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Bill · HR

H.R. 3415 (119th)

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025

Original

referredUnited States· United States Congress· EN

Introduced

14 May 2025

Last action

14 May 2025 · Introduced

Status

Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Sponsors

Janice Schakowsky, Lloyd Doggett, Steve Cohen, Del. Norton, Eleanor Holmes [D-DC-At Large], Greg Casar, Julia Brownley, Robin Kelly, Mike Quigley, Ro Khanna, Suzanne Bonamici, Jared Huffman, Alexandria Ocasio-Cortez, Raja Krishnamoorthi, LaMonica McIver, Pramila Jayapal, Judy Chu, Rashida Tlaib, Dina Titus, Delia Ramirez, Emilia Sykes, Ilhan Omar, Mark Pocan, Jimmy Gomez, Betty McCollum, Christopher Deluzio, Bennie Thompson, Juan Vargas, Shri Thanedar, Maxine Waters, Debbie Dingell, Yvette Clarke, Brad Sherman, Josh Harder, Ayanna Pressley, Bill Foster, Adelita Grijalva, Mark Takano, Lateefah Simon, Maxwell Frost, Ritchie Torres, Timothy Kennedy, Chellie Pingree, Emily Randall, Nanette Barragán, Melanie Stansbury, Jahana Hayes, James McGovern, Ted Lieu, Jonathan Jackson, Jamie Raskin

Subjects

Healthcare, Education

Source updated

18 August 2026

Healthcare · Education

Official sourceDownload fileView documentsShare

Summary

Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 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. 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.

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Timeline

  1. 14 May 2025

    Introduced

    Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

    Source: IntroReferral

  2. 14 May 2025

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 14 May 2025

    Introduced

    Introduced in House

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

No version snapshots stored. Document URLs remain at the source.

Documents

2 official files

Sponsors

Related records

Sources

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