63     


                                                                 
chemical substances to an extent that impairs ability to           2,799        

practice;                                                          2,800        

      (10)  Impairment of the ability to practice according to     2,802        

acceptable and prevailing standards of safe nursing care because   2,803        

of habitual or excessive use of drugs, alcohol, or other chemical  2,806        

substances that impair the ability to practice;                    2,807        

      (11)  Impairment of the ability to practice according to     2,809        

acceptable and prevailing standards of safe nursing care because   2,810        

of a physical or mental disability;                                2,811        

      (12)  Assaulting or causing harm to a patient or depriving   2,813        

a patient of the means to summon assistance;                       2,814        

      (13)  Obtaining or attempting to obtain money or anything    2,816        

of value by intentional misrepresentation or material deception    2,817        

in the course of practice;                                         2,818        

      (14)  Adjudication by a probate court that the license       2,820        

applicant or license holder is mentally ill or mentally            2,821        

incompetent.  The board may restore the license upon adjudication  2,822        

by a probate court of the person's restoration to competency or    2,823        

upon submission to the board of other proof of competency.         2,824        

      (15)  The suspension or termination of employment by the     2,826        

department of defense or the veterans administration of the        2,827        

United States for any act that violates or would violate this      2,828        

chapter;                                                           2,829        

      (16)  Violation of this chapter or any rules adopted under   2,831        

it;                                                                2,832        

      (17)  Violation of any restrictions placed on a license by   2,834        

the board;                                                         2,835        

      (18)  Failure to use universal blood and body fluid          2,837        

precautions established by rules adopted under section 4723.07 of  2,838        

the Revised Code;                                                  2,839        

      (19)  Failure to practice in accordance with acceptable and  2,842        

prevailing standards of safe nursing care;                         2,843        

      (20)  In the case of a registered nurse, engaging in         2,845        

activities that exceed the practice of nursing as a registered     2,846        

                                                          64     


                                                                 
nurse under section 4723.02 of the Revised Code;                   2,847        

      (21)  In the case of a licensed practical nurse, engaging    2,849        

in activities that exceed the practice of nursing as a licensed    2,850        

practical nurse under section 4723.02 of the Revised Code;         2,851        

      (22)  Aiding and abetting in the unlicensed practice of      2,853        

nursing;                                                           2,854        

      (23)  In the case of a certified registered nurse            2,856        

anesthetist, clinical nurse specialist, certified nurse-midwife,   2,858        

or certified nurse practitioner, or a registered nurse approved    2,859        

as an advanced practice nurse under section 4723.55 of the         2,860        

Revised Code, either of the following:                             2,861        

      (a)  Waiving the payment of all or any part of a deductible  2,863        

or copayment that a patient, pursuant to a health insurance or     2,864        

health care policy, contract, or plan that covers such nursing     2,865        

services, would otherwise be required to pay if the waiver is      2,866        

used as an enticement to a patient or group of patients to         2,867        

receive health care services from that provider;                   2,868        

      (b)  Advertising that the nurse will waive the payment of    2,870        

all or any part of a deductible or copayment that a patient,       2,871        

pursuant to a health insurance or health care policy, contract,    2,872        

or plan that covers such nursing services, would otherwise be      2,873        

required to pay.                                                   2,874        

      (24)  Failure to comply with the terms and conditions of     2,876        

participation in the alternative program for chemically dependent  2,878        

nurses created by section 4723.35 of the Revised Code;             2,879        

      (25)  In the case of a certified registered nurse            2,881        

anesthetist, clinical nurse specialist, certified nurse-midwife,   2,882        

or certified nurse practitioner:                                   2,883        

      (a)  Engaging in activities that exceed those permitted for  2,886        

the nurse's nursing specialty under section 4723.43 of the                      

Revised Code;                                                      2,887        

      (b)  Failure to meet the quality assurance standards         2,889        

established under section 4723.07 of the Revised Code.             2,891        

      (26)  In the case of a clinical nurse specialist, certified  2,893        

                                                          65     


                                                                 
nurse-midwife, or certified nurse practitioner, failure to         2,894        

maintain a standard care arrangement in accordance with section    2,895        

4723.431 of the Revised Code or to practice in accordance with     2,896        

the standard care arrangement;                                     2,897        

      (27)  IN THE CASE OF A CLINICAL NURSE SPECIALIST, CERTIFIED  2,900        

NURSE-MIDWIFE, OR CERTIFIED NURSE PRACTITIONER WHO HOLDS A         2,901        

CERTIFICATE TO PRESCRIBE UNDER SECTION 4723.48 OF THE REVISED      2,904        

CODE:                                                                           

      (a)  FAILURE TO PRESCRIBE DRUGS AND THERAPEUTIC DEVICES IN   2,907        

ACCORDANCE WITH THE FORMULARY ESTABLISHED UNDER SECTION 4723.49    2,908        

OF THE REVISED CODE;                                               2,910        

      (b)  PRESCRIBING, DISPENSING, OR ADMINISTERING DRUGS AND     2,913        

THERAPEUTIC DEVICES FOR OTHER THAN LEGAL AND LEGITIMATE            2,914        

THERAPEUTIC PURPOSES.                                                           

      (28)  PRESCRIBING ANY DRUG OR DEVICE TO PERFORM OR INDUCE    2,917        

AN ABORTION, OR OTHERWISE PERFORMING OR INDUCING AN ABORTION;      2,918        

      (29)  FAILURE TO RETURN TO THE BOARD A LICENSE OR            2,920        

CERTIFICATE ISSUED UNDER THIS CHAPTER THAT HAS LAPSED OR BEEN      2,921        

SUSPENDED OR REVOKED.                                              2,922        

      (C)  If a criminal action is brought against a license       2,924        

holder for an act or crime described in divisions (B)(3) to (7)    2,925        

of this section and the action is dismissed by the trial court     2,926        

other than on the merits, the board shall hold an adjudication     2,928        

hearing to determine whether the license holder committed the act               

on which the action was based.  If the board determines on the     2,929        

basis of the hearing that the license holder committed the act,    2,930        

or if the license holder fails to participate in the hearing, the  2,931        

board may take action as though the license holder had been        2,932        

convicted of the act.                                              2,933        

      If the board takes action on the basis of a conviction,      2,935        

plea of guilty, or a judicial determination of guilt as described  2,936        

in divisions (B)(3) to (7) of this section that is overturned on   2,937        

appeal, the license holder may, on exhaustion of the appeal        2,938        

process, petition the board for reconsideration of its action.     2,939        

                                                          66     


                                                                 
On receipt of the petition and supporting court documents, the     2,940        

board shall temporarily rescind its action.  If the board          2,941        

determines that the decision on appeal was a decision on the       2,942        

merits, it shall permanently rescind its action.  If the board     2,943        

determines that the decision on appeal was not a decision on the   2,944        

merits, it shall hold an adjudicatory hearing to determine         2,945        

whether the license holder committed the act on which the          2,946        

original conviction, plea, or judicial determination was based.    2,947        

If the board determines on the basis of the hearing that the       2,948        

license holder committed such act, or if the license holder does   2,949        

not request a hearing, the board shall reinstate its action;       2,950        

otherwise, the board shall permanently rescind its action.         2,951        

      Notwithstanding the provision of division (C)(2) of section  2,953        

2953.32 of the Revised Code specifying that if records pertaining  2,954        

to a criminal case are sealed under that section the proceedings   2,955        

in the case shall be deemed not to have occurred, sealing of the   2,956        

records of a conviction on which the board has based an action     2,957        

under this section shall have no effect on the board's action or   2,958        

any sanction imposed by the board under this section.              2,959        

      (D)  In enforcing division (B) of this section, the board    2,961        

may compel any individual licensed by this chapter or who has      2,962        

applied for licensure to submit to a mental or physical            2,963        

examination, or both, as required by the board and at the expense  2,964        

of the individual.  Failure of any individual to submit to a       2,965        

mental or physical examination when directed constitutes an        2,966        

admission of the allegations, unless the failure is due to         2,967        

circumstances beyond the individual's control, and a default and   2,968        

final order may be entered without the taking of testimony or      2,969        

presentation of evidence.  If the board finds that an individual   2,970        

is impaired, the board shall require the individual to submit to   2,971        

care, counseling, or treatment approved or designated by the       2,972        

board, as a condition for initial, continued, reinstated, or       2,973        

renewed licensure to practice.  The individual shall be afforded   2,974        

an opportunity to demonstrate to the board that the individual     2,975        

                                                          67     


                                                                 
can resume the individual's occupation in compliance with          2,977        

acceptable and prevailing standards under the provisions of the    2,979        

individual's license.  For the purpose of this section, any        2,981        

individual who is licensed by this chapter or makes application    2,982        

for licensure shall be deemed to have given consent to submit to   2,983        

a mental or physical examination when directed to do so in         2,984        

writing by the board, and to have waived all objections to the     2,985        

admissibility of testimony or examination reports that constitute  2,986        

a privileged communication.                                                     

      (E)  The board shall investigate evidence that appears to    2,988        

show that any person has violated any provision of this chapter    2,989        

or any rule of the board.  Any person may report to the board any  2,990        

information the person may have that appears to show a violation   2,991        

of any provision of this chapter or rule of the board.  In the     2,992        

absence of bad faith, any person who reports such information or   2,993        

who testifies before the board in any adjudication conducted       2,995        

under Chapter 119. of the Revised Code shall not be liable for     2,996        

civil damages as a result of the report or testimony.                           

      Information received by the board pursuant to an             2,998        

investigation is confidential and not subject to discovery in any  2,999        

civil action, except that the board may disclose information to    3,000        

law enforcement officers and government entities investigating a   3,001        

person licensed by the board.  No law enforcement officer or       3,002        

government entity with knowledge of any information disclosed by   3,003        

the board pursuant to this division shall divulge the information  3,004        

to any other person or government entity except for the purpose    3,005        

of an adjudication by a court or licensing or registration board   3,006        

or officer to which the person to whom the information relates is               

a party.                                                           3,007        

      If the investigation requires a review of patient records,   3,009        

the investigation and proceeding shall be conducted in such a      3,010        

manner as to protect patient confidentiality.                      3,011        

      All hearings and investigations of the board shall be        3,013        

considered civil actions for the purposes of section 2305.251 of   3,014        

                                                          68     


                                                                 
the Revised Code.                                                  3,015        

      The hearings of the board shall be conducted in accordance   3,017        

with Chapter 119. of the Revised Code.  The board may appoint a    3,018        

hearing examiner as provided in section 119.09 to conduct any      3,019        

hearing the board is empowered to hold under Chapter 119. of the   3,020        

Revised Code.                                                      3,021        

      In the absence of fraud or bad faith, neither the board nor  3,023        

any current or former members, agents, representatives, or         3,024        

employees of the board shall be held liable in damages to any      3,025        

person as the result of any act, omission, proceeding, conduct,    3,026        

or decision related to their official duties undertaken or         3,027        

performed pursuant to this chapter.  If a current or former        3,028        

member, agent, representative, or employee requests the state to   3,029        

defend the individual against any claim or action arising out of   3,030        

any act, omission, proceeding, conduct, or decision related to     3,032        

the individual's official duties, if the request is made in        3,034        

writing at a reasonable time before trial, and if the individual   3,035        

requesting defense cooperates in good faith in the defense of the  3,036        

claim or action, the state shall provide and pay for such defense  3,037        

and shall pay any resulting judgment, compromise, or settlement.   3,038        

At no time shall the state pay that part of a claim or judgment    3,039        

that is for punitive or exemplary damages.                         3,040        

      (F)  Any action taken by the board under this section        3,042        

resulting in a suspension from practice shall be accompanied by a  3,043        

written statement of the conditions under which the person may be  3,044        

reinstated to practice.                                            3,045        

      (G)  No unilateral surrender of a license issued under this  3,047        

chapter shall be effective unless accepted by majority vote of     3,048        

the board.  No application for a license issued under this         3,049        

chapter may be withdrawn without a majority vote of the board.     3,050        

      (H)  Notwithstanding division (B)(23) of this section,       3,052        

sanctions shall not be imposed against any licensee who waives     3,053        

deductibles and copayments:                                        3,054        

      (1)  In compliance with the health benefit plan that         3,056        

                                                          69     


                                                                 
expressly allows such a practice.  Waiver of the deductibles or    3,057        

copayments shall be made only with the full knowledge and consent  3,058        

of the plan purchaser, payer, and third-party administrator.  The  3,059        

consent shall be made available to the board upon request.         3,060        

      (2)  For professional services rendered to any other person  3,062        

licensed pursuant to this chapter to the extent allowed by this    3,063        

chapter and the rules of the board.                                3,064        

      (I)  THE HOLDER OF A LICENSE OR CERTIFICATE ISSUED UNDER     3,066        

THIS CHAPTER SHALL RETURN TO THE BOARD A LICENSE OR CERTIFICATE    3,067        

THAT HAS LAPSED OR BEEN SUSPENDED OR REVOKED.                      3,068        

      Sec. 4723.42.  (A)  If the applicant for authorization to    3,077        

practice nursing as a certified registered nurse anesthetist,      3,079        

clinical nurse specialist, certified nurse-midwife, or certified   3,082        

nurse practitioner has met all the requirements of section         3,084        

4723.41 of the Revised Code and has paid the fee required by       3,086        

section 4723.08 of the Revised Code, the board of nursing shall    3,087        

issue its certificate of authority to practice nursing as a        3,089        

certified registered nurse anesthetist, clinical nurse             3,090        

specialist, certified nurse-midwife, or certified nurse            3,092        

practitioner, which shall designate the nursing specialty the      3,094        

nurse is authorized to practice.  The certificate entitles its     3,095        

holder to practice nursing in the specialty designated on the      3,096        

certificate.                                                                    

      The board shall issue or deny its certificate not later      3,099        

than sixty days after receiving all of the documents required by   3,100        

section 4723.41 of the Revised Code.  Not later than fifteen days  3,102        

after receipt of an application, the board shall provide the       3,103        

applicant with written notice, by mail, of any required documents  3,104        

that remain to be submitted.                                       3,105        

      If an applicant is under investigation for a violation of    3,108        

this chapter, the board shall conclude the investigation not       3,109        

later than ninety days after receipt of all required documents,    3,110        

unless this ninety-day period is extended by written consent of    3,111        

the applicant, or unless the board determines that a substantial   3,113        

                                                          70     


                                                                 
question of such a violation exists and the board has notified     3,114        

the applicant in writing of the reasons for the continuation of    3,115        

the investigation.  If the board determines that the applicant     3,116        

has not violated this chapter, it shall issue a certificate not    3,117        

later than forty-five days after making that determination.        3,120        

      (B)  Authorization to practice nursing as a certified        3,123        

registered nurse anesthetist, clinical nurse specialist,           3,125        

certified nurse-midwife, or certified nurse practitioner shall be  3,127        

renewed biennially according to rules and a schedule adopted by    3,129        

the board.  Before a date specified by the board, the board shall  3,131        

mail an application for renewal of a certificate of authority to   3,132        

each certificate holder at the last known address of the holder.   3,135        

Failure of the holder to receive an application for renewal from   3,136        

the board does not excuse the holder from the requirements of      3,137        

section 4723.44 of the Revised Code. Not later than the date       3,138        

specified by the board, the holder shall complete the renewal      3,140        

form and return it to the board with all of the following:         3,141        

      (1)  The renewal fee required by section 4723.08 of the      3,143        

Revised Code;                                                      3,144        

      (2)  Except as provided in division (C) of this section,     3,147        

documentation satisfactory to the board that the holder has        3,148        

maintained certification in the nursing specialty with a national  3,149        

certifying organization listed in division (A)(3) of section       3,151        

4723.41 of the Revised Code or approved by the board under         3,152        

section 4723.46 of the Revised Code;                               3,153        

      (3)  A list of the names and business addresses of the       3,155        

holder's current collaborating physicians and podiatrists, if the  3,156        

holder is a clinical nurse specialist, certified nurse-midwife,    3,157        

or certified nurse practitioner;                                                

      (4)  If the holder's certificate was issued under division   3,160        

(C) of section 4723.41 of the Revised Code, evidence that the      3,161        

holder has completed continuing education for a clinical nurse     3,162        

specialist as required by rule of the board;                       3,163        

      (5)  If the holder's certificate was issued under division   3,166        

                                                          71     


                                                                 
(D) of section 4723.41 of the Revised Code, verification of        3,167        

continued employment by a public agency or a private, nonprofit    3,168        

entity that receives funding under Title X of the "Public Health   3,170        

Service Act," 42 U.S.C. 300 and 300a-1 (1991).                     3,172        

      On receipt of the renewal application, fees, and documents,  3,175        

the board shall verify that the applicant holds a current license  3,177        

to practice nursing as a registered nurse in this state, and, if   3,179        

it so verifies, shall renew the certificate.  If an applicant      3,180        

submits the completed renewal application after the date           3,181        

specified in the board's schedule, but before the expiration of    3,182        

the certificate, the board shall grant a renewal when the late     3,183        

renewal fee required by section 4723.08 of the Revised Code is     3,184        

paid.                                                                           

      An applicant for reinstatement of an expired certificate     3,187        

shall submit the renewal fee and the late renewal fee required by  3,190        

section 4723.08 of the Revised Code.  Any holder of a certificate  3,191        

who desires inactive status shall give the board written notice    3,192        

to that effect.                                                                 

      (C)  The board shall renew a certificate of authority to     3,195        

practice nursing as a clinical nurse specialist issued pursuant    3,196        

to division (C) of section 4723.41 of the Revised Code, if the     3,198        

certificate holder complies with all renewal requirements of this  3,199        

section other than the requirement of having maintained            3,200        

certification in the holder's nursing specialty.                   3,201        

      Sec. 4723.43.  A certified registered nurse anesthetist,     3,211        

clinical nurse specialist, certified nurse-midwife, or certified   3,212        

nurse practitioner may provide to individuals and groups nursing   3,214        

care that requires knowledge and skill obtained from advanced      3,215        

formal education and clinical experience.                                       

      (A)  A nurse authorized to practice as a certified           3,218        

nurse-midwife, in collaboration with physicians, may provide the   3,219        

management of preventive services and those primary care services  3,220        

necessary to provide health care to women antepartally,            3,221        

intrapartally, postpartally, and gynecologically, consistent with  3,222        

                                                          72     


                                                                 
the nurse's education and certification, and in accordance with    3,223        

rules adopted by the board.                                                     

      No certified nurse-midwife may perform version, deliver      3,226        

breech or face presentation, use forceps, do any obstetric         3,227        

operation, or treat any other abnormal condition, except in        3,228        

emergencies.  Division (A) of this section does not prohibit a     3,230        

certified nurse-midwife from performing episiotomies or normal     3,231        

vaginal deliveries, or repairing vaginal tears.  A CERTIFIED       3,232        

NURSE-MIDWIFE WHO HOLDS A CERTIFICATE TO PRESCRIBE ISSUED UNDER    3,234        

SECTION 4723.48 OF THE REVISED CODE MAY, IN COLLABORATION WITH A   3,237        

PHYSICIAN, PRESCRIBE DRUGS AND THERAPEUTIC DEVICES IN ACCORDANCE   3,238        

WITH THAT SECTION.                                                              

      (B)  A nurse authorized to practice as a certified           3,241        

registered nurse anesthetist, with the supervision and in the      3,242        

immediate presence of a physician, podiatrist, or dentist, may     3,243        

administer anesthesia and perform anesthesia induction,                         

maintenance, and emergence, and may perform with supervision       3,244        

preanesthetic preparation and evaluation, postanesthesia care,     3,245        

and clinical support functions, consistent with the nurse's        3,247        

education and certification, and in accordance with rules adopted  3,248        

by the board.  When A CERTIFIED REGISTERED NURSE ANESTHETIST IS    3,250        

NOT REQUIRED TO OBTAIN A CERTIFICATE TO PRESCRIBE IN ORDER TO      3,251        

PROVIDE THE ANESTHESIA CARE DESCRIBED IN THIS DIVISION.            3,252        

      A PHYSICIAN WHO IS SUPERVISING A CERTIFIED REGISTERED NURSE  3,255        

ANESTHETIST MUST BE THE HOLDER OF A CERTIFICATE ISSUED UNDER       3,256        

CHAPTER 4731. OF THE REVISED CODE AUTHORIZING THE PRACTICE OF      3,259        

MEDICINE AND SURGERY OR OSTEOPATHIC MEDICINE AND SURGERY AND BE    3,260        

ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE IN THIS STATE.  A                  

PODIATRIST WHO IS SUPERVISING A CERTIFIED REGISTERED NURSE         3,262        

ANESTHETIST MUST BE THE HOLDER OF A CERTIFICATE ISSUED UNDER       3,263        

CHAPTER 4731. OF THE REVISED CODE AUTHORIZING THE PRACTICE OF      3,266        

PODIATRY AND BE ACTIVELY ENGAGED IN THE PRACTICE OF PRODIATRY IN                

THIS STATE.  A DENTIST WHO IS SUPERVISING A CERTIFIED REGISTERED   3,268        

NURSE ANESTHETIST MUST BE LICENSED UNDER CHAPTER 4715. OF THE      3,270        

                                                          73     


                                                                 
REVISED CODE TO PRACTICE DENTISTRY AND BE ACTIVELY ENGAGED IN THE  3,272        

PRACTICE OF DENTISTRY IN THIS STATE.                                            

      WHEN a certified registered nurse anesthetist is supervised  3,275        

by a podiatrist, the nurse's scope of practice is limited to the   3,276        

anesthesia procedures that the podiatrist has the authority under  3,277        

section 4731.51 of the Revised Code to perform.  A certified       3,278        

registered nurse anesthetist may not administer general            3,279        

anesthesia under the supervision of a podiatrist in a                           

podiatrist's office.  When a certified registered nurse            3,280        

anesthetist is supervised by a dentist, the nurse's scope of       3,282        

practice is limited to the anesthesia procedures that the dentist               

has the authority under Chapter 4715. of the Revised Code to       3,284        

perform.                                                                        

      (C)  A nurse authorized to practice as a certified nurse     3,286        

practitioner, in collaboration with physicians or podiatrists,     3,287        

may provide preventive and primary care services and evaluate and  3,289        

promote patient wellness within the nurse's nursing specialty,                  

consistent with the nurse's education and certification, and in    3,290        

accordance with rules adopted by the board.  When A CERTIFIED      3,292        

NURSE PRACTITIONER WHO HOLDS A CERTIFICATE TO PRESCRIBE ISSUED     3,293        

UNDER SECTION 4723.48 OF THE REVISED CODE MAY, IN COLLABORATION    3,295        

WITH A PHYSICIAN OR PODIATRIST, PRESCRIBE DRUGS AND THERAPEUTIC    3,296        

DEVICES IN ACCORDANCE WITH THAT SECTION.                           3,297        

      WHEN a certified nurse practitioner is collaborating with a  3,300        

podiatrist, the nurse's scope of practice is limited to the        3,301        

procedures that the podiatrist has the authority under section     3,302        

4731.51 of the Revised Code to perform.                            3,303        

      (D)  A nurse authorized to practice as a clinical nurse      3,306        

specialist, in collaboration with physicians or podiatrists, may   3,307        

provide and manage the care of individuals and groups with         3,308        

complex health problems and provide health care services that      3,309        

promote, improve, and manage health care within the nurse's        3,310        

nursing specialty, consistent with the nurse's education and in    3,311        

accordance with rules adopted by the board.  When A CLINICAL       3,312        

                                                          74     


                                                                 
NURSE SPECIALIST WHO HOLDS A CERTIFICATE TO PRESCRIBE ISSUED       3,313        

UNDER SECTION 4723.48 OF THE REVISED CODE MAY, IN COLLABORATION    3,315        

WITH A PHYSICIAN OR PODIATRIST, PRESCRIBE DRUGS AND THERAPEUTIC    3,316        

DEVICES IN ACCORDANCE WITH THAT SECTION.                           3,317        

      WHEN a clinical nurse specialist is collaborating with a     3,319        

podiatrist, the nurse's scope of practice is limited to the        3,320        

procedures that the podiatrist has the authority under section     3,321        

4731.51 of the Revised Code to perform.                            3,322        

      Sec. 4723.431.  (A)  Except as provided in division (C) of   3,332        

this section, a clinical nurse specialist, certified               3,333        

nurse-midwife, or certified nurse practitioner may practice only   3,334        

in accordance with a standard care arrangement entered into with                

one or more collaborating physicians or podiatrists whose          3,335        

practice is the same as or similar to the nurse's nursing          3,336        

specialty.  A PHYSICIAN OR PODIATRIST WHO IS COLLABORATING WITH A  3,337        

CLINICAL NURSE SPECIALIST, CERTIFIED NURSE-MIDWIFE, OR CERTIFIED   3,338        

NURSE PRACTITIONER MUST BE THE HOLDER OF A CERTIFICATE ISSUED      3,339        

UNDER CHAPTER 4731. OF THE REVISED CODE AUTHORIZING THE PRACTICE   3,343        

OF MEDICINE AND SURGERY, OSTEOPATHIC MEDICINE AND SURGERY, OR      3,344        

PODIATRY AND BE ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE OR    3,345        

PODIATRY IN THIS STATE.  The standard care arrangement shall be    3,348        

in writing and contain all of the following:                                    

      (1)  Criteria for referral of a patient by the clinical      3,350        

nurse specialist, certified nurse-midwife, or certified nurse      3,351        

practitioner to a collaborating physician or podiatrist;           3,352        

      (2)  A process for the clinical nurse specialist, certified  3,354        

nurse-midwife, or certified nurse practitioner to obtain a         3,355        

consultation with the physician or podiatrist;                     3,356        

      (3)  A plan for coverage in instances of emergency or        3,358        

planned absences of either the clinical nurse specialist,          3,359        

certified nurse-midwife, or certified nurse practitioner or the    3,360        

collaborating physician or podiatrist that provides the means      3,361        

whereby a physician or podiatrist is available for emergency                    

care;                                                              3,362        

                                                          75     


                                                                 
      (4)  The process for resolution of disagreements regarding   3,364        

matters of patient management between the clinical nurse           3,365        

specialist, certified nurse-midwife, or certified nurse            3,366        

practitioner and the collaborating physician or podiatrist;        3,367        

      (5)  A procedure for a regular review of the referrals by    3,369        

the clinical nurse specialist, certified nurse-midwife, or         3,370        

certified nurse practitioner to other health care professionals    3,371        

and the care outcomes for a random sample of all patients seen by  3,372        

the nurse;                                                                      

      (6)  If the clinical nurse specialist or certified nurse     3,375        

practitioner regularly provides services to infants, a policy for  3,376        

care of infants up to age one and recommendations for                           

collaborating physician visits for children from birth to age      3,377        

three;                                                                          

      (7)  IN THE CASE OF A CLINICAL NURSE SPECIALIST, CERTIFIED   3,379        

NURSE-MIDWIFE, OR CERTIFIED NURSE PRACTITIONER WHO HOLDS A         3,380        

CERTIFICATE TO PRESCRIBE ISSUED UNDER SECTION 4723.48 OF THE       3,381        

REVISED CODE, A REQUIREMENT THAT THE COLLABORATING PHYSICIAN OR    3,383        

PODIATRIST COLLABORATE WITH NO MORE THAN THREE NURSES WHO HOLD     3,384        

CERTIFICATES TO PRESCRIBE AT A TIME.  DIVISION (A)(7) OF THIS      3,385        

SECTION DOES NOT PROHIBIT A PHYSICIAN OR PODIATRIST FROM ENTERING  3,386        

INTO A STANDARD CARE ARRANGEMENT WITH MORE THAN THREE NURSES WHO   3,388        

HOLD CERTIFICATES TO PRESCRIBE.                                                 

      (8)  Any other criteria required by rule of the board JOINT  3,390        

FORMULARY COMMITTEE adopted pursuant to section 4723.07 4723.49    3,393        

of the Revised Code.                                               3,394        

      (B)  The standard care arrangement shall be retained on      3,397        

file at the site where the clinical nurse specialist, certified                 

nurse-midwife, or certified nurse practitioner practices by the    3,398        

nurse and the collaborating physician or podiatrist.  Prior        3,399        

approval of the standard care arrangement by the board of nursing  3,400        

is not required, but the board may periodically review it for      3,401        

compliance with this section.                                                   

      (C)  A clinical nurse specialist whose nursing specialty is  3,404        

                                                          76     


                                                                 
mental health or psychiatric mental health, as determined by the   3,405        

board, is not required to enter into a standard care arrangement                

with a collaborating physician, but shall practice in              3,406        

collaboration with physicians.                                     3,407        

      (D)  Nothing in this section prohibits a hospital from       3,409        

hiring a clinical nurse specialist, certified nurse-midwife, or    3,410        

certified nurse practitioner as an employee and negotiating        3,411        

standard care arrangements on behalf of the employee as necessary  3,412        

to meet the requirements of this section.  A standard care         3,413        

arrangement between the hospital's employee and the employee's                  

collaborating physician is subject to approval by the medical      3,414        

staff and governing body of the hospital prior to implementation   3,415        

of the arrangement at the hospital.                                3,416        

      Sec. 4723.44.  (A)  No person shall do any of the following  3,426        

unless the person holds a current, valid certificate of authority  3,429        

to practice nursing as a certified registered nurse anesthetist,   3,430        

clinical nurse specialist, certified nurse-midwife, or certified   3,431        

nurse practitioner issued by the board of nursing under this       3,433        

chapter:                                                                        

      (1)  Engage in the practice of nursing as a certified        3,435        

registered nurse anesthetist, clinical nurse specialist,           3,436        

certified nurse-midwife, or certified nurse practitioner for a     3,437        

fee, salary, or other consideration, or as a volunteer;            3,439        

      (2)  Hold herself or himself ONESELF out as being a          3,441        

certified registered nurse anesthetist, clinical nurse             3,443        

specialist, certified nurse-midwife, or certified nurse            3,444        

practitioner;                                                                   

      (3)  Use any title or initials implying that the person is   3,446        

a certified registered nurse anesthetist, clinical nurse           3,447        

specialist, certified nurse-midwife, or certified nurse            3,448        

practitioner.                                                                   

      (B)  No person who is not certified by the national council  3,451        

on certification of nurse anesthetists of the American             3,452        

association of nurse anesthetists, the national council on         3,453        

                                                          77     


                                                                 
recertification of nurse anesthetists of the American association  3,454        

of nurse anesthetists, or another national certifying              3,455        

organization approved by the board under section 4723.46 of the    3,456        

Revised Code shall use the title "certified registered nurse       3,458        

anesthetist" or the initials "C.R.N.A.," or any other title or     3,460        

initial implying that the person has been certified by the         3,461        

council or organization.                                           3,462        

      (C)  No certified registered nurse anesthetist, clinical     3,465        

nurse specialist, certified nurse-midwife, or certified nurse                   

practitioner shall do any of the following:                        3,467        

      (1)  Engage, for a fee, salary, or other consideration, or   3,470        

as a volunteer, in the practice of a nursing specialty other than  3,471        

the specialty designated on the nurse's current, valid                          

certificate of authority issued by the board under this chapter;   3,472        

      (2)  Hold herself or himself ONESELF out as being            3,474        

authorized to practice any nursing specialty other than the        3,476        

specialty designated on the current, valid certificate;            3,477        

      (3)  Use the title "certified registered nurse anesthetist"  3,480        

or the initials "N.A." or "C.R.N.A.," the title "clinical nurse                 

specialist" or the initials "C.N.S.," the title "certified         3,482        

nurse-midwife" or the initials "C.N.M.," the title "certified      3,483        

nurse practitioner" or the initials "C.N.P.," or any other title   3,485        

or initials implying that the nurse is authorized to practice any  3,486        

nursing specialty other than the specialty designated on the       3,487        

nurse's current, valid certificate;                                3,488        

      (4)  Enter into a standard care arrangement with a           3,490        

physician or podiatrist whose practice is not the same or similar  3,491        

to the nurse's nursing specialty;                                  3,492        

      (5)  PRESCRIBE DRUGS OR THERAPEUTIC DEVICES UNLESS THE       3,494        

NURSE HOLDS A CURRENT, VALID CERTIFICATE TO PRESCRIBE ISSUED       3,495        

UNDER SECTION 4723.48 OF THE REVISED CODE;                         3,498        

      (6)  IF THE NURSE HOLDS A CURRENT, VALID CERTIFICATE TO      3,500        

PRESCRIBE ISSUED UNDER SECTION 4723.48 OF THE REVISED CODE,        3,503        

PRESCRIBE DRUGS OR THERAPEUTIC DEVICES THAT ARE NOT LISTED ON THE  3,505        

                                                          78     


                                                                 
FORMULARY ESTABLISHED UNDER SECTION 4723.49 OF THE REVISED CODE;   3,507        

      (7)  PRESCRIBE ANY DRUG OR DEVICE TO PERFORM OR INDUCE AN    3,509        

ABORTION, OR OTHERWISE PERFORM OR INDUCE AN ABORTION.              3,510        

      (D)  No person shall knowingly employ a person to engage in  3,513        

the practice of nursing as a certified registered nurse            3,514        

anesthetist, clinical nurse specialist, certified nurse-midwife,                

or certified nurse practitioner unless the person so employed      3,515        

holds a current, valid certificate of authority to engage in that  3,516        

nursing specialty issued by the board under this chapter.          3,517        

      (E)  A certificate certified by the executive director of    3,520        

the board, under the official seal of the board, to the effect     3,521        

that it appears from the records that no certificate of authority  3,522        

to practice nursing as a certified registered nurse anesthetist,   3,524        

clinical nurse specialist, certified nurse-midwife, or certified                

nurse practitioner has been issued to any person specified         3,526        

therein, or that a certificate, if issued, has been revoked or     3,527        

suspended, shall be received as prima-facie evidence of the        3,528        

record in any court or before any officer of the state.            3,529        

      Sec. 4723.47.  (A)  If a certified registered nurse          3,539        

anesthetist's, clinical nurse specialist's, certified              3,540        

nurse-midwife's, or certified nurse practitioner's license to      3,541        

practice nursing as a registered nurse expires for failure to      3,542        

renew under section 4723.24 of the Revised Code, the nurse's       3,543        

certificate of authority to practice nursing as a certified        3,544        

registered nurse anesthetist, clinical nurse specialist,           3,545        

certified nurse-midwife, or certified nurse practitioner is        3,547        

automatically suspended LAPSED until the license is reinstated.    3,548        

If the license is revoked under section 4723.28 or 4723.281 of     3,549        

the Revised Code, the nurse's certificate of authority is          3,550        

automatically revoked.  If the license is suspended under either   3,551        

section, the nurse's certificate of authority is automatically     3,552        

suspended while the license remains suspended.                     3,553        

      (B)  IF THE CERTIFICATE OF AUTHORITY OF A CLINICAL NURSE     3,556        

SPECIALIST, CERTIFIED NURSE-MIDWIFE, OR CERTIFIED NURSE            3,557        

                                                          79     


                                                                 
PRACTITIONER TO PRACTICE NURSING AS A CLINICAL NURSE SPECIALIST,   3,558        

CERTIFIED NURSE-MIDWIFE, OR CERTIFIED NURSE PRACTITIONER EXPIRES   3,559        

FOR FAILURE TO RENEW UNDER SECTION 4723.41 OF THE REVISED CODE,    3,562        

THE NURSE'S CERTIFICATE TO PRESCRIBE DRUGS AND THERAPEUTIC         3,563        

DEVICES IS LAPSED UNTIL THE CERTIFICATE OF AUTHORITY IS            3,564        

REINSTATED.  IF THE CERTIFICATE OF AUTHORITY BECOMES INACTIVE IN   3,565        

ACCORDANCE WITH SECTION 4723.42 OF THE REVISED CODE, THE NURSE'S   3,568        

CERTIFICATE TO PRESCRIBE DRUGS AND THERAPEUTIC DEVICES IS LAPSED   3,569        

UNTIL THE CERTIFICATE OF AUTHORITY BECOMES ACTIVE.  IF THE         3,572        

CERTIFICATE OF AUTHORITY IS REVOKED UNDER SECTION 4723.28 OR                    

4723.281 OF THE REVISED CODE, THE NURSE'S CERTIFICATE TO           3,575        

PRESCRIBE IS AUTOMATICALLY REVOKED.  IF THE CERTIFICATE OF                      

AUTHORITY IS SUSPENDED UNDER EITHER SECTION, THE NURSE'S           3,576        

CERTIFICATE TO PRESCRIBE IS AUTOMATICALLY SUSPENDED WHILE THE      3,577        

CERTIFICATE OF AUTHORITY REMAINS SUSPENDED.  IF A RESTRICTION IS   3,578        

PLACED ON THE CERTIFICATE OF AUTHORITY UNDER SECTION 4723.28 OF    3,580        

THE REVISED CODE, THE SAME RESTRICTION IS PLACED ON THE NURSE'S    3,583        

CERTIFICATE TO PRESCRIBE WHILE THE CERTIFICATE OF AUTHORITY        3,584        

REMAINS RESTRICTED.                                                             

      Sec. 4723.48.  (A)  TO BE ELIGIBLE FOR A CERTIFICATE TO      3,587        

PRESCRIBE DRUGS AND THERAPEUTIC DEVICES, A CLINICAL NURSE          3,588        

SPECIALIST, CERTIFIED NURSE-MIDWIFE, OR CERTIFIED NURSE            3,589        

PRACTITIONER MUST, WITHIN THE THREE-YEAR PERIOD PRIOR TO APPLYING  3,591        

FOR THE CERTIFICATE, HAVE SUCCESSFULLY COMPLETED A COURSE OF       3,593        

STUDY IN ADVANCED PHARMACOLOGY THAT CONSISTS OF PLANNED CLASSROOM  3,595        

AND CLINICAL STUDY IN ADVANCED PHARMACOLOGY THAT MEETS THE COURSE  3,596        

REQUIREMENTS OF DIVISION (B) OF THIS SECTION, INCLUDES A MINIMUM   3,597        

OF THIRTY CONTACT HOURS OF TRAINING IN ADVANCED PHAMACOLOGY, AND   3,599        

IS APPROVED BY THE BOARD OF NURSING PURSUANT TO RULES ADOPTED                   

UNDER SECTION 4723.07 OF THE REVISED CODE.                         3,600        

      (B)  THE COURSE OF STUDY IN ADVANCED PHARMACOLOGY REQUIRED   3,602        

BY DIVISION (A) OF THIS SECTION MUST INCLUDE ALL OF THE            3,605        

FOLLOWING:                                                                      

      (1)  PHARMACOKINETIC PRINCIPLES AND CLINICAL APPLICATION;    3,607        

                                                          80     


                                                                 
      (2)  USE OF DRUGS AND THERAPEUTIC DEVICES IN THE PREVENTION  3,610        

OF ILLNESS AND MAINTENANCE OF HEALTH;                                           

      (3)  CONTENT SPECIFIC TO THE CLINICAL NURSE SPECIALIST'S,    3,613        

CERTIFIED NURSE-MIDWIFE'S, OR CERTIFIED NURSE PRACTITIONER'S       3,614        

NURSING SPECIALTY;                                                 3,615        

      (4)  THE FISCAL IMPLICATIONS OF PRESCRIBING DRUGS AND        3,617        

THERAPEUTIC DEVICES;                                               3,619        

      (5)  THE ETHICAL IMPLICATIONS OF PRESCRIBING DRUGS AND       3,621        

THERAPEUTIC DEVICES;                                               3,622        

      (6)  THE STATE AND FEDERAL LAWS REGULATING ALL ASPECTS OF    3,624        

PHARMACOLOGY;                                                      3,625        

      (7)  ANY ADDITIONAL REQUIREMENT PROVIDED FOR PURSUANT TO     3,627        

RULES ADOPTED BY THE BOARD UNDER SECTION 4723.07 OF THE REVISED    3,628        

CODE.                                                                           

      (C)  AN APPLICANT FOR A CERTIFICATE UNDER THIS SECTION       3,631        

SHALL FILE WITH THE BOARD A WRITTEN APPLICATION THAT CONTAINS ALL  3,632        

OF THE FOLLOWING:                                                               

      (1)  EVIDENCE THAT THE APPLICANT HOLDS A CURRENT, VALID      3,634        

CERTIFICATE OF AUTHORITY TO PRACTICE AS A CLINICAL NURSE           3,636        

SPECIALIST, CERTIFIED NURSE-MIDWIFE, OR CERTIFIED NURSE            3,637        

PRACTITIONER ISSUED UNDER SECTION 4723.41 OF THE REVISED CODE;     3,639        

      (2)  EVIDENCE OF HAVING SUCCESSFULLY COMPLETED THE ADVANCED  3,641        

PHARMACOLOGY INSTRUCTION REQUIRED BY DIVISION (A) OF THIS          3,643        

SECTION;                                                                        

      (3)  ON A FORM APPROVED BY THE BOARD AND INCLUDED WITH THE   3,645        

APPLICATION, A STATEMENT BY A PHYSICIAN WHO IS COLLABORATING WITH  3,646        

THE APPLICANT ATTESTING THAT, AFTER SUCCESSFULLY COMPLETING THE    3,647        

ADVANCED PHARMACOLOGY INSTRUCTION REQUIRED BY DIVISION (A) OF      3,648        

THIS SECTION AND FOR A PERIOD OF NOT LESS THAN ONE YEAR, THE       3,649        

APPLICANT HAS DEMONSTRATED COMPETENCE, KNOWLEDGE, AND SKILL IN     3,650        

PHARMACOKINETIC PRINCIPLES AND THEIR CLINICAL APPLICATION TO THE   3,651        

NURSE'S SPECIALTY CONSISTENT WITH THE INSTRUCTION REQUIRED BY      3,652        

DIVISION (A) OF THIS SECTION;                                      3,653        

      (4)  THE FEE REQUIRED BY SECTION 4723.08 OF THE REVISED      3,656        

                                                          81     


                                                                 
CODE FOR A CERTIFICATE TO PRESCRIBE;                               3,657        

      (5)  ANY ADDITIONAL INFORMATION THE BOARD REQUIRES PURSUANT  3,659        

TO RULES ADOPTED UNDER SECTION 4723.07 OF THE REVISED CODE.        3,661        

      THE BOARD SHALL ISSUE A CERTIFICATE TO PRESCRIBE DRUGS AND   3,663        

THERAPEUTIC DEVICES TO AN APPLICANT WHO MEETS THE REQUIREMENTS OF  3,665        

THIS DIVISION.                                                                  

      (D)(1)  THE BOARD MAY WAIVE THE REQUIREMENT THAT THE         3,667        

ADVANCED PHARMACOLOGY INSTRUCTION REQUIRED BY DIVISION (A) OF      3,669        

THIS SECTION HAS BEEN COMPLETED WITHIN THE THREE-YEAR PERIOD       3,670        

PRIOR TO APPLICATION FOR A CERTIFICATE IF THE APPLICANT SUBMITS    3,671        

TO THE BOARD EVIDENCE THAT THE APPLICANT IS AUTHORIZED TO          3,673        

PRESCRIBE DRUGS AND THERAPEUTIC DEVICES IN ANOTHER JURISDICTION    3,674        

AND HAS BEEN PRESCRIBING DRUGS AND THERAPEUTIC DEVICES UNDER THAT  3,676        

AUTHORITY.                                                                      

      (2)  THE BOARD MAY WAIVE THE REQUIREMENT DESCRIBED IN        3,678        

DIVISION (C)(3) OF THIS SECTION IF A PHYSICIAN WHO COLLABORATES    3,680        

WITH THE APPLICANT RECOMMENDS ON A FORM APPROVED BY THE BOARD      3,681        

THAT THE APPLICANT BE GRANTED A CERTIFICATE UNDER THIS SECTION     3,682        

AND ONE OF THE FOLLOWING APPLIES:                                               

      (a)  AS OF THE EFFECTIVE DATE OF THIS SECTION, THE           3,684        

APPLICANT HAS THREE CONSECUTIVE YEARS OF CLINICAL EXPERIENCE,      3,686        

WITHIN THE FIVE-YEAR PERIOD PRIOR TO THE EFFECTIVE DATE OF THIS    3,687        

SECTION, AS A REGISTERED NURSE PRACTICING IN THIS STATE AS A       3,688        

CLINICAL NURSE SPECIALIST, NURSE-MIDWIFE, OR NURSE PRACTITIONER.   3,689        

      (b)  THE APPLICANT SUBMITS TO THE BOARD EVIDENCE THAT THE    3,691        

APPLICANT IS AUTHORIZED IN ANOTHER JURISDICTION TO PRESCRIBE       3,693        

DRUGS AND THERAPEUTIC DEVICES AND HAS THREE CONSECUTIVE YEARS OF   3,694        

CLINICAL EXPERIENCE, WITHIN THE FIVE-YEAR PERIOD PRECEDING THE     3,695        

DATE AN APPLICATION IS FILED UNDER DIVISION (C) OF THIS SECTION,   3,696        

AS A REGISTERED NURSE PRACTICING IN ANOTHER JURISDICTION AS A      3,697        

CLINICAL NURSE SPECIALIST, NURSE-MIDWIFE, OR NURSE PRACTITIONER.   3,698        

      (E)  A CERTIFICATE ISSUED UNDER THIS SECTION SHALL BE        3,701        

RENEWED BIENNIALLY ACCORDING TO RULES AND A SCHEDULE ADOPTED BY    3,702        

THE BOARD.  THE BOARD MAY RENEW THE CERTIFICATE IF THE HOLDER      3,703        

                                                          82     


                                                                 
SUBMITS TO THE BOARD ALL OF THE FOLLOWING:                         3,704        

      (1)  EVIDENCE OF HAVING COMPLETED DURING THE PREVIOUS TWO    3,706        

YEARS AT LEAST TWELVE HOURS OF CONTINUING EDUCATION IN ADVANCED    3,708        

PHARMACOLOGY FROM AN ACCREDITED INSTITUTION RECOGNIZED BY THE                   

BOARD OR, IN THE CASE OF A CERTIFICATE TO PRESCRIBE THAT WAS       3,710        

ISSUED FOR LESS THAN THE BIENNIAL RENEWAL PERIOD, EVIDENCE OF      3,711        

HAVING COMPLETED THE NUMBER OF HOURS SPECIFIED BY THE BOARD IN     3,712        

RULES ADOPTED UNDER DIVISION (R) OF SECTION 4723.07 OF THE         3,715        

REVISED CODE;                                                      3,716        

      (2)  THE RENEWAL FEE REQUIRED BY SECTION 4723.08 OF THE      3,719        

REVISED CODE;                                                                   

      (3)  ANY ADDITIONAL INFORMATION THE BOARD REQUIRES PURSUANT  3,721        

TO RULES ADOPTED UNDER SECTION 4723.07 OF THE REVISED CODE.        3,723        

      (F)  EACH CLINICAL NURSE SPECIALIST, CERTIFIED               3,725        

NURSE-MIDWIFE, AND CERTIFIED NURSE PRACTITIONER WHO HOLDS A        3,728        

CERTIFICATE TO PRESCRIBE DRUGS AND THERAPEUTIC DEVICES SHALL       3,729        

PRESCRIBE IN ACCORDANCE WITH THE FORMULARY ESTABLISHED UNDER       3,731        

SECTION 4723.49 OF THE REVISED CODE.                               3,732        

      (G)  THE CONTINUING EDUCATION IN ADVANCED PHARMACOLOGY       3,734        

REQUIRED BY THIS SECTION IS IN ADDITION TO ANY OTHER CONTINUING    3,735        

EDUCATION REQUIRED UNDER THIS CHAPTER.                             3,736        

      Sec. 4723.49.  (A)  THERE IS HEREBY CREATED THE JOINT        3,739        

FORMULARY COMMITTEE CONSISTING OF THE FOLLOWING MEMBERS:           3,740        

      (1)  A CERTIFIED NURSE-MIDWIFE;                              3,742        

      (2)  A CERTIFIED NURSE PRACTITIONER;                         3,744        

      (3)  A CLINICAL NURSE SPECIALIST;                            3,746        

      (4)  A MEMBER OF THE BOARD OF NURSING WHO IS A CERTIFIED     3,748        

NURSE-MIDWIFE, CERTIFIED NURSE PRACTITIONER, OR CLINICAL NURSE     3,749        

SPECIALIST;                                                                     

      (5)  FOUR INDIVIDUALS WHO HOLD VALID CERTIFICATES ISSUED     3,751        

UNDER CHAPTER 4731. OF THE REVISED CODE AUTHORIZING THE PRACTICE   3,753        

OF MEDICINE AND SURGERY, OSTEOPATHIC MEDICINE AND SURGERY, OR      3,755        

PODIATRY, AT LEAST THREE OF WHOM ARE INDIVIDUALS WHO COLLABORATE                

WITH CERTIFIED NURSE-MIDWIVES, CERTIFIED NURSE PRACTITIONERS, OR   3,757        

                                                          83     


                                                                 
CLINICAL NURSE SPECIALISTS;                                        3,758        

      (6)  AN INDIVIDUAL WHO HOLDS A VALID IDENTIFICATION CARD     3,760        

ISSUED UNDER CHAPTER 4729. OF THE REVISED CODE AUTHORIZING THE     3,762        

PRACTICE OF PHARMACY.                                                           

      (B)  INITIAL APPOINTMENTS OF MEMBERS SHALL BE MADE NO LATER  3,765        

THAN NINETY DAYS AFTER THE EFFECTIVE DATE OF THIS SECTION.  THE    3,766        

BOARD OF NURSING SHALL APPOINT THE MEMBERS DESCRIBED IN DIVISION   3,768        

(A)(1) TO (4) OF THIS SECTION.  THE STATE MEDICAL BOARD SHALL      3,769        

APPOINT THE MEMBERS DESCRIBED IN DIVISION (A)(5) OF THIS SECTION.  3,770        

THE STATE BOARD OF PHARMACY SHALL APPOINT THE MEMBER DESCRIBED IN  3,771        

DIVISION (A)(6) OF THIS SECTION.  ALL APPOINTMENTS SHALL BE BASED  3,773        

ON RECOMMENDATIONS SUBMITTED UNDER DIVISION (E) OF THIS SECTION.   3,775        

OF THE INITIAL APPOINTMENTS OF THE MEMBERS DESCRIBED IN DIVISIONS  3,776        

(A)(1) TO (4) OF THIS SECTION, TWO SHALL BE FOR TERMS OF THREE     3,777        

YEARS AND TWO SHALL BE FOR TERMS OF TWO YEARS.  OF THE INITIAL     3,779        

APPOINTMENTS OF THE MEMBERS DESCRIBED IN DIVISION (A)(5) OF THIS   3,780        

SECTION, TWO SHALL BE FOR TERMS OF THREE YEARS AND TWO SHALL BE    3,781        

FOR TERMS OF TWO YEARS.  THE INITIAL APPOINTMENT OF THE MEMBER     3,782        

DESCRIBED IN DIVISION (A)(6) OF THIS SECTION SHALL BE FOR THREE    3,784        

YEARS.  THEREAFTER, ALL APPOINTMENTS SHALL BE FOR TERMS OF THREE   3,785        

YEARS, EACH TERM ENDING ON THE SAME DAY OF THE SAME MONTH OF THE   3,786        

YEAR AS DID THE TERM THAT IT SUCCEEDS.  WHEN THE TERM OF ANY       3,787        

MEMBER EXPIRES, A SUCCESSOR SHALL BE APPOINTED WHO HAS THE         3,788        

QUALIFICATIONS THE VACANCY REQUIRES.  ANY MEMBER APPOINTED TO      3,789        

FILL A VACANCY OCCURRING PRIOR TO THE EXPIRATION OF THE TERM FOR   3,790        

WHICH THE MEMBER'S PREDECESSOR WAS APPOINTED SHALL HOLD OFFICE     3,791        

FOR THE REMAINDER OF THAT TERM.  A MEMBER SHALL CONTINUE IN        3,792        

OFFICE SUBSEQUENT TO THE EXPIRATION DATE OF THE MEMBER'S TERM      3,793        

UNTIL THE MEMBER'S SUCCESSOR TAKES OFFICE, OR UNTIL A PERIOD OF    3,794        

SIXTY DAYS HAS ELAPSED, WHICHEVER OCCURS FIRST.  IF THE STATE      3,795        

MEDICAL BOARD OR STATE BOARD OF PHARMACY FAILS TO APPOINT A        3,796        

SUCCESSOR PRIOR TO THIRTY DAYS AFTER THE EXPIRATION OF THE TERM    3,797        

FOR WHICH THE APPOINTMENT IS TO BE MADE, THE BOARD OF NURSING                   

SHALL APPOINT THE SUCCESSOR.  NO MEMBER SHALL BE REAPPOINTED TO    3,798        

                                                          84     


                                                                 
THE COMMITTEE MORE THAN ONCE.                                      3,799        

      MEMBERS SHALL SERVE WITHOUT COMPENSATION BUT SHALL RECEIVE   3,801        

THEIR ACTUAL AND NECESSARY EXPENSES INCURRED IN THE PERFORMANCE    3,802        

OF THEIR OFFICIAL DUTIES.                                          3,803        

      (C)  THE COMMITTEE SHALL SELECT A CHAIRPERSON FROM THE       3,806        

MEMBERS LISTED IN DIVISIONS (A)(1) TO (4) OF THIS SECTION OR FROM  3,808        

THE MEMBERS DESCRIBED IN DIVISION (A)(5) OF THIS SECTION WHO ARE   3,809        

COLLABORATING PHYSICIANS OR PODIATRISTS.  THE COMMITTEE MAY        3,811        

SELECT A NEW CHAIRPERSON AT ANY TIME.  THE COMMITTEE SHALL MEET    3,812        

AT INTERVALS AGREED TO BY ITS MEMBERS OR AT THE CALL OF THE        3,813        

CHAIRPERSON.  FIVE MEMBERS OF THE COMMITTEE SHALL CONSTITUTE A     3,815        

QUORUM.  THE COMMITTEE SHALL ESTABLISH A FORMULARY, AND ANY        3,816        

SUPPLEMENTS TO THE FORMULARY, LISTING THE CLASSES OF DRUGS AND     3,817        

THERAPEUTIC DEVICES THAT MAY BE PRESCRIBED BY CLINICAL NURSE       3,818        

SPECIALISTS, CERTIFIED NURSE-MIDWIVES, OR CERTIFIED NURSE          3,819        

PRACTITIONERS WHO HOLD CERTIFICATES ISSUED UNDER SECTION 4723.48   3,820        

OF THE REVISED CODE.  THE FORMULARY MAY LIMIT THE CLASSES OF       3,822        

DRUGS AND THERAPEUTIC DEVICES THAT MAY BE DISPENSED BY A NURSE     3,823        

WHO HOLDS A CERTIFICATE TO PRESCRIBE, EXCEPT THAT THE FORMULARY    3,824        

MAY NOT PROHIBIT A NURSE WHO HOLDS A CERTIFICATE TO PRESCRIBE      3,825        

FROM PERSONALLY FURNISHING SAMPLES OF DRUGS THAT ARE LISTED ON     3,826        

THE FORMULARY.  THE FORMULARY MAY INCLUDE CONTROLLED SUBSTANCES,   3,828        

AS DEFINED IN SECTION 3719.01 OF THE REVISED CODE.  THE FORMULARY  3,829        

SHALL NOT PERMIT THE PRESCRIBING OF ANY DRUG OR DEVICE TO PERFORM  3,830        

OR INDUCE AN ABORTION.  THE COMMITTEE SHALL CONSULT WITH THE       3,832        

BOARD OF NURSING, STATE BOARD OF PHARMACY, AND STATE MEDICAL       3,833        

BOARD PRIOR TO ESTABLISHING A FORMULARY OR ANY SUPPLEMENTS TO THE  3,834        

FORMULARY.                                                                      

      (D)  THE COMMITTEE SHALL ADOPT RULES ESTABLISHING CRITERIA   3,837        

FOR STANDARD CARE ARRANGEMENTS DESCRIBED IN SECTION 4723.431 OF    3,838        

THE REVISED CODE.  THE RULES SHALL BE CONSISTENT WITH THAT         3,839        

SECTION AND INCLUDE ALL OF THE FOLLOWING:                                       

      (1)  QUALITY ASSURANCE STANDARDS;                            3,841        

      (2)  PROCEDURES FOR PERIODIC CHART REVIEW BY A               3,843        

                                                          85     


                                                                 
COLLABORATING PHYSICIAN OR PODIATRIST;                             3,844        

      (3)  ACCEPTABLE TRAVEL TIME BETWEEN THE LOCATION AT WHICH    3,846        

THE NURSE IS ACTING UNDER A STANDARD CARE ARRANGEMENT AND THE      3,847        

LOCATION OF THE NURSE'S COLLABORATING PHYSICIAN OR PODIATRIST;     3,848        

      (4)  ANY OTHER CRITERIA REQUIRED BY THE JOINT FORMULARY      3,850        

COMMITTEE.                                                                      

      (E)  INDIVIDUALS AND PROFESSIONAL NURSING ASSOCIATIONS MAY   3,853        

MAKE RECOMMENDATIONS TO THE BOARD OF NURSING FOR THE APPOINTMENT   3,854        

OF THE MEMBERS DESCRIBED IN DIVISIONS (A)(1) TO (4) OF THIS        3,856        

SECTION.  INDIVIDUALS AND PROFESSIONAL MEDICAL ASSOCIATIONS MAY    3,857        

MAKE RECOMMENDATIONS TO THE STATE MEDICAL BOARD FOR THE MEMBERS    3,858        

DESCRIBED IN DIVISION (A)(5) OF THIS SECTION.  INDIVIDUALS AND     3,860        

PROFESSIONAL PHARMACY ASSOCIATIONS MAY MAKE RECOMMENDATIONS TO     3,861        

THE STATE PHARMACY BOARD FOR THE MEMBER DESCRIBED IN DIVISION      3,862        

(A)(6) OF THIS SECTION.  IF NO RECOMMENDATIONS ARE MADE TO FILL A  3,863        

VACANCY, THE APPROPRIATE BOARD SHALL APPOINT A MEMBER TO FILL THE  3,864        

VACANCY ON ITS OWN RECOMMENDATION.                                 3,865        

      Sec. 4723.52.  (A)  The school of nursing of case western    3,874        

reserve university, the school of nursing of wright state          3,875        

university, and the university of Cincinnati college of nursing    3,876        

and health shall each establish a pilot program to provide access  3,877        

to health care in underserved areas through the use of advanced    3,878        

practice nurses.  Each pilot program shall be operated by the      3,879        

nursing faculty of the university at which it is established.      3,880        

Each pilot program shall cease to exist on January 1, 2010.        3,881        

      An advisory committee shall be established for each of the   3,883        

pilot programs.  The dean of the medical school at case western    3,884        

reserve university shall appoint two physicians to serve on the    3,885        

advisory committee of the university's pilot program.  The dean    3,886        

of the medical school at wright state university shall appoint     3,887        

two physicians to serve on the advisory committee of the           3,888        

university's pilot program.  The dean of the medical school at     3,889        

the university of Cincinnati shall appoint two physicians to       3,890        

serve on the advisory committee of the university's pilot          3,891        

                                                          86     


                                                                 
program.  To be appointed, a physician must have experience        3,892        

working with registered nurses who are approved as advanced        3,893        

practice nurses under section 4723.55 of the Revised Code or,      3,894        

until one year after the board of nursing begins approving nurses  3,895        

under that section, nurses who are qualified to be approved under  3,896        

that section.                                                      3,897        

      (B)  The advisory committee of each pilot program shall      3,899        

develop a standard care arrangement in accordance with rules       3,900        

adopted by the board of nursing under section 4723.54 of the       3,901        

Revised Code.  The standard care arrangement applies only to the   3,902        

advanced practice nurses included in the pilot program for which   3,903        

it is developed.  Each advisory committee shall submit a copy of   3,904        

its standard care arrangement to the board of nursing for review   3,905        

within thirty days after the board adopts final rules under        3,906        

division (A) of section 4723.54 of the Revised Code.               3,907        

      (C)  Each standard care arrangement shall establish          3,909        

conditions under which an advanced practice nurse must refer a     3,910        

patient to a physician and procedures for quality assurance        3,911        

reviews of advanced practice nurses by the advisory committee,     3,912        

and shall comply with any other requirements established by the    3,913        

board of nursing in rules adopted under section 4723.54 of the     3,914        

Revised Code.  NO STANDARD CARE ARRANGEMENT SHALL PERMIT AN        3,916        

ADVANCED PRACTICE NURSE TO PRESCRIBE ANY DRUG OR DEVICE TO         3,917        

PERFORM OR INDUCE AN ABORTION, OR TO OTHERWISE PERFORM OR INDUCE   3,918        

AN ABORTION.                                                                    

      (D)  Biennially, each pilot program shall submit a written   3,920        

report of its operation to the governor, the speaker of the house  3,921        

of representatives, the president of the senate, the board of      3,922        

nursing, the state medical board, the state board of pharmacy,     3,923        

AND the department of health, and the formulary committee for      3,924        

advanced practice nurses established under section 4723.57 of the  3,925        

Revised Code.  The first report shall be submitted no later than   3,926        

July 1, 1994.                                                      3,927        

      Sec. 4723.56.  (A)  For purposes of the pilot programs       3,936        

                                                          87     


                                                                 
established by section 4723.52 of the Revised Code, the board of   3,937        

nursing may approve an advanced practice nurse to prescribe drugs  3,938        

and therapeutic devices if the nurse submits to the board all of   3,939        

the following:                                                     3,940        

      (1)  Evidence of having attained at least a master's degree  3,942        

in nursing from an accredited institution recognized by the        3,943        

board;                                                             3,944        

      (2)  Evidence of completing the pharmacology instruction     3,946        

required by division (B) of this section;                          3,947        

      (3)  A copy of the protocol established between the nurse    3,949        

and the nurse's collaborating physician that meets the             3,950        

requirements of division (C) of this section and receives          3,951        

approval from the formulary committee for advanced practice        3,952        

nurses established under section 4723.57 of the Revised Code;      3,953        

      (4)  Any other information the board requires pursuant to    3,955        

rules adopted under section 4723.58 of the Revised Code;           3,956        

      (5)  The fee established in rules adopted under section      3,958        

4723.54 of the Revised Code.                                       3,959        

      (B)  To receive approval under this section to prescribe     3,961        

drugs and therapeutic devices, an advanced practice nurse must     3,962        

have completed a minimum of thirty hours of instruction in         3,963        

pharmacology.  The instruction must have been completed within     3,964        

three years prior to application for the approval, unless the      3,965        

board of nursing establishes by rule adopted under section         3,966        

4723.58 of the Revised Code another time period within which the   3,967        

instruction must have been completed.  The instruction may have    3,968        

been received through either of the following:                     3,969        

      (1)  Planned classroom, clinical, or provider-directed       3,971        

independent study in pharmacology from an accredited institution   3,972        

recognized by the board of nursing;                                3,973        

      (2)  Pharmacology courses determined to be acceptable by     3,975        

the board pursuant to rules adopted under section 4723.58 of the   3,976        

Revised Code.                                                      3,977        

      (C)  Each advanced practice nurse who desires to receive     3,979        

                                                          88     


                                                                 
approval under this section to prescribe drugs and therapeutic     3,980        

devices shall enter into an arrangement with a collaborating       3,981        

physician.  The advanced practice nurse and the collaborating      3,982        

physician shall develop a written protocol that establishes the    3,983        

arrangement between the nurse and the physician.  The protocol     3,984        

shall include the following:                                       3,985        

      (1)  The drugs that the advanced practice nurse may          3,987        

prescribe and the limitations on the authority to prescribe them,  3,989        

including any restrictions on dosage units or refills, in                       

accordance with the formulary established in rules adopted under   3,990        

section 4723.58 of the Revised Code;                               3,991        

      (2)  The conditions under which the advanced practice nurse  3,993        

must refer patients to the collaborating physician or another      3,994        

physician;                                                         3,995        

      (3)  The responsibilities of the collaborating physician;    3,997        

      (4)  Procedures for quality assurance reviews of the         3,999        

advanced practice nurse by the collaborating physician.            4,000        

      (D)(1)  On receipt of a protocol under division (A) of this  4,002        

section, the board shall submit the protocol to the formulary      4,003        

committee for advanced practice nurses for the committee's         4,004        

review.  APPROVAL TO PRESCRIBE DRUGS AND THERAPEUTIC DEVICES       4,005        

GRANTED UNDER THE VERSION OF THIS SECTION THAT WAS IN EFFECT       4,006        

IMMEDIATELY PRIOR TO THE EFFECTIVE DATE OF THIS AMENDMENT SHALL    4,007        

REMAIN VALID FOR THE REMAINDER OF THE PERIOD FOR WHICH IT WAS      4,008        

OBTAINED.  An advanced practice nurse shall prescribe drugs and    4,009        

therapeutic devices only in accordance with a protocol             4,010        

ESTABLISHED BETWEEN THE NURSE AND THE NURSE'S COLLABORATING                     

PHYSICIAN THAT MEETS THE REQUIREMENTS OF DIVISION (C) OF THE       4,011        

VERSION OF THIS SECTION THAT WAS IN EFFECT IMMEDIATELY PRIOR TO    4,012        

THE EFFECTIVE DATE OF THIS AMENDMENT AND approved by the           4,013        

FORMULARY committee FOR ADVANCED PRACTICE NURSES ESTABLISHED       4,014        

UNDER SECTION 4723.57 OF THE REVISED CODE.                                      

      (2)(B)  If an advanced practice nurse and collaborating      4,016        

physician propose to make a change in an approved protocol, the    4,017        

                                                          89     


                                                                 
advanced practice nurse shall file the proposed change with the    4,018        

board of nursing at least thirty days prior to the date on which   4,019        

the proposed change is intended to become effective.  The board    4,020        

shall submit the proposed change to the formulary committee for    4,021        

the committee's review.  The advanced practice nurse and           4,022        

collaborating physician shall implement the change only if it is   4,023        

approved by the committee.                                         4,024        

      (E)(C)  Notwithstanding any other provision of this chapter  4,026        

or Chapter 2925., 3719., 4729., or 4731. of the Revised Code to    4,027        

the contrary, an advanced practice nurse approved under this       4,028        

section may prescribe drugs and therapeutic devices as specified   4,029        

in the protocol established between the nurse and the              4,030        

collaborating physician and may personally supply drugs and        4,031        

therapeutic devices in accordance with section 4723.561 of the     4,032        

Revised Code, EXCEPT THAT NO PROTOCOL MAY AUTHORIZE AND NOTHING    4,034        

IN THIS CHAPTER SHALL BE CONSTRUED AS AUTHORIZING AN ADVANCED      4,035        

PRACTICE NURSE TO PRESCRIBE ANY DRUG OR DEVICE TO PERFORM OR       4,036        

INDUCE AN ABORTION, OR TO OTHERWISE PERFORM OR INDUCE AN           4,038        

ABORTION.                                                                       

      (F)  Approval under this section to prescribe and            4,040        

personally supply drugs and therapeutic devices is valid for two   4,041        

years.  The board may renew its approval to prescribe drugs and    4,042        

therapeutic devices if the nurse submits to the board all of the   4,043        

following:                                                                      

      (1)  Evidence of completing during the previous two years    4,045        

at least twelve hours of continuing education in pharmacology      4,046        

from an accredited institution recognized by the board;            4,047        

      (2)  A written recommendation for renewal from the nurse's   4,049        

collaborating physician;                                           4,050        

      (3)  Any other information the board requires pursuant to    4,052        

rules adopted under section 4723.58 of the Revised Code;           4,053        

      (4)  The fee established in rules adopted under section      4,055        

4723.54 of the Revised Code.                                       4,056        

      (G)  The continuing education required by this section is    4,058        

                                                          90     


                                                                 
in addition to the continuing education required under section     4,059        

4723.24 of the Revised Code.                                       4,060        

      (H)  Application for approval under this section may be      4,062        

made at the same time that application is made for approval under  4,063        

section 4723.55 of the Revised Code or at any time subsequent to   4,064        

receiving approval under that section.                             4,065        

      Sec. 4723.561.  An UNTIL TWO YEARS AFTER THE EFFECTIVE DATE  4,074        

OF THIS AMENDMENT, AN advanced practice nurse approved by the      4,075        

board of nursing under section 4723.56 of the Revised Code to      4,076        

prescribe drugs and therapeutic devices as part of a pilot         4,078        

program established under section 4723.52 of the Revised Code may  4,079        

personally supply to patients the following drugs and devices      4,081        

that are within the advanced practice nurse's authority to         4,082        

prescribe:  antibiotics, antifungals, scabicides, contraceptives,  4,083        

and prenatal vitamins.                                                          

      The advanced practice nurse shall maintain a written record  4,085        

of drugs and devices personally supplied under this section.  For  4,086        

each drug or device supplied, the collaborating physician shall    4,087        

review the record within seventy-two hours after the drug or       4,088        

device is supplied.                                                             

      Sec. 4723.57.  (A)  There is hereby created the formulary    4,098        

committee for advanced practice nurses.  Three members of the      4,099        

committee shall be advanced practice nurses appointed by the       4,100        

board of nursing, each of whom shall hold at least a master's      4,101        

degree in nursing.  One of these members shall be a nurse-midwife  4,102        

certified by the American college of nurse-midwives, one shall be  4,103        

a nurse practitioner certified as such by a national certifying    4,104        

organization recognized by the board of nursing in accordance      4,105        

with section 4723.55 of the Revised Code, and one shall be a       4,106        

clinical nurse specialist certified as such by a national          4,107        

certifying organization recognized by the board of nursing in      4,108        

accordance with section 4723.55 of the Revised Code.  Three        4,109        

members shall be physicians appointed by the state medical board   4,110        

who have experience working with advanced practice nurses.  One    4,111        

                                                          91     


                                                                 
member shall be a pharmacist appointed by the state board of       4,112        

pharmacy.  The director of health or his THE DIRECTOR'S designee   4,113        

shall serve as a nonvoting member of the formulary committee.      4,115        

      Initial appointments to the formulary committee shall be     4,117        

made within sixty days after the effective date of this section    4,119        

JANUARY 14, 1993.  Vacancies shall be filled in the manner         4,120        

provided for original appointments.                                4,121        

      Annually, the formulary committee shall organize by          4,123        

selecting a chairman CHAIRPERSON from its voting members.  For     4,124        

the committee to take any action, the action must be approved by   4,126        

affirmative vote of at least four voting members, of which two     4,127        

must be advanced practice nurses and two must be physicians.       4,128        

Members shall serve without compensation but shall be reimbursed   4,129        

by the board of nursing for their actual and necessary expenses    4,130        

incurred in carrying out their duties as committee members.        4,131        

      (B)  The UNTIL TWO YEARS AFTER THE EFFECTIVE DATE OF THIS    4,133        

AMENDMENT, THE formulary committee shall make:                     4,134        

      (1)  MAKE recommendations to the board of nursing regarding  4,137        

the board's adoption of rules under section 4723.58 of the         4,138        

Revised Code.  It shall review;                                                 

      (2)  REVIEW, and approve or disapprove, each protocol and    4,140        

proposed change to a protocol it receives from the board of        4,141        

nursing pursuant to section 4723.56 of the Revised Code.           4,142        

      Sec. 4723.58.  (A) In UNTIL TWO YEARS AFTER THE EFFECTIVE    4,151        

DATE OF THIS AMENDMENT AND IN accordance with Chapter 119. of the  4,152        

Revised Code, the board of nursing shall adopt rules regarding     4,153        

the approval of advanced practice nurses under section 4723.56 of  4,154        

the Revised Code to prescribe drugs and therapeutic devices.  The  4,155        

rules shall be consistent with the recommendations of the          4,156        

formulary committee for advanced practice nurses and shall         4,157        

establish all of the following:                                    4,158        

      (1)  A formulary listing the drugs and therapeutic devices,  4,160        

including types and classes where appropriate, that may be         4,161        

prescribed by advanced practice nurses;                            4,162        

                                                          92     


                                                                 
      (2)  Requirements pertaining to the protocol that is         4,164        

required to be established between an advanced practice nurse and  4,165        

the nurse's collaborating physician;                               4,166        

      (3)  Requirements regarding the pharmacology courses that    4,168        

an advanced practice nurse is required to complete to receive      4,169        

approval or renewal of approval to prescribe drugs and             4,170        

therapeutic devices;                                               4,171        

      (4)  Standards and procedures for approval and renewal of    4,173        

approval of advanced practice nurses to prescribe drugs and        4,174        

therapeutic devices;                                               4,175        

      (5)  Any other requirements with regard to advanced          4,177        

practice nurses approved to prescribe drugs and therapeutic        4,178        

devices.                                                           4,179        

      (B)  The drugs included in the formulary shall not include   4,181        

any drug listed on schedule I or II, as specified in section       4,182        

3719.41 of the Revised Code.  THE FORMULARY SHALL NOT PERMIT THE   4,184        

PRESCRIBING OF ANY DRUG OR DEVICE TO PERFORM OR INDUCE AN                       

ABORTION.  The formulary may include restrictions and              4,186        

requirements for prescriptions and shall include requirements      4,187        

specific to advanced practice nursing.                                          

      Sec. 4723.59.  (A)  An advanced practice nurse shall         4,196        

practice as an advanced practice nurse only in accordance with     4,197        

the standard care arrangement developed under section 4723.52 of   4,198        

the Revised Code for the pilot program in which the nurse is       4,199        

participating.  An advanced practice nurse who does not follow     4,200        

the standard care arrangement is guilty of unprofessional conduct  4,201        

and is subject to disciplinary action under section 4723.28 of     4,202        

the Revised Code for violation of this chapter and the rules       4,203        

adopted under it.                                                  4,204        

      (B)  An UNTIL TWO YEARS AFTER THE EFFECTIVE DATE OF THIS     4,206        

AMENDMENT:                                                                      

      (1)  AN advanced practice nurse approved under section       4,208        

4723.56 of the Revised Code shall prescribe drugs and therapeutic  4,209        

devices specified in the protocol established between the nurse    4,210        

                                                          93     


                                                                 
and the collaborating physician only in accordance with the        4,211        

protocol.  An advanced practice nurse approved under FORMER        4,212        

section 4723.56 of the Revised Code shall personally supply drugs  4,213        

and therapeutic devices in accordance with section 4723.561 of     4,215        

the Revised Code.  Any advanced practice nurse who does not        4,216        

follow the protocol or personally supply drugs and devices in      4,217        

accordance with section 4723.561 of the Revised Code is guilty of  4,219        

unprofessional conduct and is subject to disciplinary action       4,220        

under section 4723.28 of the Revised Code for violation of this    4,221        

chapter and the rules adopted under it.                                         

      (C)(2)  Any collaborating physician who does not perform     4,223        

the responsibilities the physician agreed to perform in the        4,224        

protocol established between the physician and an advanced         4,225        

practice nurse in accordance with section 4723.56 of the Revised   4,226        

Code is guilty of unprofessional conduct and is subject to         4,227        

disciplinary action by the state medical board.  Under this        4,228        

division, the state medical board may revoke, limit, or suspend    4,229        

the physician's certificate to practice, pursuant to an            4,230        

adjudicatory hearing under Chapter 119. of the Revised Code and a  4,231        

vote of not less than six of its members.                          4,232        

      Sec. 4729.01.  As used in this chapter:                      4,241        

      (A)  "Pharmacy," except when used in a context that refers   4,243        

to the practice of pharmacy, means any area, room, rooms, place    4,244        

of business, department, or portion of any of the foregoing where  4,246        

the practice of pharmacy is conducted.                             4,248        

      (B)  "Practice of pharmacy" means providing pharmacist care  4,250        

requiring specialized knowledge, judgment, and skill derived from  4,252        

the principles of biological, chemical, behavioral, social,        4,253        

pharmaceutical, and clinical sciences.  As used in this division,  4,254        

"pharmacist care" includes the following:                                       

      (1)  Interpreting prescriptions;                             4,256        

      (2)  Compounding or dispensing drugs and dispensing drug     4,258        

therapy related devices;                                           4,259        

      (3)  Counseling individuals with regard to their drug        4,261        

                                                          94     


                                                                 
therapy, recommending drug therapy related devices, and assisting  4,263        

in the selection of drugs and appliances for treatment of common   4,264        

diseases and injuries and providing instruction in the proper use  4,266        

of the drugs and appliances;                                                    

      (4)  Performing drug regimen reviews with individuals by     4,269        

discussing all of the drugs that the individual is taking and                   

explaining the interactions of the drugs;                          4,270        

      (5)  Performing drug utilization reviews with licensed       4,272        

health professionals authorized to prescribe drugs when the        4,273        

pharmacist determines that an individual with a prescription has   4,274        

a drug regimen that warrants additional discussion with the        4,275        

prescriber;                                                        4,276        

      (6)  Advising an individual and the health care              4,278        

professionals treating an individual with regard to the            4,279        

individual's drug therapy;                                         4,280        

      (7)  Acting pursuant to a consult agreement with a           4,282        

physician authorized under Chapter 4731. of the Revised Code to    4,286        

practice medicine and surgery or osteopathic medicine and          4,287        

surgery, if an agreement has been established with the physician.  4,288        

      (C)  "Compounding" means the preparation, mixing,            4,291        

assembling, packaging, and labeling of one or more drugs in any    4,292        

of the following circumstances:                                    4,293        

      (1)  Pursuant to a prescription issued by a licensed health  4,296        

professional authorized to prescribe drugs;                                     

      (2)  Pursuant to the modification of a prescription made in  4,298        

accordance with a consult agreement;                               4,299        

      (3)  As an incident to research, teaching activities, or     4,302        

chemical analysis;                                                              

      (4)  In anticipation of prescription drug orders based on    4,305        

routine, regularly observed dispensing patterns.                                

      (D)  "Consult agreement" means an agreement to manage an     4,307        

individual's drug therapy that has been entered into by a          4,309        

pharmacist and a physician authorized under Chapter 4731. of the   4,310        

Revised Code to practice medicine and surgery or osteopathic       4,313        

                                                          95     


                                                                 
medicine and surgery.                                                           

      (E)  "Drug" means:                                           4,315        

      (1)  Any article recognized in the United States             4,317        

pharmacopoeia and national formulary, or any supplement to them,   4,319        

intended for use in the diagnosis, cure, mitigation, treatment,    4,320        

or prevention of disease in humans or animals;                     4,321        

      (2)  Any other article intended for use in the diagnosis,    4,323        

cure, mitigation, treatment, or prevention of disease in humans    4,325        

or animals;                                                                     

      (3)  Any article, other than food, intended to affect the    4,327        

structure or any function of the body of humans or animals;        4,329        

      (4)  Any article intended for use as a component of any      4,331        

article specified in division (C)(1), (2), or (3) of this          4,332        

section; but does not include devices or their components, parts,  4,333        

or accessories.                                                    4,334        

      (F)  "Dangerous drug" means any of the following:            4,336        

      (1)  Any drug to which either of the following applies:      4,338        

      (a)  Under the "Federal Food, Drug, and Cosmetic Act," 52    4,341        

Stat. 1040 (1938), 21 U.S.C.A. 301, as amended, the drug is        4,342        

required to bear a label containing the legend "Caution:  Federal  4,344        

law prohibits dispensing without prescription" or "Caution:        4,345        

Federal law restricts this drug to use by or on the order of a     4,346        

licensed veterinarian" or any similar restrictive statement, or    4,347        

the drug may be dispensed only upon a prescription;                4,348        

      (b)  Under Chapter 3715. or 3719. of the Revised Code, the   4,350        

drug may be dispensed only upon a prescription.                    4,351        

      (2)  Any drug that contains a schedule V controlled          4,353        

substance and that is exempt from Chapter 3719. of the Revised     4,354        

Code or to which that chapter does not apply;                      4,355        

      (3)  Any drug intended for administration by injection into  4,357        

the human body other than through a natural orifice of the human   4,358        

body.                                                              4,359        

      (G)  "Federal drug abuse control laws" has the same meaning  4,361        

as in section 3719.01 of the Revised Code.                         4,362        

                                                          96     


                                                                 
      (H)  "Prescription" means a written, electronic, or oral     4,367        

order for drugs or combinations or mixtures of drugs to be used    4,368        

by a particular individual or for treating a particular animal,    4,369        

issued by a licensed health professional authorized to prescribe   4,372        

drugs.                                                                          

      (I)  "Licensed health professional authorized to prescribe   4,375        

drugs" or "prescriber" means an individual who is authorized by    4,377        

law to prescribe drugs or dangerous drugs or drug therapy related  4,381        

devices in the course of the individual's professional practice,   4,382        

including only the following:                                      4,383        

      (1)  A dentist licensed under Chapter 4715. of the Revised   4,386        

Code;                                                                           

      (2)  An UNTIL TWO YEARS AFTER THE EFFECTIVE DATE OF THIS     4,388        

AMENDMENT, AN advanced practice nurse approved under section       4,390        

4723.56 of the Revised Code to prescribe drugs and therapeutic     4,391        

devices;                                                           4,392        

      (3)  A CLINICAL NURSE SPECIALIST, CERTIFIED NURSE-MIDWIFE,   4,395        

OR CERTIFIED NURSE PRACTITIONER WHO HOLDS A CERTIFICATE TO         4,396        

PRESCRIBE ISSUED UNDER SECTION 4723.48 OF THE REVISED CODE;                     

      (4)  An optometrist licensed under Chapter 4725. of the      4,399        

Revised Code to practice optometry under a therapeutic             4,402        

pharmaceutical agents certificate;                                              

      (4)(5)  A physician authorized under Chapter 4731. of the    4,405        

Revised Code to practice medicine and surgery, osteopathic         4,407        

medicine and surgery, or podiatry;                                              

      (5)(6)  A veterinarian licensed under Chapter 4741. of the   4,409        

Revised Code.                                                      4,410        

      (J)  "Sale" and "sell" include delivery, transfer, barter,   4,412        

exchange, or gift, or offer therefor, and each such transaction    4,413        

made by any person, whether as principal proprietor, agent, or     4,414        

employee.                                                          4,415        

      (K)  "Wholesale sale" and "sale at wholesale" mean any sale  4,417        

in which the purpose of the purchaser is to resell the article     4,418        

purchased or received by the purchaser.                            4,419        

                                                          97     


                                                                 
      (L)  "Retail sale" and "sale at retail" mean any sale other  4,421        

than a wholesale sale or sale at wholesale.                        4,422        

      (M)  "Retail seller" means any person that sells any         4,424        

dangerous drug to consumers without assuming control over and      4,425        

responsibility for its administration.  Mere advice or             4,426        

instructions regarding administration do not constitute control    4,427        

or establish responsibility.                                       4,428        

      (N)  "Price information" means the price charged for a       4,430        

prescription for a particular drug product and, in an easily       4,431        

understandable manner, all of the following:                       4,432        

      (1)  The proprietary name of the drug product;               4,434        

      (2)  The established (generic) name of the drug product;     4,436        

      (3)  The strength of the drug product if the product         4,438        

contains a single active ingredient or if the drug product         4,439        

contains more than one active ingredient and a relevant strength   4,440        

can be associated with the product without indicating each active  4,441        

ingredient.  The established name and quantity of each active      4,442        

ingredient are required if such a relevant strength cannot be so   4,443        

associated with a drug product containing more than one            4,444        

ingredient.                                                        4,445        

      (4)  The dosage form;                                        4,447        

      (5)  The price charged for a specific quantity of the drug   4,449        

product.  The stated price shall include all charges to the        4,450        

consumer, including, but not limited to, the cost of the drug      4,451        

product, professional fees, handling fees, if any, and a           4,452        

statement identifying professional services routinely furnished    4,453        

by the pharmacy.  Any mailing fees and delivery fees may be        4,454        

stated separately without repetition.  The information shall not   4,455        

be false or misleading.                                            4,456        

      (O)  "Wholesale distributor of dangerous drugs" means a      4,458        

person engaged in the sale of dangerous drugs at wholesale and     4,459        

includes any agent or employee of such a person authorized by the  4,461        

person to engage in the sale of dangerous drugs at wholesale.      4,462        

      (P)  "Manufacturer of dangerous drugs" means a person,       4,464        

                                                          98     


                                                                 
other than a pharmacist, who manufactures dangerous drugs and who  4,465        

is engaged in the sale of those dangerous drugs within this        4,466        

state.                                                             4,467        

      (Q)  "Terminal distributor of dangerous drugs" means a       4,469        

person who is engaged in the sale of dangerous drugs at retail,    4,471        

or any person, other than a wholesale distributor or a             4,472        

pharmacist, who has possession, custody, or control of dangerous   4,474        

drugs for any purpose other than for that person's own use and     4,476        

consumption, and includes pharmacies, hospitals, nursing homes,    4,477        

and laboratories and all other persons who procure dangerous       4,478        

drugs for sale or other distribution by or under the supervision   4,479        

of a pharmacist or licensed health professional authorized to      4,480        

prescribe drugs.                                                                

      (R)  "Promote to the public" means disseminating a           4,482        

representation to the public in any manner or by any means, other  4,483        

than by labeling, for the purpose of inducing, or that is likely   4,484        

to induce, directly or indirectly, the purchase of a dangerous     4,485        

drug at retail.                                                    4,486        

      (S)  "Person" includes any individual, partnership,          4,488        

association, limited liability company, or corporation, the        4,489        

state, any political subdivision of the state, and any district,   4,490        

department, or agency of the state or its political subdivisions.  4,491        

      (T)  "Finished dosage form" has the same meaning as in       4,493        

section 3715.01 of the Revised Code.                               4,494        

      (U)  "Generically equivalent drug" has the same meaning as   4,496        

in section 3715.01 of the Revised Code.                            4,497        

      (V)  "Animal shelter" means a facility operated by a humane  4,499        

society or any society organized under Chapter 1717. of the        4,500        

Revised Code or a dog pound operated pursuant to Chapter 955. of   4,501        

the Revised Code.                                                  4,502        

      (W)  "Food" has the same meaning as in section 3715.01 of    4,505        

the Revised Code.                                                               

      Sec. 4729.51.  (A)  No person other than a registered        4,514        

wholesale distributor of dangerous drugs shall possess for sale,   4,515        

                                                          99     


                                                                 
sell, distribute, or deliver, at wholesale, dangerous drugs,       4,516        

except as follows:                                                 4,517        

      (1)  A pharmacist who is a licensed terminal distributor of  4,519        

dangerous drugs or who is employed by a licensed terminal          4,520        

distributor of dangerous drugs may make occasional sales of        4,521        

dangerous drugs at wholesale;                                      4,522        

      (2)  A licensed terminal distributor of dangerous drugs      4,524        

having more than one establishment or place may transfer or        4,525        

deliver dangerous drugs from one establishment or place for which  4,526        

a license has been issued to the terminal distributor to another   4,527        

establishment or place for which a license has been issued to the  4,528        

terminal distributor if the license issued for each establishment  4,530        

or place is in effect at the time of the transfer or delivery.     4,531        

      (B)(1)  No registered wholesale distributor of dangerous     4,533        

drugs shall possess for sale, or sell, at wholesale, dangerous     4,534        

drugs to any person other than the following:                      4,535        

      (a)  A licensed health professional authorized to prescribe  4,538        

drugs;                                                                          

      (b)  An optometrist licensed under Chapter 4725. of the      4,540        

Revised Code who holds a topical ocular pharmaceutical agents      4,542        

certificate;                                                                    

      (c)  A registered wholesale distributor of dangerous drugs;  4,544        

      (d)  A manufacturer of dangerous drugs;                      4,546        

      (e)  A licensed terminal distributor of dangerous drugs,     4,548        

subject to division (B)(2) of this section;                        4,549        

      (f)  Carriers or warehousers for the purpose of carriage or  4,553        

storage;                                                                        

      (g)  Terminal or wholesale distributors of dangerous drugs   4,555        

who are not engaged in the sale of dangerous drugs within this     4,556        

state;                                                             4,557        

      (h)  An individual who holds a current license,              4,559        

certificate, or registration issued under Title 47 of the Revised  4,561        

Code and has been certified to conduct diabetes education by a     4,562        

national certifying body specified in rules adopted by the state   4,563        

                                                          100    


                                                                 
board of pharmacy under section 4729.68 of the Revised Code, but   4,564        

only with respect to insulin that will be used for the purpose of  4,566        

diabetes education and only if diabetes education is within the    4,567        

individual's scope of practice under statutes and rules            4,568        

regulating the individual's profession.                            4,569        

      (2)  No registered wholesale distributor of dangerous drugs  4,571        

shall possess dangerous drugs for sale at wholesale, or sell such  4,572        

drugs at wholesale, to a licensed terminal distributor of          4,573        

dangerous drugs, except to:                                        4,574        

      (a)  A terminal distributor who has a category I license,    4,576        

only dangerous drugs described in category I, as defined in        4,577        

division (A)(1) of section 4729.54 of the Revised Code;            4,578        

      (b)  A terminal distributor who has a category II license,   4,580        

only dangerous drugs described in category I and category II, as   4,581        

defined in divisions (A)(1) and (2) of section 4729.54 of the      4,582        

Revised Code;                                                      4,583        

      (c)  A terminal distributor who has a category III license,  4,585        

dangerous drugs described in category I, category II, and          4,586        

category III, as defined in divisions (A)(1), (2), and (3) of      4,587        

section 4729.54 of the Revised Code;                               4,588        

      (d)  A terminal distributor who has a limited category I,    4,590        

II, or III license, only the dangerous drugs specified in the      4,591        

certificate furnished by the terminal distributor in accordance    4,592        

with section 4729.60 of the Revised Code.                          4,593        

      (C)(1)  Except as provided in division (C)(4) of this        4,595        

section, no person shall sell, at retail, dangerous drugs.         4,596        

      (2)  Except as provided in division (C)(4) of this section,  4,598        

no person shall possess for sale, at retail, dangerous drugs.      4,599        

      (3)  Except as provided in division (C)(4) of this section,  4,601        

no person shall possess dangerous drugs.                           4,602        

      (4)  Divisions (C)(1), (2), and (3) of this section do not   4,604        

apply to a registered wholesale distributor of dangerous drugs, a  4,605        

licensed terminal distributor of dangerous drugs, or a person who  4,606        

possesses, or possesses for sale or sells, at retail, a dangerous  4,608        

                                                          101    


                                                                 
drug in accordance with Chapters 3719., 4715., 4723., 4725.,       4,609        

4729., 4731., and 4741. or section 4723.56 of the Revised Code.    4,611        

      Divisions (C)(1), (2), and (3) of this section do not apply  4,614        

to an individual who holds a current license, certificate, or      4,615        

registration issued under Title 47 of the Revised Code and has     4,618        

been certified to conduct diabetes education by a national         4,619        

certifying body specified in rules adopted by the state board of   4,620        

pharmacy under section 4729.68 of the Revised Code, but only to    4,622        

the extent that the individual possesses insulin or personally     4,623        

supplies insulin solely for the purpose of diabetes education and  4,624        

only if diabetes education is within the individual's scope of     4,625        

practice under statutes and rules regulating the individual's      4,626        

profession.                                                        4,627        

      (D)  No licensed terminal distributor of dangerous drugs     4,629        

shall purchase for the purpose of resale dangerous drugs from any  4,631        

person other than a registered wholesale distributor of dangerous  4,633        

drugs, except as follows:                                          4,634        

      (1)  A licensed terminal distributor of dangerous drugs may  4,636        

make occasional purchases of dangerous drugs for resale from a     4,637        

pharmacist who is a licensed terminal distributor of dangerous     4,638        

drugs or who is employed by a licensed terminal distributor of     4,639        

dangerous drugs;                                                   4,640        

      (2)  A licensed terminal distributor of dangerous drugs      4,642        

having more than one establishment or place may transfer or        4,643        

receive dangerous drugs from one establishment or place for which  4,644        

a license has been issued to the terminal distributor to another   4,645        

establishment or place for which a license has been issued to the  4,646        

terminal distributor if the license issued for each establishment  4,647        

or place is in effect at the time of the transfer or receipt.      4,648        

      (E)  No licensed terminal distributor of dangerous drugs     4,650        

shall engage in the sale or other distribution of dangerous drugs  4,651        

at retail or maintain possession, custody, or control of           4,652        

dangerous drugs for any purpose other than the distributor's       4,653        

personal use or consumption, at any establishment or place other   4,655        

                                                          102    


                                                                 
than that or those described in the license issued by the board    4,656        

of pharmacy to such terminal distributor.                          4,657        

      (F)  Nothing in this section shall be construed to           4,659        

interfere with the performance of official duties by any law       4,660        

enforcement official authorized by municipal, county, state, or    4,662        

federal law to collect samples of any drug, regardless of its      4,663        

nature or in whose possession it may be.                           4,664        

      Sec. 4731.22.  (A)  The state medical board, by an           4,674        

affirmative vote of not fewer than six of its members, may revoke  4,675        

or may refuse to grant a certificate to a person found by the      4,676        

board to have committed fraud during the administration of the     4,677        

examination for a certificate to practice or to have committed     4,679        

fraud, misrepresentation, or deception in applying for or          4,680        

securing any certificate to practice or certificate of                          

registration issued by the board.                                  4,681        

      (B)  The board, by an affirmative vote of not fewer than     4,684        

six members, shall, to the extent permitted by law, limit,         4,685        

revoke, or suspend an individual's certificate to practice,        4,687        

refuse to register an individual, refuse to reinstate a            4,689        

certificate, or reprimand or place on probation the holder of a    4,691        

certificate for one or more of the following reasons:                           

      (1)  Permitting one's name or one's certificate to practice  4,693        

or certificate of registration to be used by a person, group, or   4,695        

corporation when the individual concerned is not actually          4,696        

directing the treatment given;                                     4,697        

      (2)  Failure to maintain minimal standards applicable to     4,700        

the selection or administration of drugs, or failure to employ     4,701        

acceptable scientific methods in the selection of drugs or other   4,702        

modalities for treatment of disease;                               4,703        

      (3)  Selling, giving away, personally furnishing,            4,705        

prescribing, or administering drugs for other than legal and       4,706        

legitimate therapeutic purposes or a plea of guilty to, a          4,708        

judicial finding of guilt of, or a judicial finding of             4,709        

eligibility for treatment in lieu of conviction of, a violation    4,711        

                                                          103    


                                                                 
of any federal or state law regulating the possession,                          

distribution, or use of any drug;                                  4,712        

      (4)  Willfully betraying a professional confidence.          4,714        

      For purposes of this division, "willfully betraying a        4,716        

professional confidence" does not include the making of a report   4,717        

of an employee's use of a drug of abuse, or a report of a          4,718        

condition of an employee other than one involving the use of a     4,719        

drug of abuse, to the employer of the employee as described in     4,720        

division (B) of section 2305.33 of the Revised Code. Nothing in    4,722        

this division affects the immunity from civil liability conferred  4,724        

by that section upon a physician who makes either type of report   4,725        

in accordance with division (B) of that section.  As used in this  4,726        

division, "employee," "employer," and "physician" have the same    4,727        

meanings as in section 2305.33 of the Revised Code.                4,728        

      (5)  Making a false, fraudulent, deceptive, or misleading    4,731        

statement in the solicitation of or advertising for patients; in   4,733        

relation to the practice of medicine and surgery, osteopathic      4,734        

medicine and surgery, podiatry, or a limited branch of medicine;   4,735        

or in securing or attempting to secure any certificate to          4,737        

practice or certificate of registration issued by the board.                    

      As used in this division, "false, fraudulent, deceptive, or  4,739        

misleading statement" means a statement that includes a            4,740        

misrepresentation of fact, is likely to mislead or deceive         4,741        

because of a failure to disclose material facts, is intended or    4,742        

is likely to create false or unjustified expectations of           4,743        

favorable results, or includes representations or implications     4,744        

that in reasonable probability will cause an ordinarily prudent    4,745        

person to misunderstand or be deceived.                            4,746        

      (6)  A departure from, or the failure to conform to,         4,748        

minimal standards of care of similar practitioners under the same  4,749        

or similar circumstances, whether or not actual injury to a        4,750        

patient is established;                                            4,751        

      (7)  Representing, with the purpose of obtaining             4,753        

compensation or other advantage as personal gain or for any other  4,755        

                                                          104    


                                                                 
person, that an incurable disease or injury, or other incurable    4,756        

condition, can be permanently cured;                               4,757        

      (8)  The obtaining of, or attempting to obtain, money or     4,759        

anything of value by fraudulent misrepresentations in the course   4,760        

of practice;                                                       4,761        

      (9)  A plea of guilty to, a judicial finding of guilt of,    4,764        

or a judicial finding of eligibility for treatment in lieu of                   

conviction for, a felony;                                          4,765        

      (10)  Commission of an act that constitutes a felony in      4,767        

this state, regardless of the jurisdiction in which the act was    4,768        

committed;                                                         4,769        

      (11)  A plea of guilty to, a judicial finding of guilt of,   4,772        

or a judicial finding of eligibility for treatment in lieu of                   

conviction for, a misdemeanor committed in the course of           4,773        

practice;                                                                       

      (12)  Commission of an act in the course of practice that    4,775        

constitutes a misdemeanor in this state, regardless of the         4,777        

jurisdiction in which the act was committed;                       4,778        

      (13)  A plea of guilty to, a judicial finding of guilt of,   4,781        

or a judicial finding of eligibility for treatment in lieu of                   

conviction for, a misdemeanor involving moral turpitude;           4,782        

      (14)  Commission of an act involving moral turpitude that    4,784        

constitutes a misdemeanor in this state, regardless of the         4,786        

jurisdiction in which the act was committed;                       4,787        

      (15)  Violation of the conditions of limitation placed by    4,789        

the board upon a certificate to practice;                          4,790        

      (16)  Failure to pay license renewal fees specified in this  4,792        

chapter;                                                           4,793        

      (17)  Except as authorized in section 4731.31 of the         4,795        

Revised Code, engaging in the division of fees for referral of     4,797        

patients, or the receiving of a thing of value in return for a     4,799        

specific referral of a patient to utilize a particular service or  4,800        

business;                                                                       

      (18)  Subject to section 4731.226 of the Revised Code,       4,802        

                                                          105    


                                                                 
violation of any provision of a code of ethics of the American     4,804        

medical association, the American osteopathic association, the     4,805        

American podiatric medical association, or any other national      4,806        

professional organizations that the board specifies by rule.  The  4,808        

state medical board shall obtain and keep on file current copies   4,809        

of the codes of ethics of the various national professional        4,810        

organizations.  The individual whose certificate is being          4,811        

suspended or revoked shall not be found to have violated any       4,813        

provision of a code of ethics of an organization not appropriate   4,814        

to the individual's profession.                                    4,815        

      For purposes of this division, a "provision of a code of     4,818        

ethics of a national professional organization" does not include   4,819        

any provision that would preclude the making of a report by a      4,820        

physician of an employee's use of a drug of abuse, or of a         4,821        

condition of an employee other than one involving the use of a     4,822        

drug of abuse, to the employer of the employee as described in                  

division (B) of section 2305.33 of the Revised Code.  Nothing in   4,824        

this division affects the immunity from civil liability conferred  4,825        

by that section upon a physician who makes either type of report   4,826        

in accordance with division (B) of that section.  As used in this  4,827        

division, "employee," "employer," and "physician" have the same    4,828        

meanings as in section 2305.33 of the Revised Code.                4,829        

      (19)  Inability to practice according to acceptable and      4,831        

prevailing standards of care by reason of mental illness or        4,832        

physical illness, including, but not limited to, physical          4,833        

deterioration that adversely affects cognitive, motor, or          4,834        

perceptive skills.                                                 4,835        

      In enforcing this division, the board, upon a showing of a   4,838        

possible violation, may compel any individual authorized to        4,839        

practice by this chapter or who has submitted an application       4,841        

pursuant to this chapter to submit to a mental examination,        4,843        

physical examination, including an HIV test, or both a mental and  4,845        

a physical examination.  The expense of the examination is the     4,847        

responsibility of the individual compelled to be examined.         4,848        

                                                          106    


                                                                 
Failure to submit to a mental or physical examination or consent   4,849        

to an HIV test ordered by the board constitutes an admission of    4,850        

the allegations against the individual unless the failure is due   4,852        

to circumstances beyond the individual's control, and a default    4,853        

and final order may be entered without the taking of testimony or  4,854        

presentation of evidence.  If the board finds an individual        4,855        

unable to practice because of the reasons set forth in this        4,857        

division, the board shall require the individual to submit to      4,858        

care, counseling, or treatment by physicians approved or           4,859        

designated by the board, as a condition for initial, continued,    4,860        

reinstated, or renewed authority to practice.  An individual       4,862        

affected under this division shall be afforded an opportunity to   4,864        

demonstrate to the board the ability to resume practice in         4,865        

compliance with acceptable and prevailing standards under the      4,866        

provisions of the individual's certificate.  For the purpose of    4,868        

this division, any individual who applies for or receives a        4,869        

certificate to practice under this chapter accepts the privilege   4,870        

of practicing in this state and, by so doing, shall be deemed to   4,873        

have given consent to submit to a mental or physical examination   4,874        

when directed to do so in writing by the board, and to have        4,875        

waived all objections to the admissibility of testimony or         4,876        

examination reports that constitute a privileged communication.    4,877        

      (20)  Except when civil penalties are imposed under section  4,879        

4731.225 or 4731.281 of the Revised Code, and subject to section   4,880        

4731.226 of the Revised Code, violating or attempting to violate,  4,882        

directly or indirectly, or assisting in or abetting the violation  4,883        

of, or conspiring to violate, any provisions of this chapter or    4,884        

any rule promulgated by the board.                                              

      This division does not apply to a violation or attempted     4,886        

violation of, assisting in or abetting the violation of, or a      4,887        

conspiracy to violate, any provision of this chapter or any rule   4,888        

adopted by the board that would preclude the making of a report    4,891        

by a physician of an employee's use of a drug of abuse, or of a    4,892        

condition of an employee other than one involving the use of a     4,893        

                                                          107    


                                                                 
drug of abuse, to the employer of the employee as described in                  

division (B) of section 2305.33 of the Revised Code.  Nothing in   4,895        

this division affects the immunity from civil liability conferred  4,896        

by that section upon a physician who makes either type of report   4,897        

in accordance with division (B) of that section.  As used in this  4,898        

division, "employee," "employer," and "physician" have the same    4,899        

meanings as in section 2305.33 of the Revised Code.                4,900        

      (21)  The violation of any abortion rule adopted by the      4,902        

public health council pursuant to section 3701.341 of the Revised  4,903        

Code;                                                              4,904        

      (22)  Any of the following actions taken by the state        4,906        

agency responsible for regulating the practice of medicine and     4,907        

surgery, osteopathic medicine and surgery, podiatry, or the        4,908        

limited branches of medicine in another state, for any reason      4,909        

other than the nonpayment of fees:  the limitation, revocation,    4,910        

or suspension of an individual's license to practice; acceptance   4,911        

of an individual's license surrender; denial of a license;         4,912        

refusal to renew or reinstate a license; imposition of probation;  4,914        

or issuance of an order of censure or other reprimand;             4,915        

      (23)  The violation of section 2919.12 of the Revised Code   4,917        

or the performance or inducement of an abortion upon a pregnant    4,918        

woman with actual knowledge that the conditions specified in       4,919        

division (B) of section 2317.56 of the Revised Code have not been  4,920        

satisfied or with a heedless indifference as to whether those      4,921        

conditions have been satisfied, unless an affirmative defense as   4,922        

specified in division (H)(2) of that section would apply in a      4,923        

civil action authorized by division (H)(1) of that section;        4,924        

      (24)  The revocation, suspension, restriction, reduction,    4,926        

or termination of clinical privileges by the United States         4,928        

department of defense or department of veterans affairs or the     4,930        

termination or suspension of a certificate of registration to      4,931        

prescribe drugs by the drug enforcement administration of the      4,932        

United States department of justice;                               4,933        

      (25)  Termination or suspension from participation in the    4,935        

                                                          108    


                                                                 
medicare or medicaid programs by the department of health and      4,937        

human services or other responsible agency for any act or acts     4,938        

that also would constitute a violation of division (B)(2), (3),    4,939        

(6), (8), or (19) of this section;                                 4,940        

      (26)  Impairment of ability to practice according to         4,942        

acceptable and prevailing standards of care because of habitual    4,943        

or excessive use or abuse of drugs, alcohol, or other substances   4,944        

that impair ability to practice.                                   4,945        

      For the purposes of this division, any individual            4,947        

authorized to practice by this chapter accepts the privilege of    4,949        

practicing in this state subject to supervision by the board.  By  4,950        

filing an application for or holding a certificate to practice     4,953        

under this chapter, an individual shall be deemed to have given    4,955        

consent to submit to a mental or physical examination when         4,956        

ordered to do so by the board in writing, and to have waived all   4,957        

objections to the admissibility of testimony or examination        4,958        

reports that constitute privileged communications.                 4,959        

      If it has reason to believe that any individual authorized   4,961        

to practice by this chapter or any applicant for certification to  4,963        

practice suffers such impairment, the board may compel the         4,964        

individual to submit to a mental or physical examination, or       4,965        

both.  The expense of the examination is the responsibility of     4,967        

the individual compelled to be examined.  Any mental or physical   4,969        

examination required under this division shall be undertaken by a  4,970        

treatment provider or physician who is qualified to conduct the    4,971        

examination and who is chosen by the board.                        4,972        

      Failure to submit to a mental or physical examination        4,975        

ordered by the board constitutes an admission of the allegations   4,976        

against the individual unless the failure is due to circumstances  4,977        

beyond the individual's control, and a default and final order     4,978        

may be entered without the taking of testimony or presentation of  4,979        

evidence.  If the board determines that the individual's ability   4,980        

to practice is impaired, the board shall suspend the individual's  4,981        

certificate or deny the individual's application and shall         4,982        

                                                          109    


                                                                 
require the individual, as a condition for initial, continued,     4,983        

reinstated, or renewed certification to practice, to submit to     4,985        

treatment.                                                                      

      Before being eligible to apply for reinstatement of a        4,987        

certificate suspended under this division, the impaired            4,989        

practitioner shall demonstrate to the board the ability to resume  4,991        

practice in compliance with acceptable and prevailing standards    4,992        

of care under the provisions of the practitioner's certificate.    4,993        

The demonstration shall include, but shall not be limited to, the  4,995        

following:                                                                      

      (a)  Certification from a treatment provider approved under  4,997        

section 4731.25 of the Revised Code that the individual has        4,999        

successfully completed any required inpatient treatment;           5,000        

      (b)  Evidence of continuing full compliance with an          5,002        

aftercare contract or consent agreement;                           5,003        

      (c)  Two written reports indicating that the individual's    5,005        

ability to practice has been assessed and that the individual has  5,006        

been found capable of practicing according to acceptable and       5,007        

prevailing standards of care.  The reports shall be made by        5,008        

individuals or providers approved by the board for making the      5,009        

assessments and shall describe the basis for their determination.  5,010        

      The board may reinstate a certificate suspended under this   5,013        

division after that demonstration and after the individual has     5,014        

entered into a written consent agreement.                          5,015        

      When the impaired practitioner resumes practice, the board   5,017        

shall require continued monitoring of the individual.  The         5,019        

monitoring shall include, but not be limited to, compliance with   5,021        

the written consent agreement entered into before reinstatement    5,022        

or with conditions imposed by board order after a hearing, and,    5,023        

upon termination of the consent agreement, submission to the       5,024        

board for at least two years of annual written progress reports    5,025        

made under penalty of perjury stating whether the individual has   5,026        

maintained sobriety.                                               5,027        

      (27)  A second or subsequent violation of section 4731.66    5,029        

                                                          110    


                                                                 
or 4731.69 of the Revised Code;                                    5,030        

      (28)  Except as provided in division (N) of this section:    5,032        

      (a)  Waiving the payment of all or any part of a deductible  5,035        

or copayment that a patient, pursuant to a health insurance or     5,036        

health care policy, contract, or plan that covers the              5,037        

individual's services, otherwise would be required to pay if the   5,039        

waiver is used as an enticement to a patient or group of patients  5,040        

to receive health care services from that individual;              5,041        

      (b)  Advertising that the individual will waive the payment  5,044        

of all or any part of a deductible or copayment that a patient,    5,045        

pursuant to a health insurance or health care policy, contract,    5,046        

or plan that covers the individual's services, otherwise would be  5,048        

required to pay.                                                   5,049        

      (29)  Failure to use universal blood and body fluid          5,051        

precautions established by rules adopted under section 4731.051    5,052        

of the Revised Code;                                               5,053        

      (30)  Failure UNTIL TWO YEARS AFTER THE EFFECTIVE DATE OF    5,055        

THIS AMENDMENT, FAILURE of a collaborating physician to perform    5,056        

the responsibilities agreed to by the physician in the protocol    5,057        

established between the physician and an advanced practice nurse   5,058        

in accordance with section 4723.56 of the Revised Code;            5,059        

      (31)  Failure to provide notice to, and receive              5,061        

acknowledgment of the notice from, a patient when required by      5,063        

section 4731.143 of the Revised Code prior to providing            5,064        

nonemergency professional services, or failure to maintain that    5,065        

notice in the patient's file;                                                   

      (32)  Failure of a physician supervising a physician         5,067        

assistant to maintain supervision in accordance with the           5,068        

requirements of Chapter 4730. of the Revised Code and the rules    5,069        

adopted under that chapter;                                                     

      (33)  Failure of a physician or podiatrist to maintain a     5,071        

standard care arrangement with a clinical nurse specialist,        5,072        

certified nurse-midwife, or certified nurse practitioner with      5,073        

whom the physician or podiatrist is in collaboration pursuant to   5,074        

                                                          111    


                                                                 
section 4731.27 of the Revised Code and practice in accordance     5,075        

with the arrangement;                                                           

      (34)  Failure to comply with the terms of a consult          5,077        

agreement entered into with a pharmacist pursuant to section       5,078        

4729.39 of the Revised Code;                                       5,079        

      (35)  Failure to cooperate in an investigation conducted by  5,081        

the board under division (F) of this section, including failure    5,083        

to comply with a subpoena or order issued by the board or failure  5,084        

to answer truthfully a question presented by the board at a        5,085        

deposition or in written interrogatories, except that failure to   5,086        

cooperate with an investigation shall not constitute grounds for   5,087        

discipline under this section if a court of competent              5,088        

jurisdiction has issued an order that either quashes a subpoena    5,089        

or permits the individual to withhold the testimony or evidence    5,090        

in issue.                                                                       

      (C)  Disciplinary actions taken by the board under           5,092        

divisions (A) and (B) of this section shall be taken pursuant to   5,093        

an adjudication under Chapter 119. of the Revised Code, except     5,094        

that in lieu of an adjudication, the board may enter into a        5,095        

consent agreement with an individual to resolve an allegation of   5,096        

a violation of this chapter or any rule adopted under it.  A       5,097        

consent agreement, when ratified by an affirmative vote of not     5,098        

fewer than six members of the board, shall constitute the          5,099        

findings and order of the board with respect to the matter         5,100        

addressed in the agreement.  If the board refuses to ratify a      5,101        

consent agreement, the admissions and findings contained in the    5,102        

consent agreement shall be of no force or effect.                  5,103        

      (D)  For purposes of divisions (B)(10), (12), and (14) of    5,105        

this section, the commission of the act may be established by a    5,106        

finding by the board, pursuant to an adjudication under Chapter    5,108        

119. of the Revised Code, that the individual committed the act.                

The board does not have jurisdiction under those divisions if the  5,111        

trial court renders a final judgment in the individual's favor                  

and that judgment is based upon an adjudication on the merits.     5,114        

                                                          112    


                                                                 
The board has jurisdiction under those divisions if the trial      5,115        

court issues an order of dismissal upon technical or procedural    5,116        

grounds.                                                                        

      (E)  The sealing of conviction records by any court shall    5,118        

have no effect upon a prior board order entered under this         5,119        

section or upon the board's jurisdiction to take action under      5,120        

this section if, based upon a plea of guilty, a judicial finding   5,122        

of guilt, or a judicial finding of eligibility for treatment in    5,123        

lieu of conviction, the board issued a notice of opportunity for   5,124        

a hearing prior to the court's order to seal the records.  The     5,125        

board shall not be required to seal, destroy, redact, or           5,126        

otherwise modify its records to reflect the court's sealing of     5,127        

conviction records.                                                5,128        

      (F)(1)  The board shall investigate evidence that appears    5,130        

to show that a person has violated any provision of this chapter   5,132        

or any rule adopted under it.  Any person may report to the board               

in a signed writing any information that the person may have that  5,134        

appears to show a violation of any provision of this chapter or    5,135        

any rule adopted under it.  In the absence of bad faith, any       5,137        

person who reports information of that nature or who testifies                  

before the board in any adjudication conducted under Chapter 119.  5,139        

of the Revised Code shall not be liable in damages in a civil      5,140        

action as a result of the report or testimony.  Each complaint or  5,142        

allegation of a violation received by the board shall be assigned  5,143        

a case number and shall be recorded by the board.                  5,144        

      (2)  Investigations of alleged violations of this chapter    5,146        

or any rule adopted under it shall be supervised by the            5,148        

supervising member elected by the board in accordance with         5,149        

section 4731.02 of the Revised Code and by the secretary as        5,150        

provided in section 4731.39 of the Revised Code.  The president                 

may designate another member of the board to supervise the         5,152        

investigation in place of the supervising member.  No member of                 

the board who supervises the investigation of a case shall         5,154        

participate in further adjudication of the case.                                

                                                          113    


                                                                 
      (3)  In investigating a possible violation of this chapter   5,157        

or any rule adopted under this chapter, the board may administer   5,159        

oaths, order the taking of depositions, issue subpoenas, and       5,160        

compel the attendance of witnesses and production of books,        5,161        

accounts, papers, records, documents, and testimony, except that   5,162        

a subpoena for patient record information shall not be issued      5,163        

without consultation with the attorney general's office and        5,164        

approval of the secretary and supervising member of the board.     5,166        

Before issuance of a subpoena for patient record information, the  5,167        

secretary and supervising member shall determine whether there is  5,170        

probable cause to believe that the complaint filed alleges a                    

violation of this chapter or any rule adopted under it and that    5,171        

the records sought are relevant to the alleged violation and       5,173        

material to the investigation.  The subpoena may apply only to     5,174        

records that cover a reasonable period of time surrounding the     5,175        

alleged violation.                                                 5,176        

      On failure to comply with any subpoena issued by the board   5,179        

and after reasonable notice to the person being subpoenaed, the    5,180        

board may move for an order compelling the production of persons   5,181        

or records pursuant to the Rules of Civil Procedure.               5,182        

      A subpoena issued by the board may be served by a sheriff,   5,184        

the sheriff's deputy, or a board employee designated by the        5,185        

board.  Service of a subpoena issued by the board may be made by   5,187        

delivering a copy of the subpoena to the person named therein,     5,188        

reading it to the person, or leaving it at the person's usual      5,189        

place of residence.  When the person being served is a person      5,190        

whose practice is authorized by this chapter, service of the       5,191        

subpoena may be made by certified mail, restricted delivery,       5,192        

return receipt requested, and the subpoena shall be deemed served  5,193        

on the date delivery is made or the date the person refuses to     5,194        

accept delivery.                                                                

      A sheriff's deputy who serves a subpoena shall receive the   5,196        

same fees as a sheriff.  Each witness who appears before the       5,198        

board in obedience to a subpoena shall receive the fees and        5,200        

                                                          114    


                                                                 
mileage provided for witnesses in civil cases in the courts of     5,201        

common pleas.                                                                   

      (4)  All hearings and investigations of the board shall be   5,203        

considered civil actions for the purposes of section 2305.251 of   5,204        

the Revised Code.                                                  5,205        

      (5)  Information received by the board pursuant to an        5,207        

investigation is confidential and not subject to discovery in any  5,208        

civil action.                                                      5,209        

      The board shall conduct all investigations and proceedings   5,211        

in a manner that protects the confidentiality of patients and      5,213        

persons who file complaints with the board.  The board shall not   5,215        

make public the names or any other identifying information about   5,216        

patients or complainants unless proper consent is given or, in     5,217        

the case of a patient, a waiver of the patient privilege exists    5,218        

under division (B) of section 2317.02 of the Revised Code, except  5,219        

that consent or a waiver of that nature is not required if the     5,220        

board possesses reliable and substantial evidence that no bona     5,222        

fide physician-patient relationship exists.                        5,223        

      The board may share any information it receives pursuant to  5,226        

an investigation, including patient records and patient record     5,227        

information, with other licensing boards and governmental          5,228        

agencies that are investigating alleged professional misconduct    5,229        

and with law enforcement agencies and other governmental agencies  5,231        

that are investigating or prosecuting alleged criminal offenses.                

A board or agency that receives the information shall comply with  5,232        

the same requirements regarding confidentiality as those with      5,233        

which the state medical board must comply, notwithstanding any     5,234        

conflicting provision of the Revised Code or procedure of the      5,236        

board or agency that applies when the board or agency is dealing                

with other information in its possession.  The information may be  5,238        

admitted into evidence in a criminal trial in accordance with the  5,239        

Rules of Evidence, but the court shall require that appropriate    5,240        

measures are taken to ensure that confidentiality is maintained    5,241        

with respect to any part of the information that contains names    5,242        

                                                          115    


                                                                 
or other identifying information about patients or complainants                 

whose confidentiality was protected by the state medical board     5,243        

when the information was in the board's possession.  Measures to   5,244        

ensure confidentiality that may be taken by the court include      5,245        

sealing its records or deleting specific information from its      5,247        

records.                                                                        

      (6)  On a quarterly basis, the board shall prepare a report  5,249        

that documents the disposition of all cases during the preceding   5,250        

three months.  The report shall contain the following information  5,251        

for each case with which the board has completed its activities:   5,252        

      (a)  The case number assigned to the complaint or alleged    5,254        

violation;                                                         5,255        

      (b)  The type of certificate to practice, if any, held by    5,258        

the individual against whom the complaint is directed;             5,259        

      (c)  A description of the allegations contained in the       5,261        

complaint;                                                         5,262        

      (d)  The disposition of the case.                            5,264        

      The report shall state how many cases are still pending and  5,267        

shall be prepared in a manner that protects the identity of each   5,269        

person involved in each case.  The report shall be a public        5,270        

record under section 149.43 of the Revised Code.                                

      (G)  If the secretary and supervising member determine that  5,272        

there is clear and convincing evidence that an individual has      5,274        

violated division (B) of this section and that the individual's    5,275        

continued practice presents a danger of immediate and serious      5,277        

harm to the public, they may recommend that the board suspend the  5,278        

individual's certificate to practice without a prior hearing.      5,280        

Written allegations shall be prepared for consideration by the                  

board.                                                             5,281        

      The board, upon review of those allegations and by an        5,283        

affirmative vote of not fewer than six of its members, excluding   5,285        

the secretary and supervising member, may suspend a certificate    5,286        

without a prior hearing.  A telephone conference call may be       5,287        

utilized for reviewing the allegations and taking the vote on the  5,288        

                                                          116    


                                                                 
summary suspension.                                                5,289        

      The board shall issue a written order of suspension by       5,291        

certified mail or in person in accordance with section 119.07 of   5,292        

the Revised Code.  The order shall not be subject to suspension    5,294        

by the court during pendency of any appeal filed under section     5,295        

119.12 of the Revised Code.  If the individual subject to the      5,297        

summary suspension requests an adjudicatory hearing by the board,  5,298        

the date set for the hearing shall be within fifteen days, but     5,299        

not earlier than seven days, after the individual requests the     5,301        

hearing, unless otherwise agreed to by both the board and the      5,302        

individual.                                                                     

      Any summary suspension imposed under this division shall     5,304        

remain in effect, unless reversed on appeal, until a final         5,305        

adjudicative order issued by the board pursuant to this section    5,306        

and Chapter 119. of the Revised Code becomes effective.  The       5,307        

board shall issue its final adjudicative order within sixty days   5,308        

after completion of its hearing.  A failure to issue the order     5,309        

within sixty days shall result in dissolution of the summary       5,310        

suspension order but shall not invalidate any subsequent, final    5,311        

adjudicative order.                                                5,312        

      (H)  If the board takes action under division (B)(9), (11),  5,315        

or (13) of this section and the judicial finding of guilt, guilty  5,316        

plea, or judicial finding of eligibility for treatment in lieu of  5,317        

conviction is overturned on appeal, upon exhaustion of the         5,319        

criminal appeal, a petition for reconsideration of the order may   5,320        

be filed with the board along with appropriate court documents.    5,321        

Upon receipt of a petition of that nature and supporting court     5,322        

documents, the board shall reinstate the individual's certificate  5,323        

to practice.  The board may then hold an adjudication under        5,324        

Chapter 119. of the Revised Code to determine whether the          5,325        

individual committed the act in question.  Notice of an            5,327        

opportunity for a hearing shall be given in accordance with        5,328        

Chapter 119. of the Revised Code.  If the board finds, pursuant    5,329        

to an adjudication held under this division, that the individual   5,330        

                                                          117    


                                                                 
committed the act or if no hearing is requested, the board may     5,332        

order any of the sanctions identified under division (B) of this   5,333        

section.                                                                        

      (I)  The certificate to practice issued to an individual     5,335        

under this chapter and the individual's practice in this state     5,337        

are automatically suspended as of the date the individual pleads                

guilty to, is found by a judge or jury to be guilty of, or is      5,339        

subject to a judicial finding of eligibility for treatment in      5,340        

lieu of conviction for any of the following criminal offenses in   5,342        

this state or a substantially equivalent criminal offense in       5,343        

another jurisdiction: aggravated murder, murder, voluntary         5,344        

manslaughter, felonious assault, kidnapping, rape, sexual          5,345        

battery, gross sexual imposition, aggravated arson, aggravated     5,346        

robbery, or aggravated burglary.  Continued practice after         5,348        

suspension shall be considered practicing without a certificate.   5,349        

      The board shall notify the individual subject to the         5,352        

suspension by certified mail or in person in accordance with       5,353        

section 119.07 of the Revised Code.  If an individual whose        5,354        

certificate is suspended under this division fails to make a       5,355        

timely request for an adjudication under Chapter 119. of the       5,356        

Revised Code, the board shall enter a final order permanently      5,357        

revoking the individual's certificate to practice.                 5,358        

      (J)  If the board is required by Chapter 119. of the         5,361        

Revised Code to give notice of an opportunity for a hearing and    5,362        

if the individual subject to the notice does not timely request a  5,363        

hearing in accordance with section 119.07 of the Revised Code,     5,365        

the board is not required to hold a hearing, but may adopt, by an  5,366        

affirmative vote of not fewer than six of its members, a final     5,368        

order that contains the board's findings.  In that final order,    5,369        

the board may order any of the sanctions identified under          5,370        

division (A) or (B) of this section.                               5,371        

      (K)  Any action taken by the board under division (B) of     5,373        

this section resulting in a suspension from practice shall be      5,374        

accompanied by a written statement of the conditions under which   5,375        

                                                          118    


                                                                 
the individual's certificate to practice may be reinstated.  The   5,377        

board shall adopt rules governing conditions to be imposed for     5,378        

reinstatement.  Reinstatement of a certificate suspended pursuant  5,379        

to division (B) of this section requires an affirmative vote of    5,380        

not fewer than six members of the board.                           5,381        

      (L)  When the board refuses to grant a certificate to an     5,384        

applicant, revokes an individual's certificate to practice,        5,386        

refuses to register an applicant, or refuses to reinstate an       5,387        

individual's certificate to practice, the board may specify that   5,388        

its action is permanent.  An individual subject to a permanent     5,389        

action taken by the board is forever thereafter ineligible to      5,390        

hold a certificate to practice and the board shall not accept an   5,391        

application for reinstatement of the certificate or for issuance   5,392        

of a new certificate.                                                           

      (M)  Notwithstanding any other provision of the Revised      5,394        

Code, all of the following apply:                                  5,395        

      (1)  The surrender of a certificate issued under this        5,397        

chapter shall not be effective unless or until accepted by the     5,399        

board.  Reinstatement of a certificate surrendered to the board    5,400        

requires an affirmative vote of not fewer than six members of the  5,401        

board.                                                                          

      (2)  An application for a certificate made under the         5,404        

provisions of this chapter may not be withdrawn without approval   5,406        

of the board.                                                                   

      (3)  Failure by an individual to renew a certificate of      5,409        

registration in accordance with this chapter shall not remove or                

limit the board's jurisdiction to take any disciplinary action     5,411        

under this section against the individual.                         5,412        

      (N)  Sanctions shall not be imposed under division (B)(28)   5,415        

of this section against any person who waives deductibles and      5,416        

copayments as follows:                                                          

      (1)  In compliance with the health benefit plan that         5,418        

expressly allows such a practice.  Waiver of the deductibles or    5,419        

copayments shall be made only with the full knowledge and consent  5,420        

                                                          119    


                                                                 
of the plan purchaser, payer, and third-party administrator.       5,421        

Documentation of the consent shall be made available to the board  5,422        

upon request.                                                                   

      (2)  For professional services rendered to any other person  5,424        

authorized to practice pursuant to this chapter, to the extent     5,426        

allowed by this chapter and rules adopted by the board.            5,427        

      (O)  Under the board's investigative duties described in     5,429        

this section and subject to division (F) of this section, the      5,431        

board shall develop and implement a quality intervention program   5,433        

designed to improve through remedial education the clinical and    5,435        

communication skills of individuals authorized under this chapter  5,436        

to practice medicine and surgery, osteopathic medicine and                      

surgery, and podiatry.  In developing and implementing the         5,438        

quality intervention program, the board may do all of the          5,439        

following:                                                                      

      (1)  Offer in appropriate cases as determined by the board   5,441        

an educational and assessment program pursuant to an               5,442        

investigation the board conducts under this section;               5,443        

      (2)  Select providers of educational and assessment          5,445        

services, including a quality intervention program panel of case   5,446        

reviewers;                                                                      

      (3)  Make referrals to educational and assessment service    5,449        

providers and approve individual educational programs recommended  5,450        

by those providers.  The board shall monitor the progress of each  5,451        

individual undertaking a recommended individual educational        5,452        

program.                                                           5,453        

      (4)  Determine what constitutes successful completion of an  5,455        

individual educational program and require further monitoring of   5,456        

the individual who completed the program or other action that the  5,458        

board determines to be appropriate;                                             

      (5)  Adopt rules in accordance with Chapter 119. of the      5,460        

Revised Code to further implement the quality intervention         5,462        

program.                                                                        

      An individual who participates in an individual educational  5,465        

                                                          120    


                                                                 
program pursuant to this division shall pay the financial          5,466        

obligations arising from that educational program.                 5,467        

      Section 2.  That existing sections 2925.02, 2925.03,         5,469        

2925.11, 2925.12, 2925.14, 2925.23, 2925.36, 3719.06, 3719.81,     5,470        

4723.02, 4723.04, 4723.06, 4723.07, 4723.08, 4723.151, 4723.28,    5,472        

4723.42, 4723.43, 4723.431, 4723.44, 4723.47, 4723.52, 4723.56,    5,473        

4723.561, 4723.57, 4723.58, 4723.59, 4729.01, 4729.51, and         5,474        

4731.22 of the Revised Code are hereby repealed.                   5,475        

      Section 3.  That Section 3 of Am. Sub. H.B. 478 of the       5,477        

119th General Assembly, as most recently amended by Am. Sub. S.B.  5,478        

154 of the 121st General Assembly, be amended to read as follows:  5,479        

      "Sec. 3.  Sections 4723.51, 4723.52, 4723.53, 4723.54,       5,481        

4723.55, 4723.56, 4723.57, 4723.58, 4723.59, and 4723.60 of the    5,482        

Revised Code are hereby repealed, effective January 1, 2010."      5,483        

      Section 4.  That existing Section 3 of Am. Sub. H.B. 478 of  5,485        

the 119th General Assembly, as most recently amended by Am. Sub.   5,486        

S.B. 154 of the 121st General Assembly, is hereby repealed.        5,487        

      Section 5.  Sections 4723.56, 4723.561, 4723.57, and         5,489        

4723.58 of the Revised Code are hereby repealed, effective two     5,490        

years after the effective date of this act.                        5,491        

      Section 6.  Until two years after the effective date of      5,493        

this act, the Board of Nursing shall issue a certificate under     5,494        

section 4723.48 of the Revised Code to prescribe drugs and         5,495        

therapeutic devices to a nurse who holds approval to prescribe     5,496        

drugs and therapeutic devices granted under section 4723.56 of     5,497        

the Revised Code and who meets all the requirements listed in      5,498        

division (C) of section 4723.48 of the Revised Code, other than    5,499        

the requirement that the nurse has successfully completed the                   

advanced pharmacology instruction required by division (A) of      5,500        

that section.                                                                   

      Section 7.  The amendment of section 4723.52 of the Revised  5,502        

Code by this act shall take effect two years after the effective   5,503        

date of this act.