03/12/2026

ODH Proposes Nurse Aide Testing Rule Changes

The Ohio Department of Health is seeking feedback on proposed changes to rules governing Ohio’s Nurse Aide Training and Competency Evaluation Program. The draft would update how competency exams are administered and establish new oversight for programs that proctor exams.

What You Need To Know

• ODH proposes to rescind and replace rule 3701-18-27, which governs nurse aide competency testing.
• A new rule (3701-18-27.1) would establish requirements for training programs that proctor competency exams.
• The rule outlines when ODH could revoke proctoring privileges, including cases of exam tampering or testing improprieties.
• The changes are most relevant for providers that operate their own nurse aide training program or competency evaluation program.

What Happens Next

• ODH is accepting stakeholder feedback before advancing the rule through the state rulemaking process.
• Comments are due March 16.

What to Do

• Review the proposed rule on the ODH draft rule page for rule 3701-18.
• Submit comments if the proposal could affect your organization’s nurse aide training or exam administration.