The Ohio House passed House Bill 567 on November 10, 2026. Sponsored by Rep. Kellie Deeter (R-Norwalk), the nursing-law modernization bill now goes to the Ohio Senate (House Republican release).
The stake for LPNs is concrete: the House-passed text touches practical nurse scope of practice, medication administration, licensing, and nursing education programs. It is not law.
The tension is timing. Scope language that changes what an LPN may do without an RN present will arrive, if at all, after Senate amendments and Board rulemaking, not on the day of the vote.
What HB 567 Does and Where It Stands After House Passage
The tempting read of a House floor vote is that something just changed for Ohio LPNs. Nothing has yet, and the most useful thing to take from November is the gap between a chamber passing a bill and that bill becoming law.
What the bill actually touches
State Rep. Kellie Deeter (R-Norwalk) announced House passage of HB 567 on November 10, 2026, framing it as a modernization package built to streamline regulation and give health care professionals clearer, more consistent rules.1 The substance spans six areas: the structure and duties of the Board of Nursing's Advisory Committee on Advanced Practice Registered Nursing; technical corrections meant to align language across state law; nursing education programs; licensing; medication administration; and scope of practice for licensed practical nurses and APRNs.
Pending, not law
HB 567 has cleared the House and now heads to the Ohio Senate.1 It is a pending bill. No LPN duty, renewal requirement, IV rule, or medication administration standard changed the day after the vote. If it clears the Senate and is signed, Ohio generally sets non-emergency acts to take effect roughly 90 days after the governor files them, and the Secretary of State posts an effective date only once the bill arrives from the Legislative Service Commission.2 Treat every date as contingent on final passage and signature.
Read the primary documents
Two sources outrank any summary, including this one: the as-passed House bill text, which carries the actual scope and education language, and the Board of Nursing's own notices. Status pages can lag behind floor action, so confirm current Senate committee activity directly rather than relying on a single snapshot.3
LPN Scope of Practice: What Could Change, and What Today's Rules Already Say
What can an Ohio LPN legally do when no RN is directing the task?
The Rule Today
Ohio Revised Code 4723.01(F) defines LPN practice as basic nursing care delivered at the direction of an RN or an authorized physician, podiatrist, dentist, optometrist, chiropractor, or PA. It covers observation, patient teaching, direct care, and contributions to planning, implementation, and evaluation. Medications and treatments need practitioner authorization, adult IV therapy falls under two specific sections of the code, and delegation happens only as an RN directs. An LPN is not an independent delegator, and that boundary is where employer job descriptions draw their authority.
What HB 567 Actually Says
As passed by the House, HB 567 lists LPN scope of practice among the provisions it updates. Committee testimony frames the bill as technical and corrective, with no substantive change to LPN scope, so treat the pending text as language to verify rather than authority to act on. Until the Senate passes it and the Governor signs, nothing in the bill binds you at the bedside. Because the same provision also covers APRN scope, an APRN change does not automatically widen LPN duties.
How to Check It Yourself
Read the as-passed House version beside the Board's current practice guidance, including its standards of practice and delegation rules. Then watch Board rulemaking, where statutory language turns into day-to-day policy. Scope language is the likeliest target for Senate amendments, so this early text is a starting point, not an answer.
Medication Administration, IV Therapy, and the Pharmacology Course Question
Where Ohio LPNs Stand Today
Ohio's current framework does not change just because a bill cleared one chamber. An LPN must complete an Ohio Board of Nursing-approved medication administration course before giving medications1, and then may administer medications and treatments authorized by a prescriber within statutory scope.2 IV therapy for adult patients is a separate authority: the LPN must qualify under ORC 4723.18 or 4723.181 and meet OAC Rule 4723-4-02, including its minimum certification curriculum.1 IV push remains outside LPN permitted activities, with a narrow exception for heparin or saline flushes.3 HB 567 would update the state's medication administration provisions; it does not rewrite your scope tomorrow.
The Pharmacology Course Question
No available bill summary or Board of Nursing guidance establishes a new pharmacology course or IV therapy education requirement for LPN licensure in any of the three Ohio nursing bills now pending.1 Do not add a course, pay extra tuition, or delay enrollment on the strength of an unpassed bill.
Four Questions for Program Shoppers
- Approval: Is the practical nursing program Board-approved right now?
- Curriculum: Is medication administration or IV content planned to change?
- Timing: When would those changes actually start?
- Guidance: What has the program been told by the Board?
If You're Already Working
Follow your employer's policy and keep facility competency documentation current. A pending bill is not authorization. Statutory language usually needs rule updates before anything shifts at the bedside.
HB 567 vs. HB 303 vs. HB 521: Which Ohio Nursing Bill Does What
Three Ohio House bills come up in the same conversation about LPN practice, and they do very different things. HB 567 is the broad nursing-law update that just cleared the House, HB 303 already reshaped medication aide law, and HB 521 is a workforce and student-aid bill. The table below lines up what each one actually contains for LPNs.
| Provision | HB 567 (136th General Assembly) | HB 303 (135th General Assembly) | HB 521 (136th General Assembly) |
|---|---|---|---|
| What it is and who carries it | Rep. Kellie Deeter (R-Norwalk) sponsors this omnibus update to Ohio nursing law, described as streamlining regulation and adding clarity for health care professionals | Medication aide legislation from the prior General Assembly | The Ohio Nurse Workforce and Safe Patient Act, a workforce and student-aid bill |
| Status as of November 2026 | Passed the Ohio House on Nov. 10, 2026; now awaiting consideration in the Ohio Senate | Effective March 20, 2025 | Introduced in the House; no reported committee action |
| LPN scope of practice | Updates the scope-of-practice provisions that apply to LPNs and APRNs; the summaries reviewed do not describe a specific expansion of LPN duties | No LPN scope-of-practice provision identified; the bill targets medication aides | No LPN scope-of-practice provision identified in the summary reviewed |
| Medication administration, IV therapy, and pharmacology | Clarifies that medication administration is a type of skilled nursing care; IV therapy and pharmacology course language is not detailed in the summaries reviewed | Revises the law governing what medication aides may do | No provision in the summary reviewed |
| Nursing education programs and licensing | Updates provisions related to nursing education programs and to licensing | No provision in the summary reviewed | Creates the Nursing Student Loan-to-Grant Program and amends section 3333.28 |
| APRN advisory structure | Converts the Board of Nursing's Advisory Committee on Advanced Practice Registered Nursing into an Advisory Group on Advanced Practice Registered Nursing | No provision in the summary reviewed | No provision in the summary reviewed |
| Why LPNs should care | The bill to track this session, because LPN scope, medication administration, licensing, and education all sit in one piece of legislation | Relevant if you work alongside, delegate to, or supervise medication aides | Relevant for students weighing loan-to-grant aid and for the state's nurse pipeline |
House passage is a step forward, not a green light: until the Senate acts and the Board writes rules, Ohio LPNs practice under the same scope and medication rules they did yesterday.
Licensing, Renewal, and Nursing Education Program Updates in HB 567
Read the licensing and education language in HB 567 as a signal, not a new set of instructions. The House-passed version touches licensing and nursing education programs, but a bill is not a rule, and any Senate amendment can still redraw the text. Nothing here changes what an Ohio LPN applicant files today.
The Baseline That Still Governs Applicants
Until the Senate acts and the Board of Nursing issues implementing rules, the path is unchanged:
- Graduate from a program approved by the Ohio Board of Nursing.
- Apply through the Board's eLicense system.
- Pass the NCLEX-PN.
- Complete the fingerprint-based background check the Board requires for your situation; applicants inactive or lapsed five years or more need both BCI and FBI checks.1
Renewal also runs through eLicense, with continuing education completed in the 24 months before you apply. Don't send CE records with the application. Keep them six years and produce them if audited.2
A Safeguard Worth Using Now
Before you enroll or pay a deposit, confirm the practical nursing program holds current Board approval. Approval status is what makes its graduates licensure-eligible. Programs can sit on full or provisional approval, and a provisional status tied to NCLEX pass rates carries real risk for you.3
Where the Real Signal Shows Up
Board rules, forms, and renewal instructions are where licensing statutes become practice. Watch Board rule filings and renewal notices rather than headlines for the first concrete sign that anything affecting your license has changed.
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