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Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013

Introduced: May 9, 2013 Introduced by: Schakowsky, Janice D. Democratic · Illinois See on congress.gov
This bill died when the 113th Congress ended
It never became law before the 113th Congress (2013–2014) 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 3, 2013
Referred to the Subcommittee on Health.
May 10, 2013
Referred to the Subcommittee on Health.
May 9, 2013
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 9, 2013
Introduced in House
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 Plain-English summary Congressional Research Service

Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013 - 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.

Includes stipends in the nurse workforce loan repayment and scholarship program. Expands the nurse retention grant program to authorize programs to implement nurse preceptorship and mentorship projects.

What's happening now June 3, 2013

Referred to the Subcommittee on Health.

 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. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013. 113th Congress. Open America. https://openamerica.io/bill/113-HR-1907/
MLA
"H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013." 113th Congress, 2026, Open America, https://openamerica.io/bill/113-HR-1907/.
Bluebook (legal)
H.R. 1907, 113th Cong. (2026), https://openamerica.io/bill/113-HR-1907/.
Markdown link
[H.R. 1907: Nurse Staffing Standards for Patient Safety and Quality Care Act of 2013](https://openamerica.io/bill/113-HR-1907/)
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