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HR 2187 112th Congress House

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011

Official title: To amend the Public Health Service Act to establish direct care registered nurse-to-patient staffing ratio requirements in hospitals, and for other purposes.

Introduced: June 15, 2011 Introduced by: Schakowsky, Janice D. Democratic · Illinois See on congress.gov
Health Administrative remediesDepartment of Health and Human ServicesEmployment discrimination and employee rightsGovernment information and archives
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Government studies and investigationsHealth care qualityHealth facilities and institutionsHealth personnelHospital careMedicareNursing
This bill died when the 112th Congress ended
It never became law before the 112th Congress (2011–2012) 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 4 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Jun 23, 2011
Referred to the Subcommittee on Health.
Jun 22, 2011
Referred to the Subcommittee on Health.
Jun 15, 2011
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.
Jun 15, 2011
Introduced in House
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 Latest action June 23, 2011

Referred to the Subcommittee on Health.

 Plain-English summary Congressional Research Service

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011 - Amends the Public Health Service Act to require hospitals to implement a staffing plan that includes a minimum direct care registered nurse-to-patient ratio by unit, adjustments above the minimum ratio under appropriate circumstances, and compliance with minimum licensed practical nurse staffing requirements. Requires the Secretary of Health and Human Services (HHS) to develop a national acuity tool to establish nurse staffing requirements above minimum ratios.

Directs the Secretary 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.

Authorizes a nurse to object to, or refuse to participate in, any activity, policy, practice, assignment or task if in good faith it would violate minimum ratios under this Act or if the nurse is not prepared by education, training, or experience to fulfill the assignment without compromising the safety of any patient or jeopardizing the license of the nurse. 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 patient, employee, or any other individual for good faith complaints or grievances relating to the care, services, or conditions of the hospital or of any affiliated or related facilities. Prohibits actions by hospitals to restrain such rights. Sets forth enforcement provisions.

Applies provisions of this Act through federal health programs, including Medicare, Medicaid, and Department of Veterans Affairs (VA) health benefits programs.

 Related & companion bills 1
 Bill text 1 version

Source documents hosted by congress.gov.

 Committees of jurisdiction 4
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APA
U.S. Congress. (2026). H.R. 2187: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011. 112th Congress. Open America. https://openamerica.io/bill/112-HR-2187/
MLA
"H.R. 2187: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011." 112th Congress, 2026, Open America, https://openamerica.io/bill/112-HR-2187/.
Bluebook (legal)
H.R. 2187, 112th Cong. (2026), https://openamerica.io/bill/112-HR-2187/.
Markdown link
[H.R. 2187: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2011](https://openamerica.io/bill/112-HR-2187/)
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