United States · Bill · HR
H.R. 4316 (108th)
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2004
Introduced
6 May 2004
Last action
21 May 2004 · Referred
Status
Referred to the Subcommittee on Health.
Sponsors
Rep. Schakowsky, Janice D. [D-IL-9], Rep. Andrews, Robert E. [D-NJ-1], JOHN CONYERS, Rosa DeLauro, Rep. Deutsch, Peter [D-FL-20], Rep. Filner, Bob [D-CA-51], Rep. Frost, Martin [D-TX-24], Rep. Hoeffel, Joseph M. [D-PA-13], Rep. Holden, Tim [D-PA-17], EDDIE JOHNSON, Rep. McCarthy, Carolyn [D-NY-4], Rep. Meek, Kendrick B. [D-FL-17], Rep. Nadler, Jerrold [D-NY-12], Del. Norton, Eleanor Holmes [D-DC-At Large], LUCILLE ROYBAL-ALLARD, Linda Sánchez, PETER VISCLOSKY, Sen. Sanders, Bernard [I-VT], ROBERT BRADY, Rep. Rangel, Charles B. [D-NY-19], Rep. Owens, Major R. [D-NY-12], Rep. Davis, Lincoln [D-TN-4], Marcy Kaptur, Rep. Gordon, Bart [D-TN-6], Rep. Kucinich, Dennis J. [D-OH-10], Rep. Hinchey, Maurice D. [D-NY-22], Sen. Baldwin, Tammy [D-WI], Rep. Sanchez, Loretta [D-CA-46], Rep. Oberstar, James L. [D-MN-8], Del. Christensen, Donna M. [D-VI-At Large], Rep. Moran, James P. [D-VA-8], Rep. Stark, Fortney Pete [D-CA-9]
Subjects
Healthcare
Source updated
18 August 2025
Summary
Nurse Staffing Standards for Patient Safety and Quality Care Act of 2004 - Amends the Public Health Service Act to require hospitals to implement staffing plans that meet specified ratios for direct care registered nurse-to-patient staffing levels for each unit and other requirements, including for receiving input from nurses. Allows the Secretary of Health and Human Services to further limit such ratios as needed to ensure public safety and to establish ratios for units not specified. Provides an exception to such staffing requirements for a declared state of emergency. Requires hospitals to provide the Secretary with their staffing plan and annual updates. Requires the Secretary to conduct audits to ensure the implementation of adequate staffing plans. Requires the Secretary: (1) acting through the Director of the Agency for Healthcare Research and Quality, to complete a study of licensed practical nurse staffing and its effects on patient care in hospitals; and (2) to establish requirements for hospitals based on the outcome of the study. Requires the Secretary to adjust payments to cover additional Medicare costs that are attributable to this Act. Requires the Medicare Payment Advisory Commission to submit to Congress and the Secretary a report estimating total costs and savings attributable to compliance with nurse staffing requirements. Provides nurses with the right to refuse to accept assignments that would violate staffing requirements or for which they are not prepared. Prohibits retaliation by hospitals for such refusals or for reporting violations of staffing requirements.
This text is taken from the official record. PoliticalRepo does not editorialize.
Timeline
6 May 2004
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
6 May 2004
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
6 May 2004
Introduced
Introduced in House
Source: IntroReferral
6 May 2004
Introduced
Introduced in House
Source: IntroReferral
11 May 2004
Referred
Referred to the Subcommittee on Health.
Source: Committee
21 May 2004
Referred
Referred to the Subcommittee on Health.
Source: Committee
Votes
No vote records are attached yet.
Versions
- Introduced in House · 6 May 2004 · Official file
Documents
3 official files
Introduced in House (text)
Introduced in House (text)
Introduced in House · EN · 6 May 2004
Introduced in House (PDF)
Introduced in House · EN · 6 May 2004
Introduced in House
summary · EN · 6 May 2004
Sponsors
- Rep. Schakowsky, Janice D. [D-IL-9] · D · Sponsor
- Rep. Andrews, Robert E. [D-NJ-1] · D · Sponsor
- JOHN CONYERS · D · Sponsor
- Rosa DeLauro · D · Sponsor
- Rep. Deutsch, Peter [D-FL-20] · D · Sponsor
- Rep. Filner, Bob [D-CA-51] · D · Sponsor
- Rep. Frost, Martin [D-TX-24] · D · Sponsor
- Rep. Hoeffel, Joseph M. [D-PA-13] · D · Sponsor
- Rep. Holden, Tim [D-PA-17] · D · Sponsor
- EDDIE JOHNSON · D · Sponsor
- Rep. McCarthy, Carolyn [D-NY-4] · D · Sponsor
- Rep. Meek, Kendrick B. [D-FL-17] · D · Sponsor
- Rep. Nadler, Jerrold [D-NY-12] · D · Sponsor
- Del. Norton, Eleanor Holmes [D-DC-At Large] · D · Sponsor
- LUCILLE ROYBAL-ALLARD · D · Sponsor
- Linda Sánchez · D · Sponsor
- PETER VISCLOSKY · D · Sponsor
- Sen. Sanders, Bernard [I-VT] · I · Cosponsor
- ROBERT BRADY · D · Cosponsor
- Rep. Rangel, Charles B. [D-NY-19] · D · Cosponsor
- Rep. Owens, Major R. [D-NY-12] · D · Cosponsor
- Rep. Davis, Lincoln [D-TN-4] · D · Cosponsor
- Marcy Kaptur · D · Cosponsor
- Rep. Gordon, Bart [D-TN-6] · D · Cosponsor
- Rep. Kucinich, Dennis J. [D-OH-10] · D · Cosponsor
- Rep. Hinchey, Maurice D. [D-NY-22] · D · Cosponsor
- Sen. Baldwin, Tammy [D-WI] · D · Cosponsor
- Rep. Sanchez, Loretta [D-CA-46] · D · Cosponsor
- Rep. Oberstar, James L. [D-MN-8] · D · Cosponsor
- Del. Christensen, Donna M. [D-VI-At Large] · D · Cosponsor
- Rep. Moran, James P. [D-VA-8] · D · Cosponsor
- Rep. Stark, Fortney Pete [D-CA-9] · D · Cosponsor
- · hsif00 · Standing
- · hswm00 · Standing
Related records
No cross-record relationships stored yet.
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/108th-congress/house-bill/4316
- Open data entity: https://api.congress.gov/v3/bill/108/hr/4316
- us · 108-hr-4316 · source updated 18 August 2025