United States · Bill · HR
H.R. 2187 (112th)
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011
Introduced
15 June 2011
Last action
23 June 2011 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Schakowsky, Janice D. [D-IL-9], Rep. Stark, Fortney Pete [D-CA-13], Rep. Ellison, Keith [D-MN-5], Rep. Lee, Barbara [D-CA-12], Rep. DeLauro, Rosa L. [D-CT-3], Sen. Baldwin, Tammy [D-WI], Rep. Rangel, Charles B. [D-NY-15], Rep. Johnson, Eddie Bernice [D-TX-30], Rep. Ryan, Tim [D-OH-13], Rep. Lynch, Stephen F. [D-MA-8], Del. Norton, Eleanor Holmes [D-DC-At Large], Rep. Sherman, Brad [D-CA-32], Rep. Woolsey, Lynn C. [D-CA-6], Rep. Kucinich, Dennis J. [D-OH-10], Rep. Davis, Susan A. [D-CA-53], Rep. Napolitano, Grace F. [D-CA-32], Rep. Reyes, Silvestre [D-TX-16], Rep. Schwartz, Allyson Y. [D-PA-13], Rep. Clarke, Hansen [D-MI-13], Rep. Keating, William R. [D-MA-9], Rep. Miller, George [D-CA-11], Rep. Hahn, Janice [D-CA-44], Rep. Baca, Joe [D-CA-43], ROBERT BRADY, Rep. Farr, Sam [D-CA-20], Rep. McGovern, James P. [D-MA-2], Rep. Moore, Gwen [D-WI-4], Rep. Tierney, John F. [D-MA-6]
Subjects
Healthcare, Education
Source updated
14 August 2025
Summary
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 - 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.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
15 June 2011
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
15 June 2011
Introduced
Introduced in House
Source: IntroReferral
15 June 2011
Introduced
Introduced in House
Source: IntroReferral
22 June 2011
Referred
Referred to the Subcommittee on Health.
Source: Committee
23 June 2011
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 15 June 2011 · Download file
Documents
3 official files
Introduced in House (text)
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Introduced in House (text)
Introduced in House · EN · 15 June 2011
Introduced in House (PDF)
Introduced in House · EN · 15 June 2011
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Introduced in House
summary · EN · 15 June 2011
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Sponsors
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Sponsor
- Rep. Stark, Fortney Pete [D-CA-13] · D · Sponsor
- Rep. Ellison, Keith [D-MN-5] · D · Sponsor
- Rep. Lee, Barbara [D-CA-12] · D · Sponsor
- Rep. DeLauro, Rosa L. [D-CT-3] · D · Sponsor
- Sen. Baldwin, Tammy [D-WI] · D · Sponsor
- Rep. Rangel, Charles B. [D-NY-15] · D · Sponsor
- Rep. Johnson, Eddie Bernice [D-TX-30] · D · Sponsor
- Rep. Ryan, Tim [D-OH-13] · D · Sponsor
- Rep. Lynch, Stephen F. [D-MA-8] · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- Rep. Sherman, Brad [D-CA-32] · D · Sponsor
- Rep. Woolsey, Lynn C. [D-CA-6] · D · Cosponsor
- Rep. Kucinich, Dennis J. [D-OH-10] · D · Cosponsor
- Rep. Davis, Susan A. [D-CA-53] · D · Cosponsor
- Rep. Napolitano, Grace F. [D-CA-32] · D · Cosponsor
- Rep. Reyes, Silvestre [D-TX-16] · D · Cosponsor
- Rep. Schwartz, Allyson Y. [D-PA-13] · D · Cosponsor
- Rep. Clarke, Hansen [D-MI-13] · D · Cosponsor
- Rep. Keating, William R. [D-MA-9] · D · Cosponsor
- Rep. Miller, George [D-CA-11] · D · Cosponsor
- Rep. Hahn, Janice [D-CA-44] · D · Cosponsor
- Rep. Baca, Joe [D-CA-43] · D · Cosponsor
- ROBERT BRADY · D · Cosponsor
- Rep. Farr, Sam [D-CA-20] · D · Cosponsor
- Rep. McGovern, James P. [D-MA-2] · D · Cosponsor
- Rep. Moore, Gwen [D-WI-4] · D · Cosponsor
- Rep. Tierney, John F. [D-MA-6] · D · Cosponsor
- · hswm00 · Standing
- · hsif00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/112th-congress/house-bill/2187
- Open data entity: https://api.congress.gov/v3/bill/112/hr/2187
- us · 112-hr-2187 · source updated 14 August 2025