OH HB141

Creates a new licensing framework for prescribed pediatric extended care centers (PPECCs) in Ohio, requiring facilities to obtain a license from the Ohio Department of Health to provide daytime medical, nursing, and developmental services to children under 21 who require continuous therapeutic interventions or skilled nursing supervision

Requires applicants to hold a valid child care center license, employ a pediatric physician as medical director with at least 3 years of clinical experience, employ registered nurse managers, and pay an initial application fee of $1,000 ($250 for existing license holders) with $500 renewal fees every 3 years

Establishes staffing ratios mandating 2 registered nurses for up to 12 children, adding 1 licensed practical nurse for 13-20 children, and requiring 3 RNs plus 2 LPNs for 21-30 children, with an additional RN required for every 8 children beyond 30

Directs the Medicaid director to seek federal approval to cover PPECC services under the early and periodic screening, diagnostic, and treatment (EPSDT) program for eligible children

Imposes penalties of $500-$10,000 per offense for operating without a license and authorizes civil penalties up to $500 per day for regulatory violations