Under the terms reached with the Ohio's major medical associations, physicians would stop prescribing painkillers for most patients seeking treatment for chronic pain and would limit prescriptions for other patients to three days.

Emergency room personnel would also stop replacing painkiller prescriptions that were lost, destroyed or stolen. Personnel would check the state's automated prescription reporting system and reserve the right to request photo ID and to require drug screens like urine testing.

"Both Gov. Kasich and state Health Director Theodore Wymyslo said they are optimistic that emergency rooms and urgent care centers will follow the guidelines, which aren't mandatory," the report said.

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