Current Legislation

Sb259 Graphic 3 June

SB259 Update


December 20, 2018

SB259 was signed by the Governor and will go into effect in 90 days.

SB259, the PA Bill, was successfully passed by the Ohio General Assembly on December 13, 2018.  The Governor now has 10 days to sign it or it automatically becomes law.  The new law will not go into effect until 90 day after the Governor signs it.

Once in effect, the PA formulary will be removed, the ratio of PAs to supervising physicians will increase to 5, out-of-state PAs and military PAs that do not have a Masters Degree can get a license in Ohio with two years of practice immediately preceding application and allow PAs that have a Masters Degree but did not apply for prescriptive authority when the law changed a number of years ago to now obtain prescriptive authority.

The bill will also allow the PAPC to meet via teleconferencing or videoconferencing and reduces the number of pharmacists on the PAPC to one.

Language on teledentistry was amended into SB259 and does not affect PA practice.

Additional questions may be sent to or 800.292.4997

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December 13, 2018

SB259 was introduced in mid-February by the bill’s sponsor, Senator Hackett, with the anticipation to remove significant practice barriers for Ohio PAs. The most notable goals of our OAPA legislative leaders were to remove the PA Formulary, increase the Physician/PA ratio to 5, allow PAs to order conscious sedation medications to perform various procedures (i.e. rapid sequence intubation), and the elimination for filing supervision agreements with the OSMB.

After much discussion between OAPA legislative leaders, Senator Hackett, our lobbyists Bricker & Eckler, and several other interested parties, it became apparent that SB259 would not pass with the sedation language included as originally introduced. Therefore, a decision was made to strike the sedation language from the original text.

SB259 was then reintroduced to the Senate Health Committee and subsequently passed on June 26th with a unanimous vote. It was amended in the House Health Committee to include teledentistry language and then voted out,  The House passed it and the Senate concurred with the amendment on December 13, 2018.  It will take effect 90 days after the Governor signs it.

While having to eliminate the sedation language from SB259 comes as a devastating blow to many PAs, removal of the PA Formulary would be a monumental leap forward for PA practice in Ohio. Currently, Ohio is 1 of 6 states that still use an antiquated PA Formulary. The Ohio Association of PAs recognizes the detrimental extent and limitations of being unable to legally order the appropriate medications to perform rapid intubation and related procedures. Rest assured OAPA will continue to work on changing the law with regards to sedation in the future.

Be sure to sign up for email alerts, track the bill’s progress, and read the legislative text here.


Additional questions may be sent to or 800.292.4997

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Supervision Agreement Changes

An email was received on July 6 from the Medical Board and OAPA also spoke with a representative from the Medical Board to confirm the information.

In summary, effective immediately there are no renewals, no 5 day waiting period and the eLicense system for submitting supervision agreements has been disabled. Effective immediately for new hires the supervision agreement is signed and kept on file at the practice site and they may begin to work immediately. You may use any form you like but the OSMB recommends that you use their form(s) as those forms meet the statutory requirements.

Supervision agreements on file at the practice site remain in effect indefinitely until the physician ceases supervision of the PA(s).

For those with existing supervision agreements nothing needs to be done (except make sure there is a copy on file at the practice site) even if they are scheduled for renewal. Make sure that any changes you make to the agreements between now and September 26, 2018 generate a new supervision agreement that is kept on file. Make sure that all the supervision agreements you have on file on September 26, 2018 are correct. After September 26 the Medical Board will begin the audit process and there are penalties for non-compliance.

The email from the Medical Board states:

According to HB 111, the requirement that each supervision agreement be submitted to, and reviewed by, the Medical Board, is eliminated.
For more information, a legislative summary of the new law can be found here.
A link to the new legislation can be found by visiting this site and selecting the View Current Version option next to Legislation Text.
The Board is proactively implementing this legislation so that licensees can immediately avail themselves of this new streamlined process. Therefore, the filing of supervision agreements through eLicense is no longer necessary.
For convenience, the Board has updated the supervision agreement forms that can be found at the following links:
Please note that use of these specific forms is not required; you may create your own documents that meet the requirements of the law.
Since supervision agreements are no longer filed with the board, there is no renewal of them. They are living documents that remain active and can be amended at any time until the physician ceases supervision of the physician assistant.



 Additional questions may be sent to or 800.292.4997

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Frequently Asked Questions

So what does SB259 now include?

  1. Removes the PA Formulary.

  2. Allow a PA, who previously had a Master’s degree when they obtained an Ohio license, but did not pursue prescriptive authority, to now receive prescriptive authority.

  3. Allow a PA from out-of-state to receive an Ohio license if they have a valid license in another jurisdiction and are in active practice anytime within the last 2 yrs.

  4. Increase the supervision ratio to 5-1.


SB259 was passed by the Ohio General Assembly. Does that mean the above is law now?!

No.  It will not become effective until 90 days after the Governor signs it.

Do PAs still have to complete a Supervisory Agreement?

Yes, PAs and the supervising physician must still complete the appropriate agreement application. However, these forms no longer need to be filed online with the OSMB. HB 111 allows these supervisory agreements to be kept on-site of the physician's practice. The supervisory agreements can be found here:

How can I help?

  1. Renew or become a member of OAPA: Membership dollars fund the efforts to break down practice barriers in Ohio.

  2. Get Involved: Serve on Committees of OAPA, run for office, be a voice

  3. Stay informed of PA practice in Ohio and help others stay informed as well!

  4. Donate to the legal fund or the PAC of OAPA!



Additional questions may be sent to or 800.292.4997

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None at this time.