We are Ohio home birther's as well
I agree that Ohio is definitely not a home birth friendly state. I had my first home birth in June of 08, and am currently 35 weeks along with #2... obviously planning another home birth.
I really haven't found any challenges besides finding a midwife. I wouldn't really call it a challenge, it's just not something you can look up in the phone book. Usually, if you start making calls, they will give you other people's names and numbers, which then turns into that person giving you other contacts and so on, until finally, you get a midwife that is in your area
It can be a little frustrating, but for us, it's always worked out just fine! I have had no luck with getting insurance to cover home birth here due to the lack of legalities. (For the record I have Tricare...military insurance) However, my son's birth, and this upcoming birth cost me less than $2,000.00 each. I think that's pretty fair and reasonable considering what I have heard about home birth prices in other states.
The only major "challenge" I face is the weird comments from people when they know our birth plans. I think that annoys me more than anything! I would give anything to be in a more non-mainstream state sometimes! lol.