OH HB314

Requires prescribers to obtain written informed consent from a minor's parent, guardian, or authorized adult before issuing first opioid prescription, including discussion of addiction risks, overdose dangers, and risks of combining opioids with other substances.

Establishes "Start Talking!" consent form requirement that must be signed and maintained in minor's medical record; exempts medical emergencies, surgery-related treatment, and facility-based care.

Allows child fatality review boards to obtain medical records from healthcare entities for children under one year old without parental consent and permits disclosure of confidential board information to fetal and infant mortality review teams.

Adds opioid prescription compliance violations to disciplinary grounds for dentists, nurses, optometrists, physician assistants, and physicians.

Creates process for methadone treatment facilities to obtain declarations establishing compliance with 500-foot distance requirement from schools and child-serving agencies, with one-year validity extendable for additional six-month periods.