An Act promoting patient safety and equitable access to care

HD 1535 establishes statewide limits on the number of patients a registered nurse can care for at one time in hospitals, affecting all hospital units including emergency departments, maternity care, pediatric units, and psychiatric care. The Department of Public Health will create specific ratio limits through regulations, requiring hospitals to submit compliance plans if violations occur and imposing civil penalties up to $25,000 per violation. The law also prohibits retaliation against nurses who report violations and mandates public hearings before regulations are finalized. These changes apply to all hospitals providing 24/7 inpatient care, including teaching hospitals like UMass Medical School.