---
type: "Bill"
title: "Authorize certain nurses to sign hospital patient documents"
description: "Authorize certain nurses to sign hospital patient documents"
jurisdiction: "us/states/oh"
legislature: "Ohio General Assembly"
session: "135"
identifier: "SB 81"
citation: "Ohio SB 81 (135)"
classification: ["bill"]
subjects: ["Health Care", "Health and Human Services", "Occupational Licensing and Regulation"]
status: "enacted"
primary_sponsors: ["Mark Romanchuk"]
version_count: 6
action_count: 12
vote_count: 18
first_action: "2023-03-07"
last_action: "2024-09-20T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/97ef7e5c-a2ef-4f86-89f4-7bf4be8364d5"
source_url: "https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135//bills/sb81/"
source_hash: "35bc6393686f17f068ff2a5a6b6113010d0502159a2fb7d1135dffd3fa3d3310"
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 81 (135) — Authorize certain nurses to sign hospital patient documents

## 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_135/bills/sb81/IN/00/sb81_00_IN?format=pdf)
2. **As Passed by the House** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135/bills/sb81/PH/04/sb81_04_PH?format=pdf)
3. **As Passed by the Senate** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135/bills/sb81/PS/02/sb81_02_PS?format=pdf)
4. **As Reported by the House Health Provider Services Committee** (committee substitute) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135/bills/sb81/RH/03/sb81_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_135/bills/sb81/RS/01/sb81_01_RS?format=pdf)
6. **As Enrolled** (enrolled) — [source](https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_135/bills/sb81/EN/05/sb81_05_EN?format=pdf)

## Votes

- Pass — **29–1** (pass) · upper
- Reported - Substitute — **11–0** (pass) · lower
- Concurred in Senate amendments — **31–0** (pass) · upper
- Reported - Substitute — **7–0** (pass) · upper
- Pass — **29–1** (pass) · upper
- Concurred in Senate amendments — **31–0** (pass) · upper
- Concurred in Senate amendments — **31–0** (pass) · upper
- Reported - Substitute — **11–0** (pass) · lower
- Reported - Substitute — **7–0** (pass) · upper
- Pass — **29–1** (pass) · upper
- Reported - Substitute — **11–0** (pass) · lower
- Pass — **89–1** (pass) · lower
- Pass — **89–1** (pass) · lower
- Pass — **89–1** (pass) · lower
- Concurred in Senate amendments — **31–0** (pass) · upper
- Reported - Substitute — **7–0** (pass) · upper
- Pass — **29–1** (pass) · upper
- Pass — **89–1** (pass) · lower

## Sponsors

- Mark Romanchuk — primary (person)
- Adam Miller, A. — cosponsor (person)
- Anita Somani — cosponsor (person)
- Beth Liston — cosponsor (person)
- Bill Reineke — cosponsor (person)
- Bob Hackett — cosponsor (person)
- Brett Hillyer — cosponsor (person)
- Catherine Ingram — cosponsor (person)
- Dani Isaacsohn — cosponsor (person)
- Dave Dobos — cosponsor (person)
- Elliot Forhan — cosponsor (person)
- George Lang — cosponsor (person)
- Jeff LaRe — cosponsor (person)
- Jennifer Gross — cosponsor (person)
- Jerry Cirino — cosponsor (person)
- Joseph Miller, J. — cosponsor (person)
- Kristina Roegner — cosponsor (person)
- Melanie Miller, M. — cosponsor (person)
- Michael Rulli — cosponsor (person)
- Michele Reynolds — cosponsor (person)
- Munira Abdullahi — cosponsor (person)
- Nathan Manning — cosponsor (person)
- Nickie Antonio — cosponsor (person)
- Rachel Baker — cosponsor (person)
- Richard Dell'Aquila — cosponsor (person)
- Sara Carruthers — cosponsor (person)
- Sean Brennan — cosponsor (person)
- Sedrick Denson — cosponsor (person)
- Stephen Huffman, S. — cosponsor (person)
- Terrence Upchurch — cosponsor (person)
- Theresa Gavarone — cosponsor (person)
- Tim Schaffer — cosponsor (person)
- Veronica Sims — cosponsor (person)
- William DeMora — cosponsor (person)

## Timeline

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

- **2023-03-07** Introduced `introduction`
- **2023-03-08** Refer to Committee `referral-committee`
- **2023-11-15** Reported
- **2023-11-16** Introduced `reading-1`
- **2023-11-28** Refer to Committee `referral-committee`
- **2024-04-22** Reported
- **2023-11-15** Passed `passage`
- **2024-05-08** Passed `passage`
- **2024-05-22** Concurred in House amendments `amendment-passage`
- **2024-05-22** The question being, Shall the amendments be concurred in?
- **2024-05-22** Received from the House `passage`
- **2024-09-20T04:00:00+00:00** Effective 9/20/24 `became-law`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/97ef7e5c-a2ef-4f86-89f4-7bf4be8364d5`. Confidence: reported (aggregated from official Ohio legislature records).