Ohio Revised Code
Chapter 4731 | Physicians; Limited Practitioners
Section 4731.25 | Administrative Rules for Treatment Providers for Impaired Practitioners.

Effective: February 8, 2018
Latest Legislation: House Bill 145 - 132nd General Assembly
The state medical board, in accordance with Chapter 119. of the Revised Code, shall adopt and may amend and rescind rules establishing standards for approval of physicians and facilities as treatment providers for practitioners suffering or showing evidence of suffering impairment as described in division (B)(5) of section 4730.25, division (B)(26) of section 4731.22, division (A)(18) of section 4759.07, division (B)(6) of section 4760.13, division (A)(18) of section 4761.09, division (B)(6) of section 4762.13, division (B)(6) of section 4774.13, or division (B)(6) of section 4778.14 of the Revised Code. The rules shall include standards for both inpatient and outpatient treatment and for care and monitoring that continues after treatment. The rules shall provide that in order to be approved, a treatment provider must have the capability of making an initial examination to determine what type of treatment an impaired practitioner requires. Subject to the rules, the board shall review and approve treatment providers on a regular basis. The board, at its discretion, may withdraw or deny approval subject to the rules.
An approved impaired practitioner treatment provider shall do all of the following :
(A) Report to the board the name of any practitioner suffering or showing evidence of suffering impairment who fails to comply within one week with a referral for examination;
(B) Report to the board the name of any impaired practitioner who fails to enter treatment within forty-eight hours following the provider's determination that the practitioner needs treatment;
(C) Require every practitioner who enters treatment to agree to a treatment contract establishing the terms of treatment and aftercare, including any required supervision or restrictions of practice during treatment or aftercare;
(D) Require a practitioner to suspend practice upon entry into any required inpatient treatment;
(E) Report to the board any failure by an impaired practitioner to comply with the terms of the treatment contract during inpatient or outpatient treatment or aftercare;
(F) Report to the board the resumption of practice of any impaired practitioner before the treatment provider has made a clear determination that the practitioner is capable of practicing according to acceptable and prevailing standards of care;
(G) Require a practitioner who resumes practice after completion of treatment to comply with an aftercare contract that meets the requirements of rules adopted by the board for approval of treatment providers;
(H) Report the identity of any practitioner practicing under the terms of an aftercare contract to hospital administrators, medical chiefs of staff, and chairpersons of impaired practitioner committees of all health care institutions at which the practitioner holds clinical privileges or otherwise practices. If the practitioner does not hold clinical privileges at any health care institution, the treatment provider shall report the practitioner's identity to the impaired practitioner committee of the county medical society, osteopathic academy, or podiatric medical association in every county in which the practitioner practices. If there are no impaired practitioner committees in the county, the treatment provider shall report the practitioner's identity to the president or other designated member of the county medical society, osteopathic academy, or podiatric medical association.
(I) Report to the board the identity of any practitioner who suffers a relapse at any time during or following aftercare.
Any individual authorized to practice under this chapter who enters into treatment by an approved treatment provider shall be deemed to have waived any confidentiality requirements that would otherwise prevent the treatment provider from making reports required under this section.
In the absence of fraud or bad faith, no person or organization that conducts an approved impaired practitioner treatment program, no member of such an organization, and no employee, representative, or agent of the treatment provider shall be held liable in damages to any person by reason of actions taken or recommendations made by the treatment provider or its employees, representatives, or agents.

Structure Ohio Revised Code

Ohio Revised Code

Title 47 | Occupations-Professions

Chapter 4731 | Physicians; Limited Practitioners

Section 4731.01 | State Medical Board.

Section 4731.02 | Organization of Board.

Section 4731.03 | Compensation and Expenses of Board.

Section 4731.04 | Definitions.

Section 4731.05 | Administrative Rules.

Section 4731.051 | Administrative Rules for Universal Blood and Body Fluid Precautions.

Section 4731.052 | Administrative Rules for Management of Chronic Pain With Controlled Substances.

Section 4731.053 | Administrative Rules for Physician's Delegation of Medical Task.

Section 4731.054 | Operation of Pain Management Clinics; Supervision and Control of Employees, Volunteers and Contractors.

Section 4731.055 | Conditions for Prescribing Opioid Analgesics or Benzodiazepine Drugs; Adoption of Rules Regarding Review Drug Database.

Section 4731.056 | Rules for Physicians Regarding Use of Controlled Substances in Schedule Iii, Iv, or V for Medication-Assisted Treatment.

Section 4731.057 | Rules Regarding Prescriptions for Drugs That May Be Administered by Pharmacist.

Section 4731.06 | Board Meetings.

Section 4731.07 | Records.

Section 4731.071 | Internet Directory of Certificates and Licenses Issued by Board.

Section 4731.08 | License Applicant to Comply With Rc Chapter 4776.

Section 4731.09 | Qualifications for License to Practice Medicine and Surgery or Osteopathic Medicine and Surgery.

Section 4731.091 | Qualified Graduate of Fifth Pathway Training Program.

Section 4731.10 | Verification of Certification or Licensure for Licensure in Another State.

Section 4731.11 | Interstate Medical Licensure Compact.

Section 4731.111 | Commissioners to the Interstate Medical Licensure Compact Commission.

Section 4731.112 | Criminal Background Checks Under the Compact.

Section 4731.14 | Review of Applications; Issuance of License.

Section 4731.142 | English Language Proficiency.

Section 4731.143 | Notice of Lack of Coverage of Medical Malpractice Insurance.

Section 4731.15 | Regulating Massage Therapy.

Section 4731.151 | Legacied Naprapaths and Mechanotherapists.

Section 4731.152 | Massage Therapy Advisory Council.

Section 4731.155 | Rules Regarding Continuing Education.

Section 4731.16 | Determination of Standards; Examinations.

Section 4731.17 | Issuance of License.

Section 4731.171 | License Applicant to Comply With Rc Chapter 4776.

Section 4731.19 | License to Practice a Limited Branch of Medicine.

Section 4731.20 | State Medical Board - Powers and Duties.

Section 4731.21 | Limitations Prescribed.

Section 4731.22 | Disciplinary Actions.

Section 4731.221 | Suspending License or Certificate of Mentally Ill or Mentally Incompetent Practitioner.

Section 4731.222 | Determining Applicant's Fitness to Resume Practice.

Section 4731.223 | Reporting Convictions.

Section 4731.224 | Reporting Misconduct.

Section 4731.225 | Civil Penalty.

Section 4731.226 | Offering Services Through Authorized Business Entity.

Section 4731.227 | Using Alternative Medical Treatments.

Section 4731.228 | Termination of Physician's Employment With a Health Care Entity; Notice to Patients.

Section 4731.229 | Effect of Disciplinary Action on Certificate to Recommend.

Section 4731.23 | Designating Attorney Hearing Examiner.

Section 4731.24 | State Medical Board Operating Fund - Receipts of State Medical Board.

Section 4731.241 | Solicitation and Acceptance of Funds for Programs Related to Patient Safety and Education, Supply and Demand of Health Care Professionals, and Information Sharing.

Section 4731.25 | Administrative Rules for Treatment Providers for Impaired Practitioners.

Section 4731.251 | One-Bite Program.

Section 4731.252 | Practitioner Eligibility.

Section 4731.253 | Applicant Eligibility.

Section 4731.254 | [Former r.c. 4731.253, Renumbered by h.b. 122 of the 134th General Assembly, Effective 3/23/2022] Liability.

Section 4731.26 | Duplicate Certificates.

Section 4731.27 | Standard Care Arrangements.

Section 4731.281 | License Renewal.

Section 4731.282 | Continuing Education - Domestic Violence and Its Relationship to Child Abuse.

Section 4731.291 | Application for Training Certificate.

Section 4731.293 | Clinical Research Faculty Certificate.

Section 4731.294 | Special Activity Certificate.

Section 4731.295 | Volunteer's Certificate.

Section 4731.297 | Certificate of Conceded Eminence.

Section 4731.298 | Visiting Clinical Professional Development Certificate.

Section 4731.299 | Expedited License to Practice Medicine and Surgery or Osteopathic Medicine and Surgery by Endorsement.

Section 4731.30 | Certificate to Recommend Medical Use of Marijuana.

Section 4731.301 | Adoption of Rules Regarding Certificate to Recommend.

Section 4731.302 | Requests for Disease or Condition to Be Added as Qualifying Medical Condition for Medical Marijuana Treatment.

Section 4731.31 | Rural Hospital May Employ a Physician.

Section 4731.33 | Use of Light-Based Medical Devices for Hair Removal.

Section 4731.34 | Unauthorized Practice.

Section 4731.341 | Injunctions.

Section 4731.35 | Exemption of Nurse Anesthetist and Anesthesiologist Assistant.

Section 4731.36 | Exceptions.

Section 4731.38 | Approval of Vouchers.

Section 4731.39 | Enforcement.

Section 4731.391 | Use of Information Gathered and Disseminated Through Ohio Law Enforcement Gateway.

Section 4731.40 | Distributing Fines.

Section 4731.41 | Practicing Medicine Without License or Certificate.

Section 4731.43 | Practicing Osteopathy Without License; Exception.

Section 4731.44 | Copy of Prescription to Be Given to Patient.

Section 4731.46 | Issuing False Medical Diploma.

Section 4731.47 | Selling False Medical Diploma.

Section 4731.48 | Physician Giving False Certificate of Disability.

Section 4731.481 | Enabling Person to Retain Handicapped Parking Privileges.

Section 4731.49 | Physician Making an Unlawful Prescription for Intoxicating Liquor.

Section 4731.50 | Further Punishment of Physician So Convicted.

Section 4731.51 | Defining Practice of Podiatric Medicine and Surgery.

Section 4731.511 | Hyperbaric Oxygen Therapy.

Section 4731.512 | Authority to Administer Vaccinations.

Section 4731.52 | Filing Application to Practice Podiatric Medicine and Surgery.

Section 4731.531 | Certificate Applicant to Comply With Rc Chapter 4776.

Section 4731.56 | Issuing License to Practice Podiatric Medicine.

Section 4731.572 | Visiting Podiatric Faculty Certificate.

Section 4731.573 | Training Certificate.

Section 4731.60 | Prohibited Acts; Exceptions.

Section 4731.61 | Disciplinary Actions.

Section 4731.62 | Patients Suspected of Drug Overdose; Referral to Mental Health Professional.

Section 4731.65 | Conflict of Interest Limitations on Patient Referrals Definitions.

Section 4731.66 | Prohibiting Referrals and Cross-Referrals for Designated Health Service.

Section 4731.67 | Referrals - Exceptions to Prohibited Acts.

Section 4731.68 | Ownership of Investment Securities.

Section 4731.69 | Timely Refunds.

Section 4731.70 | Administrative Rules.

Section 4731.71 | Detecting and Reporting Violations.

Section 4731.72 | Physician's Bill for Anatomical Pathology Services.

Section 4731.73 | Adherence to Napbc Standards.

Section 4731.74 | Adoption of Rules Governing Prescriptions Given to Persons Without Examination.

Section 4731.741 | Telehealth Services.

Section 4731.75 | Fees in Excess of Statutory Amounts.

Section 4731.76 | Effect of Child Support Default on License or Certificate.

Section 4731.81 | Witness to Administration of General Anesthetic.

Section 4731.82 | Woman Appearing Before Physician Regarding Fetal Death.

Section 4731.83 | Medication-Assisted Treatment; Compliance With Laws and Regulations.

Section 4731.85 | Recognition for Volunteer Medical Services.

Section 4731.90 | Protocol for Pharmacist to Dispense Nicotine Replacement Therapy.

Section 4731.91 | No Requirement for Abortions.

Section 4731.911 | Physician Responsibilities in a Non-Hospital Setting.

Section 4731.92 | Furnishing or Prescribing Glucagon, Immunity.

Section 4731.93 | Authority to Prescribe or Furnish Drugs to Sexual Partner of a Patient Diagnosed With Chlamydia, Gonorrhea, or Trichomoniasis.

Section 4731.94 | Authority to Supply Overdose Reversal Drugs.

Section 4731.941 | Authority to Personally Furnish Supply of Overdose Reversal Drugs.

Section 4731.942 | Authorization for Pharmacist to Dispense Overdose Reversal Drugs.

Section 4731.943 | Authority for Service Entity Employee, Volunteer, or Contractor to Administer Overdose Reversal Drugs.

Section 4731.95 | Compliance With Law Regarding Sanctions for Human Trafficking.

Section 4731.96 | Epinephrine Autoinjectors.

Section 4731.961 | Authority to Dispense Epinephrine Without a Prescription.

Section 4731.97 | Eligible Patients.

Section 4731.98 | State Medical Board - Immunity.

Section 4731.99 | Penalty.