---
type: "Bill"
title: "Regards emergency medical services and stroke patient protocols"
description: "Regards emergency medical services and stroke patient protocols"
jurisdiction: "us/states/oh"
legislature: "Ohio General Assembly"
session: "134"
identifier: "SB 21"
citation: "Ohio SB 21 (134)"
classification: ["bill"]
subjects: ["Health Care", "Health and Human Services", "Public Safety"]
status: "enacted"
primary_sponsors: ["Nathan Manning", "Nickie Antonio"]
version_count: 6
action_count: 9
vote_count: 4
first_action: "2021-01-26"
last_action: "2021-09-21T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/15803f68-7cdc-4015-ade5-3232a7feeb7c"
source_url: "https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/"
source_hash: "faf91ac4b1928ef8a13ec4752c9bdd0a86a61b804e0ebe3c70a72df1bad1dd85"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-oh"]
---

# Ohio SB 21 (134) — Regards emergency medical services and stroke patient protocols

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As Introduced** (filed) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/IN/00/sb21_00_IN?format=pdf)
2. **As Passed by the House** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/PH/04/sb21_04_PH?format=pdf)
3. **As Passed by the Senate** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/PS/02/sb21_02_PS?format=pdf)
4. **As Reported by the House Transportation and Public Safety Committee** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/RH/03/sb21_03_RH?format=pdf)
5. **As Reported by the Senate Health Committee** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/RS/01/sb21_01_RS?format=pdf)
6. **As Enrolled** (enrolled) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_134/bills/sb21/EN/05/sb21_05_EN?format=pdf)

## Votes

- Pass — **32–0** (pass) · upper
- Reported - Substitute — **7–0** (pass) · upper
- Reported - Substitute — **13–0** (pass) · lower
- Pass — **91–0** (pass) · lower

## Sponsors

- Nathan Manning — primary (person)
- Nickie Antonio — primary (person)
- Adam Bird — cosponsor (person)
- Adam Miller, A. — cosponsor (person)
- Alessandro Cutrona — cosponsor (person)
- Andrea White — cosponsor (person)
- Andrew Brenner — cosponsor (person)
- Beth Liston — cosponsor (person)
- Bill Reineke — cosponsor (person)
- Bill Seitz — cosponsor (person)
- Bob Hackett — cosponsor (person)
- Brian Baldridge — cosponsor (person)
- Bride Rose Sweeney — cosponsor (person)
- C. Russo — cosponsor (person)
- Casey Weinstein — cosponsor (person)
- Catherine Ingram — cosponsor (person)
- Cecil Thomas — cosponsor (person)
- Cindy Abrams — cosponsor (person)
- Craig Riedel — cosponsor (person)
- Darrell Kick — cosponsor (person)
- David Leland — cosponsor (person)
- Diane Grendell — cosponsor (person)
- Dick Stein — cosponsor (person)
- Don Jones — cosponsor (person)
- Dontavius Jarrells — cosponsor (person)
- Erica Crawley — cosponsor (person)
- Frank Hoagland — cosponsor (person)
- Gary Click — cosponsor (person)
- Gayle Manning — cosponsor (person)
- George Lang — cosponsor (person)
- Haraz Ghanbari — cosponsor (person)
- Hearcel Craig — cosponsor (person)
- Jason Stephens — cosponsor (person)
- Jay Edwards — cosponsor (person)
- Jean Schmidt — cosponsor (person)
- Jeff LaRe — cosponsor (person)
- Jeffrey Crossman — cosponsor (person)
- Jennifer Gross — cosponsor (person)
- Jessica Miranda — cosponsor (person)
- Juanita Brent — cosponsor (person)
- Kenny Yuko — cosponsor (person)
- Kent Smith, K. — cosponsor (person)
- Kirk Schuring — cosponsor (person)
- Kristin Boggs — cosponsor (person)
- Larry Householder — cosponsor (person)
- Laura Lanese — cosponsor (person)
- Lisa Sobecki — cosponsor (person)
- Louis Blessing — cosponsor (person)
- Marilyn John — cosponsor (person)
- Mark Romanchuk — cosponsor (person)
- Mary Lightbody — cosponsor (person)
- Matt Dolan — cosponsor (person)
- Michael O'Brien — cosponsor (person)
- Michael Rulli — cosponsor (person)
- Michael Sheehy — cosponsor (person)
- Michael Skindell — cosponsor (person)
- Michele Lepore-Hagan — cosponsor (person)
- Mike Loychik — cosponsor (person)
- Monique Smith, M. — cosponsor (person)
- Paula Hicks-Hudson — cosponsor (person)
- Phil Plummer — cosponsor (person)
- Phillip Robinson — cosponsor (person)
- Richard Brown — cosponsor (person)
- Rick Carfagna — cosponsor (person)
- Riordan McClain — cosponsor (person)
- Rodney Creech — cosponsor (person)
- Sandra Williams — cosponsor (person)
- Sara Carruthers — cosponsor (person)
- Scott Oelslager — cosponsor (person)
- Shane Wilkin — cosponsor (person)
- Stephanie Howse — cosponsor (person)
- Stephanie Kunze — cosponsor (person)
- Stephen Huffman, S. — cosponsor (person)
- Steve Wilson — cosponsor (person)
- Tavia Galonski — cosponsor (person)
- Teresa Fedor — cosponsor (person)
- Terry Johnson — cosponsor (person)
- Theresa Gavarone — cosponsor (person)
- Thomas Hall — cosponsor (person)
- Thomas Patton — cosponsor (person)
- Thomas West — cosponsor (person)
- Tim Ginter — cosponsor (person)
- Tim Schaffer — cosponsor (person)
- Tina Maharath — cosponsor (person)
- Tom Young, T. — cosponsor (person)
- Tracy Richardson — cosponsor (person)
- Vernon Sykes — cosponsor (person)
- Willis Blackshear — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2021-01-26** Introduced `introduction`
- **2021-01-27** Refer to Committee `referral-committee`
- **2021-03-09** Refer to Committee `referral-committee`
- **2021-03-03** Reported
- **2021-03-03** Passed `passage`
- **2021-05-18** Reported
- **2021-06-10** Passed `passage`
- **2021-03-04** Introduced `reading-1`
- **2021-09-21T04:00:00+00:00** Effective 9/21/21 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/15803f68-7cdc-4015-ade5-3232a7feeb7c`. Confidence: reported (aggregated from official Ohio legislature records).