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United States · Bill · S

S. 864 (114th)

National Nursing Shortage Reform and Patient Advocacy Act

referredUnited States· United States Congress· EN

Introduced

25 March 2015

Last action

25 March 2015 · Introduced

Status

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Sponsors

Sen. Boxer, Barbara [D-CA], Sen. Brown, Sherrod [D-OH], Sen. Sanders, Bernard [I-VT], Sen. Markey, Edward J. [D-MA], Sen. Baldwin, Tammy [D-WI]

Subjects

Healthcare, Education

Source updated

12 August 2025

Healthcare · Education

Summary

National Nursing Shortage Reform and Patient Advocacy Act 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. Requires HHS to develop a transparent method for establishing nurse staffing requirements above minimum ratios. Directs HHS 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. Gives nurses the right to act as the patient's advocate by initiating action to improve health care and by giving the patient an opportunity to make informed health care decisions. Allows a nurse to object to, or refuse to participate in, any assignment if it would violate minimum ratios or if the nurse is not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing the nurse's license. 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 individual for good faith complaints relating to the care, services, or conditions of the hospital or of any related facilities. Adds stipends to 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. 25 March 2015

    Introduced

    Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

    Source: IntroReferral

  2. 25 March 2015

    Introduced

    Introduced in Senate

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

Documents

3 official files

Introduced in Senate (text)

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  • Introduced in Senate (text)

    Introduced in Senate · EN · 25 March 2015

    ViewDownloadOpen at official source

  • Introduced in Senate (PDF)

    Introduced in Senate · EN · 25 March 2015

    ViewDownloadOpen at official source

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  • Introduced in Senate

    summary · EN · 25 March 2015

    Open at official source

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Sponsors

Related records

Sources

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