Creates provisions relating to minimum nurse staffing requirements

HB 1370 establishes specific nurse-to-patient ratios for different hospital units to ensure adequate staffing. It requires hospitals to maintain ratios like 1:1 for trauma ERs and critical care, 1:4 for medical-surgical units, and 1:6 for well-baby nurseries, based on patient acuity. The bill mandates hospitals to develop and file staffing plans with the health department, ensures nurses can refuse unsafe assignments based on professional judgment, and requires all nursing staff to demonstrate unit-specific competence before patient assignments. This directly affects hospitals, registered nurses, and patient care safety across all Missouri healthcare facilities.