The short answer Ohio's home health agency licensure (new since Oct. 2022, ORC Ch. 3740 / OAC Ch. 3701-60) contains no TB screening requirement; the chapter is limited to licensure, background checks, and records. Workers' comp is mandatory from the first employee via the monopolistic state fund (BWC).
What Ohio requires
Ohio
TB screening: no rule. OAC Chapter 3701-60 (Home Health Agencies) covers definitions, applicability, licensure, enforcement, database review, criminal records checks, records, and liability only; no worker health or TB provision. The TB-control-plan rule OAC 3701-83-08 applies to other health care facilities, not licensed home health agencies.
Source ↗
Workplace violence law is hospitals-only. Ohio HB 452 (signed Jan. 2025) mandates violence-prevention plans for hospitals only and does not reach home care.
Source ↗
Workers' comp (state fund). All employers with one or more employees must carry coverage through the Ohio Bureau of Workers' Compensation; Ohio is monopolistic, so private WC policies are not sold.
Source ↗
☆ Rules change. We watch them for you.
Get one short email when Ohio's home care requirements change. No spam, unsubscribe anytime.
Reviewed quarterly by Vitable Health.
The federal baseline (applies in every state)
Federal
No federal TB mandate for home care workers. There is no federal law requiring tuberculosis screening of home care or home health workers; TB screening obligations for this workforce are set by each state's facility licensing law. Federal Medicare Conditions of Participation for home health agencies (42 CFR Part 484) require an infection-prevention program but do not prescribe worker TB testing.
Source ↗
2019 CDC/NTCA baseline screening standard. The 2019 CDC/National Tuberculosis Controllers Association recommendations for U.S. health care personnel call for a baseline (pre-placement) individual TB risk assessment, symptom evaluation, and a TB test (IGRA or TST) for those without documented prior positive results. Routine annual (serial) testing of health care personnel is no longer recommended absent ongoing exposure; instead facilities should provide annual TB education and symptom screening.
Source ↗
Positive-result workup. Personnel with a newly positive TB test or TB symptoms should receive a chest X-ray and clinical evaluation to rule out active TB disease; those found to have latent TB infection should be offered and encouraged to complete LTBI treatment per CDC guidance.
Source ↗
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030). OSHA's Bloodborne Pathogens Standard applies to home care/home health workers with reasonably anticipated exposure to blood or other potentially infectious materials. Employers must maintain a written exposure control plan, provide annual training, and offer the hepatitis B vaccine series at no cost within 10 working days of assignment to covered workers.
Source ↗
Primary sources for this page