HB 423 Ohio House · 136th Legislature (2025-2026)

Regulate practice of surgical assistants, surgical technologists

Summary
To amend sections 109.572, 4731.051, 4731.07, 4731.071, 4731.224, 4731.2210, 4731.24, 4731.25, 4731.251, 4776.01, and 4776.20 and to enact sections 3702.3013, 3727.26, 4787.01, 4787.02, 4787.03, 4787.04, 4787.05, 4787.06, 4787.07, 4787.08, 4787.09, 4787.10, 4787.11, 4787.12, 4787.13, 4787.14, 4787.15, 4787.16, 4787.17, 4787.18, 4787.19, 4787.20, 4787.21, 4787.22, and 4787.99 of the Revised Code to regulate the practice of surgical assistants and surgical technologists.
Bill status passed 3 of 5 stages cleared
Introduction
Aug 2025
Committee Review
May 2026
House Passage
May 2026
Senate Passage
Governor
Introduced Aug 25, 2025 Last action May 20, 2026
Maddy AI version diff · 1 comparison

What changed between versions

As Introduced As Passed by the House · 6 edits · May 13, 2026
MODERATE
The bill was significantly narrowed in scope, shifting from a broad amendment of over 20 existing sections to the enactment of only two new sections. The primary policy change is the establishment of strict new eligibility criteria for hiring surgical assistants and technologists in hospitals and ambulatory surgical facilities, requiring recent in-state practice or specific national certifications. A new waiver process was added to allow facilities in shortage areas to hire unqualified staff, and the law includes a three-year delay before these hiring restrictions take effect.
Scope change
The bill's scope was drastically reduced from amending numerous existing statutes to creating two entirely new sections that regulate the employment of surgical assistants and surgical technologists.
SCOPE

Removed the intent to amend 20 existing sections of the Revised Code, limiting the bill to enacting only two new sections.

ELIGIBILITY

Added new requirements that surgical assistants and technologists must have practiced in Ohio within the last six months or hold specific national certifications to be hired.

REQUIREMENT

Added a requirement for surgical technologists to complete 120 hands-on surgical cases as part of the eligibility criteria.

Added a new waiver process allowing the director of health to exempt facilities in areas with staffing shortages from the new hiring requirements.

TIMELINE

Added a provision delaying the effective date of the new sections for three years to allow time for workforce development.

DEFINITION

Added new definitions for various national accrediting and certifying organizations relevant to allied health education.

Floor votes · House May 13, 2026

How they voted

910
Passed
Total votes 91
May 13, 2026
D Democratic30
30 Yea
100% Yea
R Republican61
61 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
1
Committee
2
May 20, 2026
Committee
Referred to committee
upper
May 19, 2026
Introduced
Introduced
upper
May 13, 2026
Lower · Passed
Passed
lower
Sep 15, 2025
Committee
Referred to committee
lower
Aug 25, 2025
Introduced
Introduced
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Kellie Deeter
Kellie Deeter
RRepublican
OH
54