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Ohio requires hospitals and surgical facilities to enforce certification and experience standards for surgical assistants and technologists

Original title: Regulate practice of surgical assistants, surgical technologists

Last action · May 20, 2026: Referred to HealthSponsors: Kellie Deeter and 2 others

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

What This Bill Would Do

Ohio House Bill 423 prohibits hospitals and ambulatory surgical facilities from employing surgical assistants and technologists unless they hold specific national certifications, have prior in-state work experience, or complete 120 hands-on surgical cases, taking effect three years after enactment.

Why it matters

The measure establishes mandatory statewide credentialing benchmarks for operating room personnel, altering hiring requirements for health care facilities and employment criteria for surgical staff across Ohio.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Surgical Assistants

Surgical assistants must maintain specific national certifications or prove prior in-state work experience during a designated window to remain eligible for employment.

Directly affected

Surgical Technologists

Surgical technologists must complete 120 hands-on surgical cases along with holding approved certifications, or demonstrate prior in-state work experience, to qualify for employment.

Directly affected

Hospitals and Ambulatory Surgical Facilities

Hospitals and ambulatory surgical facilities must verify staff credentials against new statutory requirements and may apply for hardship waivers if they face local recruitment shortages.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What qualifications must a surgical technologist have to be employed under this bill?
A must either have practiced as a surgical technologist at an Ohio facility during the six-month period before the effective date, or have completed 120 hands-on surgical cases and hold a valid certification from a recognized board or an approved alternative organization.
Can hospitals in areas with severe staffing shortages get an exemption from these rules?
Yes. The director of health may grant a waiver to a hospital or that submits evidence demonstrating it is located in an area experiencing a shortage of surgical assistants and technologists and an inability to recruit them despite reasonable efforts.
When do these new employment restrictions take effect?
The provisions enacting the surgical assistant and requirements take effect three years after the effective date of the section.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently passed chamber. The next step in the legislative lifecycle is Law.

Procedural history

6 actions
  1. May 20, 2026SenateCommittee
    Referred to Health
  2. May 19, 2026SenateIntroduced
    Introduced
  3. May 13, 2026HouseCommittee
    Reported - Substitute (Health)
  4. May 13, 2026HouseFloor
    Passed
  5. Sep 15, 2025HouseCommittee
    Referred to Health
  6. Aug 25, 2025HouseIntroduced
    Introduced

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Voting Record

Motion succeededHouse5/13/2026Ohio LegislatureOfficial roll call ↗

Adopted

Total

92

Yes
91
No
1
Present
0
Not voting
0
Abstain
0

How they voted (92)

68 more members
Anita SomaniParty not recordedyes
Angela N. KingParty not recordedyes
Mark HinerParty not recordedyes
Kevin RitterParty not recordedyes
Roy KlopfensteinParty not recordedyes
Tracy RichardsonParty not recordedyes
Derrick HallParty not recordedyes
Gary ClickParty not recordedyes
D.J. SwearingenParty not recordedyes
Ismail MohamedParty not recordedyes
Tim BarhorstParty not recordedyes
Christine CockleyParty not recordedyes
Jamie CallenderParty not recordedyes
Haraz GhanbariParty not recordedyes
Meredith CraigParty not recordedyes
Karen BrownleeParty not recordedyes
Kellie DeeterParty not recordedyes
Jean SchmidtParty not recordedyes
Johnathan NewmanParty not recordedyes
Heidi WorkmanParty not recordedyes
Allison RussoParty not recordedyes
Jim ThomasParty not recordedyes
Beryl PiccolantonioParty not recordedyes
Thomas HallParty not recordedyes
Ron FergusonParty not recordedyes
Chris GlassburnParty not recordedyes
Nick SantucciParty not recordedyes
Dontavius JarrellsParty not recordedyes
Justin PizzulliParty not recordedyes
Eric SynenbergParty not recordedyes
Diane MullinsParty not recordedyes
Mark SigristParty not recordedyes
Brian StewartParty not recordedyes
Michelle TeskaParty not recordedyes
Monica Robb BlasdelParty not recordedyes
Adam HolmesParty not recordedyes
Veronica SimsParty not recordedyes
Tristan RaderParty not recordedyes
Ty MooreParty not recordedyes
Desireè TimsParty not recordedyes
Dani IsaacsohnParty not recordedyes
Thaddeus J. ClaggettParty not recordedyes
Ty MathewsParty not recordedyes
Rachel BakerParty not recordedyes
Levi DeanParty not recordedyes
Mike OdiosoParty not recordedyes
Bride Rose SweeneyParty not recordedyes
Rodney CreechParty not recordedyes
Tex FischerParty not recordedyes
Joseph A. Miller, IIIParty not recordedyes
Phillip M. Robinson, Jr.Party not recordedyes
Andrea WhiteParty not recordedyes
Adam BirdParty not recordedyes
Terrence UpchurchParty not recordedyes
Josh WilliamsParty not recordedyes
Daniel P. TroyParty not recordedyes
Jason StephensParty not recordedyes
Riordan McClainParty not recordedyes
Juanita BrentParty not recordedyes
David ThomasParty not recordedyes
Latyna HumphreyParty not recordedyes
Tom YoungParty not recordedno
James M. HoopsParty not recordedyes
Matt HuffmanParty not recordedyes
Meredith R. Lawson-RoweParty not recordedyes
Michele GrimParty not recordedyes
Bernard WillisParty not recordedyes
Erika WhiteParty not recordedyes
Show 1 earlier roll call

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Standardization of Operating Room Support Roles

The legislation introduces formal statutory employment prerequisites for surgical assistants and technologists where previously specific state employment mandates may have been absent.

Connected Entities

Director of Health, National commission for the certification of surgical assistants, National board of surgical technology and surgical assisting and 7 more
OrganizationDirector of Health“State director granting waivers and approving certifying organizations”Map →
OrganizationNational commission for the certification of surgical assistants“Certifying organization for surgical assistants”Map →
OrganizationNational board of surgical technology and surgical assisting“Certifying organization for surgical technologists and assistants”Map →
OrganizationNational center for competency testing“Certifying organization for surgical technologists”Map →
OrganizationCommission on accreditation of allied health education programs“Organization accrediting educational standards for surgical personnel”Map →
OrganizationNational commission for certifying agencies“Organization accrediting certification programs”Map →
PersonAnita Somani“Cosponsor, Representative District 8”Map →
OrganizationState Medical Board“State board approving alternative certifying organizations”Map →
PersonKellie Deeter“Representative, District 54”Map →
PersonJean Schmidt“Cosponsor, Representative District 62”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy20
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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