Ohio 136th General Assembly Status: Enacted 1 R cosponsors

HB 377 — Regards use of light-based medical devices for hair removal

Last action — Effective 8/26/26

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced August 26, 2026. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

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Prognosis

Advancing 56% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (1 R).

  • Mixed recorded votes

    6 passed, 2 failed in recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill updates laws about using light-based devices for hair removal.

This bill modifies existing regulations regarding light-based medical devices used for hair removal. It aims to clarify the legal framework for their application.

Summary

To amend section 4731.33 and to enact section 4731.331 of the Revised Code to revise the law governing the application of light-based medical devices for the purpose of hair removal.

Bill Text

What changed in the latest version

223 added · 319 removed

Plain-language change summary

The recent amendment to House Bill 377 updates the regulations surrounding the use of light-based medical devices for hair removal in Ohio. Key changes include clearer definitions for terms like "laser hair removal professional" and "light-based medical device," ensuring that only qualified individuals apply these technologies. This is important because it helps protect patients by ensuring that only trained professionals are performing hair removal procedures, which can be complex and require specialized knowledge. Overall, these changes aim to enhance safety and efficacy in cosmetic procedures related to hair removal.

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As Passed by the House 136th General Assembly Regular Session Am.
(136th GeneralAssembly) (Amended House Bill Number 377) ANACT To amend section 4731.33 and to enact section 4731.331 of the Revised Code to revise the law governing the application of light-based medical devices for the purpose of hair removal.
H.
Be it enacted by the General Assembly of the State of Ohio:
B.
SECTION 1.
No.
That section 4731.33 be amended and section 4731.331 of the Revised Code be enacted to read as follows:
377 2025-2026 Representative Deeter Cosponsors:
Sec.
Representatives Schmidt, Barhorst, Gross, King, Brennan, Sigrist, Somani, Thomas, C., Tims, Williams, Willis, Young To amend section 4731.33 and to enact section 1 4731.331 of the Revised Code to revise the law 2 governing the application of light-based medical 3 devices for the purpose of hair removal.
4 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1.
That section 4731.33 be amended and section 5 4731.331 of the Revised Code be enacted to read as follows:
6 Sec.
(A) As used in this section and section 7 4731.331 of the Revised Code:
(A) As used in this section and section 4731.331 of the Revised Code:
8 (1) "Advanced practice registered nurse" has the same 9 meaning as in section 4723.01 of the Revised Code.
(1) "Advanced practice registered nurse" has the same meaning as in section 4723.01 of the Revised Code.
10 (2) "Laser hair removal professional" means an individual 11 who applies a light-based medical device to a patient for the 12 purpose of hair removal and who meets either of the criteria 13 described in division (B)(3)(b) of this section.
(2) "Laser hair removal professional" means an individual who applies a light-based medical device to a patient for the purpose of hair removal and who meets either of the criteria described in division (B)(3)(b) of this section.
14 (3) "Light-based medical device" means any device that can 15 be made to produce or amplify electromagnetic radiation at 16 wavelengths equal to or greater than one hundred eighty nm but 17 less than or equal to 1.0 X 106 one thousand sixty-four nm and 18 Am.
(3) "Light-based medical device" means any device that can be made to produce or amplify electromagnetic radiation at wavelengths equal to or greater than one hundred eighty nm but less than or equal to 1.0 X 106 one thousand sixty-four nm and that is manufactured, designed, intended, or promoted for irradiation of any part of the human body for the purpose of affecting the structure or function of the body.
(4) "Nurse" means a registered nurse or licensed practical nurse, each as defined in section 4723.01 of the Revised Code.
A "nurse" does not include a registered nurse who is also an advanced practice registered nurse.
(2)(5) "Physician" means a person an individual authorized to practice medicine and surgery, osteopathic medicine and surgery, or podiatric medicine and surgery under this chapter.
(3)(6) "On-site supervision" means the supervising physician is physically in the same location as the delegate during the use of a light-based medical device, but does not require the physician to be in the same room.
"On-site supervision" includes the supervising physician's presence in the same office suite as the delegate during the use of the device.
(4)(7) "Off-site supervision" means the supervising physician is continuously available for direct communication with the cosmetic therapist delegate during the use of a light-based medical device.
(5)(8) "Direct physical oversight" means the supervising physician is in the same room directly observing the delegate's use of the light-based medical device.
(B) A physician may delegate the application of light-based medical devices for the purpose Am.
377 Page 2 As Passed by the House that is manufactured, designed, intended, or promoted for 19 irradiation of any part of the human body for the purpose of 20 affecting the structure or function of the body.
377 136th G.A.
21 (4) "Nurse" means a registered nurse or licensed practical 22 nurse, each as defined in section 4723.01 of the Revised Code.
of hair removal only if all of the following conditions are met:
A 23 "nurse" does not include a registered nurse who is also an 24 advanced practice registered nurse.
(1) The light-based medical device has been specifically cleared or approved by the United States food and drug administration for the removal of hair from the human body.
25 (2)(5) "Physician" means a person an individual authorized 26 to practice medicine and surgery, osteopathic medicine and 27 surgery, or podiatric medicine and surgery under this chapter.
(2) The use of the light-based medical device for the purpose of hair removal is within the physician's normal course of practice and expertise.
28 (3)(6) "On-site supervision" means the supervising 29 physician is physically in the same location as the delegate 30 during the use of a light-based medical device, but does not 31 require the physician to be in the same room.
(3) The physician has seen and evaluated the patient to determine whether the proposed application of the specific light-based medical device is appropriate.
"On-site 32 supervision" includes the supervising physician's presence in 33 the same office suite as the delegate during the use of the 34 device.
(4) The physician has seen and evaluated the patient following the initial application of the specific light-based medical device, but before any continuation of treatment, to determine that the patient responded well to that initial application of the specific light-based medical device.
35 (4)(7) "Off-site supervision" means the supervising 36 physician is continuously available for direct communication 37 with the cosmetic therapist delegate during the use of a light- 38 based medical device.
(5) The person to whom the delegation is made delegate is one of the following:
39 (5)(8) "Direct physical oversight" means the supervising 40 physician is in the same room directly observing the delegate's 41 use of the light-based medical device.
(a) A physician assistant licensed under Chapter 4730.
42 (B) A physician may delegate the application of light- 43 based medical devices for the purpose of hair removal only if 44 all of the following conditions are met:
of the Revised Code with whom the physician has an effective supervision agreement;
45 (1) The light-based medical device has been specifically 46 cleared or approved by the United States food and drug 47 Am.
(b) A person laser hair removal professional who is either of the following:
H.
(i) An individual who was licensed held a license as a cosmetic therapist under Chapter 4731.
B.
of the Revised Code on April 11, 2021;
No.
(c) A person (ii) An individual who has completed a cosmetic therapy course of instruction for a minimum of seven hundred fifty clock hours and received a passing score on the certified laser hair removal professional examination administered by the society for clinical and medical hair removal;
377 Page 3 As Passed by the House administration for the removal of hair from the human body.
(d)(c) A registered nurse or licensed practical nurse licensed under Chapter 4723.
48 (2) The use of the light-based medical device for the 49 purpose of hair removal is within the physician's normal course 50 of practice and expertise.
51 (3) The physician has seen and evaluated the patient to 52 determine whether the proposed application of the specific 53 light-based medical device is appropriate.
54 (4) The physician has seen and evaluated the patient 55 following the initial application of the specific light-based 56 medical device, but before any continuation of treatment, to 57 determine that the patient responded well to that initial 58 application of the specific light-based medical device.
59 (5) The person to whom the delegation is made delegate is 60 one of the following:
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61 (a) A physician assistant licensed under Chapter 4730.
of 62 the Revised Code with whom the physician has an effective 63 supervision agreement;
64 (b) A person laser hair removal professional who is either 65 of the following:
66 (i) An individual who was licensed held a license as a 67 cosmetic therapist under Chapter 4731.
of the Revised Code on 68 April 11, 2021;
69 (c) A person (ii) An individual who has completed a 70 cosmetic therapy course of instruction for a minimum of seven 71 hundred fifty clock hours and received a passing score on the 72 certified laser hair removal professional examination 73 administered by the society for clinical and medical hair 74 removal;
75 Am.
H.
B.
No.
377 Page 4 As Passed by the House (d)(c) A registered nurse or licensed practical nurse 76 licensed under Chapter 4723.
77 (C) For delegation to a physician assistant, the 78 delegation must meet the requirements of section 4730.21 of the 79 Revised Code.
(C) For delegation to a physician assistant, the delegation must meet the requirements of section 4730.21 of the Revised Code.
80 (D)(1)(D) For delegation to a person described under 81 division (B)(5)(b) or (c) of this sectionlaser hair removal 82 professional, all of the following criteria must be met:
(D)(1)(D) For delegation to a person described under division (B)(5)(b) or (c) of this sectionlaser hair removal professional, all of the following criteria must be met:
83 (1) The delegating physician shall ensure that the person 84 to whom the delegation is made laser hair removal professional 85 has received adequate education and training to provide the 86 level of skill and care necessary, including all of the 87 following:
(1) The delegating physician shall ensure that the person to whom the delegation is made laser hair removal professional has received adequate education and training to provide the level of skill and care necessary, including all of the following:
88 (a) The person laser hair removal professional has 89 completed eight hours of basic education that includes the 90 following topics:
(a) The person laser hair removal professional has completed eight hours of basic education that includes the following topics:
91 (i) Light-based procedure physics;
(i) Light-based procedure physics;
92 (ii) Tissue interaction in light-based procedures;
(ii) Tissue interaction in light-based procedures;
93 (iii) Light-based procedure safety, including use of 94 proper safety equipment;
(iii) Light-based procedure safety, including use of proper safety equipment;
95 (iv) Clinical application of light-based procedures;
(iv) Clinical application of light-based procedures;
96 (v) Preoperative and postoperative care of light-based 97 procedure patients;
(v) Preoperative and postoperative care of light-based procedure patients;
98 (vi) Reporting of adverse events.
(vi) Reporting of adverse events.
99 (b) The person laser hair removal professional has 100 observed fifteen procedures for each specific type of light- 101 based medical device procedure for hair removal that the person 102 Am.
(b) The person laser hair removal professional has observed fifteen procedures for each Am.
377 Page 5 As Passed by the House laser hair removal professional will perform under the 103 delegation.
377 136th G.A.
For purposes of this division, the procedures 104 observed shall be performed by a physician who uses the specific 105 light-based medical device procedure for hair removal in the 106 physician's normal course of practice and expertise.
specific type of light-based medical device procedure for hair removal that the person laser hair removal professional will perform under the delegation.
107 (c) The person laser hair removal professional shall 108 perform has performed at least twenty procedures under the 109 direct physical oversight of the physician on each specific type 110 of light-based medical device procedure for hair removal 111 delegated.
For purposes of this division, the procedures observed shall be performed by a physician who uses the specific light-based medical device procedure for hair removal in the physician's normal course of practice and expertise.
For purposes of this division, the physician 112 overseeing the performance of these procedures shall use this 113 specific light-based medical device procedure for hair removal 114 within the physician's normal course of practice and expertise.
(c) The person laser hair removal professional shall perform has performed at least twenty procedures under the direct physical oversight of the physician on each specific type of light-based medical device procedure for hair removal delegated.
115 (2) For purposes of division (D)(1)(b) of this section, 116 the procedures observed shall be performed by a physician who 117 uses the specific light-based medical device procedure for hair 118 removal in the physician's normal course of practice and 119 expertise.
For purposes of this division, the physician overseeing the performance of these procedures shall use this specific light-based medical device procedure for hair removal within the physician's normal course of practice and expertise.
The delegating physician shall see and evaluate the 120 patient before the use of the light-based medical device on the 121 patient to determine whether the proposed application of the 122 specific light-based medical device is appropriate.
(2) For purposes of division (D)(1)(b) of this section, the procedures observed shall be performed by a physician who uses the specific light-based medical device procedure for hair removal in the physician's normal course of practice and expertise.
123 (3) For purposes of division (D)(1)(c) of this section, 124 the physician overseeing the performance of these procedures 125 shall use this specific light-based medical device procedure for 126 hair removal within the physician's normal course of practice 127 and expertise.
The delegating physician shall see and evaluate the patient before the use of the light-based medical device on the patient to determine whether the proposed application of the specific light-based medical device is appropriate.
The delegating physician shall see and evaluate 128 the patient following the initial application of the specific 129 light-based medical device, but before any continuation of 130 treatment, to determine that the patient responded well to that 131 initial application of the specific light-based medical device.
(3) For purposes of division (D)(1)(c) of this section, the physician overseeing the performance of these procedures shall use this specific light-based medical device procedure for hair removal within the physician's normal course of practice and expertise.
132 Am.
The delegating physician shall see and evaluate the patient following the initial application of the specific light-based medical device, but before any continuation of treatment, to determine that the patient responded well to that initial application of the specific light-based medical device.
(4) Each delegating physician and delegate laser hair removal professional shall document and retain satisfactory completion of training required under division (D) of this section.
The education requirement in division (D)(1)(a) of this section shall be completed only once by the delegate laser hair removal professional regardless of the number of types of specific light-based medical device procedures for hair removal delegated and the number of delegating physicians.
The training requirements of divisions (D)(1)(b) and (c) of this section shall be completed by the delegate laser hair removal professional once for each specific type of light-based medical device procedure for hair removal delegated regardless of the number of delegating physicians.
(E) The following delegates laser hair removal professionals are exempt from the education and training requirements of division (D)(1) of this section:
(1) A person An individual who, before the effective date of this section September 30, 2021, has been applying a light-based medical device for hair removal for at least two years through a lawful delegation by a physician;
(2) A person An individual described under division (B)(5)(b)(B)(3)(b)(i) of this section if the person individual was authorized to use a light-based medical device under the cosmetic therapist license;
(3) A person described in division (B)(5)(a) or (d) of this section.
(F)(F)(1) For delegation to a person under division (B)(5)(b), (c), or (d) of this sectionlaser Am.
377 Page 6 As Passed by the House (4) Each delegating physician and delegate laser hair 133 removal professional shall document and retain satisfactory 134 completion of training required under division (D) of this 135 section.
377 136th G.A.
The education requirement in division (D)(1)(a) of this 136 section shall be completed only once by the delegate laser hair 137 removal professional regardless of the number of types of 138 specific light-based medical device procedures for hair removal 139 delegated and the number of delegating physicians.
hair removal professional, the delegating physician shall provide on-site supervision at all times that the person to whom the delegation is made laser hair removal professional is applying the light- based medical device.
The training 140 requirements of divisions (D)(1)(b) and (c) of this section 141 shall be completed by the delegate laser hair removal 142 professional once for each specific type of light-based medical 143 device procedure for hair removal delegated regardless of the 144 number of delegating physicians.
A physician shall not supervise more than two delegates under division (B)(5)(b), (c), or (d) of this section at the same time.
145 (E) The following delegates laser hair removal 146 professionals are exempt from the education and training 147 requirements of division (D)(1) of this section:
(G)(1)(2) Notwithstanding division (F)(F)(1) of this section, a delegating physician may provide off-site supervision of a laser hair removal professional when the light-based medical device is applied for the purpose of hair removal to an established patient if the person to whom the delegation is made is a cosmetic therapist who laser hair removal professional meets all of each of the following criteria:
148 (1) A person An individual who, before the effective date 149 of this section September 30, 2021, has been applying a light- 150 based medical device for hair removal for at least two years 151 through a lawful delegation by a physician;
(a) The cosmetic therapist laser hair removal professional has successfully completed a course in the use of light-based medical devices for the purpose of hair removal that has been approved by the delegating physician;
152 (2) A person An individual described under division (B)(5) 153 (b)(B)(3)(b)(i) of this section if the person individual was 154 authorized to use a light-based medical device under the 155 cosmetic therapist license;
(b) The and the course consisted of at least fifty hours of training, at least thirty hours of which was clinical experience;
156 (3) A person described in division (B)(5)(a) or (d) of 157 this section.
(c) (b) The cosmetic therapist laser hair removal professional has worked under the on-site supervision of the delegating physician for a sufficient period of time that the physician is satisfied that the cosmetic therapist laser hair removal professional is capable of competently performing the service with off-site supervision.
158 (F)(F)(1) For delegation to a person under division (B)(5) 159 (b), (c), or (d) of this sectionlaser hair removal professional, 160 the delegating physician shall provide on-site supervision at 161 Am.
(2) The cosmetic therapist laser hair removal professional shall maintain documentation of the successful completion of the required training.
(3) When providing supervision under division (F)(1) or (2) of this section, a physician shall supervise not more than five laser hair removal professionals at the same time.
(H) (G)(1) For delegation to a nurse, the delegating physician shall provide on-site supervision at all times that the nurse is applying the light-based medical device.
(2) Notwithstanding division (G)(1) of this section, a physician may provide off-site supervision of a nurse applying a light-based medical device to a patient for the purpose of hair removal if the nurse has completed a training and education program on the use of light-based medical devices for the purpose of hair removal that has been approved by the delegating physician.
An approved training and education program shall satisfy both of the following criteria:
(a) The program may be completed internally at the laser hair removal facility or externally through a third-party provider, provided the third-party program is overseen by a physician.
(b) The program includes forty total hours of training, which may be a combination of didactic training, in-person hands-on training, and performance of laser hair removal procedures.
The nurse shall maintain documentation of the successful completion of the required training.
(3) When providing supervision under division (G)(1) or (2) of this section, the physician shall supervise not more than five nurses at the same time.
Am.
377 Page 7 As Passed by the House all times that the person to whom the delegation is made laser 162 hair removal professional is applying the light-based medical 163 device.
377 136th G.A.
164 A physician shall not supervise more than two delegates 165 under division (B)(5)(b), (c), or (d) of this section at the 166 same time.
(H) A delegate under this section shall immediately report to the supervising physician any clinically significant side effect following the application of the light-based medical device or any failure of the treatment to progress as was expected at the time the delegation was made.
167 (G)(1)(2) Notwithstanding division (F)(F)(1) of this 168 section, a delegating physician may provide off-site supervision 169 of a laser hair removal professional when the light-based 170 medical device is applied for the purpose of hair removal to an 171 established patient if the person to whom the delegation is made 172 is a cosmetic therapist who laser hair removal professional 173 meets all of each of the following criteria:
The physician shall see and personally evaluate the patient who has experienced the clinically significant side effect or whose treatment is not progressing as expected as soon as practicable.
174 (a) The cosmetic therapist laser hair removal professional 175 has successfully completed a course in the use of light-based 176 medical devices for the purpose of hair removal that has been 177 approved by the delegating physician;
(I) No physician shall fail to comply with division (A), (B), (F), (G), or (H) of this section.
178 (b) The and the course consisted of at least fifty hours 179 of training, at least thirty hours of which was clinical 180 experience;
A violation of this division constitutes a departure from, or the failure to conform to, minimal standards of care of similar practitioners under the same or similar circumstances, whether or not actual injury to a patient is established, under division (B)(6) of section 4731.22 of the Revised Code.
181 (c) (b) The cosmetic therapist laser hair removal 182 professional has worked under the on-site supervision of the 183 delegating physician for a sufficient period of time that the 184 physician is satisfied that the cosmetic therapist laser hair 185 removal professional is capable of competently performing the 186 service with off-site supervision.
(J) No physician shall delegate the application of light-based medical devices for the purpose of hair removal to a person an individual who is not listed in division (B)(5)(B)(3) of this section.
187 (2) The cosmetic therapist laser hair removal professional 188 shall maintain documentation of the successful completion of the 189 required training.
A violation of this division constitutes violating or attempting to violate, directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate section 4731.41 of the Revised Code for purposes of division (B)(20) of section 4731.22 of the Revised Code.
190 Am.
(K) No cosmetic therapist to whom a delegation is made under division (B)(5)(b) or (c) of this section laser hair removal professional shall fail to comply with division (G)(F) or (H) of this section.
A violation of this division constitutes the unauthorized practice of medicine pursuant to section 4731.41 of the Revised Code.
(L) No nurse shall fail to comply with division (G) or (H) of this section.
A violation of this division constitutes a failure to practice in accordance with acceptable and prevailing standards of safe nursing care, regardless of whether actual injury to a patient is established, for purposes of division (B)(19) of section 4723.28 of the Revised Code.
(M) No physician assistant shall fail to comply with division (H) of this section.
A violation of this division constitutes a departure from, or failure to conform to, minimal standards of care of similar physician assistants under the same or similar circumstances, regardless of whether actual injury to patient is established, for purposes of division (B)(19) of section 4730.25 of the Revised Code.
Sec.
4731.331.
(A) As used in this section, "standard care arrangement" has the same meaning as in section 4723.01 of the Revised Code.
(B) With respect to a light-based medical device applied to a patient for the purpose of hair removal, an advanced practice registered nurse or physician assistant may do both of the following:
(1) Delegate to a nurse or laser hair removal professional the application of the light-based medical device to the patient;
(2) Supervise the nurse's or laser hair removal professional's application of the light-based medical device to the patient.
(C)(1) An advanced practice registered nurse may take the actions described in division (B) of this section only if the actions are not prohibited by the advanced practice registered nurse's Am.
377 Page 8 As Passed by the House (3) When providing supervision under division (F)(1) or 191 (2) of this section, a physician shall supervise not more than 192 five laser hair removal professionals at the same time.
377 136th G.A.
193 (H) (G)(1) For delegation to a nurse, the delegating 194 physician shall provide on-site supervision at all times that 195 the nurse is applying the light-based medical device.
standard care arrangement.
196 (2) Notwithstanding division (G)(1) of this section, a 197 physician may provide off-site supervision of a nurse applying a 198 light-based medical device to a patient for the purpose of hair 199 removal if the nurse has completed a training and education 200 program on the use of light-based medical devices for the 201 purpose of hair removal that has been approved by the delegating 202 physician.
(2) A physician assistant may take the actions described in division (B) of this section only if the physician assistant satisfies the requirements of divisions (B)(3)(a) and (C) of section 4731.33 of the Revised Code.
An approved training and education program shall 203 satisfy both of the following criteria:
(3) In delegating to and supervising a nurse or laser hair removal professional under this section, an advanced practice registered nurse and physician assistant shall act in the same manner and be subject to the same conditions and requirements as a physician under section 4731.33 of the Revised Code.
204 (a) The program may be completed internally at the laser 205 hair removal facility or externally through a third-party 206 provider, provided the third-party program is overseen by a 207 physician.
(D) To be eligible to apply a light-based medical device under this section, a nurse or laser hair removal professional shall satisfy the same criteria for delegation and supervision described in section 4731.33 of the Revised Code.
208 (b) The program includes forty total hours of training, 209 which may be a combination of didactic training, in-person 210 hands-on training, and performance of laser hair removal 211 procedures.
SECTION 2.
212 The nurse shall maintain documentation of the successful 213 completion of the required training.
That existing section 4731.33 of the Revised Code is hereby repealed.
214 (3) When providing supervision under division (G)(1) or 215 (2) of this section, the physician shall supervise not more than 216 five nurses at the same time.
Am.
217 (H) A delegate under this section shall immediately report 218 to the supervising physician any clinically significant side 219 Am.
377 Page 9 As Passed by the House effect following the application of the light-based medical 220 device or any failure of the treatment to progress as was 221 expected at the time the delegation was made.
377 136th G.A.
The physician 222 shall see and personally evaluate the patient who has 223 experienced the clinically significant side effect or whose 224 treatment is not progressing as expected as soon as practicable.
Speaker ___________________ of the House of Representatives.
225 (I) No physician shall fail to comply with division (A), 226 (B), (F), (G), or (H) of this section.
President ___________________ of the Senate.
A violation of this 227 division constitutes a departure from, or the failure to conform 228 to, minimal standards of care of similar practitioners under the 229 same or similar circumstances, whether or not actual injury to a 230 patient is established, under division (B)(6) of section 4731.22 231 of the Revised Code.
Passed ________________________, 20____ Approved ________________________, 20____ Governor.
232 (J) No physician shall delegate the application of light- 233 based medical devices for the purpose of hair removal to a 234 person an individual who is not listed in division (B)(5)(B)(3) 235 of this section.
Am.
A violation of this division constitutes 236 violating or attempting to violate, directly or indirectly, or 237 assisting in or abetting the violation of, or conspiring to 238 violate section 4731.41 of the Revised Code for purposes of 239 division (B)(20) of section 4731.22 of the Revised Code.
240 (K) No cosmetic therapist to whom a delegation is made 241 under division (B)(5)(b) or (c) of this section laser hair 242 removal professional shall fail to comply with division (G)(F) 243 or (H) of this section.
A violation of this division constitutes 244 the unauthorized practice of medicine pursuant to section 245 4731.41 of the Revised Code.
246 (L) No nurse shall fail to comply with division (G) or (H) 247 of this section.
A violation of this division constitutes a 248 failure to practice in accordance with acceptable and prevailing 249 Am.
377 Page 10 As Passed by the House standards of safe nursing care, regardless of whether actual 250 injury to a patient is established, for purposes of division (B) 251 (19) of section 4723.28 of the Revised Code.
377 136th G.A.
252 (M) No physician assistant shall fail to comply with 253 division (H) of this section.
The section numbering of law of a general and permanent nature is complete and in conformity with the Revised Code.
A violation of this division 254 constitutes a departure from, or failure to conform to, minimal 255 standards of care of similar physician assistants under the same 256 or similar circumstances, regardless of whether actual injury to 257 patient is established, for purposes of division (B)(19) of 258 section 4730.25 of the Revised Code.
Director, Legislative Service Commission.
259 Sec.
Filed in the office of the Secretary of State at Columbus, Ohio, on the ____ day of ___________,A.
4731.331.
D.
(A) As used in this section, "standard care 260 arrangement" has the same meaning as in section 4723.01 of the 261 Revised Code.
20____.
262 (B) With respect to a light-based medical device applied 263 to a patient for the purpose of hair removal, an advanced 264 practice registered nurse or physician assistant may do both of 265 the following:
Secretary of State.
266 (1) Delegate to a nurse or laser hair removal professional 267 the application of the light-based medical device to the 268 patient;
File No.
269 (2) Supervise the nurse's or laser hair removal 270 professional's application of the light-based medical device to 271 the patient.
_________ Effective Date ___________________
272 (C)(1) An advanced practice registered nurse may take the 273 actions described in division (B) of this section only if the 274 actions are not prohibited by the advanced practice registered 275 nurse's standard care arrangement.
276 (2) A physician assistant may take the actions described 277 in division (B) of this section only if the physician assistant 278 Am.
H.
B.
No.
377 Page 11 As Passed by the House satisfies the requirements of divisions (B)(3)(a) and (C) of 279 section 4731.33 of the Revised Code.
280 (3) In delegating to and supervising a nurse or laser hair 281 removal professional under this section, an advanced practice 282 registered nurse and physician assistant shall act in the same 283 manner and be subject to the same conditions and requirements as 284 a physician under section 4731.33 of the Revised Code.
285 (D) To be eligible to apply a light-based medical device 286 under this section, a nurse or laser hair removal professional 287 shall satisfy the same criteria for delegation and supervision 288 described in section 4731.33 of the Revised Code.
289 Section 2.
That existing section 4731.33 of the Revised 290 Code is hereby repealed.
291
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"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed

Passed 31 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 23000
Democratic 8000
Total 31000
% of votes cast 100%0%0%0%
How each member voted (31)
Member Party Vote
Beth Liston Democratic Yea
Casey Weinstein Democratic Yea
Catherine D. Ingram Democratic Yea
Hearcel F. Craig Democratic Yea
Kent Smith Democratic Yea
Nickie J. Antonio Democratic Yea
William P. DeMora Democratic Yea
Willis E. Blackshear, Jr. Democratic Yea
Al Cutrona Republican Yea
Al Landis Republican Yea
Andrew O. Brenner Republican Yea
Bill Reineke Republican Yea
Brian M. Chavez Republican Yea
George F. Lang Republican Yea
Jane M. Timken Republican Yea
Jerry C. Cirino Republican Yea
Kristina D. Roegner Republican Yea
Kyle Koehler Republican Yea
Louis W. Blessing, III Republican Yea
Mark Romanchuk Republican Yea
Michele Reynolds Republican Yea
Nathan H. Manning Republican Yea
Rob McColley Republican Yea
Sandra O'Brien Republican Yea
Shane Wilkin Republican Yea
Stephen A. Huffman Republican Yea
Steve Wilson Republican Yea
Susan Manchester Republican Yea
Theresa Gavarone Republican Yea
Thomas F. Patton Republican Yea
Tim Schaffer Republican Yea

Official roll call →

Passed

Passed 95 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 33000
Republican 62000
Total 95000
% of votes cast 100%0%0%0%
How each member voted (95)
Member Party Vote
Anita Somani Democratic Yea
Ashley Bryant Bailey Democratic Yea
Beryl Brown Piccolantonio Democratic Yea
Bride Rose Sweeney Democratic Yea
C. Allison Russo Democratic Yea
Cecil Thomas Democratic Yea
Chris Glassburn Democratic Yea
Christine Cockley Democratic Yea
Crystal Lett Democratic Yea
Dani Isaacsohn Democratic Yea
Daniel P. Troy Democratic Yea
Darnell T. Brewer Democratic Yea
Derrick Hall Democratic Yea
Desiree Tims Democratic Yea
Dontavius L. Jarrells Democratic Yea
Elgin Rogers, Jr. Democratic Yea
Eric Synenberg Democratic Yea
Erika White Democratic Yea
Ismail Mohamed Democratic Yea
Joseph A. Miller, III Democratic Yea
Juanita O. Brent Democratic Yea
Karen Brownlee Democratic Yea
Latyna M. Humphrey Democratic Yea
Mark Sigrist Democratic Yea
Meredith R. Lawson-Rowe Democratic Yea
Michele Grim Democratic Yea
Munira Abdullahi Democratic Yea
Phillip M. Robinson, Jr. Democratic Yea
Rachel B. Baker Democratic Yea
Sean P. Brennan Democratic Yea
Terrence Upchurch Democratic Yea
Tristan Rader Democratic Yea
Veronica R. Sims Democratic Yea
Adam C. Bird Republican Yea
Adam Holmes Republican Yea
Adam Mathews Republican Yea
Andrea White Republican Yea
Angela N. King Republican Yea
Bernard Willis Republican Yea
Beth Lear Republican Yea
Bill Roemer Republican Yea
Bob Peterson Republican Yea
Brian Lorenz Republican Yea
Brian Stewart Republican Yea
Cindy Abrams Republican Yea
D. J. Swearingen Republican Yea
David Thomas Republican Yea
Gary Click Republican Yea
Gayle Manning Republican Yea
Haraz N. Ghanbari Republican Yea
Heidi Workman Republican Yea
Jack K. Daniels Republican Yea
James M. Hoops Republican Yea
Jamie Callender Republican Yea
Jason Stephens Republican Yea
Jean Schmidt Republican Yea
Jeff LaRe Republican Yea
Jennifer Gross Republican Yea
Jim Thomas Republican Yea
Jodi Salvo Republican Yea
Johnathan Newman Republican Yea
Josh Williams Republican Yea
Justin Pizzulli Republican Yea
Kellie Deeter Republican Yea
Kevin D. Miller Republican Yea
Levi Dean Republican Yea
Marilyn John Republican Yea
Mark Hiner Republican Yea
Mark Johnson Republican Yea
Matt Huffman Republican Yea
Matthew Kishman Republican Yea
Melanie Miller Republican Yea
Meredith Craig Republican Yea
Michael D. Dovilla Republican Yea
Michelle Teska Republican Yea
Mike Odioso Republican Yea
Monica Robb Blasdel Republican Yea
Nick Santucci Republican Yea
Phil Plummer Republican Yea
Riordan T. McClain Republican Yea
Rodney Creech Republican Yea
Ron Ferguson Republican Yea
Roy Klopfenstein Republican Yea
Sarah Fowler Arthur Republican Yea
Scott Oelslager Republican Yea
Sharon A. Ray Republican Yea
Steve Demetriou Republican Yea
Tex Fischer Republican Yea
Thaddeus J. Claggett Republican Yea
Thomas Hall Republican Yea
Tim Barhorst Republican Yea
Tom Young Republican Yea
Tracy M. Richardson Republican Yea
Ty D. Mathews Republican Yea
Ty Moore Republican Yea

Official roll call →

Reported

Failed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Republican 9000
Democratic 4000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Anita Somani Democratic Yea
Karen Brownlee Democratic Yea
Michele Grim Democratic Yea
Rachel B. Baker Democratic Yea
Andrea White Republican Yea
Angela N. King Republican Yea
Brian Stewart Republican Yea
Jean Schmidt Republican Yea
Jennifer Gross Republican Yea
Kellie Deeter Republican Yea
Melanie Miller Republican Yea
Meredith Craig Republican Yea
Tim Barhorst Republican Yea

Official roll call →

House — Favorable Passage

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 4000
Republican 9000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Anita Somani Democratic Yea
Karen Brownlee Democratic Yea
Michele Grim Democratic Yea
Rachel B. Baker Democratic Yea
Andrea White Republican Yea
Angela N. King Republican Yea
Brian Stewart Republican Yea
Jean Schmidt Republican Yea
Jennifer Gross Republican Yea
Kellie Deeter Republican Yea
Melanie Miller Republican Yea
Meredith Craig Republican Yea
Tim Barhorst Republican Yea

Official roll call →

Subjects

healthcare labor health-insurance
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Frequently asked questions

What does HB 377 do?
To amend section 4731.33 and to enact section 4731.331 of the Revised Code to revise the law governing the application of light-based medical devices for the purpose of hair removal.
Who sponsors HB 377?
HB 377 is sponsored by Kellie Deeter (Republican).
What is the current status of HB 377?
This bill has been enacted into law. Introduced August 26, 2026. Enacted.
Where can I track HB 377?
Track HB 377 free on One Click Politics — get push/email alerts when it moves.

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