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HR 2273 111th Congress House Health Employment discrimination and employee rights Government studies and investigations Health facilities and institutions Health personnel Hospital care Medicare Nursing

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009

Introduced: May 6, 2009 Introduced by: Schakowsky, Janice D. Democratic · Illinois See on congress.gov
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This bill died when the 111th Congress ended
It never became law before the 111th Congress (2009–2010) adjourned, and bills don't carry over to the next Congress. It would have to be reintroduced. You can still save it for reference, but it won't receive updates.
 Everywhere this bill has been 5 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
May 7, 2009
Referred to the Subcommittee on Health.
May 6, 2009
Referred to House Ways and Means
May 6, 2009
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.
May 6, 2009
Referred to House Energy and Commerce
May 6, 2009
Introduced in House
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 Plain-English summary Congressional Research Service

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009 - 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 (AHRQ), 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.

What's happening now May 7, 2009

Referred to the Subcommittee on Health.

 Related & companion bills 1
  • S 1031 Related bill National Nursing Shortage Reform and Patient Advocacy Act
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 3
 Cosponsors 7
All 7 Democratic 7
D
Lynch, Stephen F.
Massachusetts · Jul 1, 2010
 D
Norton, Eleanor Holmes
District of Columbia · Mar 10, 2010
 D
Meeks, Gregory W.
New York · May 21, 2009
 D
Baldwin, Tammy
Wisconsin · May 6, 2009
 D
DeLauro, Rosa L.
Connecticut · May 6, 2009
 D
McGovern, James P.
Massachusetts · May 6, 2009
 D
Sherman, Brad
California · May 6, 2009
Cite this page click to expand
APA
U.S. Congress. (2026). H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009. 111th Congress. Open America. https://openamerica.io/bill/111-HR-2273/
MLA
"H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009." 111th Congress, 2026, Open America, https://openamerica.io/bill/111-HR-2273/.
Bluebook (legal)
H.R. 2273, 111th Cong. (2026), https://openamerica.io/bill/111-HR-2273/.
Markdown link
[H.R. 2273: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2009](https://openamerica.io/bill/111-HR-2273/)
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