(4)
"Health care facility or location" means a hospital, | 27 |
clinic, ambulatory surgical facility, office of a health care | 28 |
professional or associated group of health care professionals, | 29 |
training institution for health care professionals, or any other | 30 |
place where medical, dental, or other health-related diagnosis, | 31 |
care, or treatment is provided to a person. | 32 |
(b) Registered nurses , advancedpractice nurses, and | 39 |
licensed practical nurses licensed
under Chapter
4723. of the | 40 |
Revised Code and individuals who hold a certificate of authority | 41 |
issued under that chapter that authorizes the practice of nursing | 42 |
as a certified registered nurse anesthetist, clinical nurse | 43 |
specialist, certified nurse-midwife, or certified nurse | 44 |
practitioner; | 45 |
(5)(6)
"Health care worker" means a person other than a | 71 |
health
care
professional who provides medical, dental, or other | 72 |
health-related care or
treatment under the direction of a health | 73 |
care professional with the authority
to direct that individual's | 74 |
activities, including
medical technicians, medical assistants, | 75 |
dental assistants,
orderlies, aides, and individuals acting in | 76 |
similar capacities. | 77 |
(i) The person is not a policyholder, certificate
holder, | 91 |
insured, contract holder, subscriber, enrollee, member, | 92 |
beneficiary, or other covered individual under a health insurance | 93 |
or health care policy, contract, or plan. | 94 |
(ii) The person is a policyholder, certificate holder, | 95 |
insured, contract holder, subscriber, enrollee, member, | 96 |
beneficiary, or other covered individual under a health insurance | 97 |
or health care policy, contract, or plan, but the insurer,
policy, | 98 |
contract, or plan denies coverage or is the subject of
insolvency | 99 |
or bankruptcy proceedings in any jurisdiction. | 100 |
(9)
"Operation" means any procedure that involves cutting or | 105 |
otherwise
infiltrating human tissue by mechanical means, including | 106 |
surgery, laser
surgery, ionizing radiation, therapeutic | 107 |
ultrasound, or the removal of
intraocular foreign bodies. | 108 |
"Operation" does not include the administration
of medication by | 109 |
injection, unless the injection is administered in
conjunction | 110 |
with a procedure infiltrating human tissue by mechanical means | 111 |
other than the administration of medicine by injection. | 112 |
"Operation" does not include routine dental restorative | 113 |
procedures, the scaling of teeth, or extractions of teeth that are | 114 |
not impacted. | 115 |
(8)
"Nonprofit shelter or health care facility" means
a | 116 |
charitable nonprofit corporation organized and
operated pursuant | 117 |
to Chapter 1702. of the Revised
Code, or any charitable | 118 |
organization not organized and not operated
for profit, that | 119 |
provides shelter, health care services, or
shelter and health care | 120 |
services to indigent and uninsured persons,
except that
"shelter | 121 |
or
health care facility" does not include a hospital as defined in | 122 |
section
3727.01 of the Revised Code, a facility licensed under | 123 |
Chapter 3721. of the
Revised Code, or a medical facility that is | 124 |
operated for profit. | 125 |
(10)(11)
"Volunteer" means an individual who provides any | 130 |
medical, dental, or
other health-care related diagnosis, care, or | 131 |
treatment without
the expectation of receiving and without receipt | 132 |
of any compensation or other
form of remuneration from an indigent | 133 |
and uninsured person,
another person on behalf of an indigent and | 134 |
uninsured person, any shelter or
health care facility or location, | 135 |
any nonprofit health care referral organization, or any
other | 136 |
person or government entity. | 137 |
(B)(1) Subject to divisions (E)(F) and (F)(G)(3) of this | 140 |
section,
a health care
professional who is a volunteer and | 141 |
complies with
division (B)(2) of this
section is not liable in | 142 |
damages to any
person or government entity in a tort
or other | 143 |
civil action,
including an action on a medical, dental, | 144 |
chiropractic,
optometric, or other health-related claim, for | 145 |
injury, death, or
loss to person or property that allegedly arises | 146 |
from an action or
omission of the volunteer in the provision at a | 147 |
nonprofit shelter
or health
care facility to an indigent and | 148 |
uninsured person of
medical, dental, or other
health-related | 149 |
diagnosis, care, or
treatment, including the provision of samples | 150 |
of medicine and
other medical
products, unless the action or | 151 |
omission constitutes
willful or wanton
misconduct. | 152 |
(b) Inform the person of the provisions of this section, | 160 |
including notifying the person that, by giving informed consent to | 161 |
the provision of the diagnosis, care, or treatment, the person | 162 |
cannot hold the health care professional liable for damages in a | 163 |
tort or other civil action, including an action on a medical, | 164 |
dental, chiropractic, optometric, or other health-related claim, | 165 |
unless the action or omission of the health care professional | 166 |
constitutes willful or wanton misconduct; | 167 |
(c) Obtain the informed consent of the person and a written | 168 |
waiver, signed by the person or by
another individual on behalf of | 169 |
and in the presence of the person, that states
that the person is | 170 |
mentally competent to give informed consent and,
without being | 171 |
subject to duress or under undue influence, gives
informed consent | 172 |
to the provision of the diagnosis, care, or
treatment subject to | 173 |
the provisions of this section. A written waiver under division | 174 |
(B)(2)(c) of this section shall state clearly and in conspicuous | 175 |
type that the person or other individual who signs the waiver is | 176 |
signing it with full knowledge that, by giving informed consent to | 177 |
the provision of the diagnosis, care, or treatment, the person | 178 |
cannot bring a tort or other civil action, including an action on | 179 |
a medical, dental, chiropractic, optometric, or other | 180 |
health-related claim, against the health care professional unless | 181 |
the action or omission of the health care professional constitutes | 182 |
willful or wanton misconduct. | 183 |
(C) Subject to divisions (E)(F) and (F)(G)(3) of this | 188 |
section,
health care workers
who are volunteers are not liable in | 189 |
damages
to any person or government
entity in a tort or other | 190 |
civil
action, including an action upon a medical,
dental, | 191 |
chiropractic,
optometric, or other health-related claim, for | 192 |
injury,
death, or
loss to person or property that allegedly arises | 193 |
from
an action or
omission of the health care worker in the | 194 |
provision at a nonprofit
shelter or health care facility to an | 195 |
indigent and
uninsured
person of medical, dental, or other | 196 |
health-related diagnosis,
care,
or treatment, unless the action or | 197 |
omission constitutes
willful or wanton
misconduct. | 198 |
(D) Subject to divisions (F) and (G)(3) of this section, a | 199 |
nonprofit health care referral organization is not liable in | 200 |
damages to any person or government entity in a tort or other | 201 |
civil action, including an action on a medical, dental, | 202 |
chiropractic, optometric, or other health-related claim, for | 203 |
injury, death, or loss to person or property that allegedly arises | 204 |
from an action or omission of the nonprofit health care referral | 205 |
organization in referring indigent and uninsured persons to, or | 206 |
arranging for the provision of, medical, dental, or other | 207 |
health-related diagnosis, care, or treatment by a health care | 208 |
professional described in division (B)(1) of this section or a | 209 |
health care worker described in division (C) of this section, | 210 |
unless the action or omission constitutes willful or wanton | 211 |
misconduct. | 212 |
(E) Subject to divisions (E)(F) and (F)(G)(3) of this section | 213 |
and
to the extent that the registration requirements of section | 214 |
3701.071
of the Revised Code apply, a nonprofit shelter or
health | 215 |
care facility or location associated
with a health care | 216 |
professional
described in division (B)(1) of this section or, a | 217 |
health care
worker described in division (C) of this section, or a | 218 |
nonprofit health care referral organization described in division | 219 |
(D) of this section is
not liable in
damages to any person or | 220 |
government entity in a tort or other
civil action, including an | 221 |
action on a medical, dental,
chiropractic,
optometric, or
other | 222 |
health-related claim, for
injury, death, or loss to person or | 223 |
property
that allegedly arises
from an action or omission of the | 224 |
health care
professional or
worker in providing foror nonprofit | 225 |
health care referral organization relative to the shelter or | 226 |
facility medical,
dental,
or other health-related diagnosis, care, | 227 |
or treatment provided to an
indigent
and uninsured person on | 228 |
behalf of or at the health care facility or location, unless the | 229 |
action or omission
constitutes willful or
wanton misconduct. | 230 |
(E)(F)(1) Except as provided in division (E)(F)(2) of this | 231 |
section, the immunities provided by divisions
(B), (C), and (D), | 232 |
and (E) of
this section are not
available to an individual or to a | 233 |
nonprofit
sheltera health care professional, health care worker, | 234 |
nonprofit health care referral organization, or health care | 235 |
facility or location if, at the time of an alleged
injury, death, | 236 |
or loss to person or property, the individualshealth care | 237 |
professionals or health care workers involved are
providing one of | 238 |
the following: | 239 |
(2) Division (E)(F)(1) of this section does not apply to an | 247 |
individual who provides, or a nonprofit shelter or health care | 248 |
facility at
which the individualwhen a health care professional | 249 |
or health care worker provides,medical, dental, or other | 250 |
health-related diagnosis, care, or
treatment that is
necessary to | 251 |
preserve the life of a person in a
medical emergency. | 252 |
(2) This section does not affect any immunities from
civil | 257 |
liability or defenses established by another section of the | 258 |
Revised Code or available at common law to which
an individual or | 259 |
a nonprofit shelterhealth care professional, health care worker, | 260 |
nonprofit health care referral organization, or
health care | 261 |
facility or location may be entitled in
connection with the | 262 |
provision of emergency or other medical, dental, or other | 263 |
health-related diagnosis,
care, or
treatment. | 264 |
(5) This section does not affect any legal
responsibility of | 275 |
a nonprofit shelter or health care facility or location to comply | 276 |
with any
applicable law of this state, rule of an agency of this | 277 |
state, or
local code, ordinance, or regulation that pertains to
or | 278 |
regulates
building, housing, air pollution, water pollution, | 279 |
sanitation,
health, fire, zoning, or safety. | 280 |
(2) "Nonprofit shelter
or health care facility" has the same | 284 |
meaning as in section 2305.234 of the
Revised Codemeans a | 285 |
charitable nonprofit corporation organized and operated pursuant | 286 |
to Chapter 1702. of the Revised Code, or any charitable | 287 |
organization not organized and not operated for profit, that | 288 |
provides shelter, health care services, or shelter and health care | 289 |
services to indigent and uninsured persons. "Nonprofit shelter or | 290 |
health care facility" does not include a hospital, as defined in | 291 |
section 3727.01 of the Revised Code, a facility licensed under | 292 |
Chapter 3721. of the Revised Code, or a medical facility that is | 293 |
operated for profit. | 294 |
(C) A nonprofit shelter or health care facility operating in | 302 |
this
state shall keep records of all patients who receive medical, | 303 |
dental, or other
health-related diagnosis, care, or treatment at | 304 |
the shelter or facility. The
department of health shall monitor | 305 |
the quality of care provided to patients at
nonprofit shelters or | 306 |
health care facilities. The monitoring program may be
conducted by | 307 |
contracting with another entity or through any other method | 308 |
authorized by law. The department may solicit and accept funds | 309 |
from private
sources to fund the monitoring program. | 310 |
(D) The holder of a volunteer's certificate may provide | 349 |
dental
services only on the premises of a nonprofit shelter or | 350 |
health care
facility and only to indigent and uninsured persons. | 351 |
The
holder shall not accept any form of remuneration for providing | 352 |
dental
services while in possession of the certificate. Except in | 353 |
a dental
emergency, the holder shall not perform any operation. | 354 |
The board may
revoke a volunteer's certificate on receiving proof | 355 |
satisfactory
to the board that the holder has engaged in practice | 356 |
in this state
outside the scope of the holder's certificate or | 357 |
that there are
grounds for action against the person under section | 358 |
4715.30 of the
Revised Code. | 359 |
(2) To be eligible for renewal of a volunteer's certificate, | 367 |
the
holder of the certificate shall certify to the board | 368 |
completion of sixty
hours of continuing dental education that | 369 |
meets the requirements of
section 4715.141 of the Revised Code and | 370 |
the rules adopted under
that section, or completion of eighteen | 371 |
hours of continuing dental
hygiene education that meets the | 372 |
requirements of section
4715.25 of the Revised Code and the rules | 373 |
adopted under that
section, as the case may be. The board may not | 374 |
renew a
certificate if the holder has not complied with the | 375 |
appropriate
continuing education requirements. The nonprofit | 376 |
shelter or
health care facility inAny entity for which the holder | 377 |
provides dental services
may pay for or reimburse the holder for | 378 |
any costs incurred in obtaining the
required continuing education | 379 |
credits. | 380 |
(3) The board shall issue to each person who qualifies under | 381 |
this
section for a volunteer's certificate a wallet certificate | 382 |
and a wall
certificate that state that the certificate holder is | 383 |
authorized to
provide dental services pursuant to the laws of this | 384 |
state. The
holder shall keep the wallet certificate on the | 385 |
holder's person
while providing dental services and shall display | 386 |
the wall
certificate prominently in the nonprofit shelter or | 387 |
health care
facilityat the location where the holder primarily | 388 |
practices. | 389 |
(D) The holder of a volunteer's certificate may provide | 438 |
medical
services only on the premises of a nonprofit shelter or | 439 |
health care facility
and only to indigent and uninsured persons. | 440 |
The holder shall not accept any
form of remuneration for providing | 441 |
medical services while in possession of the
certificate. Except in | 442 |
a medical emergency, the holder shall not perform any
operation or | 443 |
deliver babies. The board may revoke a volunteer's certificate
on | 444 |
receiving proof satisfactory to the board that the holder has | 445 |
engaged in
practice in this state outside the scope of the | 446 |
certificate. | 447 |
(2) To be eligible for renewal of a volunteer's certificate | 455 |
the holder of
the certificate shall certify to the board | 456 |
completion of one hundred fifty
hours of continuing medical | 457 |
education that meets
the requirements of section 4731.281 of the | 458 |
Revised Code regarding
certification by private associations and | 459 |
approval by the board. The board may not renew a certificate if | 460 |
the holder has not complied with the continuing medical education | 461 |
requirements. The nonprofit shelter or health care facility inAny | 462 |
entity for which the
holder provides medical services may pay for | 463 |
or reimburse the holder for any
costs incurred in obtaining the | 464 |
required continuing medical education
credits. | 465 |
(3) The board shall issue to each person who qualifies under | 466 |
this section
for a volunteer's certificate a wallet certificate | 467 |
and a wall
certificate that
state that the certificate holder is | 468 |
authorized to provide medical services
pursuant to the laws
of | 469 |
this state. The holder shall keep the wallet
certificate on the | 470 |
holder's person
while providing medical services and shall display | 471 |
the wall
certificate prominently in
the nonprofit shelter or | 472 |
health care facilityat the location where the holder primarily | 473 |
practices. | 474 |
(3) To study the feasibility of whether the state of Ohio | 501 |
should create a fund to provide compensation to indigent and | 502 |
uninsured persons who receive medical, dental, or other | 503 |
health-related diagnosis, care, or treatment from health care | 504 |
professionals or health care workers who are volunteers, for any | 505 |
injury, death, or loss to person or property as a result of the | 506 |
negligence or other misconduct by those health care professionals | 507 |
or workers; | 508 |
Section 7. Section 2305.234 of the Revised Code is presented | 531 |
in
this act as a composite of the section as amended by both Am. | 532 |
Sub. H.B. 95 and Am. Sub. S.B. 51 of
the 125th General Assembly. | 533 |
The General Assembly, applying the
principle stated in division | 534 |
(B) of section 1.52 of the Revised
Code that amendments are to be | 535 |
harmonized if reasonably capable of
simultaneous operation, finds | 536 |
that the composite is the resulting
version of the section in | 537 |
effect prior to the effective date of
the section as presented in | 538 |
this act. | 539 |