OH HB595

Allows physician assistants to determine and pronounce death in certain settings (nursing homes, residential care facilities, hospice programs) without artificial respiratory support, with restrictions on death certificate completion and physician notification requirements.

Grants immunity from civil liability to physicians and physician assistants providing emergency medical services under federal law or during disasters, with exceptions for reckless disregard and willful/wanton misconduct.

Expands physician assistant scope of practice to include prescribing physical therapy referrals, inserting/removing chest tubes, and other clinical services; removes restrictions on removing intrauterine devices and norplant capsules.

Establishes Medicaid reimbursement for physician assistants at 100% of the Medicaid fee schedule maximum and requires physician assistants to enter into Medicaid provider agreements using individual provider numbers.

Creates provisional prescriptive authority periods for new physician assistants requiring on-site supervision for first 500 hours; allows experienced out-of-state physician assistants to obtain prescriptive authority without provisional period; maintains prohibition on prescribing Schedule II controlled substances and abortion-inducing drugs.