Platform-Booked Health Care Shifts
Ohio bill would keep app-booked health workers nonemployees
The bill would align Ohio’s definitions with the federal Fair Labor Standards Act. It also says volunteer service does not count as employment for these purposes.

For nurses, aides and other workers picking up shifts through a platform, the label can change how pay and labor rules apply. The measure would keep some of that work outside employee status and narrow when overtime and related obligations attach.
- Some health care shifts booked through platforms would fall outside employee status.
- The bill folds Ohio definitions closer to the Fair Labor Standards Act.
- Volunteer work stays outside the employee definition.
- Worker status can affect overtime and other wage rules.
- Ohio is creating a new nonemployee lane for some platform-booked health care shifts, saying a health care worker is not the employee of a health care worker platform or a health care facility for work booked through that platform under certain circumstances
Ohio is creating a new nonemployee lane for some platform-booked health care shifts, saying a health care worker is not the employee of a health care worker platform or a health care facility for work booked through that platform under certain circumstances. The label matters because worker status is one of the switches that determines who owes overtime and what other wage-and-hour and related labor obligations apply when someone is treated as an employee.
For nurses, aides and other workers picking up shifts this way, the distinction is not academic. It can affect how the job is classified, how payroll is handled and which labor rules follow the shift from one booking screen to the next.
A label that changes pay
The change amends Ohio Revised Code sections 4121.01 and 4113.87, placing the worker-classification language inside parts of the code that touch wage-and-hour and related labor rules. It says the terms employer, employee, employ, person and independent contractor keep the same meanings they have under the Fair Labor Standards Act, or FLSA, the federal wage law that shapes many state labor rules.
The bill also makes one separate point clear: employ and employee do not include a volunteer. That keeps volunteers outside the employee definition even as the measure creates a special rule for health care work booked through a platform.
Where the ripple reaches
For health care workers who pick up shifts through a platform, and for the platforms or facilities that book them, the definition can change which obligations attach to the job. If a worker is not counted as an employee for the covered work, rules tied to employee status, including overtime and related wage obligations, may not apply in the same way.
The bill also defines each amount paid an employee as the total gross wages paid for each pay period, reinforcing that pay calculations in these sections turn on the employee label. Available vote records show the bill advanced without recorded no votes.