The civic record
Read. Follow. Verify.Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2019
Record date · May 9, 2019
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What This Bill Would Do
This bill requires hospitals to implement specific minimum nurse-to-patient staffing ratios and creates new protections for nurses who refuse assignments they deem unsafe. It also mandates that hospitals maintain transparent staffing records and provides for federal enforcement through Medicare, Medicaid, and other government health programs.
This bill would change hospital operations by legally mandating specific nurse-to-patient ratios, which could impact hospital staffing costs, patient care delivery, and the legal rights of nurses to refuse assignments, with compliance required within two to four years depending on the hospital's location.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Registered Nurses
Nurses are subject to new staffing ratio requirements and gain legal protections against retaliation for refusing unsafe assignments.
Hospitals
Hospitals must implement new staffing plans, maintain public records, and comply with federal nurse-to-patient ratios or face civil penalties.
Medicare beneficiaries
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
Does this bill apply to all hospitals?
Can a nurse be fired for refusing an assignment?
How will hospitals pay for these new staffing requirements?
What else do you want to know?
News Coverage
Follow the record
Votes, people, money & the original sourceWhere This Stands
Currently filed. The next step in the legislative lifecycle is Committee.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Federalization of Staffing Standards
The bill represents a significant shift by moving nurse staffing regulation from the state level to a federal mandate enforced through Medicare and Medicaid participation.
Connected Entities
Sources
www.congress.gov
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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