States Consider Limiting Nurse-to-Patient Ratio Requirements

March 19, 2019
Kelcie Jimenez

State legislators in Illinois, Michigan, and New York seek to set limits on the number of patients that hospital nurses can treat at a time.

Catalyzed by changing political dynamics in these states, these legislative proposals vary:

  • H.B. 2604, in Illinois, would limit each nurse to caring for two patients at a time in critical care, one patient in trauma care, and 4 patients in behavioral health care;
  • S.B. 159, in Michigan, would limit each nurse to caring for one patient at a time in critical care, one patient in trauma care, and 4 patients in behavioral health care; and
  • A. 2954 and S. 1032, in New York, would limit each nurse to caring for two patients at a time in critical care and one patient in trauma care, respectively.

California is the only state that has enacted a nurse-to-patient staffing ratio law, effective 2004. Most recently, a Massachusetts ballot measure that would have imposed nurse-to-patient staffing ratios failed in the state’s 2018 election.

Contact Senior Director of Policy Erin O’Malley at eomalley@essentialhospitals.org or 202.585.0127 with questions.

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