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Ohio Bill Mandates Hospital Nurse Staffing Ratios and Creates Nursing Student Loan-to-Grant Program

Original title: Enact the Ohio Nurse Workforce and Safe Patient Act

Last action · October 22, 2025: Referred to HealthSponsors: Crystal Lett and 1 other

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Ohio legislation requires hospitals to establish and comply with mandatory minimum registered nurse staffing ratios, creates a $10 million annual nursing student loan-to-grant program, and mandates public reporting of hospital staffing levels beginning within one to four years of enactment.

Why it matters

Hospitals face strict mandatory patient limits per nurse and heavy fines up to $50,000 for non-compliance, while nursing students can have loans converted to grants through a five-year service commitment in Ohio healthcare facilities.

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

Hospitals

Hospitals must develop and comply with nurse staffing plans, establish nurse staffing committees, maintain shift records, post staffing notices publicly, and face financial penalties for non-compliance.

Directly affected

Registered nurses

Registered nurses participate in nurse staffing committees, benefit from mandatory maximum patient assignment limits, gain protections when refusing unsafe assignments, and are prohibited from being assigned to units without proper orientation.

Directly affected

Nursing students

Nursing students enrolled in prelicensure programs may apply for financial assistance through the Nursing Student Loan-to-Grant Program, converting loans to grants through service obligations.

Directly affected

Hospital patients

Patients receive care under mandatory minimum registered nurse staffing ratios, have access to staffing notices and shift-specific assignments, and can report inadequate staffing through a toll-free hotline.

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

What are the mandatory nurse-to-patient ratios under the bill?
The bill sets maximum patient assignments per : 1 patient in trauma emergency and operating rooms; 2 patients in critical care units; 3 patients in emergency, pediatric, and step-down units; 4 patients in medical-surgical and intermediate care units; 5 patients in rehabilitation and skilled nursing units; and 6 patients in postpartum care and well-baby nurseries.
How does the Nursing Student Loan-to-Grant Program work?
Eligible nursing students can receive up to $3,000 per year (for a maximum of four years) as a loan. Once the recipient completes a five-year service obligation practicing as a or nursing faculty member in Ohio, the total amount is forgiven and converted into a grant.
What penalties do hospitals face for failing to comply with staffing requirements?
If a violation is not resolved by an approved corrective action plan, the Director of Health shall impose a fine of $25,000 for a first offense and $50,000 for subsequent offenses for hospital business entities, and $20,000 for individual employees.

What else do you want to know?

News Coverage

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

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Oct 22, 2025HouseCommittee
    Referred to Health
  2. Oct 15, 2025HouseIntroduced
    Introduced

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 →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

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

financial connection100% confidence

Funding Transfer to Nurse Education Fund

Fines collected from hospital violations under Section 3722.36 are directly deposited into the state treasury to the credit of the nurse education assistance fund created under section 3333.28.

Connected Entities

Board of Nursing, Attorney General, Director of Budget and Management and 2 more
OrganizationBoard of Nursing“Assists in administering nurse education programs and approves nursing education”Map →
PersonAttorney General“Brings civil actions to collect unpaid fines or loan repayments”Map →
PersonDirector of Budget and Management“Establishes accounts and transfers funds”Map →
OrganizationDepartment of Health“Enforces hospital staffing requirements and conducts audits”Map →
OrganizationDepartment of Higher Education“Administers the nursing student loan-to-grant program”Map →

Sources

Open source document

www.legislature.ohio.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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