119th Congress · introduced in the House · May 14, 2025
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025
Official title from Congress.gov
Latest action (May 14, 2025): 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.
View on Congress.govPolicy area: Health
Congressional Research Service summary, version: Introduced in House (May 14, 2025)
Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025
This bill requires hospitals to implement and submit to the Department of Health and Human Services (HHS) a staffing plan that complies with specified minimum nurse-to-patient ratios by unit. Hospitals must post a notice regarding nurse-to-patient ratios in each unit and maintain records of actual ratios for each shift in each unit. The bill also requires hospitals to follow certain procedures regarding how ratios are determined, and other staff are prohibited from performing nurse functions unless specifically authorized within a state's scope of practice rules.
HHS must adjust Medicare payments to hospitals to cover additional costs attributable to compliance with these ratios.
Nurses may object to, or refuse to participate in, an assignment if it would violate minimum ratios or if they are not prepared by education or experience to fulfill the assignment without compromising the safety of a patient or jeopardizing their nurse's license. Hospitals may not (1) take adverse actions against a nurse based on the nurse's reasonable refusal to accept an assignment; or (2) discriminate against individuals for good faith complaints relating to the care, services, or conditions of the hospital or related facilities. HHS may impose civil monetary penalties on hospitals violating the ratio requirements and must publish the names of such hospitals.
The bill provides stipends to the nurse workforce loan repayment and scholarship program and expands the nurse retention grant program to include nurse preceptorship and mentorship projects.
Includes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
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.
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.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
37 citations; showing the 25 most recently posted.
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Health Issues
$50,000
Spent on own lobbying
SUPPORT S. 1506 / H.R. 3069 - Medicare for All Act SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415) SUPPORT- Workplace Violence Prevention for Health Care and Social Service Workers Act (S. 1232 / H.R. 2531) Meeting with Senator Bernie Sanders and Senate HEL…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Labor Issues/Antitrust/Workplace
$50,000
Spent on own lobbying
SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415) SUPPORT- Workplace Violence Prevention for Health Care and Social Service Workers Act (S. 1232 / H.R. 2531) SUPPORT-Richard L. Trumka Protecting The Right to…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…Rep. Spartz, Victoria - MA risk adjustment H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN NURSES ASSOCIATION · lobbying firm or registrant: AMERICAN NURSES ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Labor Issues/Antitrust/Workplace
$210,000
Spent on own lobbying
…ctors for the purposes of the Fair Labor Standards Act of 1938 and the National Labor Relations Act (H.R. 10056/S. 5319) Nurse Overtime and Patient Safety Act (H.R. 3415/S. 1709) Nurse Staffing Standards for Hospital Patient Safety and Quality Act
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Oct 2, 2026 · issue area: Health Issues
$110,000
Spent on own lobbying
…d Hawley. Meetings were with Senator Ron Wyden Meeting with Congressional Progressive Caucus staff on Medicare for All Act (S. 1506 / H.R. 3069) Support S.1709/HR3415, Nursing Staffing Standards for Hospital Patient Safety and Quality Care Act Meeting with Senator Fetterman staff on Medicare for All Act (S. 1506 / H.R. 3069)…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · amended · posted Oct 2, 2026 · issue area: Labor Issues/Antitrust/Workplace
$110,000
Spent on own lobbying
…Health Care and Social Service Workers Act (S. 1232 / H.R. 2531) SUPPORT- Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act (S. 1709 / H.R. 3415) SUPPORT- VA Employee Fairness Act (S. 1650 / H.R. 3261) SUPPORT - S.J.Res. 196, a Congressional Review Act resolution on the classification of nurse degrees a…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RETIRED AMERICANS · lobbying firm or registrant: ALLIANCE FOR RETIRED AMERICANS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$85,000
Spent on own lobbying
…se Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safet…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 20, 2026 · issue area: Medicare/Medicaid
$5,320,000
Spent on own lobbying
…Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RETIRED AMERICANS · lobbying firm or registrant: ALLIANCE FOR RETIRED AMERICANS
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 18, 2026 · issue area: Health Issues
$95,000
Spent on own lobbying
…se Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safet…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Labor Issues/Antitrust/Workplace
$1,002,374
Spent on own lobbying
…Americas Workforce Act (support) H.R.2550, Protect Americas Workforce Act (support) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, H.R.3415/S.1709 (support) American Franchise Act, H.R.5267 (oppose) Artificial Intelligence (AI) Data Centers Moratorium Act, S. 4214 (support)
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · posted Apr 17, 2026 · issue area: Health Issues
$1,002,374
Spent on own lobbying
…Jr. to be removed from his position as Health and Human Services Secretary (support) Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act, H.R.3415/S.1709 (support) Healthy Families Act, H.R. 7531, S. 3869 (support)
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 21, 2026 · issue area: Medicare/Medicaid
$4,120,000
Spent on own lobbying
…Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Health Issues
$130,000
Spent on own lobbying
…ial Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6703…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Labor Issues/Antitrust/Workplace
$130,000
Spent on own lobbying
…lence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Veterans
$130,000
Spent on own lobbying
…lence Prevention for Health Care and Social Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Government Issues
$130,000
Spent on own lobbying
…al Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Medical/Disease Research/Clinical Labs
$130,000
Spent on own lobbying
HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act S 1709 S…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 20, 2026 · issue area: Budget/Appropriations
$130,000
Spent on own lobbying
…al Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261 Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 4313 Oppose the Hospital Inpatient Services Modernization Act HR 6014…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ALLIANCE FOR RETIRED AMERICANS · lobbying firm or registrant: ALLIANCE FOR RETIRED AMERICANS
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · posted Jan 8, 2026 · issue area: Health Issues
$90,000
Spent on own lobbying
…se Control 4. S. 1227, Alleviating Barriers for Caregivers Act, entire bill 5. H.R. 3162, Affordable and Safe Prescription Drug Importation Act, entire bill 6. H.R. 3415, Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act of 2025, entire bill 7. S. 1709, Nurse Staffing Standards for Hospital Patient Safet…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$4,230,000
Spent on own lobbying
…Medicare geographic practice cost indices H.R. 3321 - Ending Medicaid Discrimination Against the Most Vulnerable Act - Rep. Roy, Chip - Enhance FMAP phase out H.R. 3415 - Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act - Rep. Schakowsky, Janice - Nurse staffing ratio requirements H.R. 3467 - To amend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Health Issues
$110,000
Spent on own lobbying
…ial Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Co…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Medicare/Medicaid
$110,000
Spent on own lobbying
HR 1 Oppose the One Big Beautiful Bill Act HR 3069 Support for Medicare for All Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5371 Oppose the Continuing Appropriations and Extensions Act of 2026 H…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Labor Issues/Antitrust/Workplace
$110,000
Spent on own lobbying
…ial Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Co…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL NURSES UNITED · lobbying firm or registrant: NATIONAL NURSES UNITED
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · posted Oct 20, 2025 · issue area: Veterans
$110,000
Spent on own lobbying
…ial Service Workers Act HR 2550 Support for Protect Americas Workforce Act HR 3069 Support for Medicare for All Act HR 3261Support for VA Employee Fairness Act HR 3415 Support for Nurse Staffing Standards for Hospital Patient Safety and Quality Care Act HR 5088 Support for Union Participation for All Act HR 5371 Oppose the Co…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing