Rep. Schakowsky Introduces Bill Setting National Nurse-to-Patient Ratios for Hospitals
This bill is currently sitting in the House committees on Energy and Commerce and Ways and Means. No action has been taken on this proposal since May 2025, meaning it has been stalled for 13 months. The bill must be reviewed by these committees before it can move forward, but it is not showing any signs of progress.
While popular with nursing unions, this bill faces strong opposition from hospital groups over costs and a lack of available nurses to fill the required roles.
This bill’s path across every version that has carried it.
Reintroduced
Reintroduced from H.R. 2530 (118th), which died when its Congress ended.
H.R. 2530 (118th) →Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Small and independent hospitals, especially in rural areas, could face significant financial pressure from meeting the mandated nurse-to-patient ratios. Hiring enough registered nurses to comply could be difficult and expensive, particularly in regions already experiencing nursing shortages. While rural hospitals get an extra two years to comply, the ongoing costs of staffing could be burdensome.
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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
National Nurses United (NNU) is pushing for the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025. The bill would limit patients per nurse, a move supporters say is necessary despite new 2026 Joint Commission goals that lack enforceable numerical ratios.
While focusing on state legislation, advocates highlighted the federal Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025. The bill aims to mandate ratios like 1:2 in ICUs, though trade groups warn mandates could strain facilities facing workforce shortages.
Introduced on International Nurses Day, the Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025 would establish federal minimum staffing requirements. Hospitals would be required to develop annual staffing plans and protect whistleblowers who report unsafe levels.
No votes recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025
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