Certain Health Care Shifts
SB 423 could narrow overtime and liability for Ohio shifts
SB 423 would limit when a platform or facility is treated as the employer for certain health care shifts. Available vote records show the bill advanced without recorded no votes.

The bill trims one lane of platform-booked health care work. It would not rewrite every labor rule, but it could change overtime and who bears legal responsibility.
- Some app-booked health care shifts would fall outside employee rules for specified laws.
- The change could affect overtime, liability and job control.
- Volunteer service stays excluded from the labor definitions the bill touches.
- Recorded votes show the bill advanced without no votes.
- Ohio would draw a narrower employee line for some health care shifts booked through platforms, saying a worker is not the employee of a health care worker platform or a health care facility for specified laws in certain circumstances
Ohio would draw a narrower employee line for some health care shifts booked through platforms, saying a worker is not the employee of a health care worker platform or a health care facility for specified laws in certain circumstances. For nurses, aides and other workers picking up shifts this way, the label can change overtime, legal responsibility and how much control a platform or facility can exert over the job.
The carveouts that stay in place
This is not a wholesale rewrite of labor law. The measure amends Ohio code sections including 4121.01 and 4113.87, which ties the status change to specific labor rules rather than every possible employment question. The same language says “employ” and “employee” do not include a person acting as a volunteer.
It also excludes service done as part of an unemployment work-relief or work-training program that is assisted or financed by a federal, state, local or tribal government or agency. In other words, the bill narrows one lane of platform-booked health care work while leaving those other categories outside the definition.
The sponsor and the recorded votes
The proposal comes from Sen. Susan Manchester, a Republican from Ohio Senate District 12. Available vote records show the bill advanced without recorded no votes.