United States · Bill · S
S. 864 (114th)
National Nursing Shortage Reform and Patient Advocacy Act
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
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
25 March 2015
Introduced
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Source: IntroReferral
25 March 2015
Introduced
Introduced in Senate
Source: IntroReferral
Votes
No vote records are attached yet.
Versions
- Introduced in Senate · 25 March 2015 · Download file
Documents
3 official files
Introduced in Senate (text)
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Introduced in Senate (text)
Introduced in Senate · EN · 25 March 2015
Introduced in Senate (PDF)
Introduced in Senate · EN · 25 March 2015
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Introduced in Senate
summary · EN · 25 March 2015
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Sponsors
- Sen. Boxer, Barbara [D-CA] · D · Sponsor
- Sen. Brown, Sherrod [D-OH] · D · Sponsor
- Sen. Sanders, Bernard [I-VT] · I · Cosponsor
- Sen. Markey, Edward J. [D-MA] · D · Cosponsor
- Sen. Baldwin, Tammy [D-WI] · D · Cosponsor
- · sshr00 · Standing
Related records
Sources
PoliticalRepo is an index and interpretation layer, not the authoritative legal source.
- Official source: https://www.congress.gov/bill/114th-congress/senate-bill/864
- Open data entity: https://api.congress.gov/v3/bill/114/s/864
- us · 114-s-864 · source updated 12 August 2025