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United States · Bill · HR

H.R. 1907 (113th)

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013

referredUnited States· United States Congress· EN

Introduced

9 May 2013

Last action

3 June 2013 · Referred

Status

Referred to the Subcommittee on Health.

Sponsors

Rep. Schakowsky, Janice D. [D-IL-9], Rep. Lofgren, Zoe [D-CA-18], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Schwartz, Allyson Y. [D-PA-13], Rep. Moore, Gwen [D-WI-4], Rep. Sherman, Brad [D-CA-32], Rep. Lee, Barbara [D-CA-12], Rep. Ellison, Keith [D-MN-5], Rep. Chu, Judy [D-CA-28], Rep. Lynch, Stephen F. [D-MA-8], Rep. Keating, William R. [D-MA-9], Rep. McGovern, James P. [D-MA-2], Rep. Speier, Jackie [D-CA-14], Rep. Hahn, Janice [D-CA-44], Sen. Markey, Edward J. [D-MA], Rep. DeFazio, Peter A. [D-OR-4], Rep. Enyart, William L. [D-IL-12], Rep. Lowenthal, Alan S. [D-CA-47], Rep. Beatty, Joyce [D-OH-3], Rep. Rangel, Charles B. [D-NY-15], Rep. Cartwright, Matt [D-PA-17], Rep. Brown, Corrine [D-FL-5], Rep. Miller, George [D-CA-11], Rep. Tierney, John F. [D-MA-6], Rep. Napolitano, Grace F. [D-CA-32], Rep. Johnson, Eddie Bernice [D-TX-30], Rep. Huffman, Jared [D-CA-2], Rep. Garamendi, John [D-CA-8], Del. Bordallo, Madeleine Z. [D-GU-At Large], Rep. Horsford, Steven [D-NV-4], Rep. Peters, Scott H. [D-CA-50], Rep. Brownley, Julia [D-CA-26], Rep. Shea-Porter, Carol [D-NH-1], Sen. Peters, Gary C. [D-MI], Rep. Takano, Mark [D-CA-39], Rep. Clark, Katherine M. [D-MA-5], Rep. Ryan, Tim [D-OH-13], Rep. Conyers, John, Jr. [D-MI-13], Rep. Bera, Ami [D-CA-6]

Subjects

Healthcare, Education

Source updated

12 August 2025

Healthcare · Education

Official sourceDownload fileView documentsShare

Summary

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 - Amends the Public Health Service Act to require hospitals to implement a staffing plan that includes a minimum direct care registered nurse-to-patient ratio by unit, adjustments above the minimum ratio under appropriate circumstances, and compliance with minimum licensed practical nurse staffing requirements. Requires the Secretary of Health and Human Services (HHS) to develop a national acuity tool to establish nurse staffing requirements above minimum ratios. Directs the Secretary to adjust Medicare payments to hospitals to cover additional costs incurred in providing services to Medicare beneficiaries that are attributable to compliance with such ratios. Authorizes a nurse to object to, or refuse to participate in, any activity, policy, practice, assignment or task if in good faith it would violate minimum ratios under this Act or if the nurse is not prepared by education, training, or experience to fulfill the assignment without compromising the safety of any patient or jeopardizing the license of the nurse. Prohibits a hospital from: (1) taking specified actions against a nurse based on the nurse's refusal to accept an assignment for such a reason; or (2) discriminating against any patient, employee, or any other individual for good faith complaints or grievances relating to the care, services, or conditions of the hospital or of any affiliated or related facilities. Prohibits actions by hospitals to restrain such rights. Sets forth enforcement provisions. Applies provisions of this Act through federal health programs, including Medicare, Medicaid, and Department of Veterans Affairs (VA) health benefits programs. Includes stipends in the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 9 May 2013

    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. 9 May 2013

    Introduced

    Introduced in House

    Source: IntroReferral

  3. 9 May 2013

    Introduced

    Introduced in House

    Source: IntroReferral

  4. 10 May 2013

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

  5. 3 June 2013

    Referred

    Referred to the Subcommittee on Health.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in House (text)

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  • Introduced in House (text)

    Introduced in House · EN · 9 May 2013

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  • Introduced in House (PDF)

    Introduced in House · EN · 9 May 2013

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  • Introduced in House

    summary · EN · 9 May 2013

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Sources

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