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Titles Actions Overview All Actions Cosponsors Committees Related Bills Subjects Latest Summary All Summaries

Titles (2)

Short Titles

Short Titles - Senate

Short Title(s) as Introduced

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

Official Titles

Official Titles - Senate

Official Titles as Introduced

A bill to amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other purposes.


Actions Overview (1)

Date Actions Overview
05/08/2019Introduced in Senate

All Actions (1)

Date All Actions
05/08/2019Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Action By: Senate

Cosponsors (6)

* = Original cosponsor
CosponsorDate Cosponsored
Sen. Baldwin, Tammy [D-WI]* 05/08/2019
Sen. Harris, Kamala D. [D-CA]* 05/08/2019
Sen. Sanders, Bernard [I-VT]* 05/08/2019
Sen. Warren, Elizabeth [D-MA]* 05/08/2019
Sen. Van Hollen, Chris [D-MD] 08/01/2019
Sen. Markey, Edward J. [D-MA] 07/20/2020

Committees (1)

Committees, subcommittees and links to reports associated with this bill are listed here, as well as the nature and date of committee activity and Congressional report number.

Committee / Subcommittee Date Activity Related Documents
Senate Health, Education, Labor, and Pensions05/08/2019 Referred to

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Latest Summary (1)

There is one summary for S.1357. View summaries

Shown Here:
Introduced in Senate (05/08/2019)

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

This bill requires hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. The bill also requires hospitals to follow certain procedures regarding how ratios are determined and other staff are prohibited from performing nurse functions unless specifically authorized within a state's scope of practice rules, among other requirements.

HHS must adjust Medicare payments to hospitals to cover additional costs attributable to compliance with these ratios.

Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not (1) take adverse actions against a nurse based on the nurse's reasonable refusal to accept an assignment; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS may impose civil monetary penalties on hospitals violating the ratio requirements and must publish the names of such hospitals.

The bill provides stipends to the nurse workforce loan repayment and scholarship program and expands the nurse retention grant program to include nurse preceptorship and mentorship projects.