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High Impact

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2019

Record date · May 9, 2019

Introduced
Committee
Floor Vote
Passed
Law

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Public stanceCommunity reactions are separate from the official record and reporting.

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.

Why it matters

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.

Directly affected

Registered Nurses

Nurses are subject to new staffing ratio requirements and gain legal protections against retaliation for refusing unsafe assignments.

Directly affected

Hospitals

Hospitals must implement new staffing plans, maintain public records, and comply with federal nurse-to-patient ratios or face civil penalties.

Indirectly affected

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?
Yes, the bill defines 'hospital' to include private hospitals as well as those operated by the Department of Veterans Affairs, the Department of Defense, and the Indian Health Services Program.
Can a nurse be fired for refusing an assignment?
No, the bill prohibits hospitals from discharging, discriminating, or retaliating against a nurse who refuses an assignment in good faith because they are not prepared by training or experience to fulfill it without compromising patient safety.
How will hospitals pay for these new staffing requirements?
The bill requires the Secretary of HHS to adjust Medicare payments to hospitals to cover the net costs incurred by complying with the new staffing requirements.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where 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

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

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

Steve Cohen, Clarke of New York, Anna, Jayapal, Pramila and 28 more
PersonSteve Cohen“Co-sponsor of the bill”Map →
PersonClarke of New York, Anna“Co-sponsor of the bill”Map →
PersonJayapal, Pramila“Co-sponsor of the bill”Map →
OrganizationPublic Health Service Act“The Act amends this act”Map →
PersonLofgren, Zoe“Co-sponsor of the bill”Map →
OrganizationHealth Services Research study“Study on California nurse staffing ratios”Map →
PersonNorton, Eleanor“Co-sponsor of the bill”Map →
PersonDelauro, Rosa“Co-sponsor of the bill”Map →
PersonSherman, Mark“Co-sponsor of the bill”Map →
PersonDeFazio, David“Co-sponsor of the bill”Map →
PersonSchakowsky, Alexandria“Lead sponsor of the bill”Map →
PersonGabbard, A.J.“Co-sponsor of the bill”Map →
PersonWilson of Florida, Lois“Co-sponsor of the bill”Map →
PersonRaskin, Raja“Co-sponsor of the bill”Map →
PersonKhanna, Ami“Co-sponsor of the bill”Map →
PersonVelazquez, Alexandria“Co-sponsor of the bill”Map →
PersonLee of California, Barbara“Co-sponsor of the bill”Map →
PersonBlumenauer, Kurt“Co-sponsor of the bill”Map →
PersonNadler, H. Roy“Co-sponsor of the bill”Map →
PersonKelly of Illinois, Robin“Co-sponsor of the bill”Map →
PersonBonamici, Luria“Co-sponsor of the bill”Map →
PersonSecretary“Secretary's determination of effective date”Map →
PersonDingell, Debbie“Co-sponsor of the bill”Map →
PersonPocan, Mark“Co-sponsor of the bill”Map →
PersonTakano, Mark“Co-sponsor of the bill”Map →
PersonRush, Elijah“Co-sponsor of the bill”Map →
OrganizationAgency for Healthcare Research and Quality“Study on nurse staffing and quality”Map →
PersonMoore, Jennifer“Co-sponsor of the bill”Map →
PersonBrownley of California, Michelle“Co-sponsor of the bill”Map →
PersonMcCollum, Grace“Co-sponsor of the bill”Map →
PersonDanny K. Davis“Co-sponsor of the bill”Map →

Sources

Open source document

www.congress.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy75
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz30
    Current news / social attention level

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