SB 230 Ohio Senate · 136th Legislature (2025-2026)

Authorize pharmacists to test, treat certain health conditions

Summary
To amend sections 1751.91, 3923.89, 4729.01, 5164.14, and 5167.051 and to enact section 4729.392 of the Revised Code to authorize pharmacists to screen, test, and provide treatment for certain respiratory health conditions.
Bill status passed 3 of 5 stages cleared
Introduction
Jul 2025
Committee Review
Oct 2025
Senate Passage
Jun 2026
House Passage
Governor
Introduced Jul 7, 2025 Last action Jun 16, 2026
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced As Passed by the Senate · 6 edits · Jun 10, 2026
MODERATE
This bill expands the authority of Ohio pharmacists to screen, test, and treat patients for specific respiratory conditions (flu, strep, and COVID-19) by adding two new sections to the Revised Code. It mandates that health insurers and Medicaid must reimburse pharmacists for these services if they cover equivalent services from other providers, while also updating legal definitions to clarify what constitutes a 'prescription' and 'dangerous drug' in this context.
Scope change
The bill's scope broadened from authorizing pharmacists to screen and treat only under existing consult agreements to explicitly including new respiratory conditions (flu, strep, and COVID-19) under a new statewide protocol. It also extends reimbursement requirements to sickness and accident insurers and public employee benefit plans, not just health insuring corporations and Medicaid.
SCOPE

Added explicit authorization for pharmacists to screen, test, and treat patients for influenza, group A streptococcus pharyngitis, and COVID-19.

FISCAL

Mandated that sickness and accident insurers and public employee benefit plans must reimburse pharmacists for these services if their policies cover equivalent services from other providers.

REQUIREMENT

Required the State Board of Pharmacy to develop a statewide written protocol for these screenings and treatments, including rules for patient history, treatment criteria, and referrals.

Established a review process where the State Medical Board can comment on the screening protocol before it is finalized.

DEFINITION

Expanded the definition of 'Prescription' to include specific orders for epinephrine autoinjectors and glucagon issued to schools and camps.

Added new definitions for various entities such as 'animal shelter,' 'wild animal rehabilitation facility,' 'outsourcing facility,' and 'repackager of dangerous drugs'.

Floor votes · Senate Jun 11, 2026

How they voted

312
Passed
Total votes 33
Jun 11, 2026
D Democratic9
9 Yea
100% Yea
R Republican24
22 Yea 2 Nay
91% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
1
Jun 16, 2026
Introduced
Introduced
lower
Jun 11, 2026
Senate · Passed
Senate Vote: pass (31-2)
senate
Jun 10, 2026
Upper · Passed
Passed
upper
Oct 1, 2025
Committee
Referred to committee
upper
Jul 7, 2025
Introduced
Introduced
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mark Romanchuk
Mark Romanchuk
RRepublican
OH
22