An Act To Address Unsafe Staffing Of Nurses And Improve Patient Care
This bill establishes minimum staffing requirements for direct-care registered nurses in Maine's critical access hospitals, which are smaller facilities serving rural areas. Starting July 1, 2025, these hospitals must assign nurses to no more than two neonatal intensive care patients, four patients in step-down or telemetry units, and five patients in medical surgical or specialty care units. The law also clarifies that staffing rules do not apply during declared state or local emergencies if the facility shows it made diligent efforts to maintain staffing despite the crisis. Additionally, the bill defines "critical access hospital" and excludes state institutions from the new staffing mandates.
Bill status
failed
3 of 4 stages cleared
Introduction
Apr 2023
Committee Review
Mar 2024
Senate Passage
Mar 2024
Governor
Introduced Apr 12, 2023
Last action Nov 20, 2024
Floor votes · Senate Mar 27, 2024
How they voted
22–13
Passed
Total votes 35
Mar 27, 2024
D
Democratic22
95% Yea
I
Independent1
100% Nay
R
Republican12
91% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
22
Key actions
5
Committee
5
Mar 27, 2024
Upper · Passed
Committee Amendment "A" (S-391) READ and ADOPTED
upper
Mar 27, 2024
Upper · Passed
On motion by Senator TIPPING of Penobscot The Majority Ought to Pass As Amended Report ACCEPTED
upper
Mar 27, 2024
Senate · Passed
Senate Vote: pass (22-13)
senate
Jun 21, 2023
Legislature · Passed
Reported Out - OTP-AM/ONTP
legislature
Apr 12, 2023
Committee
The Bill was REFERRED to the Committee on LABOR AND HOUSING.
lower
Apr 12, 2023
Upper · Passed
Committee on LABOR AND HOUSING suggested and ordered printed REFERENCE to the Committee on LABOR AND HOUSING Ordered sent down forthwith for concurrence
upper
1 primary · 8 co-sponsors
Sponsors
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