To amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other purposes.
Ways and Means Committee, Health Subcommittee, Health Subcommittee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2017 This bill amends the Public Health Service Act to require 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. HHS must adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with these ratios. The bill states that nurses have a duty and a right to act based on their professional judgment and provide care in the exclusive interests of patients. 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 specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS must publish the names of hospitals penalized for violating the requirements in this bill. The bill adds stipends to the nurse workforce loan repayment and scholarship program. The nurse retention grant program is expanded to authorize programs to implement nurse preceptorship and mentorship projects.
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.
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.
Administrative law and regulatory proceduresCivil actions and liabilityDepartment of Health and Human ServicesEmployment discrimination and employee rightsGovernment employee pay, benefits, personnel managementGovernment information and archivesGovernment studies and investigationsHealth care qualityHealth facilities and institutionsHealth information and medical recordsHealth personnelHealth programs administration and fundingHealth technology, devices, suppliesHospital careIndian social and development programsLabor-management relationsMedicaidMedical educationMedicareMilitary medicineMinority healthNursingStudent aid and college costsVeterans' medical care
To amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other purposes.
USA115th CongressHR-2392| House
| Updated: 5/18/2017
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2017 This bill amends the Public Health Service Act to require 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. HHS must adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with these ratios. The bill states that nurses have a duty and a right to act based on their professional judgment and provide care in the exclusive interests of patients. 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 specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS must publish the names of hospitals penalized for violating the requirements in this bill. The bill adds stipends to the nurse workforce loan repayment and scholarship program. The nurse retention grant program is expanded to authorize programs to implement nurse preceptorship and mentorship projects.
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.
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.
Administrative law and regulatory proceduresCivil actions and liabilityDepartment of Health and Human ServicesEmployment discrimination and employee rightsGovernment employee pay, benefits, personnel managementGovernment information and archivesGovernment studies and investigationsHealth care qualityHealth facilities and institutionsHealth information and medical recordsHealth personnelHealth programs administration and fundingHealth technology, devices, suppliesHospital careIndian social and development programsLabor-management relationsMedicaidMedical educationMedicareMilitary medicineMinority healthNursingStudent aid and college costsVeterans' medical care